Conversation: The conversation between human and AI assistant.
[|Human|] Dear Dr.I am a a diabetic. recently I took to single needle acupuncture treatment. Initially results were good with weight loss of over 10 kilos but continuing to be active. But for the last few months I notice my lips corners tearing my  sides of penis tearing and mouth of anus also. Then a new problem has started. Severe itching on the front head if the penis from inside and white discharge after itching coming out. The worsr part is the foreskin not rolling back and swollen and painful. I tried rolling back and washing with the help of xylocaine but once sedation effect is over it pains a lot. The foreskin has become even enlarged. Can I do without circumcision? How much does it cost for circumcision? Kindly advise.Thanks Kumar
[|AI|]  Hi, From your history it seems that you got infection, most probably fungal or bacterial. Being diabetic and using the needles increases it chance. A complete blood count (full blood count) may be indicated, including assessment of the levels of iron, ferritin, vitamin B12 (and possibly other B vitamins), and folate and a proper clinical examination need to be done. You should consult your local doctor for necessary investigation. Treatment will be based on cause of disease may be antifungal or antibiotics. Circumcision will not be advised during infection. More probably medicines will help you out. Cost of circumcision surgery varies as per cities and hospitals. Do consider positive feedback as a credit to my work Let me know if you have any further questions.