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<s> [INST] How to improve my serum iron level?Hi doctor, I am a 35 year old female. I have been experiencing a rigorous hair fall. I am also feeling tired and dizzy. My skin and hair has become very rough and dry. Also the blood loss during periods is excessive. I got my blood tests done six months back and my serum iron was 36. My doctor had put me on an Iron supplement named Solfe for 6 months. I got my serum iron and vitamin D tested again. I have attached all the reports for your reference. My serum iron is still the same and it has not improved at all. Also, I get bruises on my body randomly. My thyroid levels are normal. Can you advise why my serum iron is not increasing, though my Hb is 11.9? My transferritin saturation is also low. Can this cause severe hair loss? Please advise a solution for my problem.[/INST]Hi. Based on your query and reports (attachment removed to protect patient identity), my opinion is as follows: Platelet count and endometrial biopsy. Revert back with the images and reports to a hematologist online.---> https://www.icliniq.com/ask-a-doctor-online/hematologist </s>

<s> [INST] I have an itchy bump around the second toe nail. What is it?Hello doctor, I have an itchy bump around the nail of one of my toes, the second one. It has happened in the past years, usually when the season gets warmer. It started about a month ago and grew into a quite itchy, sensitive and swollen area. It is now turning to purple. I tried antifungals before, but it was hard to know whether they made a difference. Please help.[/INST]Hi. I have read your concern and examine your pictures (attachment removed to protect patient identity). Ingrowing nail. 1. Gram staining and culture. 2. Potassium hydroxide (KOH) 5% smears. 1. Acute paronychia without obvious abscess can be treated nonsurgically like in your case. 2. I suggest tablet Augmentin 625 mg thrice daily (combination of Amoxicillin and Clavulanic acid) for 5 days and 1% Clotrimazole plus Fusidic acid cream twice daily for one week. </s>

<s> [INST] Kindly give your thoughts about pleural effusion with a mass in my lung.Hi doctor, I have recently visited ER due to sob. Then, I was diagnosed with a pleural effusion of left lung. Blood work and urinalysis completed during the visit showed normal values. I had chest x-ray and CT scan, which confirmed such and revealed a mass in this area. I went to medical center the next day for pleural fluid drainage and subsequent sample analysis. The sample results from fluid were clear and the drainage helped with breathing. I just returned from the medical center following the biopsy of that area. My radiologist indicated that the biopsy area was more shallow than he has experienced with other patients. I would appreciate your thoughts. I am currently on Lopressor and Losartan. I had not experienced breathing issue prior to this and it recently occurred just two weeks ago.[/INST]Hi. For further information consult a pulmonologist online --> https://www.icliniq.com/ask-a-doctor-online/pulmonologist </s>

<s> [INST] My testicle sizes are different. Will it be an issue in my visa medical test?Hi doctor, I was attacked by mumps around three years back and now my testicle sizes are different. So, I wanted to know about the treatment. Will I get rejected in visa medical test? I am a petroleum engineer. Please help.[/INST]Hello. I had gone through all the details posted. The difference in size of the testicles is mainly because of two reasons, orchitis and hydrocele. Orchitis is inflammation of the testicles, which has happened three years back due to mumps. There will be redness, pain and no fluid around the testis. For decrease of swelling and pain, we need to use anti-inflammatory agents. If there is any bacterial infection, then we need to use antibiotics. In case of hydrocele, if the inflammation is more, then the fluid will be formed around the testis, which needs ultrasound and clinical examination for diagnosis. If there is fluid around the testis, then it can be removed by surgery. If you have hydrocele, there is chance for rejection to foreign countries. So, you may need to be operated. If it is only different size of the testis and no fluid, then there may not be a chance for rejection. So, you need to consult a general surgeon and get an ultrasound of the scrotum for further management. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician </s>

<s> [INST] I am worried about my daughter's growth. Please guide.Hi doctor,Today, I took my 4.8 years old daughter, who is about 13 kg weight and 94 cm height, to a free growth screening camp. The Doctor has suggested the following laboratory tests. LFT, KFT, TSH, CBC, P/S, ESR, vitamin D3, TTG, IgA level, urine and stool routine. She has also prescribed Bandy Plus 10 mL oral suspension to be taken before sleep and again the same 10 mL dosage to be repeated after 15 days. She also told us to show the test reports within one or two days for further advice on the growth of my daughter. Since, Bandy plus contains Ivermectin and Albendazole, I am little bit scary. Further, my height is 168 cm and her mother is 158 cm. We are much worried about the growth of my daughter in terms of height. However, she is very active and one of the best students of her school in sports, study and all other extracurricular activities. We humbly request to guide us whether all these pathological tests and medication as stated above are in line with the problems or not.[/INST]Hello. Genetic. 1. Hypothyroidism. 2. Constitutional short stature. 3. Genetic. Revert back with the reports to a child health specialist online.---> https://www.icliniq.com/ask-a-doctor-online/child-health-specialist </s>

<s> [INST] There is a painless black growth on my knee. What could this be?Hi doctor,I am a 56 year old male. On the left knee, there is a painless black growth and that has been there for around 2 years now. In a recent visit, my doctor advised to use Lactic acid plus Salicylic acid based topical lotion. This reduced the size of the growth a little bit. However, after stopping the lotion for 15 days, it grew back to its original size again. But, it did not become bigger than before. I have attached the pictures for your reference. Could you please advice as what this could be? Also, what treatment would one need for this?[/INST]Hi. For further doubts consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist </s>

<s> [INST] What treatment is recommended for splenic aneurysm?Hi doctor, A year ago, I was told that I have a 1.5 cm splenic aneurysm after a CT scan. This week I had an MRI with and without contrast. The report was 4.2 fusiform aneurysm dilation of splenic artery, 4.6 mm x 6.5 mm splenic saccular aneurysm and minimal mural thrombus. Calcified wall with 3.8 mm renal fusiform aneurysm. Until I see a vascular MD, I would like to know the treatment for this. Also, a summary is appreciated. I am a 69 year old female. There is a history of lupus and high blood pressure. I am currently on Lipitor, Topral and Beinicar. Thank you.[/INST]Hi. For further information consult a general surgeon online --> https://www.icliniq.com/ask-a-doctor-online/general-surgeon </s>

<s> [INST] Am I suffering from leukemia?Hi doctor, My blood test shows lymphocytes 60% where the normal range is 20% to 45%. I had immunophenotyping and the values are CD23 - 2.11%, CD19 - 0.30% and CD5 - 79.9%. What does it indicate? Am I a leukemia patient? Please advise.[/INST]Hello. Revert back with the answers to the above questions to an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician </s>

<s> [INST] I am extremely scared of any noise. Is it due to psychotic illness?Hi doctor, I am 27 years of age. I had gone to study in abroad. I was extremely lonely there. I am a huge hypochondriac and when I started getting sleep problems, I started thinking I had some fatal disease. Subsequently, just three months ago, I somehow became convinced that I had schizophrenia and vigorously started searching about my symptoms on the internet. I started feeling extremely detached from my surroundings and from everything around me. I also started feeling detached from people. Nowadays, I feel extremely scared of any noise made by inanimate objects around me. Even a running air conditioner scares me, though I know that it is a non-living thing. It seems as if I have lost the ability to process things. A bird chirping scares me. While I know it is a bird chirping, I still get scared of that noise? A newspaper moving in the air scares me, even though I tell myself that it is a newspaper. I know this does not sound good. My question is, is there any possibility this is not a psychotic illness? Could this be anxiety or depression? And if it is a psychotic illness, is it possible that it might go away and not last like schizophrenia? Will I ever be able to work? Please help me.[/INST]Hi. For further information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist </s>

<s> [INST] What might be the reason for neck pain and low back pain?Hi doctor, I have low back pain and neck pain, but not simultaneously. It occurs alternatively. When there is low back pain, I do not feel neck pain and vice versa. What might be the problem? Please explain.[/INST]Hi. I have read your question with care. For further information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist </s>

<s> [INST] What does abutment of the nerve root mean?Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for annular bulging and tear?[/INST]Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist </s>

<s> [INST] Every time I eat spicy food, I poop blood. Why?Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I do not have a family history of colon cancer. I got blood tests done last night. Please find my reports attached.[/INST]Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online --> https://icliniq.com./ask-a-doctor-online/general-surgeon </s>

<s> [INST] Will Nano-Leo give permanent solution for erection problem?Hello doctor, I am 48 years old. I am experiencing weak erection and difficulty in sustaining the same. This condition was observed 10 years back. Also, there is premature ejaculation. Other physical ailments that I have are, I am suffering from hypertension and taking Amlopres-L (Amlodipine and Lisinopril) for the last 10 years, high cholesterol and triglycerides. My cholesterol level is 225 and triglyceride is 200 for the last 12 years. I used to do frequent masturbation in early age. I do have erection during morning hours many times, particularly after sound sleep or if I had long walk previous day. I am having Sildenafil 25 mg or 5 mg Cialis, which is effective enough. But, I wish to get rid of tablet support and live natural way. I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days. I wish to have your second opinion on this. Please guide.[/INST]Hi. For further doubts consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist </s>

<s> [INST] Will Kalarchikai cure multiple ovarian cysts in PCOD?Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well.[/INST]Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help. </s>

<s> [INST] I masturbate only by rubbing the tip of the penis. Is it a wrong way?Hi doctor, During masturbation I just rub the tip of the penis and not the entire penis. Is it a wrong way of doing? I do not get excited during sex and unable to ejaculate. Only, rubbing the tip of the penis gives me excitement. Also, two weeks ago, I have undergone circumcision as my foreskin did not retract. Before circumcision too, I have the same problem. Please help.[/INST]Hi. For further doubts consult a sexologist online -->https://www.icliniq.com/ask-a-doctor-online/sexologist </s>

<s> [INST] Some gum-like fluid is coming out of my ear. Please help.Hi doctor, Some gum-like fluid is coming out of my ear. I have this problem for almost two years now. Please help.[/INST]Hello. For further information consult an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist </s>

<s> [INST] I have been tested positive for chlamydia. What are the chances of PID?Hi doctor, I have recently been tested positive for Chlamydia, which I believe to have contracted around 3.5 years ago. In the past one year, I have been to the doctor for the following symptoms. Increased menstrual pain, dull pain during ovulation, yellow discharge, sickness during menses and one-sided pain for a few days after the menses. At that time, I was given medication to ease the blood flow and pain. However, now I have been tested positive for Chlamydia. Due to the fact that I must have had it for three to four years with no symptoms until the last year, I believe it has developed into PID. I am taking a course of Doxycycline 100 mg and Metronidazole 400 mg twice daily for 2 weeks which my GP gave me. However, he does not believe I have PID. I am going on a holiday next week and will be exposed to sunlight a lot. Should I hold off taking the antibiotics during this time? What are the chances I have PID? I am worried about scarring of the fallopian tubes and infertility. Would an ultrasound detect scarring if any?[/INST]Hi. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist </s>

<s> [INST] Is there any permanent solution for myopia?Hi doctor, I have a congenital squint problem. Till 12 to 13 years of age, my eyesight was good. Then, I developed myopia. It is mainly because of television. Now, I am 21 years old and have power glasses of -3.5. Is there any permanent solution for my condition? Please explain even if it is a surgery. Thank you.[/INST]Hi. Revert back with the photos to an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist </s>

<s> [INST] My son is 2 years old and not speaking yet. Please help.Hi doctor,My son is 2 years old and he is not speaking yet. He only used to tell some words like dad, banana, ice, etc. He is not trying to talk a full sentence. Please help.[/INST]Hello. For further information consult a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician </s>

<s> [INST] Had a breakup. Please help me come out of my feeling.Hi doctor, I am 25 years old. My problem is that I loved a girl and now she moved away from me. She rejected my proposal. Now, I am getting suicide ideas. Please help me to come out of this.[/INST]Hi. For further information consult a psychologist counsellor online --> https://www.icliniq.com/ask-a-doctor-online/psychologist-counsellor </s>

<s> [INST] My period used to be regular, but has got 7 days earlier this time. Why?Hello doctor, I am a 42-year-old female. I am facing unexpected suddenly bleeding from yesterday. My periods are expected on 20th and it is always too regular, date to date. I want to point out my periods discharge is always thick, clotty, and very painful for four to five days. This is the first time, it is seven days earlier with no indication, no pain, and no clots too, but feeling heavy in the lower side and painful urine infection. I am also facing itching in that area. Today I consulted a gynecologist in my area. She suggested Pause 500 if needed and also suggested Codex CZ for 15 days. She said not to worry, it may be regular periods. If bleeding continues for more than seven days then go for USG. Please give your advice. Also, I am hypothyroid for the past 16-17 years and taking Eltroxin 100 mg.[/INST]Hi. The medicine your doctor has prescribed is good. Take tablet Pause 500 mg (Tranexamic acid and Mefenamic acid) thrice a day for five days. I hope your doctor also did a vaginal examination and had a look at your cervix to see for any lesion. Though mostly hormonal it may sometimes be due to cervical disease or cancer. If she has not done a vaginal examination I suggest you go to it. Also, recheck your thyroid levels to see if any dose change is needed. Go for an ultrasound seven days prior to your next expected period. It is called a premenstrual ultrasound pelvis. Test for FSH (follicle-stimulating hormone) and LH (Lutenizing hormone) too on day two of your next periods. Consult again with reports. </s>

<s> [INST] I cannot smell anything even after 12 weeks of getting COVID-19. What should I do?I lost my smell and taste 12 weeks ago after getting Covid 19. I got my taste back two weeks later however I still cannot smell anything at all. I have tried steam inhalation, steroid nasal spray, smell training, saline nasal spray and it has not improved. What should I do?[/INST]Hi! Covid has been somewhat a new entity and thereby we have been seeing its effects in detail on the human system. Loss of smell or anosmia has been one of the peculiar atypical features of covid and there have been lots of theories and explanations behind it. In all circumstances, loss of smell and taste are always associated together irrespective of the cause. This is attributed to the close approximaty of both the processing centres in the brain. It usually takes around 1 to 6 months to regain the perception of smell in covid patients. There are a lot of aspects that we need to study on regarding ethnicity and its relation to the covid, prognosis etc which will take time as its not an easy process. There is nothing that you need to worry about, make sure you dont have any underlying allergic issues in addition. For now you can enrich your diet with loads od fruits and vegetables. I dont recommend any drug without any scientific evidence of it being useful for the condition mentioned above. I hope i have answered your query. If there is any thing more you want to know or enquire, please do let us know and will revert back ASAP Warm Regards </s>

<s> [INST] I have been getting dry cough since the last one week. How to go about this?Hello Doctor, I am a 37 year old female. My height is 4.10 (in ft) & I weight around 51 kgs. I have been getting dry cough since the last one week (this is not throughout the day just intermittently). Also, very slight heaviness in the chest (not severe) while breathing. Request your suggestion on how to go about this. Awaiting your kind response. Thanks. Regards.[/INST]</s>

<s> [INST] I have bad breath, and my tongue has a white coating. Why?I have very bad breath and my tongue be white unless I brush really hard and for a long time. Same issue for years. Been to the doctor about it and the dentist. Nothing has helped.[/INST]Hello,Welcome to ICLINIQ This is your personal Dentist - I went through query , as a Specialist am ready to help you . Issue of foul breath always related to food accumulation . As you mentioned white tongue that depicts food layer deposition . So I would recommend :- Get a Scaling done once in 6 month that will prevent any Tartar deposition . I will be happy to answer all your queries feel free, kindly do-not hazitate. Other causes of foul breath includes:- These criteia's should also be ruled out inorder to avoid for a foul breath and achieve a healthier oral life. Let me know if any further query . These steps will surely help you deal with foul breath issue . You can always post me a query whenever you need . I will be happy to asist you further ."Your smile matters"Good Day .Take Care. </s>

<s> [INST] I have sprained back at the same spot three to four times a week. What am I to do?I sprained my back 8 years ago - now i get sprained in the same spot every 3/4 times a week - besides these days I get sprained very easily when I do simple exercises like my ankle, shoulder, neck, back, etc --- I have done physiotherapy and do stretching every day but none is helping -- what am I to do ? please help[/INST]Hello, welcome to icliniq. Its not about taking medicines or treatment, every problematic symptoms, pain and disease needs to be treated with a treatment plan and course to be implemented. Sprained muscles can easily be reduced and healed with Ultrasound therapy for 10-15 days and also applying hot water fermentation using Diclofenac ointment at home is also an added advantage to reducing sprain. After reducing the sprain and getting relaxed muscles then need to stretch the muscles step by step slowly increasing the exercise day by day or weekly once changing according to improvement. Here i will suggest you simple exercises for lower back need to be strengthen for a period of 15-20 days. Apply diclofenac ointment for a week twice a day will reduce anybtype of severe pain. if possible take IFT ( inferential therapy ) and ultrasound for 10 -15 days. Follow up after a week. thank you. </s>

<s> [INST] What does abutment of the nerve root mean?Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for annular bulging and tear?[/INST]Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist </s>

<s> [INST] Every time I eat spicy food, I poop blood. Why?Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I do not have a family history of colon cancer. I got blood tests done last night. Please find my reports attached.[/INST]Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online --> https://icliniq.com./ask-a-doctor-online/general-surgeon </s>

<s> [INST] Will Nano-Leo give permanent solution for erection problem?Hello doctor, I am 48 years old. I am experiencing weak erection and difficulty in sustaining the same. This condition was observed 10 years back. Also, there is premature ejaculation. Other physical ailments that I have are, I am suffering from hypertension and taking Amlopres-L (Amlodipine and Lisinopril) for the last 10 years, high cholesterol and triglycerides. My cholesterol level is 225 and triglyceride is 200 for the last 12 years. I used to do frequent masturbation in early age. I do have erection during morning hours many times, particularly after sound sleep or if I had long walk previous day. I am having Sildenafil 25 mg or 5 mg Cialis, which is effective enough. But, I wish to get rid of tablet support and live natural way. I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days. I wish to have your second opinion on this. Please guide.[/INST]Hi. For further doubts consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist </s>

<s> [INST] Will Kalarchikai cure multiple ovarian cysts in PCOD?Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well.[/INST]Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help. </s>

<s> [INST] I masturbate only by rubbing the tip of the penis. Is it a wrong way?Hi doctor, During masturbation I just rub the tip of the penis and not the entire penis. Is it a wrong way of doing? I do not get excited during sex and unable to ejaculate. Only, rubbing the tip of the penis gives me excitement. Also, two weeks ago, I have undergone circumcision as my foreskin did not retract. Before circumcision too, I have the same problem. Please help.[/INST]Hi. For further doubts consult a sexologist online -->https://www.icliniq.com/ask-a-doctor-online/sexologist </s>

<s> [INST] After surgery for anal fistula, pus is coming out of the wound. What to do?I done kshala sutra treatment for fistula .But iam getting pus from that wound from last 10 days continuously.surgery was done 15 days back. Actually, I got this problem 6 months back but at that time it was cured temperarely but from last 2 months iam facing pus then I contacted doctor .he said it is a fistula...surgery done but that pus was coming continuously. Is it indicates any thing wrong.[/INST]Hello. I welcome you to icliniq. I can imagine that you must be very concerned about ongoing pus. Well yes there is some pus, but the large part of the wound is healthy and pink. It is not uncommon to have pus few days after the surgery. The treatment you are taking are rightly prescribed, but I did not know the dose of amoxicillin which is a antibiotic. If you are taking under dose, I suggest you to take 1 gm twice daily (total of 2000 mg daily). You can simply take a guaze peice and wipe down the pus which is coming. It is highly possible that this pus will dry in coming few days. You can add Tab metronidazole 400 mg thrice daily for 7 days to help heal the infection. I also want to know do you have any other abdominal symptoms? such as abdominal pain, diarrhea, vomiting, or unusual weight loss? because it is important to know whether you have other problem within the bowel which is manifesting as anal fistula. It is however unusual to have fistula at such a young age.. I am here to discuss if you have the any above mentioned symptoms. Stay safe Anal fistula recently operated stool fro fecal calprotectin and stool detail report. A thorough pertinent history is required before suggesting more targeted investigations. as above follow up to provide more information about your symptoms, if you do not have any, then I only suggest you to follow treatment advise as above. </s>

<s> [INST] Due to scratch, white part of eye is with some blood. What to do?Hello doctor, Due to scratch in my eyes the white part surrounded with blood. What to do?[/INST]Hello. How did you get this? Because of the bleeding, the depth of the wound could not be perceived. If it is not severe enough just with bleeding there is not much problem. Just the point of worry is that the wound should not be open or otherwise it may be problematic and may require suturing. So you should seek emergency advice as well so that somebody can examine it. Until then use Moxitobra (Moxifloxacin) eye drop two hours one drop in the right eye only. Refresh tears 0.5% eye drops QID one drop in the right eye only. Avoid any kind of undue pressure. </s>

<s> [INST] I am on insulin for type 1 diabetes. Will regular insulin intake cause weight gain?Hello doctor, I am a type 1 diabetic and have been injecting insulin every day for years already. With this current quarantine going on, I gained some weight which made me worry. Although my BMI says that I am on the normal side, it still made me upset because the belly, arms, and legs have gotten bigger. So I started doing minimal resistance training and changed my eating habits for three weeks already. I noticed that my legs look leaner but my upper body is still the same. This made me anxious because it might have something to do with my insulin medications and I cannot go to an actual dietician since they were still on quarantine so I thought someone might be able to help me online. I am hoping to hear from you. This would really be a big help to my overall health for the rest of my life.[/INST]Hi. Yes, insulin might result in some weight gain, but if you are keeping a check on your calories and include a good amount of non-starchy food including whole grain, fresh whole fruits, and vegetables will help you to shed some fat. Keep a check on your exercise minutes, you can easily do 150 minutes of aerobic exercise per week which includes walking, bicycling, and other forms of moderate muscle strengthening exercises. Just keep in mind that your sugar level must not go down, do not reduce your insulin dosage. Also never skip a meal, if you skip a meal you will tend to indulge more calories in the next meal. Include more protein rich food, protein, and fiber rich meals will bring early satiety and will easily help build in more muscles than fat. I hope this helps. </s>

<s> [INST] Is it possible to spread allergy through coughing and sneezing?Hi doctor, I am sharing my bedroom with my father, he is 66 years old. He is in generally good health and has ulcerative colitis. I am just having an issue nowadays where he keeps sneezing and coughing without covering his face all over the room. I assume that it is due to an allergy. He does not like to wear mask and thinks it is funny when he coughs or sneezes around me. Nothing to do with Coronavirus. I just wanted to know your expert opinion if I could get something from him because I feel disgusted when I see him coughing and sneezing around me. Is this cough and sneeze harmlesss? Easily taken care of by our immune system or would I possibly get some illness from him and start coughing and sneezing myself?[/INST]Hello. In times of coronavirus, that is the first thing that comes to my mind. Cough and nasal congestion are some of the symptoms of coronavirus sadly. If that is the case, there is a very high likelyhood you can get it from him. However, if you have got him tested and it is negative, it is more likely to be allergic. If so, it is not possible to transfer the disease to you just by being in your proximity. If possible start him on antihistamines and nasal spray as soon as possible to relieve him of his symptoms. I will give you a prescription for the same. Tablet Levocetirizine every night 1/2 hour before sleeping, Flomist Nasal Spray twice daily in both nostrils, Diluted Povidone Iodine gargles 3 times daily, Syrup Macbery cough syrup 5 mL twice a day. All these for 5 days. 5 days </s>

<s> [INST] What are the ways to overcome the feeling of love?Hello doctor, I am in love with a girl who alredy got married four years back. She was in my relation, so, we have some common realtives and nowadays we are meeting frequenty and I am feeling the same thing about her in my heart which was there 4 years back.[/INST]Hi, Welocme to icliniq.com. First of all, we need to understand that this not something which is is unusual. We all come across with past experiences and associate with them on certain occasions. If those past experiences were pleasurable one that there is innate wish to re-experience them and same is applicable for you. It can be said that this is normal to have fantasy to love and loved by someone who was very close to you. However, we need to keep track of society and changes that took place over the last four years. Since she is married it will be completely wrong for her to get associated with you in any romantic relationship. Since you love her, there is a good chance you will not push her in trouble. In case you push her in some different way that too create problems for her as well as you. At this stage it is important to do following. 1. Minimise the interaction with her through common friends and relatives. If possible avoid meeting her completely. 2. Engage yourself with productive work. Do not allow your brain to wander here and there. 3. Get married or in relationship if still single. This is most important part as other romantic relationship will distract you to the core needs of life and will also allow you to understand her situation. 4. Acknowledge that this is common emotion and you will try your level best to overcome it. 5. Discuss with your best friends about the situation and moral dilemmas, if possible. </s>

<s> [INST] What causes wheezing and cough in an asthmatic patient?Hello doctor, Wheezing, mild sputum, cough for the last 5 days, asthmatic patient and weather change happening. Please advise.[/INST]Hello. I understand you have wheezing and a productive cough for the past 5 days. You are likely having an acute exacerbation of asthma. It could have been triggered by viral infection, cold environment, allergens such as pollen, dust, strong odor, etc. I would also love to know if you had a fever, runny nose or currently having chest pain or shortness of breath? Any contact with a suspected or confirmed COVID-19 positive patient? (due to the current pandemic), color of sputum, is sputum bloody? How many episodes of same complaints you have had recently? Chest X-ray COVID 19 screening -Acute upper respiratory tract infection -Community acquired Pneumonia Acute exacerbation of asthma. I would suggest you use - Prednisolone tablets 10 mg, 3 times a day for a week - Continue with the Levolin inhaler 2 puffs whenever needed and Allegra M, 1 tablet per day - If symptoms persist, you will have to use a nebulizer if available or in a nearby hospital Identify and avoid triggers like cold temperature, pollen, dust, strong odors, etc. Please, I would love to follow up as soon as the investigations are available or you provide answers to the questions or if you got further question. </s>

<s> [INST] What causes lump on tonsil?Hello doctor, Lump on tonsil for the past three years. Full left ear feeling. Been to ENT twice.[/INST]Hello. It looks like a mucocele or cyst (attachment removed to protect patient identity). Do you have any throat complaints? Throat pain? Do you smoke? </s>

<s> [INST] My EKG reading shows sinus arrythmia. Kindly advise.Hello doctor, I went to urgent care today because I had bad heart palpitations while taking a walk, along with some cuest discomfort. I have heart palpitations quite frequently but these felt different. They were a but thump behind my sternum, several times in a row. The EKG reading from urgent care says “sinus arryhtmia”. I have had many EKGs done before but it has never said that. Is this of concern?[/INST]Hello. Your ECG is fine and sinus arrhythmia is normal phenomenon, where heart range varies with respiration. It may not be evident always or depends on sensitivity of machine, and also it is more pronounced, detectable when one is breathing heavily or rapidly. So it is not a matter of worry at all. Next thing, were you also having palpitations when ECG was taken or subsided by that time? Because considering symptoms of palpitations and chest discomfort, its important to rule out possibility of cardiac arrhythmias like PSVT/ paroxysmal atrial fibrillation, which are intermittent and ECG would be absolutely normal at other time. So normal ECG does not rule out possibility of arrhythmia. So you should either have holter monitoring (24 hour ECG monitoring, but it would detect arrhythmia only if it happened during this 24 hour period) or you can buy simple single lead ECG devices, which would help to monitor your rhythm whenever you are symptomatic. So, basically we need an ECG rhythm during symptoms so as to reliably rule out possibility of cardiac arrhythmia. In a nutshell, your ECG is fine and may need further steps. I would also like to know why are you eliquis, Prednisone. And thyroid problems may cause arrhythmia like atrial fibrillation, so TSH should be monitored. </s>

<s> [INST] What is my stool test result showing?Hello doctor, I just got my stool results, and I would like to ask a doctor to interpret it for me. Lysozyme * 674 ≤ 500 ng/mL, Butyrate‡ 4.5 0.8 – 4.0 mg/mL, Total SCFA's‡ 17 5.0 – 16.0 mg/mL, Occult Blood Positive Negative.[/INST]Hello. What are your symptoms? What was your dietary intake in 1-2 days prior to test? Amy family history of major gastrointestinal diseases? Now stool SCFA and butyrate are slightly out of range which is fine to have. Also, lysozyme is slightly elevated and it is a marker of inflammation in bowel which may be due to multiple reasons like IBS, IBD or diarrhea, etc. So it' is a nonspecific marker. But important factor is stool for occult blood, which is positive. So there is some minor bleeding is going on within a bowels. This is the abnormality which should be evaluated further. This has multiple causes ranging from IBD to polyps, etc. However, some dietary factors like some fruits, vitamin C, iron supplements, nasal bleeding, hemorrhoids, etc, can give positive results. Now, we would like to get total of 3 samples for occult blood testing and if it remains positive subsequently then needs endoscopy, or even if having symptoms then still need endoscopy. So, the concerning factor is stool for occult blood, rather than rest three, and needs further evaluation. </s>

<s> [INST] Is it necessary to have crutches for ankle pain after an injury?Hello doctor, My ankle started hurting last week, and it has gotten worse, it is very painful and uncomfortable to walk. My question is, do I need crutches? I am a girl.[/INST]Hi. Looking into your problem it seems you are badly in pain and looking for things can help you walk so you remember about crutches. As simple protocols use simple formula RICE rest, ice compression and elevation of your feet are key sutra. For severe sprains, you might need a brace for protection and stability its good to use ankle brace having binder together in it. You may need crutches until you can walk without pain. Nonsteroidal anti-inflammatory drugs (NSAIDs) can help to control pain and swelling. We need to evaluate ankle with Grade II or Grade III sprains. Grade III sprains with complete tears of the ligaments even might need surgery to repair the injured ligaments. One thing to remember is that always in most cases, follow-up rehabilitative exercises are to restore strength and range of motion in the sprained ankle-also help to prevent future ankle injuries. If it is not healed ,think of doing X-ray of ankle, you might not know sometime there can be hairline fracture too (stress fracture). </s>

<s> [INST] What does abutment of the nerve root mean?Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for annular bulging and tear?[/INST]Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist </s>

<s> [INST] Every time I eat spicy food, I poop blood. Why?Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I do not have a family history of colon cancer. I got blood tests done last night. Please find my reports attached.[/INST]Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online --> https://icliniq.com./ask-a-doctor-online/general-surgeon </s>

<s> [INST] Will Nano-Leo give permanent solution for erection problem?Hello doctor, I am 48 years old. I am experiencing weak erection and difficulty in sustaining the same. This condition was observed 10 years back. Also, there is premature ejaculation. Other physical ailments that I have are, I am suffering from hypertension and taking Amlopres-L (Amlodipine and Lisinopril) for the last 10 years, high cholesterol and triglycerides. My cholesterol level is 225 and triglyceride is 200 for the last 12 years. I used to do frequent masturbation in early age. I do have erection during morning hours many times, particularly after sound sleep or if I had long walk previous day. I am having Sildenafil 25 mg or 5 mg Cialis, which is effective enough. But, I wish to get rid of tablet support and live natural way. I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days. I wish to have your second opinion on this. Please guide.[/INST]Hi. For further doubts consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist </s>

<s> [INST] Will Kalarchikai cure multiple ovarian cysts in PCOD?Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well.[/INST]Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help. </s>

<s> [INST] I masturbate only by rubbing the tip of the penis. Is it a wrong way?Hi doctor, During masturbation I just rub the tip of the penis and not the entire penis. Is it a wrong way of doing? I do not get excited during sex and unable to ejaculate. Only, rubbing the tip of the penis gives me excitement. Also, two weeks ago, I have undergone circumcision as my foreskin did not retract. Before circumcision too, I have the same problem. Please help.[/INST]Hi. For further doubts consult a sexologist online -->https://www.icliniq.com/ask-a-doctor-online/sexologist </s>

<s> [INST] I am 6 months pregnant and my gums are bleeding on brushing. Please help.Hello doctor, I am 6 months pregnant. I have bleeding gums from the back of the front tooth while brushing. I have a history of plaque formation on teeth even before pregnancy. What is the remedy for gums bleed?[/INST]Hello. Gum bleeding, foul breath are symptoms of gingivitis. It is rather common during pregnancy and known as pregnancy gingivitis because of hormonal changes. Nothing to worry about. You can use Betadine mouthwash, gargle in lukewarm water twice or thrice a day, take tablet Metrogyl 400 mg one tablet BD for five days. You will need a scaling but as of current lockdown situation, I would advise not to hurry as you and your babies safety is of utmost importance. You can have it later. Use a soft brush and learn proper verticle stroke technique of brushing instead of forceful horizontal motion. Avoid sticky or sweet food as much as possible. Hormonal changes during pregnancy initiate gingivitis. Gingivitis. Medications for now. Medication may cause a transient metallic taste but nothing to worry. Avoid sweet or sticky food. </s>

<s> [INST] I get joint and muscle pain with positive ANA test and normal ESR and CRP. What is my problem?Hello doctor, I get frequently sick with joint and muscle pain and burning legs sometimes feel difficulty walking and climbing stairs. I consulted a physical, he tested ANA and it came back positive but since ESR and CRP are normal he said no need to test further and I am perfectly healthy. But my pain never subsided, I cannot go to the office due to AC and joint pain. It is affecting my work and quality of life due to frequent sickness and unable to do normal activities. After consulting a rheumatologist he further tested ANA profile and anti ds DNA. That also came perfectly alright. I am confused with my body why my joints are paining so much without any disease?[/INST]Hello. I would like to ask you a few more queries. Is your sleep pattern normal? Do you have morning fatigue? How long did the viral last? Any hair fall, oral ulcers, dry eyes, or dry mouth? Any recent irritability or forgetfulness? It more appears to be chronic fatigue syndrome which usually has a previous viral illness. But let me know these queries and would guide you further. </s>

<s> [INST] What could be the reason for high WBC and neutrophils with immature granulocytes?Hi doctor, I just received my blood test WBC is 22000, neutrophils are 8700, high absolute immature granulocytes and low lymphocytes. I have noticed that for three years my blood tests have been on the high levels for WBC. Should I be concerned? I have been in and out and they never call me for a follow up. Maybe I should change the doctor? Also, can Phentermine be the cause of this? I only took it for two days before the blood test. I am a 39-year-old female. I have bone pain, neck pain, dizziness, and hair loss.[/INST]Hello. Following is my opinion for your asked question. Your total WBC count and neutrophils are high. Mild increase of immature granulocytes and high count with neutrophilia could be due to infection or inflammation in the body. Your detailed physical examination and investigation should be done to find the underlying cause. For your complaint you can investigate further with ANA (antinuclear antibody) estimation, USG (ultrasound) abdomen, Vitamin D estimation, serum calcium estimation, blood pressure measurement, and blood sugar estimation. Your ear examination also should be done. Antibiotic courses can be prescribed as per the provided report. However, before that physical examination and above investigation can be done. You need to follow up your CBC (complete blood count) with peripheral smear examination report after a few days to check values once again. You can consult a good internal medicine specialist for your examination and investigation accordingly. </s>

<s> [INST] I have abdominal discomfort with CT showing lot of stools in bowel. Please help.Hi doctor, I have been having abdominal discomfort for a while. At first, the discomfort was in the flank portion. I went to a urologist he gave me muscle relaxers and a few tablets for clearing any small stones. The discomfort went away after taking the medication. But after some days may be due to sex or workout am not sure, the discomfort returned back. I went to the doctor again he suggested a CT scan. CT scan results showed a lot of stools in the bowel. He said to maintain a healthy diet and add more water and fiber and do some exercises if the problem persists he asked to check with the general practitioner. I had an appointment with my family physician who said the discomfort can be due to lack of bowel movements in the colon. He asked me to take a fiber supplement (Metamucil) after taking it I had clean bowel movements and I felt I was relieved. Of late, I stopped taking the fiber supplement for a couple of days I started having hard stools. Again I called up the doctor, he said no harm in taking Metamucil. So I started it again and drinking at least three liters of water. I am doing like he said to have clean bowel movements. Sometimes the discomfort switches sides left or right. At times my backache as well. I told the doctor and he said it can be chronic constipation can go for many days. I sense my stomach or colon may getting inflamed as the day goes by. After bath everything looks normal. But as day goes by I feel like stiffness or inflammation in the stomach. I am worried because this is been there for like starting January and not going away. There is no real pain but it is the discomfort and inflammation that disrupts my day to day activities. Please advise. Should I book an appointment with gastroenterologist may be to dig further? I read about ulcerative colitis or Crohn's disease, but I could not conclude anything based on symptoms. I do have an observation that if I masturbate or have sex, after having ejaculation discomfort increases the following day.[/INST]Hello. I can imagine your reason of concern for such ongoing on and off symptoms. Well first of all, if it were ulcerative or Crohn's disease it should have shown something abnormal on CT scan which I presume it did not. However, remember the CT scan reporting is completely a subjective thing. It depends highly on the expertise of radiologists who has reported that. I would urge if you upload the report in reply to this response, I would be glad to see that. There will be no charges for that I will allow you one free follow up. Now the presence of too many stools is not an uncommon finding on CT Scan. Since it is basically the function of the colon to reserve stools transit them timely in anterograde direction and finally to be evacuated through the rectum and anal canal. If the presence of stool with dilation of the lumen of colon or presence of stools within small bowel (fecalization of small bowel) and/or dilation of the lumen of small bowel suggest an alarming finding. Normally our small bowel does not usually contain stools, it rapidly empties matter to in to large bowel, hence the presence of stool in small bowel suggests an abnormal finding. I will tell you why this information on CT scan is important. For example, you have a normal size of the lumen of bowel (ideally less than 3 cm of small bowel and less than 5 cm of large bowel) with the symptoms you mention, it can be irritable bowel syndrome with constipation. If the diameter of the lumen is above the normal it can be functional constipation of which two further types. The one is chronic colonic constipation or colonic pseudo-obstruction called as Ogilvie's syndrome. The other where the small bowel is dilated called chronic small bowel pseudo obstruction. I hope you now have an idea why it is important to correlate symptoms with the CT scan findings. Now coming to your symptoms, the pain or discomfort is often common when bowel loops are distended with gas or stools and your discomfort which readily resolves after you have good bowel movements suggest the possibility of the same and not otherwise due to a serious underlying cause. The intensity of discomfort that changes with the bowel movement again suggests it might secondary to irritable bowel syndrome IBS. Metamucil is fiber laxative and really it does not have any harm if taken for years and years. The fiber is nonabsorbale molecule it does not go into blood circulation so have no side effects. However, in some it can cause bloating or belching. You can switch to other fibers such as Fibrocol if Metamucil does not suit you. Otherwise, it is completely normal if you want to resume the same. Take plenty of water it makes stool bulk large and soft and easy to pass. I myself have a habit of taking 3 liters of water in a day and this really makes wonder. You should continue that. I would wait for your CT scan report to see the findings then I will right you some investigations to rule out other possibilities. I believe you would not have anyone but just to be on the safe side. </s>

<s> [INST] I think I have tinnitus and I am scared to visit a doctor. What to do?i have a problem in my ears that always used to sound at night and i get distracted i think i have a tinnitus problem and still now i didn't visited to a doctor because I'm afraid to get mri and CT scan because of these reasons i didn't tell to my parents please help me doctor...[/INST]Dear icliniq user, First of all Stop worrying ,start acting today. Relax yourself . Tinnitus can be due to many reasons. simple ear wax deposition to chance of tumor. So don't predict of any severe underlying cause behind the tinnitus that you are suffering from. Are you listening to loud music through earphones for long time? Do you feel pressure in ears ? Few tips will reduce your problem for sure. 1. Avoid noisy situation, don't use earphones, take the calls on speaker mode. 2. Divert your mind from the sound and start concentrating on other environmental sounds. To simplify it use resound relief app (install it from play store) ,there are many collection of natural sounds ,use it in moderate intensity level on speaker mode at night ,put the mobile little distant to the bed. 3 .Stop taking caffeinated drinks( tea,coffee,alcohol )smoking if at all you are taking 4 . Bhramari pranayam (see the video in youtube) start doing in the same way , bee like sound production by closing your eyes ear with hands . Excellent results were observed. 5. steam inhalation and sipping lukewarm water frequently is what you can also try. When you get a time just go for immitance audiometry and puretone audiometry test( Consult with Audiologist) . Share the reports with me.Your valuable Feedback is expected if at all my recommendations helps you in some way. </s>

<s> [INST] I have a moderate cough from the last two weeks and a lot of gas. Please help.I have moderate cough from last 2 weeks and very little sputum which is very rare. Also I have no fever no problem is swallowing but I can feel a little pain when I touch my throat below the jaw area. I had runny nose 2 weeks back but not so much and now that is also gone. So no runny nose as of now . Also I took augmentin 625 2-3 days back and cough was better but now it is back not so much though but it triggers more at night . And having a lot of gas.[/INST]hi the problem what you have is called gastroesophageal Reflux disease people those who have this condition would develop dry cough especially at night and sore throat burning sensation in the stomach I would like to know is there any recent history of weight gain? ! sleep disturbances causes gas problems... normally our body will produce 12 to 16 litres of gas people those who sleep 6 to 8 hours would not have any gas problem... stress, sleep disturbances COLD, IBS GERD sompraz levosulpride 40/75 two times a day gaviscon 5 ml three times a day duphalac syp 15 ml at night sleep hygiene, avoid spicy diet </s>

<s> [INST] I get palpitation and dizziness with weakness on increasing Amlodipine dose. Can suggest an alternate medicine?Hello doctor, I am currently taking Amlopin-M at night and Omnitan-H in the morning. My blood pressure taken at home is consistently in the range 140-150/85-90. Last time my doctor increased the medicine dose suddenly and it did not suit me and caused palpitations, dizziness, and weakness. Please suggest appropriate medicines considering these factors.[/INST]Hi. Blood pressure (BP) is controlled with lifestyle modifications and dietary modifications. Following are the measures to control BP: 1. Avoid smoking and other addictions. 2. Reduce salt intake in the diet. 3. Reduce fatty foods, junk foods, saturated fats (Mediterranean diet is the best). 4. Avoid stress and anxiety. 5. Do regular moderate intensity exercise such as brisk walk for 30 minutes. 6. Have proper night sleep, atleast 8 hours per 24 hours including atleast 6 hours in night uninterrupted sleep. 7. Reduce weight even if weight is within the normal range. 8. Drink plenty of water. 9. Do deep breathing exercises and meditation. Measure BP while you are totally relaxed, sit for five minutes in a quiet room without talking to anyone. Empty bowel and bladder before checking BP. Avoid tea/coffee 30 minutes before checking BP. Sit on a chair with feet on the ground, back supported, hand supported on table, cuff at the position of heart. Check BP, and repeat after five minutes again. Then check BP in other arm and repeat after five minutes. During the entire period remain relax and quiet. Arm with higher BP readings is your BP. You may take atleast two or more readings and average of readings is your actual BP. What dose you were taking of Amlodipine and Olmesartan when your bp was 150/90? What medicine was changed? Are you taking some other medicines as well such as painkillers or steroids? </s>

<s> [INST] I am feeling feverish due to abdominal pain, stomach burn and headache. Please help.Hi doctor, I am suffering from abdominal pain for the past two months. I have done tests like CT scan, stool test, and blood test. Now I am feeling feverish, headache, stomach burn, and severe pain.[/INST]Hello. It would have been great if you could have shared the report of CT scan and blood tests to tell you about your problem. The symptoms you mentioned can be due to various causes namely peptic ulcer disease, irritable bowel syndrome, small intestinal bacterial overgrowth, and many others. For now, I suggest you to take capsule Esomeprazole 40 mg once daily before breakfast since you have pain, which seem to be secondary to peptic ulcer disease or acidity. </s>

<s> [INST] Could testicular cyst be the reason for increased estradiol?Hello doctor, I am a 21 year old male. I visited a local doctor and he diagnosed a cyst on my left testicle (1.5 cm). He suggested that it is not necessary to undergo any surgery now. Also, I have increased levels of estradiol, bilirubin and SGOT. But, my general medicine doctor suggested that there is nothing to worry about. Is cyst the reason for increased levels of estradiol?[/INST]Hi. For further information consult a urologist online -->https://www.icliniq.com/ask-a-doctor-online/urologist </s>

<s> [INST] Which is the best recommended treatment for femur fracture?Hi doctor, I had a double fracture in the femur following an accident. In 24 hours, I got intramedullary nail insertion. But, it did not heal even after seven months. I have started walking on leg before a month to induce self heal, but nothing happened. Either bone graft or plate and nails, which is the best recommended treatment?[/INST]Hi. Nonunion shaft femur with intramedullary nail. For further information consult an orthopaedician and traumatologist online.---> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist </s>

<s> [INST] What does abutment of the nerve root mean?Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for annular bulging and tear?[/INST]Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist </s>

<s> [INST] Every time I eat spicy food, I poop blood. Why?Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I do not have a family history of colon cancer. I got blood tests done last night. Please find my reports attached.[/INST]Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online --> https://icliniq.com./ask-a-doctor-online/general-surgeon </s>

<s> [INST] Will Nano-Leo give permanent solution for erection problem?Hello doctor, I am 48 years old. I am experiencing weak erection and difficulty in sustaining the same. This condition was observed 10 years back. Also, there is premature ejaculation. Other physical ailments that I have are, I am suffering from hypertension and taking Amlopres-L (Amlodipine and Lisinopril) for the last 10 years, high cholesterol and triglycerides. My cholesterol level is 225 and triglyceride is 200 for the last 12 years. I used to do frequent masturbation in early age. I do have erection during morning hours many times, particularly after sound sleep or if I had long walk previous day. I am having Sildenafil 25 mg or 5 mg Cialis, which is effective enough. But, I wish to get rid of tablet support and live natural way. I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days. I wish to have your second opinion on this. Please guide.[/INST]Hi. For further doubts consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist </s>

<s> [INST] Will Kalarchikai cure multiple ovarian cysts in PCOD?Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well.[/INST]Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help. </s>

<s> [INST] I masturbate only by rubbing the tip of the penis. Is it a wrong way?Hi doctor, During masturbation I just rub the tip of the penis and not the entire penis. Is it a wrong way of doing? I do not get excited during sex and unable to ejaculate. Only, rubbing the tip of the penis gives me excitement. Also, two weeks ago, I have undergone circumcision as my foreskin did not retract. Before circumcision too, I have the same problem. Please help.[/INST]Hi. For further doubts consult a sexologist online -->https://www.icliniq.com/ask-a-doctor-online/sexologist </s>

<s> [INST] I have light colored vertical lines in my finger nails. Can you help me out?Hi doctor, I have recently noticed some light colored vertical lines in my thumb and index finger nails. I have attached the photos for your reference. When I searched on the internet, I found very disturbing things including skin cancer. I have hypothyroidism and chronic depression. I am on Bupron 300 and Thyroxin 100. By looking at the pictures, can you help me out?[/INST]Hi. For further information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist </s>

<s> [INST] CT scan shows para-aortic lymph node with constant belly bloating. Please explain.Hello doctor, I am suffering from persistent bloating in the upper stomach soon after my ovarian cyst laparoscopic surgery which I underwent before eight months. Today a local doctor suggest a CT scan of the whole abdomen. In the CT scan it is written that few enlarged lymph nodes are noted in the para-aortic region. The largest lymph node measuring 11 mm in short axis duration. The rest of the report is normal. The local doctor said it may be a serious issue but I read on the internet that 11 mm lymph node in the para-aortic region is normal size. I am not suffering from any infection, fever, or other problems. Please guide me.[/INST]Hello. Do you have any history of weight loss? Any history of blood in stools? Looking at your CT report (attachment removed to protect patient identity) it is quite normal and that para aortic lymphadenopathy without any symptoms is of no concern. It might be due to some infection. Hemogram with ESR (erythrocyte sedimentation rate). CRP (C-reactive protein). UGI endoscopy. Dyspepsia. Enteritis. Antibiotics. Avoid pain killers and spicy fatty meals. </s>

<s> [INST] I have a fleshy growth over the stitches of appendicectomy. What is it?Hi doctor, Four years ago, I had an appendicitis surgery. There is a flesh like growth where the stitches are placed. What should I do now? How to get it removed?[/INST]Hi. For further information consult an internal medicine physician online -->https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician </s>

<s> [INST] I feel heavy over my chest. What could it be?Hello doctor, I am a 34 year old male. I am suffering from numbness in my hands and toes. I also have wheezing. I am getting moderate chest pain and cough when I take a full breathe. I feel heavy over my chest. My body feels like burning, but also freezing under comforter. I have entire body pain and fatigue. I had the same last night. Do you have any ideas about my problem?[/INST]Hi. I have carefully gone through your query. Revert back with the reports to an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician </s>

<s> [INST] My mom is on Norfloxacin to avoid diarrhea. Is there an alternate?Hi doctor, My mom is 50 years old. She takes Norfloxacin on daily basis to avoid diarrhea. The moment she stops taking Norfloxacin, she goes through diarrhea. Please guide some alternate treatment for her.[/INST]Hi. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician </s>

<s> [INST] Please help me come out of my anxiety, stress and forgetfulness.Hi doctor, I am suffering from severe anxiety and heart attack like debilitating panic attacks when presented with work deadlines, enclosed spaces such as subways, elevators and small airplanes. I have relationship fears. Nothing in my life provides me joy or relieves me of my symptoms. I had the same feeling six years ago after a break up. Now, symptoms return easily when in fear of life. I had Zolpidem for depression before to get sleep, but I stopped because of the side effect of brittle bone. I am fuzzy headed, stressed, forgetful, regretful of any decision I make and I cannot make decisions without fear. I do not have any friends. I do not belong anywhere. I am not a part of anything. I exercise outside every day. I eat only healthy foods. I am underweight. Please help me to come out of this.[/INST]Hi. For further information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist </s>

<s> [INST] I am worried about the side effects of diuretics on kidney. What shall I do?Hi doctor, Three months ago, I had a heart attack. Then, I went through angioplasty with stenting. Post heart attack, I was diagnosed with moderate systolic HF with EF at 35%. Currently, I am on Clavix, Rozucor 10 mg, Tide 5 mg, Metocard-XL, Planep 25 mg and Telma 20 mg. I am improving well. My EF has improved to 40% on first follow up after a month. I have lost about 6 kg to 7 kg weight in the last three months. I am under excellent diet control and daily walking about 70 minutes. I gave up smoking completely. One week back I had my blood checked for various profiles and regarding which I have a few queries. My lipids are on the low side that is total cholesterol 123, HDL 23 and LDL 61. I was on Rozucor 40 for the first one month and then I am on Rozucor 10 mg. Am I below the target range? If yes, can I get the dose reduced further? My uric acid is high 8.1. I read that this may happen due to hypertensive medicines, particularly diuretics and ARBs. Is the high uric acid a point of concern? Should I consult my treating doctor? My kidney profile with sodium and potassium are within limits.My BP is constantly on the lowest average of 90/55 mmHg with heart rate of 65 to 72. Can I reduce my medicines, particulary diuretics? I am worried about the side effects of diuretics on the kidney. My alkaline phosphatase is at 131, just 3 points above the higher limit of 128. Is it fine to have this reading post myocardial infarction? Please explain.[/INST]Hi. I appreciate your concerns. After thorough review of your health query, I want to answer those questions. For further doubts consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist </s>

<s> [INST] I have continuous twitches throughout the day. What could this be?Hi doctor, My calves have been twitching throughout the day for about two months now. But, I do not have any weakness. It occurs in different spots on both calves. What could this be?[/INST]Hi. I would like to know a few more things. Revert back with the answers to the above questions to a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist </s>

<s> [INST] My mom met with two major falls. Is that due to Achilles tendon weakness?Hi doctor, I have a question for my mother. My mother is 50 years old. She complains of episodic, sudden loss of weight bearing ability on the left Achilles tendon. This has resulted in two major falls, which resulted in trauma. These are present for past few months and have become more frequent in the last month. She also has pain in her knees bilaterally, which has been attributed to osteoarthritis. She also complains of hip pain associated with swelling and difficulty in standing, lying and changing sides while sleeping. There is episodic stiffness present in the shoulders, which causes some discomfort in raising arms above the shoulder level. She is taking Bisoprolol 5 mg and Amlodipine 5 mg for high BP and it is well-controlled. She has no history of any allergy. She has kidney stones and so occasional pain in the lumbar area. She used to get constipation frequently. She was hospitalized four times for normal vaginal deliveries and once for abortion. She is monogamous with her husband. She has a positive family history of hypertension in mother, CAD in father, mother and brother and uterine cancer in mother. She has a history of menorrhagia and cycles have become more irregular now. Then, diagnostic D and C was performed last year, which was normal. She will not smoke or drink. She sleeps 4 to 6 hours daily and snores at night.[/INST]Hello. I have gone through your mother's elaborative history provided here, along with the reports attached (attachment removed to protect patient identity) with this query. For further information consult an orthopaedician and traumatologist online --> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist </s>

<s> [INST] Why does my brain get numb during exams?Hi doctor, I am 18 years old. I am a student. I do not understand my condition. I have very important exams. I used to get good marks constantly and then everything turned up against me now. I prepare my best, but I do very badly in my exams. I am feeling hopeless. Even after studying 8 hours daily, I am getting very low marks. I am completely puzzled. Why does my brain get numb during exam? I have lost all my confidence. Please help.[/INST]Hi. I have read and completely understand your issue. Revert back with the answers to the above questions to a psychologist counsellor online --> https://www.icliniq.com/ask-a-doctor-online/psychologist-counsellor </s>

<s> [INST] What does abutment of the nerve root mean?Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for annular bulging and tear?[/INST]Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist </s>

<s> [INST] Every time I eat spicy food, I poop blood. Why?Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I do not have a family history of colon cancer. I got blood tests done last night. Please find my reports attached.[/INST]Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online --> https://icliniq.com./ask-a-doctor-online/general-surgeon </s>

<s> [INST] Will Nano-Leo give permanent solution for erection problem?Hello doctor, I am 48 years old. I am experiencing weak erection and difficulty in sustaining the same. This condition was observed 10 years back. Also, there is premature ejaculation. Other physical ailments that I have are, I am suffering from hypertension and taking Amlopres-L (Amlodipine and Lisinopril) for the last 10 years, high cholesterol and triglycerides. My cholesterol level is 225 and triglyceride is 200 for the last 12 years. I used to do frequent masturbation in early age. I do have erection during morning hours many times, particularly after sound sleep or if I had long walk previous day. I am having Sildenafil 25 mg or 5 mg Cialis, which is effective enough. But, I wish to get rid of tablet support and live natural way. I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days. I wish to have your second opinion on this. Please guide.[/INST]Hi. For further doubts consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist </s>

<s> [INST] Will Kalarchikai cure multiple ovarian cysts in PCOD?Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well.[/INST]Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help. </s>

<s> [INST] I masturbate only by rubbing the tip of the penis. Is it a wrong way?Hi doctor, During masturbation I just rub the tip of the penis and not the entire penis. Is it a wrong way of doing? I do not get excited during sex and unable to ejaculate. Only, rubbing the tip of the penis gives me excitement. Also, two weeks ago, I have undergone circumcision as my foreskin did not retract. Before circumcision too, I have the same problem. Please help.[/INST]Hi. For further doubts consult a sexologist online -->https://www.icliniq.com/ask-a-doctor-online/sexologist </s>

<s> [INST] I am coughing up green phlegm. Why?Hi doctor, I have been coughing up green phlegm for a few days. Now, it started to hurt my chest. Please help.[/INST]Hi. I understand very well the symptoms you describe above in your query. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician </s>

<s> [INST] What is the reason for dripping of fluid from the stitches?Hi doctor, I had a C-section before a month. A few days after, it was found that the surgery site got infected with some discharge. All the stitches were removed and the site was irrigated and cleaned everyday for over a week with antibiotics. Two days ago, I went for secondary closure. A nylon thread was used and since then, the stitches dripping out some substance like a mixture of blood and a colorless fluid. We are cleaning the site with medical spirit till now. What is the reason for this dripping? Is it normal? Is that a sign of healing?[/INST]Hi. Revert back after a week to an obstetrician and gynaecologist online -->https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist </s>

<s> [INST] What could be the reason for blurred vision following a hit on the eye?Hi doctor, Two days back, I got a hit in my eye with a ball. Still, it is paining with blurred image. Please help.[/INST]Hi. For further information consult an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist </s>

<s> [INST] How to stop Heroin safely during pregnancy?Hi doctor, My niece is pregnant and taking Subutex. She just confided to me that she has also been using Heroin, along with Subutex for the last one month. She is afraid to ask her primary care doctor for advice. Her doctor told us in the beginning that it is more harmful to the fetus if the mother were to abruptly quit using opiates. Now, my niece is afraid to stop the heroin use even though she also has the Subutex, which I thought is supposed to help with this type of situation. How can she safely stop using Heroin? Can she continue her regular dose of Subutex daily and just cut out the heroin all together at once?[/INST]Hi. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist </s>

<s> [INST] Is it normal to feel pain in the gums after having implants?Hi doctor,Eight days ago, I had four dental implants placed in the lower jaw. Is it normal to have pain on the sides of the gums where I got implants?[/INST]Hi. I can understand your concern regarding dental health. For further information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist </s>

<s> [INST] How long should one wait to donate blood after tattooing?Hi doctor, I got a tattoo before five months. A blood donation drive is going to happen by next month. Am I eligible to donate blood? How long should a tattooed person wait to donate blood?[/INST]Hi. Based on your query, my opinion is as follows: For further doubts consult a hematologist online --> https://www.icliniq.com/ask-a-doctor-online/hematologist </s>

<s> [INST] My dad's MRI reported a tumor. Is that a cancerous one?Hi doctor, My father is 56 years old and healthy. Since last few months, he is suffering from sudden chewing like action and unconsciousness or seizure like situation. This situation remains the same for some time. During the MRI test, our doctor informed about the tumor. We are very much worried. Is it a cancer problem or other tumor? He does not want to undergo surgery for this. Kindly suggest what to do. I am attaching the reports of MRI and our doctor's prescription.[/INST]Hi. I have gone through your query with diligence and I would like you to know that I am here to help you. For further doubts consult a neuro surgeon online --> https://www.icliniq.com/ask-a-doctor-online/neuro-surgeon </s>

<s> [INST] Either MR angio or CT angio, which will show brain aneurysm clearly?Hi doctor, Three months ago, I had an MRA of the brain as I have weird headaches that time. The result showed a little thing, which they thought could be a small aneurysm between 1 mm and 2 mm. But, they were not sure whether it is an aneurysm or anything on the arteries. So, they advised me to go for a CTA. My question is, which test would show it more clearly?[/INST]Hi. For further information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist </s>

<s> [INST] Shall I continue the vitamin drops for my 20 days old baby?Hi doctor, My daughter is 20 days old. She is having loose motion from yesterday night. She passed loose stools for about 8 to 9 times between 8 PM to 3 AM. Only a few days back, we started giving multivitamin drops and vitamin D drops. After having that she seemed to struggle while passing motion and it was little. So, for the past two days we have stopped those drops. I have also attached an image. Can you kindly check and advice? Should we take the baby to the doctor? Does it have anything to do with breastfeeding? Many consider that could be one of the causes. Please clarify it.[/INST]Hi. For further information consult a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician </s>

<s> [INST] Is there any medicine to improve comprehension and memory power?Hello doctor, My doubt is about brain power. Do people in engineering and other professions require a lot of brain power use mind altering drugs to enable them to compete better? Are people in these professions just naturally gifted? I am talking about the people who build automobile factories, aircraft, space shuttle and the international space station. Do such drugs exist to improve comprehension and memory? Please explain.[/INST]Hi. I read your query and understand your concerns. For further doubts consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist </s>

<s> [INST] What does abutment of the nerve root mean?Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for annular bulging and tear?[/INST]Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist </s>

<s> [INST] Every time I eat spicy food, I poop blood. Why?Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I do not have a family history of colon cancer. I got blood tests done last night. Please find my reports attached.[/INST]Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online --> https://icliniq.com./ask-a-doctor-online/general-surgeon </s>

<s> [INST] Will Nano-Leo give permanent solution for erection problem?Hello doctor, I am 48 years old. I am experiencing weak erection and difficulty in sustaining the same. This condition was observed 10 years back. Also, there is premature ejaculation. Other physical ailments that I have are, I am suffering from hypertension and taking Amlopres-L (Amlodipine and Lisinopril) for the last 10 years, high cholesterol and triglycerides. My cholesterol level is 225 and triglyceride is 200 for the last 12 years. I used to do frequent masturbation in early age. I do have erection during morning hours many times, particularly after sound sleep or if I had long walk previous day. I am having Sildenafil 25 mg or 5 mg Cialis, which is effective enough. But, I wish to get rid of tablet support and live natural way. I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days. I wish to have your second opinion on this. Please guide.[/INST]Hi. For further doubts consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist </s>

<s> [INST] Will Kalarchikai cure multiple ovarian cysts in PCOD?Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well.[/INST]Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help. </s>

<s> [INST] I masturbate only by rubbing the tip of the penis. Is it a wrong way?Hi doctor, During masturbation I just rub the tip of the penis and not the entire penis. Is it a wrong way of doing? I do not get excited during sex and unable to ejaculate. Only, rubbing the tip of the penis gives me excitement. Also, two weeks ago, I have undergone circumcision as my foreskin did not retract. Before circumcision too, I have the same problem. Please help.[/INST]Hi. For further doubts consult a sexologist online -->https://www.icliniq.com/ask-a-doctor-online/sexologist </s>

<s> [INST] What would be the reason for late periods?Hi doctor, I had unprotected sex with my girlfriend. I ejaculated on her innerwear. She immediately removed it and washed her vagina with water. Later, after a minute or two, she put on the same. This happened on the third day of her menstrual cycle and now she is over two weeks late on her periods. Can she be pregnant?[/INST]Hi. For further information consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist </s>

<s> [INST] Having PCOS, should I opt IVF to get pregnant?Hi doctor, I am 27 years old. I have PCOS and have been trying to conceive for four months. My gynecologist put me on 500 mg of Metformin thrice a day and 10 day cycle of Medroxyprogesterone at the beginning of each month to force ovulation. The medication is working exactly as it should. I get my period every month and I have lost weight with the Metformin. I went in for a follow up today and my doctor recommended that I sign up for an infertility study that she is doing. It requires hormone shots, extensive testing and in vitro fertilization every month for a period of four months. I have been going to the same gynecologist for many years and I know her pretty well. Let me just say that she has never seemed like she puts much thought into diagnosing and treating me. I had to practically beg her to test me for PCOS even though I have had very irregular periods and other symptoms for years. Now, she jumped straight to IVF treatment. I have heard of women staying on this course of treatment much longer and being able to conceive. In vitro is incredibly expensive. I am just worried that the only reason she recommended this is because she wants another participant in her study. Your advice on this subject would be appreciated. Thank you.[/INST]Hi. I can understand your situation. Please, do not be so hard on her. I am sure it is not that she is not interested in diagnosing or treating you. However, you can wait for some more time before straight away jumping for IVF (in vitro fertilization). I have given you the information, but participating or not in the trial is totally your decision. All the best. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist </s>

<s> [INST] What should I do for foul smelling urine?Hi doctor, I observed the presence of vaginal discharge almost a month ago and I went for a test. It showed the presence of WBCs, but no bacteria or yeast or parasite. I completed the course of antibiotics. But, I feel the infection has not cured. I can still feel the vaginal discharge, which is very irritating and my urine has a foul smell. I am really worried. What should I do? What might be the reason behind it?[/INST]Hi. Revert back after a week to an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist </s>

<s> [INST] Please check my blood report and advise if any medicine is required.Hi doctor, I am a 45 year old male. I have been on Omeprazole 20 mg and Thyroxine 50 mcg for the last four years. My height is 5'10" height and weight is 70 kg. I have hyperacidity and little vertigo. I am attaching herewith my latest blood report. Please advise whether any medicine is required.[/INST]Hello. I have gone through all the data posted. For further information consult an internal medicine physician online -->https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician </s>

<s> [INST] I have itchy red rashes in my inner thighs. Please suggest some medicines.I am suffering from severe skin red rash problem in both inner thighs. The rash is so itchy and it has completely destroyed my life. It looks like fugal like ringworm or jock itch. at past also, i was suffering from same thing but that time it was scaly like liquid was coming out with foul smell. And i visited a doctor and the medicine i used had cured me. i forgot the medicine tablet taken but had use itraconazole dusting powder and fluconazole lotion. At that time my mother and i have visited the doctor at same time coz she also ha d fungal infection but completely different then mine. Now the current situation is very bad. it is so irritating and itches a lot. but no scaly liquid is coming out now. The same thing now can be seen in my neck and face. Please i need a good dermatologist attention. I am in great suffer in this pandemic and lockdown so i am searching online for medication. I have recently taken arzole capsule once weekly for 3 weeks. And used dipsalic ointment and also clotrimazole cream which shows no better treatment. I was so depressed and used steroid cream called dermicom oc plus only two times as it shows some severe bad red rash so i discontnued it. I live in hot and humid climate and had wore tight clothes in past. The area of rash is always at little more tempreature.[/INST]Hi. Thanks for sharing your query. You seem to be very distressed by the problem. As I can see in the picture it is Tinea. Since it is extensive it is important to start proper treatment with oral antifungals for a good length of time to clear the infection. You have been using steroid creams which is going to worsen the infection and make it spread further. So you should stop using dipsalic and other steroid applications and start proper treatment. You should get your LFT and KFT done and you can follow up with dermatologist. Usually itraconazole or terbinafine are given orally along with some creams like luliconazole or sertaconazole, etc. Itching can be controlled with antiallergics. Treatment of family members with infection is equally important. Let me know if you have more queries Hope this helps. </s>

<s> [INST] My heel has developed swelling ever since I got injured playing. Please help.I got injured while playing. I fell and my knee hig the ground. In order to prevent it, I tried to apply counterpressure on the floor using my heel.. And my heel has developed swelling eversince. It's been a week.. In the First days, I couldn't walk properly. Burning sensation was felt over the heel. After a week, I could walk better, but tingling sensation developed over the heel. Pls help me out..[/INST]Dear, Sending Love and healing energy! Dear ,Due to counter pressure on floor you got trauma over the heel .Now numbness are over the heel.A numb heel is most commonly caused by blood flow constriction or nerve damage.The tibial nerve runs inside the tarsal tunnel and may become compressed. My Dear ,Compression of a small nerve (a branch of the lateral plantar nerve) can cause pain, numbness or tingling in the heel area. In many cases, this nerve compression is related to a sprain, fracture or varicose (swollen) vein near the heel. i would suggest you to do Dear Pray and pray for your speed recovery Follow up with your queries thank you for giving chance to serve you ! </s>

<s> [INST] I have a stammering problem when I have to speak in front of a crowd. Why?I m 32 yr old male no co morbids doctor by profession working Nephrologist. Since childhood i have stammering problem. Not always but when speaking infront of mob. Or when giving presentation. Or when history taking from patient. Or reading book chapter infront of whole class. When ever i think of speaking then i start feeling tachycardia, palpitations, chest pain, headache, sweating. I usually have constipation. I used to take bromazepam before giving presentation or speaking infront of mob.[/INST]</s>

<s> [INST] What blood tests should I get for overly oily skin, burning lips, a painful throat, and thrush?Hello. Does having low (and high) blood levels have anything to do with overly oily skin, burning lips, a painful throat and thrush? I've been feeling these symptoms for 3 months and I can't take it anymore. I'm getting a blood test done this week; which levels should I particularly make sure are tested? I'm looking forward to your reply. Thank you very much.[/INST]Hi! There could be multiple factors involved over here as a result of which these symptoms are occurring. I would recommend you to perform the following tests mentioned below All these tests have a purpose and can detect any underlying abnormality that's there in the body. On the whole there few things that you can follow the symptoms you have Most of the times it's the faulty diet and hydration which is reason behind such constant issues. In addition, please do get the above mentioned tests done so that we can treat you in a specific and precise manner. There is nothing that you need to worry as things will fall in place once we treat the etiology of the problem in concern. I hope I have answered your query in detail. If there is anything more you want to ask or enquire, please do let us know and we will get back you ASAP. Warm regards. </s>

<s> [INST] A boil present above my beltline is oozing out from multiple pores. What should I do?I have had boils appear from time to time. The come to a head , break and drain. This time I have one on my side above my beltline. It started outlining lime an ingrown hair with a white head. My wife tried to pull the hair with tweezers, the zit popped and we never got the hair. Put some peroxide on it and a bandaid in case it drained more. Next morning it was like there was more under the skin so did warm compresses. It has been oozing out, but appears to be coming from multiple pores . now it it seems to get bigger as more start to drain. What else should I do?[/INST]Hi! Welcome to icliniq & thanks for the query. Recurrent boils can be a nuisance. It is a bacterial infection of the hair follicle and can cause painful pus filled eruptions on the body. If you are having frequent recurrences it could be because of persistent infection or reinfection. Are you diabetic or atopic? If so, you may be more prone to develop recurrent bacterial infections. You mention seeing pus coming from many openings which indicates it could be a carbuncle. This may need incision & drainage. Ideally a pus culture should be done to know the sensitivity of the organism and antibiotics started accordingly to completely treat the infection. Usually penicillins, cephalosporins or tetracyclines are used orally. Application of mupirocin in the skin fold areas helps to eradicate the colonising bacteria in these locations. Some precautions to prevent recurrent boils include: Hope this helps </s>

<s> [INST] Without knowing my pregnancy, I took hot sauna during my 4th week. Should I be worried?Hi doctor, I just found out that I am pregnant (5th week). At first, I was excited then I realized that I went into a very hot sauna (90 degrees) celsius for one and a half hours when I was around 4 weeks pregnant (2 weeks from conception). The whole point of the sauna is to detox, and I definitely was overheating (sweating and red-faced). I did however take two breaks where I jumped in cold water to cool down. Anyways, I read that overheating when pregnant can cause horrible neural tube damage that can lead to birth defects especially in these crucial early weeks when it is forming. My question is how worried should I be? Should I go to a specialist for this? Is it so bad that I should consider termination? My first scan is at 12 weeks and that is the only time I will be able to ask anything and I will be worried it is too late.[/INST]Hello. Neural tube defects (NTD) in the baby mostly occur in women deficient in Folic acid, or who are diabetic, or if they have any family history or as an associated defect with other chromosomal anomalies. Yes, the baby's organs do develop in the early weeks of pregnancy, and any extreme exposures can pose risk for maternal health and also for fetal development. But I have never come across the risk of developing NTD with exposure to sauna. But anyway it would be better if you avoid it for the future. As of now you need not worry too much about this exposure, stay calm and stay positive. The first-trimester scanning at 12 weeks is good enough to pick any NTDs and I do not think that would be too late, or you need to go for any termination of pregnancy just because of the exposure to sauna. At this early pregnancy, there is no means to find out if the baby has developed any abnormalities or not. And also the second TM scan detailed anatomical scan at 18-20 weeks can also pick most (90-95%) of any structural anomalies. Also regarding your gestational age calculations, if your cycles were always regular, then you should calculate the weeks from the starting day of your last menstrual period. It would have been really helpful if you had mentioned the same, it would have helped me correlate if your assumption of weeks of pregnancy are correct or not. I am assuming, as you said you are in the fifth week now, so you just skipped your periods a few days back. Tablet Folic Acid 5 mg daily once after food. Avoid sexual intercourse for the first three months of pregnancy. </s>