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###Human: My child got hurt while playing. Can we use T-Bact or Neosporin ointment? ###Assistant: Hello. Revert back with the answers to the above questions to a paediatrician online --> |
###Human: My father has been detected with glaucoma. Do we need to take urgent action? ###Assistant: Hi. The thing with glaucoma is that it is a progressive condition and we can arrest its progress to a level that it does not cause further damage. The vision loss that has already been done by the disease is not reversible. Our goal here is to lower the pressure to such a level so that it does not cause further damage. The severity of damage is assessed: For the photographs, you have sent: For more information consult an eye care ophthalmologist online --> |
###Human: Can minimally invasive glaucoma surgery be done in sensitive eyes with glaucoma? ###Assistant: Hello. I am very sorry to hear about your mother's eyes. I suspect that she must have undergone the retina laser and the injections for a condition called as diabetic retinopathy. I feel that most likely it is a complication of diabetic retinopathy that might have caused a high pressure in her eyes. Xen gel stent is currently FDA approved for refractory glaucoma not caused by diabetic neovascularization and Inn focus micro shunt is currently being tested for long term side effects and usefulness in such situations. I must be clear in letting you know that neovascular glaucoma is a very adamant disease to treat and the treatment may not be straightforward and may require multiple procedures and reviews with the treating doctor, yet the most often agreed upon surgery, across most hospitals in the world is currently Ahmed glaucoma valve, along with of course the laser and injections. In case you need further clarification or if your mother is not a diabetic, please send a scanned copy of all her doctors records and prescriptions. I will do my best in helping you understand the situation. |
###Human: Are Formonide and Pantacid enough for asthma and GERD? ###Assistant: Hello. A Formamide inhaler is a good medicine for asthma. Is that dose right for you or not depends on your level of asthma control? If it is well controlled, it can be continued. However, if over the last three months of your symptoms were well controlled may be able to attend come down with the inhaler dose. I would suggest you be in touch with your pulmonologist for this. If your GERD (gastroesophageal reflux disease) symptoms are only occasional taking Pantacid as and when needed shall suffice. |
###Human: I am taking Foracort for asthma. Will it give complete cure? ###Assistant: Hi. Having night symptoms mean that your asthma is not well controlled and upgrading the treatment is required. Foracort Inhaler 400 mg is a right combination that is used daily. I recommend you take Singulair 4 mg tablet (Montelukast) once daily in the evening. Use blue inhaler during the time of exacerbation every five minutes till 20 minutes. If there is no improvement, you should visit the nearest ER (emergency). Also, let me know if you have a PEFR (peak expiratory flow rate) chart. |
###Human: Kindly mention about the foods to be avoided in an asthma patient. ###Assistant: Hello. As you said correctly that asthma patients should always take care of their diets as some food ingredients may cause a severe asthma attack. Grossly we cannot avoid all food types because there is person to person variability to the food allergy. So you should strictly avoid food that is causing some difficulty in breathing or attack. To find out exactly we can do skin prick allergy test or blood allergy test so that you definitely know what food you are allergic to. After that, you must avoid those food items. Processed foods, some bakery items containing eggs, chilled drinks, food colorants, should be strictly avoided. Always check ready-made foods or processed foods for ingredients. Sometimes butter, cheese, yogurt, and milk also needs to be avoided in some cases of diagnosed allergy. Otherwise, you can enjoy fresh fruits and vegetables in your diet. |
###Human: What does abutment of the nerve root mean? ###Assistant: 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 --> |
###Human: Will Nano-Leo give permanent solution for erection problem? ###Assistant: Hi. For further doubts consult a sexologist online --> |
###Human: Every time I eat spicy food, I poop blood. Why? ###Assistant: 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 --> |
###Human: Will Kalarchikai cure multiple ovarian cysts in PCOD? ###Assistant: 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. |
###Human: I masturbate only by rubbing the tip of the penis. Is it a wrong way? ###Assistant: Hi. For further doubts consult a sexologist online --> |
###Human: Is it true that baldness is hereditary? ###Assistant: Hi. For further information consult an ayurveda specialist online --> |
###Human: Can allergic asthma turn into permanent asthma? ###Assistant: Hi. As per your symptoms, you are suffering from bronchial asthma with allergic rhinitis, but you need to confirm this by doing a spirometry with reversibility test. Asthma is a disease related to hypersensitivity of our respiratory system to some allergens which cause triggering, inflammation in the respiratory mucosa. Undoubtedly you need to take medications else symptoms will get worse as your age advances. So visit a chest physician. I am a practicing chest specialist so I know the pros and cons of the disease. See this asthma is a genetic disease acquired during childhood, and any genetic disease means in genes and currently we in our medical field we are under research for a permanent cure like answers in this genetic diseases field, so my opinion would be visiting a pulmonologist or a chest physician for proper work up and guidance. Chest physician can do a spirometry and total serum IgE levels and as per your need will prescribe you some inhaled medications like long-acting beta 2 agonists and inhaled corticosteroids and maybe some oral steroids as per need which can help you with minimum side effects. Maybe you will need those medications for some duration like three months a year at maybe long or on changing seasons. For more information consult a pulmonologist online --> |
###Human: Can pain and popping sound during jaw movements indicate osteoarthritis? ###Assistant: Hi. I went through all the history details and reports. It shows mild osteoarthritis which is not reversible. But if you maintain your weight and exercise, it will halt. Please do quadriceps exercise for knees and for shoulder, bench press. Take a lot of fruits and vegetables. The cracking noise is normal and you need not worry. I hope I have answered your questions. Please feel free to ask me if there is any doubt in this regard. |
###Human: I have leg pain which moves around. Is it osteoarthritis? ###Assistant: Hello. Osteoarthritis is a possibility. However, it is associated with pain and swelling of the knee joint and pain is predominantly while walking, especially going upstairs. NSAIDs (nonsteroidal anti-inflammatory drugs) may help. However, physiotherapy and weight reduction are important. It would have been better if you had uploaded a snapshot of the X-ray. For more information consult a rheumatologist online --> |
###Human: Suffering from osteopenia and osteoarthritis. Taking AcuCal and FreeFlex. Is it safe to take SAM(S Adenosyl Methionine) to enhance mobility? ###Assistant: Hi, Welcome to icliniq and thanks for the query. She can take SAM or MSM (Any one of them). SAM is a safe medication. It is a cartilage protective drug and will help her improve some of the pain in osteoarthritis. For osteoarthritis: you have to remember that these medications like free flex, collagen peptides, SAM and MSM are like to help to nourish cartilage and provide some relief. They do not actually replenish the cartilage. I normally advise to take these cartilage supplements for a period of 3 months and gap of 6 months and again restart them. Just check the medication freeflex might contain MSM. Regarding osteopenia, I advise her to continue calcium and consult local orthopaedic surgeon if he can help her with some medications that can build up calcium. If her mobility is restricted, then better to get an x-ray and check the current stage of osteoarthritis and depending on it, we can suggest further treatment. Consult an orthopaedician online --> |
###Human: Do I have osteoarthritis? ###Assistant: Hello. 1. Osteoarthritis. 2. Overuse injury. 3. Rheumatological diseases (less likely). 1. Complete blood count (CBC). 2. Antinuclear antibody (ANA). 3. X-ray of the shoulder with Y-view and x-ray of the cervical and lumbar region. 1. Most likely degenerative joint disease (DJD). 2. Osteoarthritis of cervical and lumbar vertebrae and shoulder joint. 3. Less likely rotator cuff injury for shoulder and nerve impingement of the lumbar (lower back) area. 1. Ibuprofen 400-600 mg every 8 hours as needed for pain. Should take the tablet with food and do not take it empty stomach. 2. Muscle relaxant like Cyclobenzaprine 10 mg every 12 hours on as needed basis. You should not drive while taking it. 3. Physiotherapy would be very helpful. 1. Minimize your exercise to three times a week and strengthening exercise encouraged. 2. Use braces (knee brace and back support). Revert back with the reports to an orthopaedician and traumatologist online.---> |
###Human: I am having skin tags in underarms and neck. Please help. ###Assistant: Hello. Please send a clear picture of the affected lesions for better evaluation and guidance. |
###Human: Why do we have pain after deep tissue massage to tight calf muscle? ###Assistant: Hello. I read your concern. Sometimes, usually, they try to break the trigger points, and it would have caused discomfort. The technique itself is pro-inflammatory techniques and will induce some more inflammation so that healing happens. So do not worry. Now, I request you to ice your calf frequently like once in two hours for 15 minutes as of now and stretch it properly things should settle down fast. Tomorrow morning you might feel a lot of stiffness in the calf, do not worry as you have to stretch your calf gently and roll your calf over a foam roller or if have somebody ask them to massage it for few seconds. Things will be fine. You can walk without pain. I hope this is helpful to you. Kindly revert in case you need any further information in this regard. |
###Human: I am getting scared for everything after my delivery. Kindly advice. ###Assistant: Hello. Please do not worry. After delivery, for any woman, it is common to have a hormonal imbalance which could cause anxiety and depression symptoms. More over, the trauma associated with the childbirth also could trigger anxiety and depression. But both of the anxiety and depression conditions are normal and they are for a short time. Your symptoms should clear within three months. |
###Human: What are the chances of getting pregnant with precum? ###Assistant: Hello. The chances of getting pregnant with precum are very low. It also depends on the time of your cycles. If you are not in the middle of your cycles say day 13, 14 or 15 of the monthly periods, it should be a safe time. |
###Human: Why am I having small, round and itchy growth on shaft? ###Assistant: Hi. I see that the growth over the shaft of your penis has been disconcerting to you. It has a scabies look, which is caused by a small mite. For confirming the diagnosis, I need to know how long are you having this? Do you have itching over any other area in your body? Do any other people in your home have any recent itchy lesions over their body? Are you sexually active, and if so, does your partner have any genital lesions like white discharge, etc.? Please get back with the details, so that I can zero in on a diagnosis and prescribe the appropriate medicine for you. |
###Human: How to manage unilateral paralysis of the diaphragm? ###Assistant: Hi. Traumatic or some cancer causing nerve compression. MRI Scan and spirometry. Unilateral diaphragmatic paralysis. For further information consult a pulmonologist online.---> |
###Human: What does abutment of the nerve root mean? ###Assistant: 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 --> |
###Human: Will Nano-Leo give permanent solution for erection problem? ###Assistant: Hi. For further doubts consult a sexologist online --> |
###Human: Every time I eat spicy food, I poop blood. Why? ###Assistant: 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 --> |
###Human: Will Kalarchikai cure multiple ovarian cysts in PCOD? ###Assistant: 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. |
###Human: I masturbate only by rubbing the tip of the penis. Is it a wrong way? ###Assistant: Hi. For further doubts consult a sexologist online --> |
###Human: I took Diflucan to treat urinary candidiasis. When will I get cured completely? ###Assistant: Hi. I suppose you have urine culture proven urinary candida infection for which this tablet Diflucan was started. Usually for urinary tract infection, it is given for 1 to 2 weeks depending on patient symptoms. You can continue till two weeks till sypmtoms subside and then repeat the urine culture test for documentation of complete resolution. You should also check for your blood sugar as these infections are common in diabetic person and high sugar can lead to recurring infection. Burning sensation in urine or achiness as you described is most probably due to infection. A sonography of abdomen and pelvis is advised to rule out other causes such as stone disease as cause of infection. |
###Human: How to bring back the liver function to normal? ###Assistant: Hello. Your fasting glucose is high so that you might also have diabetes. Should treat it adequately, apart from diet and lifestyle changes. Cholesterol is fine, and if you follow the changes in diet and lifestyle regimen, cholesterol will get normalized too. Excessive sleeping and always feeling tired is due to alcoholic fatty liver damages. Should stop drinking alcohol and increase water intake. Stinging nettle supplement will help detox your liver. Keep following up with gastroenterologist regularly. |
###Human: I have chest and arm pain with fever and vomiting. What should I do? ###Assistant: Hello. You have mentioned that you have diabetes. Patients with diabetes need not always be present with typical chest pain in case of any sudden cardiac event; symptoms like right sided pain, and persistent vomiting should not be taken lightly. And also you did not mention about history of any 1) cough, 2) abdominal pain, and 3) burning urination In addition to a coronary cardiac event, your symptoms also suggest the possibility of any lung infection as it can lead to fever chest pain and even vomitings sometimes.And as people with diabetes have a predisposition to infections, patients with fever and vomitings should be evaluated for urinary infection also if other symptoms are present. You need to get 1) ECG. 2) Chest X-ray. 3) Complete blood picture. 4) Complete urine examination is done. Without any delay and also chest and abdomen needs to be examined for any infection. You can contact me any further queries. |
###Human: I stopped taking Adderall for some days and it is not effective now. Why? ###Assistant: Hello. It usually takes a few attempts to optimize your ADHD (attention-deficit hyperactivity disorder) medication regimen. It can be somewhat frustrating, but your experience is not uncommon. Your doctor will titrate the dose of Adderall (Dextroamphetamine, Amphetamine) according to your clinical response and tolerability. There is some evidence to show that Wellbutrin (Bupropion) is helpful in adult ADHD, especially if you also have any low mood and anxiety symptoms. So continue having regular reviews with your doctor who will monitor your response. Follow proper sleep hygiene measures and try to exercise regularly. It will have a beneficial effect. |
###Human: How can I get rid of major depressive disorder? ###Assistant: Hello. You have undergone appendectomy recently, and it is normal to develop mood disturbance after any surgery. You are already on the major depressive disorder, and this is the reason you are feeling bad, isolated, sad, and lonely. Wait for few more days and see if spontaneous improvement occurs. If the mood gets worsened, then the dose of Cymbalta can be increased. For sleep, any good Benzodiazepine can be taken, which will help in calming you. |
###Human: I have pain in right side of the stomach whenever I move or take deep breathe. Please help. ###Assistant: Hello. Are you diabetic? Do you feel any pain after food intake? I have seen the images that you attached with your query (attachment removed to protect patient identity). Possible causes are: 1. This is the area for gallbladder possibility of cholecystitis. 2. Right ureteric stone may present pain in this right para umbilical/ right hypochondrium area. 3. Fatty liver. 4. Colon infection (ascending colon). 5. Gall stones may also present like pain in this region. So use the tablet Cyclopam (Dicyclomine and Paracetamol) twice a day for five days, Ofloxacin and Ornidazole twice a day for five days after food, tablet Pantoprazole before breakfast for one week. Drink plenty of liquids. Avoid fatty foods. If symptoms not improved please get it done ultrasound abdomen and post me. |
###Human: What are these white spots on my tongue? ###Assistant: Hi. For further information consult a dentist online --> |
###Human: I am under treatment for diarrhea for past 10 months. Can I include curd and lassi in my food? ###Assistant: Hello. Probably your diarrhea comes when consuming milk containing food, which means your intestines are intolerant to lactose, which is the sugar that is present in milk. We call such situation as lactose intolerant enteritis. Curd and lassi you can take because their lactose content has been degraded by fermentation and so you can have both. |
###Human: How can I overcome the loneliness when my partner ignores me? ###Assistant: Hello. This will last for some more weeks and you will then get adjusted to new change in your life. If he is not contacting you and is totally ignoring you then in that case there is no benefit in thinking about him. If he is so stubborn that he has no contact with you for the last one month then he should get the reply in the method he deserves. You should focus on yourself, whenever you have thoughts about him you should call your friends or your family members. Try to distract your mind. You can go for shopping to distract yourself. One month has passed already so I think you have developed good strength. Try to consolidate your strength. This is the age at which you should focus on your studies and career. He should be ignored totally. If you will ignore him, you will get more strength. |
###Human: What can cause heel pain? ###Assistant: Hello. 1. Recent blood tests like CBC (complete blood count), ESR (erythrocyte sedimentation rate), CRP (C-reactive protein) and serum uric acid. 2. X-ray ankle - lateral view. 3. A clinical picture showing exact site of pain and inflammation, so that the pathology can be estimated. 1. Achilles tendonitis (Achilles tendinitis). 2. Plantar Fasciitis. 3. Bony spurs. Follow up with investigations to an orthopaedician and traumatologist online.---> |
###Human: Can you suggest physiotherapy treatment for plantar fasciitis and knee pain? ###Assistant: Hello. The protocol followed by you is good. You should follow that regularly for the next one month. For the plantar fasciitis, I suggest the following: For the knee pain, I suggest the following: This will help ease your pain. Happy recovery. For more information consult a physiotherapist online --> |
###Human: How to recover from plantar fasciitis and hip pain? ###Assistant: Hello. I have gone through your reports (attachment removed to protect patient identity). Revert with reports to a fitness expert online --> |
###Human: What does abutment of the nerve root mean? ###Assistant: 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 --> |
###Human: Will Nano-Leo give permanent solution for erection problem? ###Assistant: Hi. For further doubts consult a sexologist online --> |
###Human: Every time I eat spicy food, I poop blood. Why? ###Assistant: 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 --> |
###Human: Will Kalarchikai cure multiple ovarian cysts in PCOD? ###Assistant: 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. |
###Human: I masturbate only by rubbing the tip of the penis. Is it a wrong way? ###Assistant: Hi. For further doubts consult a sexologist online --> |
###Human: Why do I get thigh muscle numbness? ###Assistant: Hello. Revert back with more clinical details to an orthopaedician and traumatologist online --> |
###Human: My brain tests came normal. Do I still need treatment for epilepsy? ###Assistant: Hello. I read carefully your question and would explain that a normal EEG does not exclude seizures. Anyways, there are many other causes that may trigger seizures even in healthy persons like insomnia, alcohol or drugs, thyroid gland dysfunction, electrolytes imbalances, anemia, head trauma, etc. Epilepsy is a disease which leads to repeated seizures in the absence of the above triggering factors or other medical disorders. Coming to this point, as you have stopped medication and you are feeling great, I would recommend just wait and see if you will have any seizures while free of AED. If this happens, I would recommend starting another AED like Levetiracetam in low dose. In the meantime, I would recommend following a regular sleep hygiene, eating a balanced diet, avoiding caffeine, alcohol or smoking. I would also recommend avoiding driving in the next months as we can not predict if seizures will reoccur or not. |
###Human: I get abdomen pain while walking and standing for a long time. Please help. ###Assistant: Hello. Your history suggests the relationship between Crohn's disease and lower right abdominal pain. Gut resection causes this kind of symptom as the overall function is compromised. A post-surgical follow-up visit to the surgeon would be helpful to see whether urinary bladder or ureters were involved. I will suggest you make a post-surgical follow-up with the surgeon and a gastroenterologist for Crohn's disease follow-up. Consult with an orthopedic doctor for osteoarthritis and calcium, and vitamin D supplements. Bone pains in osteoarthritis occur due to condition itself and also due to calcium and vitamin D insufficiency.If any X-ray of abdomen and neck you have, please send me. |
###Human: How to differentiate between ulcerative colitis and Crohn's disease? ###Assistant: Hi. I have seen all the attached reports (attachment removed to protect patient identity). Have a nice day. Revert with more information to paediatrician online --> |
###Human: Is my lower abdominal pain pointing towards Crohn's disease? ###Assistant: Hello. I went through your report (attachment removed to protect patient identity) and post, the thing which is favoring Crohn's disease is normal biopsy colonoscopy. You need to do ASCA (anti-saccharomyces cerevisiae antibodies) and a CT enterography. Your CRP (C-reactive protein) and calciprotein are high. So, Crohn's is a strong possibility which will be confirmed by CT enterography and antibody test. For more information consult an internal medicine physician online --> |
###Human: I am a crohn's disease patient. Can I take ayurvedic medicines? ###Assistant: Hi. Crohn's disease is an autoimmune disease, in which our own immune system tries to act against our body tissues. With this concept, allopathy physicians give drugs to suppress immunity, thus no action against our body tissue. This is the way of allopathy treatment. These immunosuppresants have their own side effects over a long period of time. Revert back to an ayurveda specialist online after two weeks for further follow up --> |
###Human: I need a second opinion regarding my daughter's fever treatment. Please guide me. ###Assistant: Hello. I can understand your concerns. I hope this helps. Take care. For more information consult a child health specialist online --> |
###Human: What could be causing extreme lymph node pain in the neck? ###Assistant: Hello. For further information consult an internal medicine physician online --> |
###Human: I lost my hearing capacity due to meningitis. Should I consult a rheumatologist? ###Assistant: Hello. The main problem with meningitis is that it is an infection which causes irreversible damage. As far as knowledge goes, there are not many cases who benefitted with the hearing. The cochlea is the hearing organ of the human body. It has three partitions filled with fluid. When hearing loss is caused by meningitis, the cochlea begins to ossify (the canals in cochlea start turning into bone). Thus the sound vibrations are not able to reach the auditory nerve. Usually, the loss is permanent. If you already wear hearing aids and now having a problem with understanding the speech, you need to see an audiologist and recheck your hearing as it might have progressed. If the loss has increased, please reprogram your hearing aids. If it has not changed, then you need to practice communication perception techniques. A speech therapist can help you with the techniques to improve communication. There are few techniques for better communication, but as you have not mentioned, I am not familiar with what method you use. I feel you should have discussed the problem in detail so that I could have helped you more with techniques. Do not hesitate to contact me. |
###Human: My brother is in coma with fungal meningitis. Will he recover? ###Assistant: Hello. For further information consult a neurologist online --> |
###Human: My mother had TB meningitis and is now suspected to have tubercular spine. Help. ###Assistant: Hello. I went through your post which has nicely described the events. Also, I reviewed her reports (attachment removed to protect patient identity). For more information consult an internal medicine physician online --> |
###Human: How to manage nosebleed? ###Assistant: Hello. For further information consult a child health specialist online --> |
###Human: What does abutment of the nerve root mean? ###Assistant: 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 --> |
###Human: Will Nano-Leo give permanent solution for erection problem? ###Assistant: Hi. For further doubts consult a sexologist online --> |
###Human: Every time I eat spicy food, I poop blood. Why? ###Assistant: 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 --> |
###Human: Will Kalarchikai cure multiple ovarian cysts in PCOD? ###Assistant: 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. |
###Human: I masturbate only by rubbing the tip of the penis. Is it a wrong way? ###Assistant: Hi. For further doubts consult a sexologist online --> |
###Human: What causes nausea and vomiting without any underlying condition? ###Assistant: Hi. She may have repeated biliary colics or recurrent attacks of gastritis or may have urinary tract infections. So, she needs urine routine test, liver function test for further comments. |
###Human: How can I grow a full beard? ###Assistant: Hello, Welcome to icliniq.com. This is very common not to have full grown beard. As you have mentioned you have hair on chin and moustache but not on cheeks, you can consider meeting an endocrinologist and get your hormones laboratory test done. This is just to ensure that you do not have any hormonal issues. If everything is normal, you can consider beared transplant surgery. It is safe and permanent solution to your problem. |
###Human: Can skin prick tests predict positive reactions completely? ###Assistant: Hi. Skin prick allergy testing is one of the most accurate ways of diagnosing the allergen, one is sensitive to. It is definitely more accurate than blood immunoCAP testing (blood allergy testing). Skin prick testing checks your sensitivity to the protein in question. Even if sensitive, it need not mean you are allergic. Whereby, a positive result need not always mean you will get allergy with the protein. It means that your immune system is sensitised to that allergen and that an allergy can occur in subsequent exposures to the allergen. A negative in skin prick testing will mean that you are not sensitive to that protein and that you will not end with an allergy upon its exposure. This is true. But it is specific for the particular type of allergen. What all animal danders were included in your profile and what was the response to each? Is there a photograph or record of the wheal or flare that developed after each prick? Was the test read by a clinical allergist or immunologist and were you provided a report as to that you are not allergic to any animal dander? Were you diagnosed with pollen allergy or sensitivity? Have you observed any symptoms of allergy while in gardens or bushy areas? Or in any particular season? Does any one else in your family have allergies? |
###Human: How can hair fall be reversed? ###Assistant: Hello. From your description, it seems like it is traction alopecia that occurs due to excessive pressure on hair roots due to hair bun, etc. First thing is to make sure to relieve pressure from your hair roots. Use Minoxidil spray BD over the frontal area. Take biotin supplements BD for atleast three months. Follow up at one month. |
###Human: My T3 and T4 values are normal, but my TSH values is high. Why? ###Assistant: Hello. I can understand your concern. I have gone through the reports you have attached. In my opinion, you should get done repeat test after a month.No need to start thyroid medicines. Do regular aerobic exercise like running, cycling, swimming, or walking. I hope I have solved your query. I will be happy to help you further. |
###Human: My cheek feels sore after placing a temporary bridge. Why? ###Assistant: Hi. For further information consult a dentist online --> |
###Human: Does itchy red pink rashes mean candidal balanitis? ###Assistant: Hello. I understand your concern. 1. It certainly looks like candidal balanoposthitis (attachment removed to protect patient identity), though I would appreciate a photo without flash to see the lesional morphology better. 2. Besides the fact that it can spread via sexual contact and one is advised to get their partner also treated, other precipitating factors like blood sugar should be ruled out. Treatment remains the same as you are already taking it. Get other relevant investigations done to rule out any associated STDs. Take care. |
###Human: What can be done to cure candidal balanitis soon? ###Assistant: Hi. Looking at the picture, features are consistent with candidal balanoposthitis. It is quite severe. Please stop using Menaderm, Cortisone, both are steroid cream, that makes the infection grow rather healing it. Gelmicin has steroid along with anti-fungal medicine. Any history of unprotected sexual intercourse before this rash appeared? Clean the area with lukewarm water, use a mild soap. Apply Clotrimazole 1 % gel or cream twice a day for 3 to 4 weeks. Avoid sexual contact till it heals. You need oral antifungal capsule. Do you know if you have any allergy to any medication? You need Itraconazole 200 mg, one pill twice a day for just one day. It is a single day treatment. Buy two capsules of Itraconazole 200, take one pill in the morning after breakfast and one pill at night after dinner. Please do not take Itraconazole if you are allergic to it. Since it is severe, you may need to repeat the Itraconazole capsules after one month. |
###Human: I have irritation of foreskin and whitish discharge. Please advise. ###Assistant: Hello. You might be suffering from candidal balanoposthitis. Please send good quality photographs of the lesion taken in a natural light for confirmation of diagnosis and treatment. Regards. For more information consult a dermatologist online --> |
###Human: How can a person with PTSD, depression and anxiety be treated? ###Assistant: Hello. If a person is suffering from PTSD (posttraumatic stress disorder), depression and anxiety, they will probably need a combination of medication and psychological therapy to manage their condition. Lexapro (Escitalopram) is a good antidepressant that can be helpful in this situation. Based on more clinical information and formulation, psychological therapy can be considered. CBT (cognitive behavioral therapy) will be helpful in addressing depression and anxiety. If PTSD is the predominant primary condition, trauma-focused CBT or EMDR can be considered. Kindly discuss with your doctor locally. Also ensure, you follow the necessary self-help measures like healthy eating, adequate sleep, regular exercise, avoiding alcohol, etc. You can contact again if any further advice is needed. |
###Human: What will be the prognosis of nerve regeneration after a surgery in a 10-year-old? ###Assistant: Hello. I have read your concern. Can you give me more of the details of the surgery if you can still remember? How was it repaired as what you have told by your doctor? How is the finger at this moment (can he flex? can he feel anything at the tip of the finger?) I am hoping for your reply. |
###Human: What does abutment of the nerve root mean? ###Assistant: 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 --> |
###Human: Will Nano-Leo give permanent solution for erection problem? ###Assistant: Hi. For further doubts consult a sexologist online --> |
###Human: Every time I eat spicy food, I poop blood. Why? ###Assistant: 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 --> |
###Human: Will Kalarchikai cure multiple ovarian cysts in PCOD? ###Assistant: 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. |
###Human: I masturbate only by rubbing the tip of the penis. Is it a wrong way? ###Assistant: Hi. For further doubts consult a sexologist online --> |
###Human: Why am I not able to focus both the eyes on a single point? ###Assistant: Hi. Revert back with the answer to the above question to an eye care ophthalmologist online --> |
###Human: How can I overcome my depression and self-harming thoughts? ###Assistant: Hello. You are suffering from depressive features and hence the low self-esteem and self-harming thoughts. I suggest you take Zosert (Sertraline) 50 mg twice daily along with tablet Lonazep (Clonazepam) 0.5 mg at night for a period of two weeks. Consult your specialist doctor, discuss with him or her and with their consent take the medicines. You need to focus on a new hobby. Give time for physical fitness.You can review with me for further followup. For more information consult a psychiatrist online --> |
###Human: I have depression and suicidal thoughts. Please help. ###Assistant: Hello. I understand what you must be feeling right now. Depression is a serious but treatment illness. I can see you have thoughts of suicide and suicide attempts are also there which indicates that your depression worsened now. But do not worry, there are various treatment options available, with which your condition can be improved. Depression is a biological illness just like diabetes. It is neither your fault nor your wish to be in the pain that you are in right now and you cannot overcome these feelings and thoughts. Every disease needs appropriate treatment. I would advise you to consult a psychiatrist online or offline as soon as possible. Remember help is there please avail it. I would require more details about your problem. Thyroid function test, serum B12. May require inpatient care, medicines, therapy. |
###Human: I have depression and severe insomnia. Please help me. ###Assistant: Hi. Please use Prozac in the morning as it can worsen sleep when used at night. You can take Prozac 40 mg. Do not increase the dose of Mirtazapine as higher doses of Mirtazapine cause insomnia whereas low dose help in sleep. Mirtazapine 15 mg is sufficient. Do not take Phenergan and Valium at the same time. Please continue to choose only one drug, and the dose is adequate. I would also advise you get an MRI brain (magnetic resonance imaging) done. Along with the medicines, engage yourself in social activities and do exercise frequently. You can consider starting therapy for depression and alcohol dependence. |
###Human: Can depression cause crying without reason, feeling useless and demotivated? ###Assistant: Hi. Depression can be normal and can be a disease. Depression is diagnosed when a person has low or depressed mood for most of the day every day at least two weeks, lack of interest and pleasure in daily activities, other symptoms are sleep disturbances, appetite changes, poor concentration, pessimistic thoughts, feeling guilty, hopelessness, thoughts of ending life. It is multifactorial. Your history is suggestive of depression as you have mentioned that these symptoms were in the past also, try to find out what is causing your depression. Any current issues or any past life event? Tablet Escitalopram 10 mg at night, tablet Alprazolam 0.5 mg at night if sleep issues, lifestyle modification (go for walk daily, meet with your friends, share your problem with whom you trust), psychotherapy sessions. |
###Human: Why has my 5-year-old been having eczema since she was 3 months old? ###Assistant: Hello. You have put your query with nice description but I think you have uploaded wrong images. So, if possible share correct images. From your description, it seems atopic eczema. It is endogenous eczema which may have several aggravating factors. Predisposition may come from the hereditary mechanism. Other first or second degree relatives may have features of some kind of allergy or atopy. Seasonal changes may also affect disease course. Some food like groundnut, cow milk, an egg may cause the problem. It starts with dry skin. Then some tiny lesions, sometimes oozing, scaling, crusting. They may coalesce to form large plaques. So we have to put first check on dry skin by use of plenty of moisturizers. It is best to use just after taking bath, tap the water with towel softly then apply moisturizer within 3 to 5 minutes of the bath. And have to apply 3 to 4 times a day as per requirement of skin to combat dryness. The dry or cracked skin may produce stinging sensation: burning sensation initially but it will go on its own. Or you can try a different moisturizer, even a good vaseline or coconut is also perfect. Topical steroids are useful during exacerbation of disease. It comes in different potency, and I hope your doctor had prescribed low-mid potency one. Like Hydrocortisone, Desonide, Flucinolone or Fluticasone. Among these, Desonide is best according to efficacy and safety. There is nothing like being habitual. You can stop anytime. But try to stop in tapering way like initially daily, then alternate day then weekends then stop. Your baby is 5 years old so you have one more option to replace steroids. Topical Tacrolimus 0.03 % ointment. Once lesions are clear by use of steroid then you can shift to Tacrolimus. Or on the face, it is alone sufficient. No need to use steroids on the face. How to manage with minimum medicine: Can moisturiser be avoided? No. Apply with a soft hand, do not massage vigorously. When will she get better? Usually, 80 % child become better by age of 12 to 13 years. But it depends on several factors like family history, exposure to aggravating factors, management of exacerbations. You have to pamper skin of your baby, care during cleaning, tapping, applying moisturizer all needed. There are several another way to treat exacerbation so you should not be worried. For more information consult a dermatologist online --> |
###Human: Could you give your opinion about my eczema on the fingertips? ###Assistant: Hi. Continue the same treatment. 1. Avoid excessive wet work and direct contact wit soaps and detergents. 2. Avoid direct hair dye application. 3. Reduce gardening activities if any. For further information consult a dermatologist online.---> |
###Human: I have itchy painful eczema in fingers. Please help. ###Assistant: Hi. From your pictures (attachment removed to protect patient identity), it is more in favor of eczema but infected one. Do you use gloves while holding steering? It is not a fungal infection clinically. You have to apply combination ointment containing Betamethasone and Neomycin. The most important thing for eczema is to maintain moisture and hydration of the skin. For that you have to use Vaseline (petroleum jelly) 4 to 5 times a day. Take non-sedating antihistamine. You will get better. Eczema. Apply a combination of Betamethasone plus Neomycin ointment, Vaseline 4 to 5 times a day, take non-sedating antihistamine tablet. Maintain hygiene of area, wash with soap and water, avoid using Dettol and other irritants, use cotton gloves. |
###Human: Small warts are spreading on my face and neck. Please help. ###Assistant: Hello. For more information consult a dermatologist online --> |
###Human: Does burning sensation in the scrotum after having oral sex indicate HIV? ###Assistant: Hello. Oral sex is least related to HIV. Symptoms are very bizarre and mostly by oral sex HSV, and STI is common. The tickling sensation is different as such, may be seen in vitamin B 12 deficiency, and anxiety. Symptoms come but goes in a particular time. You can still go for the HSV test. And STD panel test. No signs you had related to both. Till then you can take, Tablet Mecobalamin (Methylcobalamin) 1500 mg one at night for one month. If you feel better, you can continue for another a month if at all required. Tablet Escitalopram 10 mg (esitelop10) one at night for ten to fifteen days if at all needed. It is not at all HIV. I hope you have understood. |
###Human: My penis size is smaller than normal, will it be a problem during sex? ###Assistant: Hello. Thanks for choosing this platform. 2 to 5 inch of the penis size is normal. The average size of penis is 3-5 inch while erect and 1-3 inch while flaccid. Having said this I like to inform you that penis size does not make things different during sex as only one third of the female vagina is sensitive. So, even 3 inch of penis in erect state provides equal pleasure to both partners. In regard to penis size your fear of small penis is baseless and you can get this idea out of your mind now. Girl may or may not think about the size as it is their domain, but as I said it dose not matter on bed. What you read in pornographic magazines is distorted presentation and does not hold any truth. I do not understand what do you mean by small testicle and low sperm count. It is the number of seminiferous tubules in the testis that matters. Other than that if you are having doubt you can get report of semen analysis which will reveal true sperm count in your semen. Having morning time erection is completely normal and there is nothing to worry about that. If you do not get morning erection that may be a sign of problem. For further information consult a sexologist online --> |
###Human: How to get the phlegm out of the body? ###Assistant: Hello. Viral fever. Complete blood count, CRP (C-reactive protein), parasite F and V test, CUE (complete urine examination) and chest x-ray. Viral pyrexia. I suggest the following medicines. Consult your specialist doctor, discuss with him or her and take the medicine with consent. 1. Syrup Cetirizine 5 mL, once daily at night. 2. Continue Crocin (Acetaminophen) and Meftal (Mefenamic acid). 3. Nebulization with 3% Nacl (Sodium chloride), twice daily for three days. 4. Syrup Ascoril LS (combination of Ambroxol and Salbutamol) 4 mL, three times a day for three days. Revert back after three days to a paediatrician online.---> |
###Human: What does abutment of the nerve root mean? ###Assistant: 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 --> |
###Human: Will Nano-Leo give permanent solution for erection problem? ###Assistant: Hi. For further doubts consult a sexologist online --> |
###Human: Every time I eat spicy food, I poop blood. Why? ###Assistant: 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 --> |
###Human: Will Kalarchikai cure multiple ovarian cysts in PCOD? ###Assistant: 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. |
###Human: I masturbate only by rubbing the tip of the penis. Is it a wrong way? ###Assistant: Hi. For further doubts consult a sexologist online --> |
###Human: Every day I sneeze at least 10 to 15 times. Please advice. ###Assistant: Hi. I reviewed your reports (attachment removed to protect patient identity). I advise you following: Revert back after 2 weeks to a general medicine physician online --> |
###Human: Why am I getting white hair in young age? ###Assistant: Hello. As you are only 17 years old, the primary cause behind it might be genetic as your parents or grand parents may have white hairs at an early stage. The other possible causes might include poor nutrition, improper lifestyle, stress, etc. White hairs mean lack of melanin, the coloring pigment in hairs. Once the hair that grows white, there are fewer chances to revert them back to normal black color. But, you can stop further graying of hairs. First of all add foods like figs, curry leaves, raisins, fresh fruits, and vegetables in your diet. Avoid excessive caffeinated drinks, spicy and junk food. Quit smoking and drinking if you do. Sleep adequately at least for 6 to 8 hours a day. Try to go to bed before midnight. Avoid taking too much stress. As far as medicine is concerned, I suggest tablet Asthiposhak two tablets twice a day with water for six weeks. Apply Bhringraj oil on your hairs two to three times a week one night before washing hairs. Wash your hairs with a mild herbal shampoo. Have one glass of lukewarm milk and add a pinch of black pepper and turmeric in it and take it before sleeping. Try all these things, and you will soon feel positive results. 1. Genetics. 2. Poor nutrition. 3. Stress. Revert after a month to an ayurveda specialist online.---> |
###Human: Can you explain the reason behind burning sensation of gums? ###Assistant: Hi. Hurting of gums while taking spicy food might be due to the following causes: 1. Gingivitis (swelling and inflammation of the gums) - Swollen gums may be painful and may cause burning sensation and pain while taking hot and spicy food. Gingivitis occurs due to either plaque or other debris accumulating around the teeth and gums. Also hormonal changes occurring during menstrual cycle can cause swollen and painful gums. Any medicines taken for medical issues like hypertension, epilepsy, etc., also cause gum changes and swelling. 2. Any ulcers in the mouth will get hurt while taking hot and spicy food. Ulcers might occur due to faulty tooth brushing techniques, usage of toothbrushes with hard bristles, stress, sharp tooth hurting the tissues, any dental appliances or ill-fitting dentures. 3. Any abscess related to infected tooth might also hurt while taking spicy food. But, you have mentioned that you do not have any cavities or teeth issues. Have you been examined by a dentist regarding this? 4. Any impacted tooth (teeth that remain unerupted due to inadequate space inside the mouth or remain inside the bone itself) may develop swelling of gums around it. When the opposing teeth impinges on this swollen tissue while taking spicy food it gets hurt. 5. Hypersensitivity reactions may occur to certain foods. This might cause swelling, reddening and burning sensation of the mouth. This may occur due to some food additives. 6. Habits like smoking and usage of tobacco products may also cause burning sensation while consuming spicy and hot food. 7. Dental procedures like scaling (cleaning of teeth) might cause minor tissue injuries. These hurt and cause burning sensation while taking hot and spicy food. But, this heals in 4-5 days after cleaning. In your case, this might not be the reason, as you have undergone scaling before 2-3 years. 1. Get dental scaling done, if you have any plaque or calculus deposits causing swollen gums. 2. Get your oral cavity examined by your dentist, for any ulcers, abscesses, infected teeth and impacted teeth. 3. Also get checked for any sharp teeth and any dental appliances or ill-fitting dentures. If found, sharp teeth have to be trimmed and reduced, and ill-fitting dentures and dental appliances have to be corrected immediately. 1. Kindly make a note if you develop any gum swelling, redness or bleeding gums during your periods. 2. Use toothbrushes with soft bristles for brushing your teeth. Also follow the proper brushing technique for brushing your teeth. 3. Make a note whenever your gum hurts and what foods hurt your gums. Check if any food causes the same issue repeatedly. In case, if that food contains some additive that causes hypersensitive reaction, then you may have to avoid that particular food in future. 4.Quit habits like smoking or usage of other tobacco products (in case you do). For further information consult a dentist online.---> |
###Human: My blood group is positive and my fiance's is negative. What problem do we need to face? ###Assistant: Hi. I can understand your concern. From history, I hope you are telling that you (male) is B positive and your fiance (female) is B negative. It will not cause a problem in first pregnancy but in second pregnancy severe hemolytic disease of the newborn can occur. So, we have to prevent this sensitization when she will be pregnant. So, just keep this in mind and in first pregnancy of your wife (she is having a negative group as per history), she should be given Rh(D) immunoglobulin injections in the antenatal period at 28 week of gestation. In addition, before marriage, you both should be investigated for thalassemia minor status. For further information consult a hematologist online --> |
###Human: I had my right ovary and tube removed due to a 4. 5 cm dermoid cyst. Was it the right call? ###Assistant: Hi. I have gone through your attached reports (attachment removed to protect patient identity). Take care. Hope your concern is solved. For more information consult a pathologist online --> |