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I am a 23 year old male with skin colored bumps on the rim of the penis. I have noticed them over the last 2-3 years. I am sexually active but only with one partner and most of our contact is protected. The bumps were there even before the first time I had sex. I am worried these could be genital warts and I could transmit them to my partner. Kindly advise.

Hi, Your history is suggestive of a diagnosis of pearly penile papules. This is a harmless condition seen in many males. It is not infectious or progressive and hence can be left alone. For patients who are keen to pursue treatment from a cosmetic point of view the bumps can be removed with a laser by a dermatologist, however they invariably recur in a few months-years. Hence I advise my patients to leave them alone. Genital warts are highly unlikely given the fact that the bumps are there fro ...

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My 6 years old daughter has developed vomiting since last night . She had taken home made food only. She is not able to eat anything and vomiting out even water.There is no loose motions or fever.Otherwise she is active.There is similar history one month back. Kindly help.

Hi there, Thanks for your request. Your daughter seems to have gastritis.First give her anti-emetic like domperidone and for half an hour and then give some oral fluids. If she accepts then give her food. If she vomits out this tablet then take her to the nearest health facility for injectable anti-emetic treatment. Since there is history of similar problem , you may need to get an ultrasound of abdomen done. Feel free to ask any more questions. ...

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My 3 years old daughter has cough and cold for 2 days and fever since morning . She has nasal discharge and seems to breath by mouth. Otherwise she is playful and active. Please advise.

Hi , Thanks for your request. Your daughter has Viral upper respiratory tract infection.Her mouth breathing is due to her nose blockage.Put nasal decongestant drops in both nostrils thrice a day. Also give her steam inhalation twice daily. For cough and cold give her a decongestive medicine with paracetamol. This will take care of fever as well. Keep a watch for danger signs like fast breathing , chest indrawing , inability to drink , lethargy . Go to your nearest child specialist when you see ...

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I hv been having problems of dizziness, and spinning sensations since last 4/5 days. Had the same earlier abt 2 yrs back but on a very mild scale and they went away without any medication. This time it has been rather acute. Visited the physician and hv been prescribed Vertin 8 mg 1x3 times a day before bkfst, lunch and dinner. After three days feeling better but the sensations are still there albeit milder. Feel the spinning sensation especially when I look straight up/down and then bring the head back to normal posn.Again when I am changing sides on bed while lying down from left to right rpt left to right I feel the same sensation. Tho' the dizziness and the spinning sensations are less now after taking the dosages of Vertin 8 last three days would u hv any advice as to how long it takes normally for the problems to be totally eliminated? I am particularly concerned as I am, tho' a retired person, a man of fairly active habits and for the various domestic chores often hv to drive quite a bit in heavy city traffic and as a result of this problem am completely grounded which is affecting our day-to-day life styles and needs.

Hi, Tablet Vertin is used for relief of vertigo due to several reasons, but it is to be known why is this vertigo occurring. For that reason MRI and other tests needs to be done. The possible causes could be some problem in the brain or ear. If there is chronic disease in the ear, the internal ear is effected and there will be vertigo. The duration of vertigo will depend on the cause. To prevent worsening of symptoms during episodes of vertigo, try the following: - Keep still, sit or lie dow ...

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My father is 78 years old and has been suffering from constipation for the last 2 years. He has also lost a lot of weight around 10 kgs in this time span. In the last couple of months he has been complaining that his abdominal muscles have torn due to bowel straining and now he says there is loss of muscle in his stomach area. Which is why when he lies down everything is fine but when he sits up and walks around he feels like he is carrying a weight in his stomach. After intake of food it becomes worse and he also gets bloating. We have done all possible tests - colonoscopy, CT scan, ultrasound sometime last year and everything was clear. The doctors gave a verdict of idiopathic constipation and left it at that. His blood work is fine, haemoglobin levels, cholestrol etc. He still suffers from constipation. His prostrate is enlarged but results are fine. What is the solution to his stomach muscle problem ? Is it lack of exercise, lack of protein ? He doesnt have a pot belly and has never had and had always been physically active and fairly slender.

Hi, History told by you favours irritable bowel syndrome ( IBS ). There are two alarming signs in your case : Firstly, loss of weight and that to10kg approx. Secondly, sensation of carrying a weight in stomach. Both of them do occurs in IBS. But to be on safer side,I would suggest you to go for colonoscopy again because it was done 1 yr back and symptoms have aggravated few months back. Treatments available for IBS - - Increase the level of physical activity. - Have regular meals and take t ...

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About 5 years ago I noticed a dramatic reduction of the muscle mass (Muscle atrophy) in my right calf muscle, like 75% to 80% reduction compared to my Left calf Muscle (possible the gastrocnemius), I also noticed that my Achilles is also very loose, when in a relaxed state, compared to the left leg. What could be the possible problems? There is no pain (other than uneasiness like restless leg syndrome) associated with this problem. I do have a lower back problem (damage) that was done 30 years ago to the L4/L5 herniated disk. Now I have noticed that other muscles are starting to harden and reduce like the one did 5 years ago. I went on a 15 mile hike in the mountains this past summer and I am very active during the day. However I do not regularly exercise as I should. Thoughts?

Hello Sir, You are suffering from myopathy for which a thorough examination needs to be done. Blood tests like Creatine kinase and Electrodiagnostic tests like Electromyography [ E.M.G.] should be done. Nerve conduction studies for the affected limb should be done. Many endocrine disorders can also cause myopathy such as thyroid , parathyroid , adrenal disorders , Diabetes , Vitamin - D deficiency etc. You need to go to your nearest doctor for clinical assessment . Moreover other blood ...

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sir/mam, i am having accute vit d deficiency.it was not known to me earlier so i started taking skin treatment which includes isotretinoin 20 mg n antibiotics.i had yellow peel twice n wen i moved out in sun for longer durations,my skin has got burnt n lost its glow.m feeling like an aged person.please let me know if there s a better alternative the peels.i am having active acne on my jaw line n forehead, blackheads and acne scars.

vit d is not related to skin disorders. ...

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My Kid is 9 months old but she is underweight by 3 Kgs. Her current weight is 5.9 but she is active!!! As of now, we are giving Similac Stage 2 but her consumption is very very less. We have checked with our Doctors in India but Doctors are forcing us to feed her but she is not at all interested.. Can you please suggest any other solution to increase her appetite.

Thanks for your query Before commenting on her weight i would like to know her birth weight.A gain of half a kg per month is considered optimal.So if she is gaining half kg per month it is good.Also infant's weight gain is optimal on exclusive breastfeeding till 6 months of age.After 6 months of age we need to start complimentary feeding along with breastfeeds.Freshly prepared home made foodstuffs are preferred over commercial preparations.For first one to two months we should give homemade milk ...

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I recently had a period that started very light and evened out to a normal flow by the end but i experienced no usually period cramps, headaches, pain and what not. Then 2 days after my period ended i started experiencing a light pinkish discharge. Its normal in consistency compared to my usually ovulation discharge but the color is something I've never seen before. I am sexually active. Is this normal? or should be alarmed?

Hi there. It wonâ€™t harm if you will go to the nearest gynecologist so that he or she may conduct a pelvic exam. Pinkish discharge may mean a lot of things. It can be normal like ovulation, or can be an anatomic problem like polyp. But I think it is perfectly ok that you did not get cramps or any premenstrual symptoms. ...

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I am 25 years old. Male. 5'10 160lbs. I have been active most of my life. I recently ran a tough mudder (12 mile obstacle course). However, I have always dealt with anxiety and worry about my health. My pulse is extremely strong. I can see my pulse in my neck, stomach, and wrist at all times. Even when I am not anxious. I have had many echochardiograms, EKG's, I've had an MRI of my heart and a nuclear stress test. All came back normal despite the fact that I have a small case of mitral valve prolapse. I was cleared to play sports and exercise. Lately I have had symptoms of pain I can only describe as someone squeezing my neck. It is most uncomfortable at the base of my neck towards my chest. I have also had headaches, a slight cough, difficulty concentrating and fatigue. It seems like the pulse in my neck is more visible than it has been. Is this all in my head?

Increased heart rate has several causes: hyperthyroidism (it's important to check thyroid hormones), anemia (decreased blood hemoglobin), structural heart diseases (small case of mitral valve prolapse doesn't cause problems, as usually it is congenital), GI problems (such as gastritis, gastro-esophageal reflux, esophagogastroduodenoscopy can be done to exclude this), ischemic heart diseases (angina, previous infarction, which is not case for your age). If you don't have any of the above mentione ...

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