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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 mother is 75 yrs old and she regularly complains of pain in her joints for the the last 3-4 years.she has normal blood pressure and is not diabetic.kindly advise any blood tests and medications for her ?

Dear patient Your mother is suffering from post - menopausal senile osteoporosis. her bones have become weak due to deficiency of calcium and vitamin D. this usually occurs in old age and after menopause.get the following investigations done: dexa bone scan , vitamin D level , blood calcium , complete haemogram and blood urea.Consult a orthopaedic surgeon who will advise you medications according to your test reports. ...

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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 need to have Knee Lubrication Injection as knee replacement surgery seems risky and may be difficult for my weight to carry on after operation. Pls advise. Thanks

Hi I am Dr Alok, Rheumatologist from Delhi yes, you can take injection, but remember, its effect lasting for 3 months to 1 year only, mean while you should do physiotherapy. But if joints are damaged completely, there is no option but to surgery Hope this will help should you have any queries, please donot hesitate ...

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mild hypertension for 10 years. am on vinicor- am 25/2.5. take bp readings once in 3 months with a domestic monitor at home bp used to be 135/85 or thereabouts. last six months 145/85. wondering whether change medicine or dosage. advise

Hi, Try and monitor your blood pressure for a few days may be 7-10 days regularly. Monitor your b.p twice in a day, morning and evening. If your b.p is always above that 140 mark then your dosage might be changed. Otherwise b.p around 140 mark is considered good at that age ,other risk factors need to be assessed like your diabetic status and obesity but first of all you monitor your b.p for a few days regularly with your normal diet pattern (which should be low salt and oil intake) Feel free ...

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Hello. I am 29 years old from Australia and currently am in Tokyo. I had protected sex with a hooker a few nights ago and a hand job from one last night. I am overweight and chafe a lot when walking a lot but I have noticed itchy red lines have developed behind my knees on both sides. Red rashes are between my legs (but is usual for my chafing). Please note I have been walking around all day long in jeans in cold/warm weather so I am not sure if red is inflammation or the start of an STD? Please advise if you think I need to return home immediately for tests or if I am overreacting ? Thank you

Hi, Please tell about your diabetic status. Rashes between your legs, at the back of your knees,in armpits are common, as the area is usually moist and allergic. Rash is common at such a location,and you already told me that chaffing is common to you then it can be because of that only. Looking at your condition that you are unable to wear loose clothes all day long. try and wear loose cotton clothes at some part of the day so that your body can be exposed to fresh air . Try to keep you geni ...

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I am a 24 year old female from Bangalore. Me and my partner have been trying to have intercourse for the past 6 months. But I always feel intense pain and we have to withdraw. At first, it was impossible to even insert a finger inside my vagina. But now that’s possible, but I feel a burning sensation everytime my partner inserts his finger. So we have not been able to proceed. Please advise on what can be done and a doctor I can meet in Bangalore.

Hi, Women take time to get aroused and the pain is more on inserting a finger in vagina intially, because your vagina is dry (because of lack lubrication beacause of lack of secreations). You should take time to involve in fore play first,so that you get a little wet or aroused before you can actually involve in sex. You can also use a lubricated condom which might help you on having sex intially. Most females feel pain because of inflamation,infection of genital or urinarytract(which is very ...

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My dentist advised me to have rct for 2 front teeth out of which one is a dead tooth because of trauma. Now, i need to travel in couple of days and shall be away for couple of months. So the dentist suggested that she can fill the cavity with cotton and do the final treatment once i am back. What would you advise?

i would not agree with leaving the treatment incomplete. this may lead to infection that could be worse than what you have. your tooth will be weakened due to the access cavity and liable to fracture. either wait till you get back and DO NOT TOUCH the tooth at all (if you have no trouble now) or FINISH the treatment and leave. make sure you are carrying medication in either case. ...

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Dr. Parth Mankad

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Dr. Alok Kalyani

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  •  455 Doc Points