Question 1

I'm really worried about my cousin because he still has some penile discharge even after taking medication for a confirmed STD. It's very little but still makes him uncomfortable. He's interested in doing an STD test, but not for HIV, and he's in Pune. Could you guide us on where he can get that done?

Accepted Answer

I'm here to help you with sleep tips.

*Identifying the Cause*

Before we dive into solutions, let's consider possible reasons for your insomnia:

1. *Stress and anxiety*
2. *Uncomfortable sleep environment*
3. *Irregular sleep schedule*
4. *Physical discomfort or pain*
5. *Caffeine or nicotine consumption*
6. *Electronic screen usage before bed*

*Sleep-Promoting Strategies*

Try these evidence-based techniques to improve your sleep:

1. *Establish a consistent sleep schedule*: Go to bed and wake up at the same time every day.
2. *Create a relaxing bedtime routine*: Engage in calming activities like reading, meditation, or deep breathing exercises.
3. *Optimize your sleep environment*: Make your bedroom dark, quiet, and cool. Invest in a comfortable mattress and pillows.
4. *Limit exposure to screens before bed*: Avoid using electronic devices for at least an hour before bedtime.
5. *Avoid stimulating activities before bed*: Steer clear of intense exercise, playing video games, or watching exciting movies at least two hours before bedtime.
6. *Try progressive muscle relaxation*: Tense and then relax different muscle groups in your body to release physical tension.
7. *Consider keeping a sleep diary*: Record your sleep patterns, including the time you go to bed, wake up, and the quality of your sleep.

*Additional Tips*

1. *Avoid caffeine and nicotine*: Both can disrupt sleep patterns and make it harder to fall asleep.
2. *Limit naps*: If you're having trouble sleeping, try to avoid napping during the day. If you do need to nap, keep it short (under 30 minutes) and avoid napping close to bedtime.
3. *Get regular exercise*: Regular physical activity can help improve sleep quality, but avoid vigorous exercise within a few hours of bedtime.

*When to Seek Professional Help*

If you've tried these strategies and still struggle with sleep, consider consulting:

1. *A healthcare professional*: Discuss your sleep concerns with your primary care physician or a sleep specialist.
2. *A therapist*: Cognitive-behavioral therapy for insomnia (CBT-I) can be an effective approach to addressing sleep issues.

Question 2

I've had a 12mm kidney stone that showed up on a CT scan on 8417, and although I didn't have issues with it at first, I've been dealing with constant back pain for the past three days, especially after eating or drinking anything. I thought it might be muscle pain and took ibuprofen, but that only made things worse. Last week, I felt nauseous and vomited for three days straight, and while I haven't vomited since 9617, the nausea is still hanging around. I'm starting to worry and wonder if it's time to see a doctor or head to the ER. Is the ER the best choice in my situation?

Accepted Answer

Patient may require surgery since the stone size is 12mm, surgery opinion for further management.

Question 3

How much does phimosis surgery usually cost and what factors can affect the price

Accepted Answer

cost depends on dr and hospital.

consult nephrologist

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