Question 1

My sister has vitiligo with visible spots on her hands and legs, plus other areas. Her marriage is coming up, and the groom's family wants to see her hands and feet. Are there any temporary ways to hide the spots without using cosmetics since they don't work well? We have around 78 months before the wedding would surgery be an option, or is there a quicker fix?

Accepted Answer

For temporary spot concealment without cosmetics, consider covering the areas with long sleeves and pants, or use light-colored, opaque scarves or shawls. With 78 months until the wedding, surgery like skin grafting might be an option, but it's not a quick fix. Light therapy, often used in conjunction with other treatments, could be considered.

Question 2

I've been really worried about these red dot marks and the itching on my penis head that started about three weeks ago. I used to masturbate quite a bit, like around 5 to 6 times a week, sometimes even daily, but I've stopped since these symptoms showed up. Im wondering if it could be a yeast or some other fungal infection. I tried using coconut oil, and then some sand-like papules and red marks appeared, along with a bit of swelling inside the foreskin and occasional itching. I started washing with soap and lukewarm water regularly, retracting the foreskin, and Ive been using Patanjali coconut oil every morning. For the past three days, Ive been applying Lilifin Cream, an antifungal agent with Luliconazole 1%, at night, plus I'm having 250ml of curd and raw garlic every day. It feels slightly better, but I'm really anxious to know if this is the right treatment and how long I should continue using the cream. Can you give me some guidance or prescribe the dosage? I'm really stressed about this whole thing.

Accepted Answer

The antifungal cream you are using, Luliconazole 1% (Lilifin Cream), is a suitable treatment. You should continue applying a thin layer of the cream to the affected area once daily at night before sleeping. It is typically recommended to use this cream for 1 to 2 weeks, but it is important to follow your doctor's advice for the specific duration of treatment. Additionally, incorporating curd and raw garlic in your diet can help boost your immune system and aid in fighting off the infection. Make sure to maintain good hygiene practices by washing your penis with soap and lukewarm water, as you are already doing. If you continue to feel better and see improvement in your symptoms, you can gradually reduce the frequency of applying the cream as advised by your doctor. If your symptoms persist or worsen, it is important to follow up with a healthcare provider for further evaluation and management.

Question 3

I'm really struggling with a mouth ulcer that's been bothering me for the past three months. I've tried seeing a few different doctors, and they've prescribed a bunch of meds like Becosules, Oflox 200, Glenora gel, Lerobaet 500, Oraways gel, and Zincovit tablets. I've attached an image, but nothing seems to be working, and it's getting really uncomfortable. Any idea why this is happening or what else I can try for some relief?

Accepted Answer

Dietary Changes*

1. *Eat smaller meals*: Reduce meal size to ease digestion.
2. *Avoid trigger foods*: Identify and avoid foods that cause discomfort.
3. *Increase fiber intake*: Add fruits, vegetables, and whole grains to your diet.

*Over-the-Counter (OTC) Medications*

1. *Antacids*: Take antacids like Tums, Rolaids, or Mylanta to neutralize stomach acid.
2. *Acid reducers*: Use medications like ranitidine (Zantac) or famotidine (Pepcid) to reduce acid production.

*Natural Remedies*

1. *Ginger*: Consume ginger tea, ginger ale, or ginger candies to aid digestion.
2. *Probiotics*: Take probiotic supplements or eat probiotic-rich foods like yogurt to support gut health.

*Lifestyle Changes*

1. *Stay hydrated*: Drink plenty of water to help with digestion.
2. *Exercise regularly*: Engage in light physical activity to stimulate digestion.
3. *Manage stress*: Practice stress-reducing techniques like meditation or deep breathing.

I've had this really annoying itching inside my penis for the past week because of some tiny bumps. It's been quite uncomfortable, and I'm getting worried. Can you recommend any medicine or ointment that could help, or maybe some home remedies to try?

Probable diagnosis is fungal infection. Candid cream for local application is advised for 2 weeks, along with tab levocetrizine 10 mg orally,daily for 5 days is advised to the patient.

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