Question 1

I've been dealing with burning sensations in my soles for about 4 to 5 years, and I often feel really exhausted. I'm worried because I've also noticed other things like a layer on my tongue when I wake up, losing hair, difficulty focusing, occasional dizziness, and memory issues. Can you help me understand what's going on and what I might do about it?

Accepted Answer

Penile Rashes and Pain During Sex

_Possible Causes_

1. _Balanitis_: Inflammation of the penis head (glans) and foreskin, causing rashes, itching, and pain.
2. _Contact dermatitis_: Allergic reaction or skin irritation due to soaps, lubricants, or latex.
3. _Yeast infection (candidiasis)_: Fungal infection causing rashes, itching, and pain.
4. _Sexually transmitted infections (STIs)_: Certain STIs like herpes, syphilis, or gonorrhea can cause penile rashes and pain.
5. _Eczema or psoriasis_: Skin conditions causing rashes, itching, and inflammation.

_Recommended Actions_

1. _Consult a doctor_: Schedule an appointment with a urologist, dermatologist, or primary care physician.
2. _Get tested for STIs_: Rule out underlying STIs.
3. _Maintain good hygiene_: Keep the genital area clean, and avoid harsh soaps or irritants.
4. _Avoid irritants_: Refrain from using lubricants, latex, or other potential allergens.

_Treatment Options_

1. _Topical creams or ointments_: For balanitis, yeast infections, or skin conditions.
2. _Antibiotics or antifungals_: For bacterial or fungal infections.
3. _Antihistamines or steroids_: For allergic reactions or inflammation.

Question 2

My brother has swelling in his head due to a blood clot in his brain. One doctor recommended surgery to control the swelling, but another said medication would be enough. Right now, he seems physically fine but is very weak internally and has lost a lot of his memory he can't name simple objects like a fan or spoon and doesn't even remember the difference between singular and plural. The doctors say it's a case of forgetfulness. How long will his recovery take, and will he ever regain his memory like before?

Accepted Answer

Recovery time after a brain blood clot can be variable, ranging from months to even longer. While some individuals regain most of their memory and cognitive function, the extent of recovery depends on the location, size, and duration of the clot, as well as the individual's overall health and response to treatment. The memory loss your brother is experiencing, which may be described as forgetfulness, could be a symptom of temporary brain damage or a sign of ongoing brain function recovery

Question 3

I'm experiencing these weird full-body muscle vibrations, almost like internal waves, whenever I move. It's been going on for about 2.5 years now, and it happens in my neck, shoulders, arms, legspretty much everywhere. Whenever I bend down, I feel this wave-like sensation in my back, too. Along with that, I've been having neck and back pain. Can you help me figure out what's going on? I'm really curious and a bit worried about these symptoms.

Accepted Answer

Gout arthritis management:
 
 _Current situation:_
 
 1. High uric acid levels
 2. Recurring gout attacks (right knee, now left knee)
 3. Febuxostat (Febustat) 40mg daily provides relief
 
 _Concerns:_
 
 1. Dependence on medication for pain management
 2. Intermittent dosing (2 timesday) may not be optimal
 3. Potential kidney stone risk with high uric acid
 
 _Recommended adjustments:_
 
 1. Consult rheumatologist or primary care physician.
 2. Consider:
 - Increasing Febuxostat to 80mg daily (if tolerated).
 - Allopurinol (alternative uric acid reducer).
 - Probenecid (uricosuric agent).
 3. Lifestyle modifications:
 - Hydrate adequately (2-3 litersday).
 - Low-purine diet (limit organ meats, seafood).
 - Maintain healthy weight.
 - Exercise regularly.
 - Limit alcohol intake.
 
 _Additional considerations:_
 
 1. Colchicine for acute gout attacks.
 2. Nonsteroidal anti-inflammatory drugs (NSAIDs) for pain.
 3. Corticosteroids (oral or injected) for severe inflammation.
 
 _Monitoring:_
 
 1. Regular uric acid level checks.
 2. Kidney function tests.
 3. Liver function tests.

What happens in the first 3 days after a stroke?

Weakness, trouble speaking, lack of sleep, slurred speech

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