Answered by Mahmoud Ahmed Abdelrahman Abouibrahim

Answered by Mahmoud Ahmed Abdelrahman Abouibrahim

Is circumcision necessary for shrunken penis skin?

Hello doctor,

I have a few problems with my body. Since last year I was under work pressure. I could see my blood sugar gone up to 289 mg/dL on post prandial (PP) last month and reduced to 175 on PP and 109 on fasting last week. In the meantime, for the past two weeks, I suffer from fissure. I am a case of vitiligo and epilepsy for 20 years and under medication with Valproic acid 500 mg (reduced to 250 mg for the last 10 months) and Clonazepam 0.5 mg. I have been noticing that my penis skin is shrinking for the last eight months and now narrowed down to 8 mm opening on the penis forehead skin. For the last three months, I am suffering from back muscle spasm.

After consulting MD medicine, I am taking a sitz bath for fissure, continuing Valproic acid 500 mg for epilepsy and back pain, following a strict diet for blood sugar, and no medication for vitiligo. He suggests circumcision as the only option for penis skin problem. I request your second opinion.

15 May 2024 - 1 min read

What could cause a mild irritation around the navel?

Hello doctor,

I have a mild irritation type around the navel area. What medicines to take? Please suggest medicine.

14 May 2024 - 1 min read

What could be the reason for bright red blood in stool?

Hello doctor,

I am a 23-year-old female. I weigh 220 at 5 foot 2 inches. There is bright red blood in my stool, not dark at all and no clots. I have asthma. I am also on Clomid to help me conceive and I just finished a round of it yesterday. The bleeding started yesterday.

Thank you.

14 May 2024 - 1 min read

What causes persistent swollen lymph nodes and fever?

Hello doctor,

I have swollen lymph in my neck for the past two months, dry cough for three months, on and off a fever in the evening, headache, vague, abdominal pain and muscle pain.

14 May 2024 - 1 min read

Can one spread infection by wearing a contaminated dress?

Hello doctor,

How likely is it that I might unwittingly cause people to be infected/ colonized with some harmful microbe (for example, C. difficile) while at work? I have been having some serious anxiety issues from thinking and worrying about this.

I have been working in a restaurant for the past one month and been using a backpack to hold my work clothes. The inside of the backpack did not appear or smell dirty, but it has been used for various purposes before. For example, on a few occasions I had used the backpack to go to the gym. I put my workout clothes in a plastic bag first, so I never had dirty clothes touching the inside of the backpack, but I had sometimes put the plastic bag on the changing room floor while changing before putting the plastic bag back in the backpack.

I am now really worried that the inside of the backpack was contaminated with some dangerous pathogen, meaning that my work clothes became contaminated, and hence, when I occasionally touched my clothes, I transferred some of those pathogens to my hands. I have become increasingly worried that I might have ultimately infected other people (or caused colonization), especially customers, but I do not know whether it is true or not. How likely is it to be true? And what mitigating steps should I take now, if necessary?

13 May 2024 - 1 min read

Education

MBBCH

Specialties

Internal Medicine

Specialized Treatments

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