A 22 years boy came with imperfect erection for 1 year. what may be the cause? can we go for constitutional homoeopathic treatment? Share your vews in that case plz.

pt 30 yr old and have oligospermnia i give him 1 month treatment or any other further suggestions for improved sperm count.

please comment on this, may be a disorder or disease plz suggest thanks in advance

Do we need Psychiatrist's services in diabetes care ? Most of us may reply in negative.But I believe that we do need them, at times ! Let me be brief : Emotional well-being is an important part of Diabetes care and self management. Negative attitude towards the disease should be dealt at earliest and effectively. Prevalence of Depression among Individuals with diabetes ~ 20-25 % Prevalence of Diabetes related Distress among Individuals with diabetes ~ 18-45 %. Non Compliance towards medications and LS Measures can be an issue. Individuals with both DM and major depressive disorder have a 2 fold Increased risk for new onset MI compared with either disease state alone. Psychosocial interventions modesty improve A1c levels and improve QOL. Hence I strongly believe that we do need a Psychiatrist's help in some select cases ! So , When do we refer such patients to a psychiatrist ? 1. Possibility of self harm. 2. Gross disregard for medical regimen (by self or others ). 3. Depression. 4. Overall Stress related to work-life balance. 5. Debilitating Anxiety ( alone or with Depression ). 6. indications for eating disorder 7. Cognitive function that significantly impairs judgement.

A 42 year old male presented with fluid-filled blisters over the back since 4-5 days. Lesions shows severe itching. Not very painful. Dx mx?