Piles

35 year old female presented with wrist Slash, telling some one told me to do so. she is married having two children.No significant stressors.History suggestive of psychotic illness for past four years which is episodic. Poor compliance with treatment.Premorbid personality well adjusted.No history of BPAD or MDD. when the patient reported she was on olanzepine 15 mg and sertraline 50 mg from a psychiatrist when she tried self harm now for first time.Mood depressed ,no depressive ideas ,percecutary and referential ideas present along with pseudohallucination commanding to commit suicide. Also complaints of palpitations,fear , running out behaviour in response to pseudohallucination. Olanzepine uptitrated to 25 mg, Sertraline changed to desvenlafaxine 50 mg along with bzd considering associated low mood which was persisting.Parient became euthymic suicidal ideation disappeared full improvement noticed in 20 days. Suddenly next day started pseudohallucination and running out behaviour,mood changes ,dsh ideation. Considering the primary diagnosis of Psychosis , possible worsening of psychotic features with SNRI desvenlafaxine stopped.Patient returned to premorbid level in one week and discharged on olanzepine 25 mg and bzd. Due to complaints of sedation bzd tapered down next visit and within two days patient attempted suicide telling commanding hallucination. How can be proceeded with the case . Please opine. @Dr. Shama Rathod @Dr. Sumi Aswin

patient has psoriatic plaques since 2 months itching in night and in whole body advice alopathic drugs and lotion

moderate obese male 26 years old boy is scarred for getting marriage bcoz of his pennis size. just 2 inches , when erect it reaches 3 inch.... what are the medicines or any techniques to increase the length of pennis Boy is healthy having no any dieases. plz currofians suggest ur valuable opinion???

56/F suffering from low back pain,blackish stool,loss of appetite and most important ias Hb% is 6.7. so please help me out how in boost up her Hb% by homeopathy if there any chance???

An 8 year old boy, presented with High intermittent fever for 4 weeks with papular skin lesions and cough for 2 weeks. on examination multiple papular lesions at the face,extremities, perineal area are present The lesions varied from 2 mm. to 7 mm. in diameter. Old lesions are pruritic. What is the diagnosis and treatment.