Patient
stringlengths 0
17.7k
| id
int64 0
257k
| Doctor
stringlengths 0
11.4k
| Description
stringlengths 1
234
|
|---|---|---|---|
Hello doctor, I am a 21-year-old male. I have thinning hair and was planning of preventing through medication. I was planning on taking Finasteride. | 500 | Hi. From the information given it seems you are experiencing the early signs of male pattern hair loss. This is a very common condition and there are many factors responsible, one of them being genetic. Due to the effect of the male hormone on the hair cycle, over a period of time the hair follicle starts shrinking and so the hair which comes out is thinner and more fragile and breaks easily. Also, the growing phase of the hair is shortened, so your hair does not grow as long it used to and becomes shorter and wispier. There are several treatment options available and the sooner we start the treatment the better the chances of reducing further hair loss/thinning and increasing regrowth. A combination of oral supplements to boost hair growth along with the application of lotions containing Minoxidil 5% to begin with will be the best course of action in my opinion. Oral Finasteride, which is the male hormone blocker, is used frequently. Applications with Finasteride are available too. This will be prescribed by your treating doctor after assessing the extent of thinning and discussing the side effects, etc. Several preparations of biopeptides and other natural ingredients like saw palmetto extract, melatonin, etc are also available to boost hair growth. PRP (platelet-rich plasma) is a popular procedure that is often used in combination with medical treatment to stimulate hair growth further. Usually, a combination of treatments is suggested after the clinical evaluation. But using the applications regularly is the key to good results. Hair regrowth takes a few months to show and you will have to be patient to see the benefit of treatment. I hope this helps. | Q. I am just 21 years old but facing hair thinning problem. Will Finasteride help? |
Hello doctor, I have multiple conditions going on right now and fear that it could be a parasitic condition and need some expert advice. Started off with a terrible skin rash that has large and small lesions but no itch. Next a pretty substantial ear infection with swelling and discharge. Now the infection seems to be in my eye were small whitish-yellow things were coming out from under my eyelid from last evening. I have begun to inspect my mucus as it appears to have the same particles. I am very scared at this point and I appreciate anything you can offer. | 501 | Hi. I can understand your concern. According to your statement you have been suffering from skin rash without itching, ear infection with swelling and discharge, eye infection with coming out of something whitish-yellow under eyelid, and mucus with the same particles. All these sufferings may happen due to parasitic infestation that is your assumption. I have gone through your case several times and I think that all your sufferings may result from any infection due to any cause or allergies.Your skin rash may develop from any kind of allergies like food allergy, drug reaction or allergy, dust, or mite allergy. Then you developed an ear infection which may be due to bacterial cause. After that, you may suffer from conjunctivitis which is easy to catch through touching. You may get conjunctivitis by touching your infected hand that had touched your ear. In conjunctivitis, whitish-yellow discharge may come out under eyelid. You can use an antibacterial drop on your affected ear and eye with antihistamine along with or without broad-spectrum antibiotics orally. But in the case of viral infection, these medications do not work. Wash your eye with water regularly and before touching any part of the body wash your hands with soap or sanitizer. I hope this helps. | Q. I get infection in skin followed by ear and eye infection with whitish-yellow discharge. Please help. |
Hello doctor, I am a 19-year-old college student. I have been diagnosed with depression two years ago and I have been taking Sertraline ever since. My mental health is a mess right now. I think I have restless leg syndrome and I always have the urge to move my feet and legs especially when I am lying down. Also, I have been dissociating, every once in a while, real life feels like a dream and I sometimes cannot recognize my own face in the mirror. But here is what really bothers me, the intrusive thought of death that cannot leave me at all. I close my eyes and see horrible images and think about death and visualize my loved ones dying. I have also been having recurring nightmares, almost daily, really disturbing, and often death. I also tend to worry a lot about my loved ones and always feel the need to check up on them. It became like an obsession and I fear losing control and losing stuff. I have a lot of doubt about my spiritual and religious life. In total, I am really anxious and distressed. I now have heavy heartache feeling and I tend to clench my jaws and fists. I also suffer from a restless sleep. Please help. | 502 | Hi. I have gone through your concern and it seems that you have an obsession and your restless leg can be due to iron deficiency or it may be due to Sertraline. So check out your hemoglobin, and complete blood count to rule out iron deficiency anemia. Restless leg can be managed by adding Pramipexole or Gabapentin tablet. You did not mention about the doses of Sertraline, if required its dose can be up or downed to manage depression. Avoid coffee or tea. Maintain a diary of your symptoms. Do regular exercise. Take a healthy diet. I hope this helps. | Q. I have depression with restless leg syndrome and dissociation. Please help. |
Hello doctor, Recently (the last week at the most) my lymph nodes in my neck have been very swollen. When looking at the back of my throat, I can see small tonsil stones, small, but many. There is swelling which I am hoping is associated with the stones and there is a lot of swelling at the top of my right tonsil. The right side of my tonsil definitely is sore but fluctuates throughout the day. I have used tobacco, tobacco-products fairly consistently for the last two years, smoking at most a cigarette per day, and vaping. There are also flesh-colored bumps on the back of my mouth on the left side, they are not painful though. There is one on the top and one down by the tongue. I have not noticed these previously. My depression sometimes affects my hygiene, so I am hoping that this could be the cause of the stones. I have been brushing twice a day, flossing, gargling with salt water, and mouth wash. Since doing this, I have noticed much less swelling in my lymph nodes and a little less in my tonsils. My diet also has not been the healthiest lately (eating about one meal a day) and my sleep schedule has been a wreck. I am just really hoping it is not cancer but I have yet to go see a doctor. | 503 | Hi. I can understand your concern. According to your statement, you have been suffering from swelling of lymph nodes on the neck with swelling of tonsil and sore throat. You lead an erratic life. You are a smoker. You do not maintain your oral hygiene regularly. You also do not take your meal regularly. Your presenting clinical features can result from strep throat, peritonsillar abscess, tonsilloliths (tonsil stone), tonsillitis, Non-Hodgkin's lymphoma or carcinoma, etc. According to your picture that is provided here you may suffer from tonsil stone or peritonsillar abscess. In both cases, treatment are almost the same. You should take a broad-spectrum antibiotic for 7-10 days with gargle with salt mixed warm water, mouth wash, apple cider vinegar, and brush regularly. Usually tonsil stones dislodge themselves over time. If the clinical features such as difficulty in deglutition, difficulty in breathing, breathing difficulty during sleeping, pain radiating to ear, etc., occur consider as a medical emergency and consult with an ENT specialist for tonsillectomy. You should observe your lymph nodes carefully. Any sudden change in size or shape of lymph node, high fever, weight loss, night sweating, persistent fatigue, respiratory distress, etc., should be considered as alarming signs for carcinoma. So do not be worried. Take balanced food and maintain oral hygiene strictly. | Q. I have swollen lymph nodes on neck and tonsil with sore throat. Please help. |
Hello doctor, I have taken meningitis vaccination for visa process. I suffered headache with visual aura with dreamy sleep and less sleep for three months. I started treatment in India and took Cipralex, and Escitalopram. CT scan was normal. My symptoms relieved for about 80-90%. I gradually tapered off the treatment. Later, mild dreamy sleep problem with mild and sound sensitivity occurs. I did not took any medicine for that. I also suffered from scalp pain in head and treated for three months with Phenergan, and Neocalm plus. I felt only temporary relief. MRI was done in consultation with neurologist. Results are normal. I was on Cipralex 10 mg, Naproxen sodium 250 mg then gradually tapered. After that I am suffering from dreamy sleep all day and localized head pain episodes 2-3 times in a week when sleep disturbed in the previous night. Meanwhile, I was heavily stressed due to family issues and job pressure. Once again I was prescribed the same medicines but I did not take and tried to control it with yoga and meditation. I have mild light and sound sensitivity which is quite tolerable. My major problem is disturbed dreamy sleep and episodes of localized head pain in the scalp only. I took vitamin D, B12, calcium for six months. My elevated triglycerides are due to SSRI 230 mg/dl. At present, I am alright but want to get rid of symptoms. My symptoms are muscle tension and nerve pain. I did eyes test OCT and my eyes are normal. My questions are even if I am not stressed I do not get dreamless and refreshing sleep why? Which is suitable medicine in general? Can Flunarizine cause more deficiency of calcium as already I am deficient? Cipralex and Esclitopram are habit forming but I was very comfortable with that it causes weight gain and elevation of triglycerides so I tapered off to end. But after some time dreamy sleep and scalp mild pain comes back. What to do? Kindly suggest and advise some medicines. | 504 | Hello. Your symptoms seem to be related to tension type headache, which is a benign headache. Light and sound intolerance are features of migraine, but the other symptoms you explain, are more compatible with tension type headache. Nevertheless, I agree with your doctor treatment regarding Escitalopram. You should know that the sleep disorders are related to different causes depression, daily stress and anxiety, vitamin D deficiency, an abnormal sleep regime, caffeine intake, etc. I would recommend taking Vitamin D if there is low plasma levels of this vitamin. Regarding your sleep disorder, I would recommend starting Zolpidem for a couple of weeks 10 mg before sleep. You can try half a tablet before going to 10 mg. Melatonine intake can regulate your sleep rhythms too, but it is taken for a more prolonged time than Zolpidem and its effects are lower. A good sleeping hygiene (sleep always at the same time, avoid straining physical or emotional activities before sleep, avoid caffeine intake) would help too. If all these tips and drugs are not helpful, a prolonged brain EEG (electroencephalogram) during sleep would help diagnose any possible sleeping disorders. Regarding Flunarizine, I would explain that this is a calcium channel blocker and as such it can interact with calcium or vitamin D in high amounts. But usually it does not affect the calcium levels. You can try taking Escitalopram for three months initially and then try Flunarizine, if no good results on Escitalopram. I would not recommend taking them both initially. You should know that Escitalopram achieves its effect after three weeks from the starting, and the main changes to be seen are a reduce in the frequency of headaches and also mood changes (optimism). You can try taking Amitriptyline too, if you do not have any symptoms relief after the first month on Escitalopram. It can be really helpful with the sleep too. All the drugs have some adverse effects, but the benefits are higher. I hope this helps. | Q. After meningitis vaccination, I am getting headache with visual aura and dreamy sleep. Please help. |
For the last one month i am having gastic issue as i feel that some thing got stucking in my chest or stomach and have acidic feeling in throat more over constant air get passes through my mouth but nothing relaxation at all. Got heavy chest pain on left side during the period. My digestion process also get disturb as stool didnot come properly | 505 | Hello. I welcome you to icliniq. Well it seems you have gastroesophageal reflux GERD. You acid symptoms can be defined by presence of GERD. I hope this will help you Come back to discuss if any more concern you have good day GERD Nothing for now Motility disorders NERD GERD as above Follow up in 1 week to inform how you respond to treatment | Q. I feel like something is stuck in my chest, and I have acidity. What to do? |
Hi doctor, I searched the symptoms of social anxiety online and I think I have it. I am a student and it has been affecting my daily life, especially my school life. I struggle to have new friends and do tasks that require social interaction like class presentations. I tried changing my behavior, tried making new friends, talk to people but it only ended up in vain. I thought that if I can't change myself now, what about the future? I worry that social anxiety will be a hindrance of achieving my dreams. If I'm not going to be successful in life, I might as well end this now to not be a burden to the people around me. But I hope that that's not the only solution, doc. Please help me. | 506 | Hello. Thank you for your query This is very common and about 10-15 percent of people have this problem. It is also very easily treatable. You will need to visit a psychiatrist and he will prescribe you SSRI type of medicines (such as escitalopram 10mg, or fluoxetine 20mg etc.) which will help with your problem. It basically happens when some neurotransmitters such as serotonin reduce in your brain leading to a problem with handling the day to day stresses of life. Medicines are usually given for 2-4 months and then tapered off slowly and stopped. In addition to the medicines, you can also undergo a few sessions of cognitive behavioral therapy from a clinical psychologist. Also do consider doing deep breathing exercises or progressive muscle relaxation daily. T. Escitalopram 10mg once at night for 30 days | Q. I worry that social anxiety will be a hindrance to achieving my dreams. Please help. |
Hello doctor, My wife has arthritis and has become very weak over the last few months. Now she has a condition that is more or less like Raynaud's phenomenon. Her fingers are turning pale violet and one of the fingers had gangrene like occurrence. Not only hands but even the toes are experiencing the same. Please help. | 507 | Hello. You are right in saying that she has the symptoms of Raynaud's with digital gangrene which is on going. With arthritis, there are 50 variants of it and it is very important to distinguish which one she has it as the management will differ for every arthritis. I would like to ask a few more queries: Any history of oral ulcers? Hairfall? Any history of fever? Which joints are affected? Swelling in the joints? Any deformity? Any changes in skin color or skin becoming tightened? Any history of dry eyes or dry mouth? Any muscle weakness which you have observed? With the start of Raynaud's, it seems like a systemic involvement more, something like lupus, but we need to rule it out. Kindly let me know these queries and I am advising a few tests. If they have been done, please attach the reports as well. CBC (complete blood count). ESR (erythrocyte sedimentation rate). CRP (C-reactive protein). Rheumatoid factor. Anti CCP antibody. A NA(by immunofloroscence). Serum creatinine. Urine routine. Connective tissue disease. | Q. My wife has Raynaud's with pale violet and gangrene fingers. Please help. |
Hi doctor, I am 25 years old. I am having weak erections for two months. I think it is because of more masturbation so I stopped doing it since 35 days, but still, I am not having erections. I am also having a prominent vein on the top and either side of the penis even when flaccid. I do not smoke or drink. I exercise regularly. I am worried now please help. | 508 | Hi. According to your history, it looks like you have psychogenic erectile dysfunction. Stopping masturbation would not help. The best would be to start a short course of medicines and take cognitive behavioral therapy to reduce the anxiety which has caused this problem. The vein in the picture looks absolutely normal (attachment removed to protect patient identity) and it is in fact a sign of a healthy penis. Remember it is temporary and most men face this issue sometimes. Maintain a healthy lifestyle and sleep for seven to eight hours at a stretch. Use Lavender aroma in your house which helps reduce your anxiety. | Q. I am having weak erections due to masturbation with prominent veins on penis. Please help. |
Hello doctor, I have an ear infection on my right ear for the past one week. So my doctor prescribes me some antibiotics Amoxicillin with Prednisolone. But my tinnitus did not go away. How long will it take for the tinnitus to go away if there is no pain in my ear? | 509 | Hi. The answer to your question entirely depends on how you developed the ear infection in the first place. In general, until the eardrum heals you will be having weird noises, tinnitus, and ear discomfort due to interference with sound transmission and processing. If the ear infection has happened secondary to recurrent allergy or cold, then you will have probably developed a eustachian tube catarrh due to which the fluid is still present in the middle ear causing the tinnitus and will take around two months approximately in toto for tinnitus to resolve. If the ear infection has occurred due to trauma (by earbuds etc), the tinnitus will take approximately four to six weeks, as this the average time it takes to heal the ear drum. I am sure you fall into one of the two possibilities mentioned above. There is absolutely nothing that you need to worry about as this usually takes a while for things to normalize. At the same time make sure there are no triggering factors out there. Some one they include use of earphones, headphones, exposure to loud sounds, consumption of alcohol, smoking, stress, etc. Try to maintain a healthy lifestyle as much as possible and do not think too much about the tinnitus nor try to Google about it too much. I hope this helps. | Q. I have tinnitus and it does not subside on antibiotics. Why? |
Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for annular bulging and tear? | 510 | Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist | Q. What does abutment of the nerve root mean? |
Hello doctor, I am 48 years old. I am experiencing weak erection and difficulty in sustaining the same. This condition was observed 10 years back. Also, there is premature ejaculation. Other physical ailments that I have are, I am suffering from hypertension and taking Amlopres-L (Amlodipine and Lisinopril) for the last 10 years, high cholesterol and triglycerides. My cholesterol level is 225 and triglyceride is 200 for the last 12 years. I used to do frequent masturbation in early age. I do have erection during morning hours many times, particularly after sound sleep or if I had long walk previous day. I am having Sildenafil 25 mg or 5 mg Cialis, which is effective enough. But, I wish to get rid of tablet support and live natural way. I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days. I wish to have your second opinion on this. Please guide. | 511 | Hi. For further doubts consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist | Q. Will Nano-Leo give permanent solution for erection problem? |
Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I do not have a family history of colon cancer. I got blood tests done last night. Please find my reports attached. | 512 | Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online --> https://icliniq.com./ask-a-doctor-online/general-surgeon | Q. Every time I eat spicy food, I poop blood. Why? |
Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well. | 513 | Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help. | Q. Will Kalarchikai cure multiple ovarian cysts in PCOD? |
Hi doctor, During masturbation I just rub the tip of the penis and not the entire penis. Is it a wrong way of doing? I do not get excited during sex and unable to ejaculate. Only, rubbing the tip of the penis gives me excitement. Also, two weeks ago, I have undergone circumcision as my foreskin did not retract. Before circumcision too, I have the same problem. Please help. | 514 | Hi. For further doubts consult a sexologist online -->https://www.icliniq.com/ask-a-doctor-online/sexologist | Q. I masturbate only by rubbing the tip of the penis. Is it a wrong way? |
I m having prblm of piles (without any lump) only mild bleeding at the the time of defecation which is seen on the toilet paper only while wiping ...there is no bleeding seen in the stool...sometimes constipation is there ...but motions r not hard ...facing this prblm from last 6 months i mean it happens 3 to 4 times in last 6 months ..sharp pain only at the time of defecation after that no pain....but the prblm is that it reoccurs in 1-2 months... rgt now i m taking arshkalp vati one tablet twice in a day and abhyarishta..... along with amla juice in the mrng empty stomach from last 20 days and feeling relief no pain ...no bleeding after one day of taking these medicines but i m afraid it comes back when i stop taking them ...r these medicines safe for long term use????How much time does it take to get rid of this prblm from these ayurvedic medicines? And the duration of these medicines plz guide? | 515 | Q. Please suggest ways to prevent the symptoms of piles from recurring. |
|
Hello doctor, I have rashes on my inner thighs. They are itchy and have infected areas of dark color. There is no pus but just itchiness. | 516 | Hi. It seems the rash and itching on the inner thighs could probably be due to a fungal infection of the skin. This is very common especially in tropical countries and more so in the hot humid summers. To accurately diagnose the same, further information like images of the affected area, total duration of the rash, any other areas affected, any discoloration of nails, etc., are needed. If it is indeed a fungal infection the following can be kept in mind. Treatment of fungal infections includes applications which contain Ketoconazole, Sertaconazole, Luliconazole, etc. Oral antifungals like Terbinafine and Itraconazole are often used in combination for better clearance and reducing recurrences. Local hygiene is very important. Taking bath daily, drying the skin folds after bath, keeping soap and towels separate and drying your clothes in sunlight and ironing them before wearing will help to kill the fungal spores. So, I will recommend evaluation by a dermatologist to decide on the treatment. I hope this helps. | Q. I have itchy and dark rashes in my inner thighs. Please help. |
Hello doctor, I have been having consistently a very low resting pulse, between 50 and 58 and I do not know if this is a sign of a problem. I do not have any other issues besides nausea sometimes. I am 39 years old and overweight (BMI 32.9). Should I be worried? | 517 | Hello. This resting pulse is perfectly normal in healthy peoples. This pulse will rise once you exert. Rise in heart rate with exercise and fall during rest is a normal phenomenon that is controlled by our autonomic nervous system. In healthy persons, it even falls in 40s during sleep. So, nothing to worry. The only thing that I would like to ask you is whether you have any symptoms such as dizziness during low pulse rate? Another thing is ECG (electrocardiogram). I want to see your ECG to see whether it is a sinus rhythm or is there any block. As your cardiac workup is done and is normal, I do not think you need any more work up but if there are occasional symptoms associated with low pulse rate as graying of vision, dizziness, etc, I would advise you to have a Holter monitoring done for 24 to 48 hours to see rise and fall of heart rate during daily activities including sleep. If you have no symptoms, just relax and do not worry. | Q. My pulse rate is 50 to 58 at rest. Should I be worried? |
Hello doctor, I am a 35-year-old male. I am concerned about the amount of precum when aroused. From my understanding, a teaspoon full would be normal. I have probably four times more. It is disturbing and I would like to reduce it via medication. | 518 | Hi, Welcome to icliniq.com. Precum is the fluid coming naturally out before ejaculation, its function mainly is to lubricate during intercourse. It man contain sperms as well. This fluid comes naturally and it is good for us actually. And the amount will vary with age and sexual desire. There are medications to reduce it but I do not advise you to take it as those medications are also reducing sexual drive. Other way if it really disturbs you during sexual intercourse then you can masturbate before intercourse. To remind you this precum can contain sperms so if you intend for pregnancy then you have to do protected intercourse. I hope this helps. | Q. My precum is four times excess than the normal. Is there any medication to reduce it? |
Hello doctor, I have seronegative inflammatory arthritis with ana positive. Joint pain especially at right knee shoulder joints MTP IP joints. Unbearable in the night for the last three months relieved with NSAID (non-steroidal anti-inflammatory drugs) patient cannot walk chairbound with in situ catheters for more than four years. I am taking Ultracet if pain unbearable, few days back I have taken Injection Kenacort 60 mg IM on the advice of rheumatologist with some relief, but again pain resurfaced. Apart from that patient is on Apixaben 2.5 daily, Mirabeg 50, Soliton 20 and Donezepil 5, Vitamin C 1 gm daily. No BP, and DM issue. I am taking inhaler Laba with corticosteroid for long. | 519 | Hello. I have gone through your reports and history (attachment removed to protect patient identity). There seems to be some inflammation going on in the blood reports and with a diagnosis of previous arthritis, it looks like it is coming back again. Does rheumatologist did not want to start on Methotrexate or any other DMARD? Are you not on any medications for the CA prostate? Any other symptoms of oral ulcers, dry eyes, or dry mouth? Do let me know these queries and I would advise you further. | Q. I have seronegative arthritis with unbearable joint pain in the night. Please help. |
Hello doctor, I am a 31-year-old male who until recently weighed about 100 kg. For the last six months to a year, I was obsessively performing a Valsalva maneuver because I had health anxiety and OCD and I was worried about an operation. When I was younger I could have impacted my continence. I have been having some GI issues lately and read that you can cause a hiatal hernia from chronic straining. Is it possible that I could have caused a hiatal hernia at my age? Are six months to a year chronic enough? If I have caused a hiatal hernia will it stay forever? Or can I reduce it and the hernia size through exercise to tone and strengthen the diaphragm and weight loss? I am extremely worried I have caused a hernia and will have to live with it forever. I have had a standard x-ray of the chest which came back normal. Could a hernia have been missed? | 520 | Hello. I can very well understand your concern and at the start, I want to tell you that chronic straining does not lead to the development of hiatus hernia, however, your weight can. Hiatus hernia is an anatomical change that can present since birth, and after certain surgical procedures over abdomen or diaphragm, overweight to obese can develop hiatus hernia because of the excessive pressure over the stomach from belly fat, causing upward lifting of the lower part of food pipe and formation of hernia. And lastly, due to the old age when the diaphragmatic muscle gets weakened allowing part of the lower esophagus to get pulled in the lower part of the chest. In a young healthy people, diaphragmatic muscle is strong enough to prevent this from happening. Valsalva maneuver if performed vigorously can cause tears in the lower part of the esophagus which is an acute complication of this, but it will not alter the anatomy or produce a hiatus hernia. Valsalva can harm somebody if it is done without a reason (there are certain indications for medical conditions), but it can only cause damage to the lower part of the esophagus acutely but would not alter the anatomy of it i.e. hiatus hernia. Yes, an x-ray plain without contrast can easily miss a hiatus hernia. A special x-ray with contrast named barium is swallowed, and serial x-ray images from the chest are taken, that can diagnose the hiatus hernia instantly, however, a plain chest x-ray cannot detect the presence of hiatus hernia. So now coming to your second concern that you have to live with it. Well, it is not yet proven that you have a hiatus hernia, secondly, it is not uncommon to have hiatus hernia in people without any symptoms and it can remain undiagnosed until their whole life. The point is it can present harmlessly in human for years and years and does not necessitate any investigations. The time to develop a hiatus hernia is variable but it does take many years of overweight to cause hiatus hernia (very less likely within 6 to 12 months time). It is not a rule that every hiatus hernia would cause symptoms or disease or any complications. I would not suggest you even to worry about it and get tested for it. Because it would not change anything for you. Simple exercises, keeping a healthy lifestyle, reduce weight are all that is required. The weight loss is very compulsory, this will not only help you preventing hiatus hernia but also other things like gastroesophageal reflux (GERD), bloating, gas distention, constipation. I hope this helps. Overweight. Barium swallow if worried about it, or have symptoms suggestive of gastroesophageal reflux. Weight reduction. Follow up to discuss if any concern. | Q. Will hiatal hernia problem stay forever? |
Hello doctor, I have a 30 -year-old male. I am 5 feet and 11 inches with 75 kg weight. I had difficulty initiating urination and also had a case of erectile dysfunction. The problem with starting urination was many years ago, which I ignored because I thought it would go away normally. I only recently found out about my ED (a few months ago). I have no problem while masturbating. After visiting a urologist, they asked me to take several tests (reports attached below). The report showed that I had a case of chronic prostatitis with a bacterial infection. I was asked to take medication for two weeks (antibiotics) and then supplements for three months. I have taken the antibiotics for another two weeks. I have not been able to go for another checkup due to lockdown. I took Jippo (Azithromycin), and Pantop (Pantoprazole). Supplements I took Revital Care, Neuro Care, Caldoz, Lovaza, and Cholecalciferol capsules (DV 60K). The doctor also suggested me to exercise, maintain nutritious diet and take vitamins for the ED. I have taken two doses of EDSave 10 mg tablets for two weeks. This helps with strong erections. I still feel that the medication has not fully worked because I need to wait for some time to start urinating. I have attached all my reports. | 521 | Hello. One thing you have not tried yet is tablet Alfuzosin 10 mg for two weeks. You can try this, I think your flow will become better. | Q. I have problem while initiating urine with erectile dysfunction. Please help. |
Hello doctor, I am 66 years, 175 cm, 72 kg. I have diabetes from 2009 and hypothyroid from 2011. I am taking Janumet (50/500) BD and Thyronorm (75) OD. My blood sugar is 105 - 111, HbA1C 6.7. TSH is1.93 and Hb is 11.9. My lipid profile is normal. Serum creatinine is 1.16. My diabetes has been under control by medicines since inception. My BP is 125/82 mmHg. Temperature is 98.0 F. Sometime I feel cold in my toes, even when my feet are sweating. Can you suggest some remedies? | 522 | Hi. HbA1c (Glycated hemoglobin) is still on the higher side. It should be below 6 to be normal. Do regular testing of FBS (fasting blood sugar), PPBS (postprandial blood sugar) to monitor the blood sugar levels. Coldness in feet can be due to less blood supply to feet that can happen in case of any clot in blood vessels. Peripheral neuropathy is also common in diabetes which can lead to less sensation in feet. I would suggest you undergo color Doppler leg to rule out any clot. Tablet Gabapentin once daily you can start along with previous medicines. | Q. I am diabetic and have cold toes and feet with sweating. Why do I get this? |
Hello doctor, I need help regarding with some circle bump appearing on my left buttocks, it is so very itchy and sore. I just bought antifungal cream and antifungal soap over the counter but I still want to know what really is this appearing on my buttocks. I did take some pictures of it, so I can send it over here. Please give me prescription of what medicines needs to make it disappear and heal. | 523 | Hi. I can understand your concern. According to your statement, you have been suffering from red-colored circular bumps on your left buttock which are very itchy and sore. According to the pictures that are provided here (attachment removed to protect patient identity), I think you are suffering from folliculitis. They are developed when hair follicles become infected due to bacterial infections like staphylococcus aureus or friction or shaving. They may be caused by viral or yeast infections too. Initially, folliculitis may look like rashes, a patch of small red bumps that are very itchy with sore and form whiteheads. Overtime, they can spread and progress to crusty sores. You can take Flucloxacillin 500 mg four times daily for 10 days by applying antibacterial cream on your affected area along with your current medications. You can apply topical steroid cream too. Wash your affected area daily with antibacterial soap and wear loose clothing along with maintaining personal hygiene. | Q. I have some circular itchy bumps on my left buttock. Please suggest medication. |
Hello doctor, I am a male 43-year-old. I have redness on the inside of the penis foreskin and burning sensation on a small part of the penis prepuce. I had a similar condition about four years back and consulted a skin specialist and got cured. I was recommended some medicine and Pyrimon eye drops for the problem. Again, I think a similar condition. I want to consult for treatment. Of late, I see some redness remains at a particular spot on the inside of the penis foreskin. | 524 | Hi. If possible provide me photographs of the affected areas which will help me for a better understanding of your skin problem and proper treatment plan. | Q. I have redness on the penis foreskin with burning sensation. Please help. |
Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for annular bulging and tear? | 525 | Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist | Q. What does abutment of the nerve root mean? |
Hello doctor, I am 48 years old. I am experiencing weak erection and difficulty in sustaining the same. This condition was observed 10 years back. Also, there is premature ejaculation. Other physical ailments that I have are, I am suffering from hypertension and taking Amlopres-L (Amlodipine and Lisinopril) for the last 10 years, high cholesterol and triglycerides. My cholesterol level is 225 and triglyceride is 200 for the last 12 years. I used to do frequent masturbation in early age. I do have erection during morning hours many times, particularly after sound sleep or if I had long walk previous day. I am having Sildenafil 25 mg or 5 mg Cialis, which is effective enough. But, I wish to get rid of tablet support and live natural way. I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days. I wish to have your second opinion on this. Please guide. | 526 | Hi. For further doubts consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist | Q. Will Nano-Leo give permanent solution for erection problem? |
Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I do not have a family history of colon cancer. I got blood tests done last night. Please find my reports attached. | 527 | Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online --> https://icliniq.com./ask-a-doctor-online/general-surgeon | Q. Every time I eat spicy food, I poop blood. Why? |
Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well. | 528 | Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help. | Q. Will Kalarchikai cure multiple ovarian cysts in PCOD? |
Hi doctor, During masturbation I just rub the tip of the penis and not the entire penis. Is it a wrong way of doing? I do not get excited during sex and unable to ejaculate. Only, rubbing the tip of the penis gives me excitement. Also, two weeks ago, I have undergone circumcision as my foreskin did not retract. Before circumcision too, I have the same problem. Please help. | 529 | Hi. For further doubts consult a sexologist online -->https://www.icliniq.com/ask-a-doctor-online/sexologist | Q. I masturbate only by rubbing the tip of the penis. Is it a wrong way? |
Hello doctor, I have pain in left buttock, and sore left leg after walking. Please review my ultrasound report. I am currently on cholesterol, Aspirin, and blood pressure. | 530 | Hello. I have seen the report (attachment removed to protect patient identity). It has occluded posterior tibial artery which is the cause of pain in the leg after walking. Also, there is a possible stenosis or block of the stent in common iliac vessels which is the possibile cause of limping. Doppler or duplex report is just a suggestion to confirm the above-mentioned finding CT (computed tomography) angiography of the lower limb is mandatory. Continue the same treatment. I will advise you one more drug to start. Please go through CT angiography so further management decisions can be planned. I hope this helps. CT angiography bilateral lower limb. | Q. I have pain in the left buttock and soreness in leg while walking. Please interpret my USG. |
Hello doctor, I am having pain at my back neck since morning and could not even move my neck. 2 years ago I had same, MRI showed disc bulge at C3-C4 and C6-C7 is causing thecal indentation. Central disc protrusion at C4-C5 and C5-C6 is causing thecal indentation. | 531 | Hello. Looking into your problem you had chronic neck pain I should say and you are struggling with it since long time (2 years). MRI from the past (attachment removed to protect patient identity) is showing that there is problem from C3/4/5/6/7 but major level that is producing pressure symptom in your spinal nerve is C4-5 and 5-6 has central disc protrusion. I would love to see that film that gives us real guide how to produce and plan for surgical treatment. Best option is Endoscopic cervical disscetomy at two level 4/5 and 5/6 and if either go ACDF(a nterior cervical dissectomy and fusion). But today you got again back pain and spasm of neck muscle. Meanwhile I would suggest to take muscle relaxants and neuroleptic drug and cervical traction. You can do cervical traction at home and everyday do cervical traction exercise which will prevent spasm of neck muscles. Drugs for you: 1. Capsules Gabapentin Actavis 300 mg, PO,after food, twice daily for one week. 2. Tablet Chlorzoxazone 500 mg three times a day for one week. | Q. Why am I having neck pain with difficulty in movement? |
Hello doctor, Is there anyway that a CT scan can determine whether an enlarged lymph node is benign or malignant? | 532 | Hi. CT is a structural imaging method that relies on assessment of lymphnodes (LNs) based on their anatomy viz.size,shape, margins and enhancement patterns. Among these, size is still the most common criterion, a short axis diameter of more than 1 cm is generally accepted as a threshold for malignancy in most studies. However, the diagnostic sensitivity of this standard is weakened by the fact that many a times malignant LNs can be normal in size (false negative) and many infective nodes can be enlarged in size thus giving false positive results on imaging. Nowadays, CT is combined with PET (Positron emission tomography) to get both anatomical and functional information. It is called fusion imaging and is mainly used to diagnose and stage metastatic cancers such as lymphomas. CT also uses ionizing radiation (X-rays) that is another disadvantage which needs to be considered. So to sum it all, structural imaging methods such as ultrasound, CT, conventional MRI do not distinguish benign LNs from malignant ones with 100 % accuracy. Conversely functional imaging methods such as DWI (diffusion weighted), PET have low spatial resolution and are time consuming. Therefore now we are seeing a shift towards fusion imaging techniques such as DWI-T2W1 MRI, PET/CT, etc., as these techniques bypass the above mentioned shortcomings. | Q. Will CT scan help in determining the malignancy status of an enlarged lymph node? |
Symptom of numbness in the face and ear area started and spreading begins two days after inflammation in the tooth area. Numbness and itchy in the face area and occasionally in the body. Started like some insect or fly was on my skin, when I Touch it, I realized it’s just me, and symptom turn into numbness. Dentist was schedule to treat it next week after inflammation is better. Don’t know if it related. | 533 | Q. My face and ear area are numb after inflammation in the tooth. Why? |
|
Hello doctor, I am a 56 year old male. I was told that my creatinine level is 2.3 after my last HbA1c. I am type 2 diabetic. I am now on Atkins diet to reduce dramatically lower carbohydrates. What is the significance of increased creatinine level? What is considered as a critical level? Please explain so that I can get some sort of a deeper understanding. I have also increased drinking water. I do not smoke or drink. I am not using any drugs too. Thank you. | 534 | Hi. We are here to help you. Revert back with the reports to an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician | Q. What is the significance of increased creatinine level in a diabetic patient? |
Hi doctor, I am 18 years old and virgin. Lately, I have been having some problems down there. I have a bump or something on the right lip of my vagina. Sometimes, I feel itch and it sting unexpectedly throughout the day. It also did not heal. I am sure that it cannot be an STI or STD, because I am not sexually active. Can you help me? | 535 | Hi. Well, I do understand your dilemma. I have a few simple suggestions for you. Bear in mind though that the best method of treatment in your case is for you to visit a gynecologist and have him or her see the lesion. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist | Q. Though I am not sexually active, got a bump on my vagina. Please help. |
Hi doctor, I have gum recession due to bruxism and aggressive brushing. None of my gum measurements are over 3. Should I get a gum graft now or should I wait? | 536 | Hello. For further doubts consult a periodontist online -->https://www.icliniq.com/ask-a-doctor-online/periodontist | Q. Should I get graft for gum recession? |
Hi doctor, Can color blindness gets generated by means of other issue or problem except birth? Is there any remedy for it? | 537 | Hi. For further information consult an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist | Q. How does color blindness occur? |
Hi doctor, For the past couple of days, I have been having left side pelvic tenderness. It does not hurt very much When I lay down or stand up, but hurts when touched, especially if pushed down or put any pressure on that area. The pain is right in the area next to my left hip bone. I do not know why this pain is happening and I have never experienced anything like it before. My period was due and I am a few days late this time. I have not tested for pregnancy yet. Today I started spotting some pink discharge and a very small amount red blood. It was not in the underwear and I found it only when I wipe. I am getting concerned and do not know what is going on. Could this just be early pregnancy? Or is it something worse? | 538 | Hi. Well, firstly I would like you to get a blood test done to rule out pregnancy. It is serum beta hCG. You must also get a vaginal ultrasound done urgently. The reason I am asking for these tests is either you could be having these symptoms because of an ectopic pregnancy or an ovarian cyst. The pain may be an indication of the process of either expelling out from one side of the tube or rupturing and thinning of the tube. The more serious of the two situations is the possibility of ectopic pregnancy, which can be ruled out by the tests. If it is a cyst, then it can usually be made out by an ultrasound. I urge you to take these steps and let me know. Revert back with the reports to an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist | Q. Having left-sided pelvic pain. Is it something serious? |
Hi doctor, My head got injured after some part of a concrete ceiling collapse. CT Scan done and I have attached the reports. I was hospitalized three days. An ENT opinion was taken and also, an audiometry was done. It showed a minor injury in the right ear and less audibility. Now, I have some pain in the left side of my head, ear area and heaviness all around the head. Please suggest what to do further. Please check the attached histopathological diagnostic reports. | 539 | Hi. Revert back after a week to a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist | Q. Do you think my head injury is a critical one? |
Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for annular bulging and tear? | 540 | Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist | Q. What does abutment of the nerve root mean? |
Hello doctor, I am 48 years old. I am experiencing weak erection and difficulty in sustaining the same. This condition was observed 10 years back. Also, there is premature ejaculation. Other physical ailments that I have are, I am suffering from hypertension and taking Amlopres-L (Amlodipine and Lisinopril) for the last 10 years, high cholesterol and triglycerides. My cholesterol level is 225 and triglyceride is 200 for the last 12 years. I used to do frequent masturbation in early age. I do have erection during morning hours many times, particularly after sound sleep or if I had long walk previous day. I am having Sildenafil 25 mg or 5 mg Cialis, which is effective enough. But, I wish to get rid of tablet support and live natural way. I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days. I wish to have your second opinion on this. Please guide. | 541 | Hi. For further doubts consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist | Q. Will Nano-Leo give permanent solution for erection problem? |
Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I do not have a family history of colon cancer. I got blood tests done last night. Please find my reports attached. | 542 | Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online --> https://icliniq.com./ask-a-doctor-online/general-surgeon | Q. Every time I eat spicy food, I poop blood. Why? |
Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well. | 543 | Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help. | Q. Will Kalarchikai cure multiple ovarian cysts in PCOD? |
Hi doctor, During masturbation I just rub the tip of the penis and not the entire penis. Is it a wrong way of doing? I do not get excited during sex and unable to ejaculate. Only, rubbing the tip of the penis gives me excitement. Also, two weeks ago, I have undergone circumcision as my foreskin did not retract. Before circumcision too, I have the same problem. Please help. | 544 | Hi. For further doubts consult a sexologist online -->https://www.icliniq.com/ask-a-doctor-online/sexologist | Q. I masturbate only by rubbing the tip of the penis. Is it a wrong way? |
Hi doctor, Eight years ago, my family and I went on a vacation. When my mother got out of one of the outdoor pools, she started feeling a sting on her arms and all of her legs below the knees. She has been to the doctor for this condition and she has gotten numerous ointments. The only ointment that does help the uncontrollable itching and stinging has been Zyrtec. But, she still continues to have itchy and stinging skin. She cannot take any exposure to the sunlight, which is why she wears long sleeves and pants during summer days, along with an umbrella. I recently looked online and I found some symptoms of solar urticaria. When I read them to my mother, she confirmed to have all the symptoms. She does not have any noticeable rashes, but she does say that her skin is extremely stingy and itchy which really impacts her days and some of the sleepless nights that come with this itching. Would it be possible that she has solar urticaria? Would you recommend her to take a photo test to see if it is solar urticaria? | 545 | Hello. As you explained that your mother has developed solar urticaria. Here I explain a few other importance of solar urticaria. Intense itching, swelling and rashes develop in sunlight. You can correlate it. Whenever she goes in the sun, she gets these things. If you are able notice this then undoubtedly it is something related to the sun. Many times only itching is the main symptom which your mother has. Now, once it has started, avoiding the cause is the best way to treat. Once you are sure that it is happening due to sun just avoid going out in the sun. Photo test is not a treatment. It is a test to know that your mother has a sunlight allergy or not and it can get noticed by symptoms. So, no need to get tested if you already sure about the cause. Regarding treatment, sunscreen is must. Use sunscreen without fail. It does not matter whether you are going in sunlight or not. You have to use it. It should be thrice in a day. It could be like 9 AM, 12 PM and 3 PM. Anti-allergic tablets like Levocetirizine, Avil (Pheniramine maleate), Teczine, etc. Continue it for three to five months. These have totally no side effect and subside the allergy and itching. Consult a specialist doctor, discuss with him or her and take the medicine with consent. Continue using your ointment with a good moisturizer too. Avoid sweats. Sometimes, sweating itself increase allergy. For further information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist | Q. Would you recommend photo test for solar urticaria? |
Hi doctor, I have some skin problem above my right ear. It is the place where a put my spectacles. It is neither itching nor painful. Blood is not coming from that. But, still I feel some difficulty to wear spectacles. I have been taking treatment for 6 months. I am using Fusiwal-B and I put cotton there. But, there is no improvement. So, please help me. I am also attaching a photograph for your reference. | 546 | Hi. I have read your query in detail and do understand your concern. I also viewed the attached pictures (attachment removed to protect patient identity). Revert back with the answers to the above questions to a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist | Q. Having some skin problem above my right ear. What is it? |
Hi doctor, I am 24 years old. Recently, I got an endoscopy. The report shows that I have erosive gastropathy. I have been using medicines for one month. Now, for a few days, while spitting phlegm a small amount of light red blood comes out from my mouth. I also have some throat and chest pain. But, I do not have a cough. I have joined the night shift job and had sudden weight loss. Please give your suggestion. | 547 | Hi. Revert back with the details to a medical gastroenterologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist | Q. I am spitting phlegm with some red blood. What is your suggestion? |
Hi doctor, I had sex on 13th of this month and my period was due on the 20th. But, it has not come yet. I took I-pill within one hour of intercourse and due to lack of knowledge took one more dose the next day. Now I am worried. Will overdose of I-pill affect my body? Also, I did my urine pregnancy test after 4 days of missing my period and it was negative. What to do? | 548 | Hello. I had gone through all the data you have posted. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician | Q. Does I-pill overdose affect regular period? |
Hi doctor, I work from 3 PM to 1 AM and cannot sleep once I am back. My food habits are also messed up. As I cannot sleep properly, I get up late. Hence, I am missing my breakfast and having heavy brunch. Some days, I even miss lunch and have dinner around 7 PM. I have also started putting weight unlike before. I guess it might be because of the erratic sleeping and eating patterns. I need to know what kind of food habits I should follow to sleep well. I would also like to have healthy food. Please help. | 549 | Hello. For further information consult a sleep medicine physician online -->https://www.icliniq.com/ask-a-doctor-online/sleep-medicine-physician | Q. What kind of food habit should I follow to sleep well? |
Hi doctor, My mother is under treatment for hypothyroidism, hypertension and osteoarthritis of knee joints, which is stage 2. I have attached her current medication list and ECG report. I request you to kindly have a look at the ECG and advice whether there is any indication of heart issues. Although the ECG is marked as normal, our doctor had suspected the possibility of LBBB. So, I want to get your kind opinion in this matter. I have also attached a copy of her lipid profile test reports done a few months back for your kind considerations. Thank you. | 550 | Hi. We are here to help you. I have seen the attached report (attachment removed to protect patient identity). For further information consult a cardiologist online -->https://www.icliniq.com/ask-a-doctor-online/cardiologist | Q. Is there any indication of heart issue in my mother's ECG? |
Hello doctor, My mother has been diagnosed with probability of lower GI bleed in proximal jejunal small bowel loops through nuclear scan. She is a heart patient and had been operated in the past and got her two valves replaced. She has to take blood thinning medications like Warfarin. My mother had low hemoglobin due to blood loss in stool. But, it used to get resolved with changing the dosage of Warfarin. But, this time, she is getting blood loss on more frequent duration and thus doctors asked to do nuclear scan to check for any GI bleeding. She has been advised to undergo surgery to get GI bleeding treated. Please advise if there are still possibilities to cure her with medications. If surgery is required as a last resort, then which one would be less threatening? | 551 | Hi. Warfarin induced bleeding. Once stool color changed to normal from black, can proceed with CT scan abdomen to find out the cause. Jejunal ulcer. 1. Medical management, if general condition is stable. 2. If general condition is unstable, then required more than 5 bottles of blood transfusion. If active bleeding is continued even after dosage modification of Warfarin, then consider surgery with high risk. For further information consult a surgical gastroenterologist online.---> https://www.icliniq.com/ask-a-doctor-online/surgical-gastroenterologist | Q. Is there a possibility to cure GI bleeding with medicine? |
Hi doctor, I have asked to apply Tazret 0.05% on the bald area for regrowth. I have applied on hairline too, but it made my hair further thin and loss. Please advise to cure my problem. | 552 | Hi. Revert back with the answers to the above questions to a dermatologist online -->https://www.icliniq.com/ask-a-doctor-online/dermatologist | Q. After using Tazret, my hair is even more thin. Why? |
Hi doctor, I have been suffering from severe itching near pubic area and the skin turned black. Previously, I had pubic lice issue, which was cured using Permethrin lotion. I am currently using Flucort-C cream, but it is not effective. Please suggest some medicine for it. Thank you. | 553 | Hi. Revert back after 10 days to an allergy specialist online --> https://www.icliniq.com/ask-a-doctor-online/allergy-specialist | Q. Please suggest a solution for severe pubic itching. |
Hi doctor, I have been on birth control continuously for three years. About a month ago, I took a pill late instead of in the morning. My boyfriend has not ejaculated in me. But, I noticed that I have gained weight. What are the chances of me being pregnant after taking a pill late? I do not have periods since I take the pills continuously. | 554 | Hello. This is a common mistake that you have faced. However, a single late pill intake is in no way could turn you fertile as well as pregnant. Even if you miss a single pill, the chance of pregnancy is very remote. Now, continuous pill intake could be the reason for absence of cycle. We advice this sort of continuous pill intake only if you have endometriosis, a disease produces painful menses. However, you need to take pills with a gap of 7 days pill free period or have to be on inert pills for 7 days. Then only, you will have cycles. For further doubts consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist | Q. What are the chances of pregnancy after taking an Ocp late? |
Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for annular bulging and tear? | 555 | Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist | Q. What does abutment of the nerve root mean? |
Hello doctor, I am 48 years old. I am experiencing weak erection and difficulty in sustaining the same. This condition was observed 10 years back. Also, there is premature ejaculation. Other physical ailments that I have are, I am suffering from hypertension and taking Amlopres-L (Amlodipine and Lisinopril) for the last 10 years, high cholesterol and triglycerides. My cholesterol level is 225 and triglyceride is 200 for the last 12 years. I used to do frequent masturbation in early age. I do have erection during morning hours many times, particularly after sound sleep or if I had long walk previous day. I am having Sildenafil 25 mg or 5 mg Cialis, which is effective enough. But, I wish to get rid of tablet support and live natural way. I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days. I wish to have your second opinion on this. Please guide. | 556 | Hi. For further doubts consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist | Q. Will Nano-Leo give permanent solution for erection problem? |
Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I do not have a family history of colon cancer. I got blood tests done last night. Please find my reports attached. | 557 | Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online --> https://icliniq.com./ask-a-doctor-online/general-surgeon | Q. Every time I eat spicy food, I poop blood. Why? |
Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well. | 558 | Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help. | Q. Will Kalarchikai cure multiple ovarian cysts in PCOD? |
Hi doctor, During masturbation I just rub the tip of the penis and not the entire penis. Is it a wrong way of doing? I do not get excited during sex and unable to ejaculate. Only, rubbing the tip of the penis gives me excitement. Also, two weeks ago, I have undergone circumcision as my foreskin did not retract. Before circumcision too, I have the same problem. Please help. | 559 | Hi. For further doubts consult a sexologist online -->https://www.icliniq.com/ask-a-doctor-online/sexologist | Q. I masturbate only by rubbing the tip of the penis. Is it a wrong way? |
Hi doctor, I was recently diagnosed to be diabetic. I am on Glycine-SR 500. One week back, I got a small injury in my right leg. Now, some pus is coming from that injury. Last week, my fasting and postprandial blood sugar were 139 and 228 respectively. Please let me know the treatment that I need to take to cure the injury. | 560 | Hello. Revert back after two weeks to a diabetologist online --> https://www.icliniq.com/ask-a-doctor-online/diabetologist | Q. As I am a diabetic, what to do for my leg injury? |
Hi doctor, I have these on my penis, ears and inner thigh. I have had them for over 10 years and they did not get red or inflamed. Also, you cannot pick them off. I am married and it did not get spread to my wife. What is it? | 561 | Hello. Can you please upload a picture? So that, I can review it. They may be simple skin tags, but it is hard to tell without a picture. Please also share if you have any history of STD (sexually transmitted disease) in the past and if you were tested for any recently. Revert back with the photos to an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician | Q. I have this on my penis and inner thigh. What is it? |
Hi doctor, I am 24 years old. I got married 1 month back. I am bleeding after each sex. It happened around four to five times. Also, I get some pain and this is ignorable. Previously, I suffered with period problem, facial hair and PCOS. Please help. | 562 | Hi. As you rightly said, it is due to PCOS (polycystic ovarian syndrome). You need to undergo a gynecological checkup, especially a speculum examination to rule out any abnormalities of the cervix and vagina because of bleeding during sex. If you are not planning for baby, you can be on Krimson oral contraceptive pills under gynecologist supervision. Or else, you need to consult an infertility specialist and take medicines to regularize your cycles and ovulation. Reducing weight also will improve ovulation and periods. I suggest you not to delay fertility in view of PCOS. For further information consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist | Q. I am always bleeding while having sex. Why? |
Hi doctor, My nail beds are not smooth. The area from where nails are coming out is broken. I am having this problem for more than six years. First, it was there only on a single nail and then it started spreading. Sometimes, watery pus forms near the root of the nail. I have sent the images for your reference. | 563 | Hi. I have seen your query and images (attachment removed to protect patient identity). For further information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist | Q. What shall I do for broken nail bed? |
Hi doctor, My wife takes Acitrom 3 mg tablet daily. And, she also takes 1 teaspoon of dried basil with milk. Is it alarming? Do I need to stop her eating basil? | 564 | Hi Revert back with the answers to the above questions to a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist | Q. Should I stop my wife from taking dried basil and Acitrom together? |
Hi doctor, I am 23 year old male. I am working as a software professional. I recently had some discomfort with digestion. I had severe bloating, gas formation and a frequent sensation of motions. I went to a gastroenterologist and he made an endoscopy and endoscopic biopsy. The biopsy result is yet to come, but I am scared after seeing the endoscopy report. He said it is not serious and some bacterial infection. The report looks scary to me. I had antral gastritis a year back and took medication for some time. I am always eating outside food, but nothing spicy. I have attached my endoscopy reports here and I just want to take a second opinion from you. Kindly explain me the problem and give a solution. | 565 | Hi. As your doctor said, there is nothing serious. H.pylori infection and spicy food. 1. Specific antibiotic course for H.pylori for 14 days. 2. Continue your current medications for acidity. Avoid spicy food and take bland diet till the completion of your course of therapy. Also, try to reduce any form of caffeine and nicotine. For further information consult a medical gastroenterologist online.---> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist | Q. What is the use of Troxipide? |
Hi doctor,I am suffering from bleeding piles with pain. Please help. | 566 | Hi. Revert back with the reports to a general medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician | Q. How to manage painful bleeding piles? |
Hi doctor, I had a brawl on the phone with a few persons. They are believed to be not so social kind of people. Ever since that day, I feel a kind of heaviness in my head. What is it? | 567 | Hi. For further information consult a psychiatrist online -->https://www.icliniq.com/ask-a-doctor-online/psychiatrist | Q. Why do I feel some heaviness in head after a brawl on the phone? |
Hi doctor, I have been having a strangling feeling in my throat for around seven months. This came post thyroidectomy and so I thought it had to do with surgery. However, my gastroenterologist did an endoscopy and found bile in my stomach. As I researched this, I immediately thought of my gallbladder removal surgery two years ago. Anyhow, she put me on acid reflux medicines and that do not seem to be helping at all. I have pain in the upper right quadrant of my stomach and this strangling feeling every day. I am taking Carafate four times a day as well. I have just changed my thyroid medicine to Nature Thyroid 2 grains per day. My TSH was at 2 and I know it should be closer to 1. What to do? | 568 | Hi. Small hiatus hernia. If gastritis is ruled out, then consider barium study for hiatus hernia. Infection induced pangastritis. Continue medications for gastritis. 1. Avoid spicy food and try to reduce any form of nicotine and caffeine. 2. Do not sleep immediately after dinner. 3. Try to reduce liquids during meals. Revert back with the answers to the above questions to a medical gastroenterologist online.---> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist | Q. Having some strangling feeling in my throat post thyroidectomy. Why? |
My baby is 3 months old, last month he had rashes and a loose motion, we did a stool test of ph and reducing substance done, the report says that the reducing substance is positive, the doc advices to stop mothers milk and start isomil formula, the baby did not take isomil, so I continued with breastfeeding and after some days we checked his weight, it was good, the baby is growing properly, he is active, does not cry coz of colic. He poops 6 to 7 times max, he is exclusive breastfeed, he frequently passes urine. The only thing is poop is bit greenish but the test report say it's yellowish brown, other than that there is no issues of rashes also everything is fine, baby sleeps well and passes the gasses well.. The stool test was done again yesterday and it's the same as last test ie reducing substance is positive My queries are as below 1 from above description shall we still follow doc by stopping breastfeeding and using isomil Why has this issue come up in 2 months, before it was all good. How long will this intolerance last I have stopped dairy products, I can't have a small cup of tea also, can I have it? Can I use half cup milk for tea? | 569 | Hi, Am glad to hear you did not stop breast-feeding and that the baby’s weight gain is good. Babies of 3 months may pass stools after every feed-which means if you feed 10 times, they may pass stools 10 times. So that is not a thing to get worried. Regarding the colour of the stools, green-yellow-golden-brown are all normal shades of stools. So you don’t have to worry about green colour. Please remember one more important thing - if the baby is not having any problems/symptoms, then, don’t get any tests done. Because even in a completely normal person there can be a few parameters outside the normal range. We cannot keep chasing the lab report completely forgetting the baby’s condition. If you get a routine health check done during your visit to your pediatrician for vaccination it is sufficient (That is, if the baby is not having any problems/symptoms). Any change in the mother’s diet changes the composition of the breast milk to a small degree, which then is reflected on the child’s routine. You may start taking milk with tea, initially small amounts and gradually increase. The baby’s bowel movement pattern might change but that doesn’t mean it is not good for baby’s health. But don’t start to feed cow’s milk/pateurised milk to the baby yet. Let the baby be atleast 6-7 months for that. Please let me know if you have any questions. | Q. Why did the doctor advise to stop breast milk and start Isomil formula for my baby? |
Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for annular bulging and tear? | 570 | Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist | Q. What does abutment of the nerve root mean? |
Hello doctor, I am 48 years old. I am experiencing weak erection and difficulty in sustaining the same. This condition was observed 10 years back. Also, there is premature ejaculation. Other physical ailments that I have are, I am suffering from hypertension and taking Amlopres-L (Amlodipine and Lisinopril) for the last 10 years, high cholesterol and triglycerides. My cholesterol level is 225 and triglyceride is 200 for the last 12 years. I used to do frequent masturbation in early age. I do have erection during morning hours many times, particularly after sound sleep or if I had long walk previous day. I am having Sildenafil 25 mg or 5 mg Cialis, which is effective enough. But, I wish to get rid of tablet support and live natural way. I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days. I wish to have your second opinion on this. Please guide. | 571 | Hi. For further doubts consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist | Q. Will Nano-Leo give permanent solution for erection problem? |
Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I do not have a family history of colon cancer. I got blood tests done last night. Please find my reports attached. | 572 | Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online --> https://icliniq.com./ask-a-doctor-online/general-surgeon | Q. Every time I eat spicy food, I poop blood. Why? |
Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well. | 573 | Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help. | Q. Will Kalarchikai cure multiple ovarian cysts in PCOD? |
Hi doctor, During masturbation I just rub the tip of the penis and not the entire penis. Is it a wrong way of doing? I do not get excited during sex and unable to ejaculate. Only, rubbing the tip of the penis gives me excitement. Also, two weeks ago, I have undergone circumcision as my foreskin did not retract. Before circumcision too, I have the same problem. Please help. | 574 | Hi. For further doubts consult a sexologist online -->https://www.icliniq.com/ask-a-doctor-online/sexologist | Q. I masturbate only by rubbing the tip of the penis. Is it a wrong way? |
Hello doctor, I have a super itchy skin rash around my genital (not on my genital) and on hip. It has been there for a few months now. First it was around my genitals and hips but now it is on my hips only. Whenever I used to scratch, dead skin and dry blood comes off. At first I thought it was just a rash and will go away but now it has been a month and it is not going anywhere. It is continuously itchy. | 575 | Hi. It seems the rash and itching in the groins and waist area could probably be due to a fungal infection of the skin. This is very common especially in tropical countries and more so in the hot humid summers. To accurately diagnose the same further information like images of the affected area, total duration of the rash, any other areas affected, any discoloration of nails, etc., is needed. If it is indeed a fungal infection the following can be kept in mind: 1. Treatment of fungal infections includes applications which contain Ketoconazole, Sertaconazole, Luliconazole, etc. Oral antifungals like Terbinafine and Itraconazole are often used in combination for better clearance and reducing recurrences. 2. Local hygiene is very important. Taking bath daily, drying the skin folds after bath, keeping soap and towels separate and drying your clothes in sunlight and ironing them before wearing will help to kill the fungal spores. So, I will recommend evaluation by a dermatologist to decide on the treatment. If you have any queries please feel free to reach out. Hope this helps. | Q. What causes itchy skin rash around genitals? |
Hello doctor, I was on the Depo injection, finished it four months back, then started the pill for 8 days only. I wanted to try for a baby, I was wondering as I have spotted last month and had a period 14 days later, but all the time before that I have had unprotected sex and not caught pregnant, is there a problem as I am trying for a baby. I have not ovulated this month. Could this be due to the Depo or the pill or something else? I am not pregnant as I have done test, it is negative. | 576 | Hello. It is for your information that post prolonged use of Depot injection, the menstruation cycle is likely to be anovulatory for 2-3 cycles after it restarts post stoppage of injection. You had your initiation of bleed last month and had a proper menses 14 days later, but this cycle is likely to be anovulatory in most of the cases. So, even though you may be trying, yet you would not conceive. It would be best if you can start using ovulation kits from the next cycle from day 10 daily to check for LH surge, which would help find the time of ovulation (again whether or not you ovulate as well) and you would be able to have a better control over your actions. | Q. I have not ovulated this month. Can it be due to Depot injection? |
Hello doctor,I have an 8-year-old daughter. Yesterday, there was a faded blood in her panty and we thought that it was the start of her menstrual period. However, the menstruation did not show after she changed her panty until now. Please advise. | 577 | Hello. 8 years is too early to start menses. I would like to know does she have her secondary sexual characters developed? As in, does she have the breasts developed and axillary and public hairs? If not , then mostly she is yet to achieve her puberty. Many a times the minimal bleeding or spotting could be either due to local genital infections or some ulcers or trauma. Sometimes even a piles problem or fissures bleeding may be confused as vaginal bleeding. If you observe the bleeding again, you can visit a Gynecologist for general examination to look for any local cause. As of now I would advise to wait and watch, if you do not feel any signs of infection like burning itching pain, etc. | Q. Is it possible for the menstruation to start in an 8-year-old? |
Hello doctor, I recently had a meeting with a hair transplant clinic and they told me I needed 3000-3500 follicular units (8000 follicles). Attached is a photo of my hair loss, is this overkill? I am afraid of running out of the donor area. | 578 | Hello. It is androgenic alopecia (male pattern baldness). It is a genetic, sex hormone imbalance disorder. There is a shortening of hair growth cycle and delay in new hair growth (increase in dihydrotestosterone-DHT). Causes in our case can be hormonal imbalance, insufficient protein intake, iron deficiency, hair procedures, rough handling, stress, and drug-related. Treatment: Minoxidil 5 percent lotion 1 ml at night for 30 days (on hair thinning area). It slows hair loss and grows new hair. Nizoral Shampoo twice weekly for six weeks. Laser therapy (low-level laser therapy) to stimulate the growth of follicle. Hair transplant last modality of treatment. Eat oranges, avocado, carrot, yogurt, sweet potato, salmon, spinach (vitamin A, folate, iron), green leafy vegetables, eggs, chicken. Drink lot of water. Drink green tea. No caffeine, tea, soda. Eliminate stress. Stop smoking. Scalp massage, aloe vera gel, onion juice extract as a home remedy. Try this before thinking of hair transplant. | Q. How many hair follicles do I need in the donor site to go for hair transplant? |
Hello doctor, I have swelling in the neck and tested in the laboratory about three years ago. They say I have a problem with my thyroid and I need to consult a doctor. Unfortunately, we do not get a chance to go back to the hospital again because of a lack of money. I am 17 now and my neck is still swelling, I do not feel any symptoms as of now. The last doctor who checked my neck says it is a non-toxic thyroid problem (but they did not tell what my illness is, because it is just our school medical. better to consult a doctor). Is there any recommendations to prevent my neck from swelling? What are the foods and activities to control the swelling? Is there any thyroid home test I should try to identify how is my thyroid? I will consult a doctor if the situation is totally fine. | 579 | Hi. In most cases, when there is a swelling associated with the thyroid, the swelling moves when you swallow and can be seen when you turn your neck backward and swallow. The surest test to detect a thyroid swelling is by doing an ultrasound to assess minor details, size, blood supply, and other aspects which we need to know before we treat you. Secondly, you need to get a thyroid function test wherein we assess the level of the thyroid hormones in your body. Thirdly, we also do a fine needle aspiration cytology (FNAC) to find out what was the cause of the swelling to occur in the thyroid. Here we insert a needle in your thyroid gland in areas of interest and then observe these cells under the microscope. For patients having thyroid problems (hypothyroid to be specific), we usually avoid foods belonging to the brassica family such as kale, rape, cabbage, cauliflower, and broccoli. These are known to block the synthesis of the thyroid hormones leading to its deficiency and thyroid enlargement. Seafood, bread, and milk are rich sources of iodine. Also, understand that a hyperfunctioning thyroid also can cause a thyroid swelling and the tests mentioned above are basic and have to be done to evaluate any patient with a thyroid problem. So in a nutshell, the doctor who deals with thyroid problems will definitely get these investigations to manage the problem further. I hope this helps. | Q. I have swelling in the neck with no symptoms. What should I do to prevent and control the swelling? |
Hello doctor, I am having persistent floats on the lower side of the eye. I have consulted a doctor and since the eye power is the same (-4.5) she did not dilate the eye. She told me it is because of the sore eyes and it will get resolved. But I want to be sure, as the floats are more severely occurring in the right eye. | 580 | Hello. See first of all floaters at the age of 21 is not a common condition. It can be due to so many reasons but I feel in your case it is because of your high refractive error that is -4.5 as you said. So my advice is you should be very careful regarding your symptoms if floaters are not much then no need to worry. But when you will have suddenly excessive floaters or if you feel like flashes in your eyes, vision is getting affected then immediately you should consult your ophthalmologist because all these are symptoms of retinal detachment. That is common in high myopia patients. One more thing is you should undergo a complete ophthalmic check up every six months. | Q. I have persistent eye floaters with high refractive error. Please help. |
Hello doctor, I am currently on Fluconazole 150 mg, and I am on my second dose. I just took it yesterday for a yeast infection. I was given Clotrimazole Betamethasone topicals cream to apply on the affected area twice a day. However, it seems to make it hurt in an hour after application. I first felt myself getting irritated in the vulva area about a week and a half ago and then started Monistat 3 with prefilled cream applicators and it seemed to improve however a few days later it seemed to reverse. Then, I received the Diflucan and it seemed the discharge has been less inside however, the external seems red and irritated and itchy still. My question is, in order to cure a vaginal yeast infection do I need to apply the antifungal cream externally along with the Diflucan? Or will the Diflucan alone take care of the external and internal infection? | 581 | Hi. I have gone through your history and understand your concern. It could be due to vaginitis caused by a fungal and bacterial infection. You have to take vaginal tablet as well as local application of cream. You can do one thing use plain candid cream and take antifungal and antibiotics for the same. Keep the area dry and clean and drink a lot of warm water and eat lots of vegetables and fruits. Avoid oily and spicy food. Take probiotics for the same. | Q. I have yeast infection in vagina. Will topical alone enough? |
Hello doctor, I am a 39-year-old female fatigue, sluggish, difficulty concentrating, and migraines. I have difficulty regulating temperature with periodic tightness in the chest and fluttering sensation. My EKG, chest CT and chest x ray are normal with negative COVID test. My Vitamin B12, folate, and D levels were low and I started supplements last month and the levels are in normal range now but I am still having symptoms. I have borderline low white cell count and ABS lymphocyte count, and slightly high platelets. I was diagnosed with lupus as a teenager but then in early 20s, I was told that I do not have it. Father died at 59 of a sudden catastrophic event- possibly a heart attack. Also, my D dimer was slightly elevated and so was my SED rate. Please help. I am currently on Lamictal, Lexapro, and birth control pills. | 582 | Hi. Following is my opinion for your asked question. Your attached CBC (complete blood count) report is within the limit (attachment removed to protect patient identity). Platelets count and ABL are also in borderline and you might need not to worry about that. For your fatigue, and sluggishness investigate with SGPT (serum glutamic pyruvic transaminase), serum urea, creatinine estimation, serum TSH (thyroid-stimulating hormone) estimation, etc., to rule out the liver, kidney disease, and thyroid problem as a cause of fatigue. ANA (antinuclear antibody) estimation also should be done to do workup for autoimmune disease. If no cause found than EMG (electromyography) or NCV (nerve conduction velocity) like investigation done to do workup for fatigue. Kindly consult a nearby physician for a detailed physical examination. | Q. Why do l feel fatigue, sluggish and difficult to concentrate with elevated D-dimer and positive ANA? |
Hello doctor, I tried a new skincare range called Gopure and American Company. Half an hour later, I developed redness, burning, itching, and swelling. I have discontinued the use and used ice and cold water to relieve symptoms. After four days, my skin is less painful. The company suggests watering down two of the products. I am reluctant to do so. What would you advise? | 583 | Hi. It seems that the new skin range that you tried is not suiting your skin. It is important to know what all products you were using and the ingredients in these preparations. If it was a concentrate which had to be diluted and used then the redness and burning would be because of the irritant dermatitis. This could happen to anyone and the irritation of the skin is due to the very high concentration of ingredients in it. This kind of reaction will not happen if you dilute the preparation as advised by the manufacturer and use the product. Sometimes it can also be due to allergy to some components and this will recur every time you reuse the product. Once the skin is back to normal you can try testing the product by applying a small amount of the diluted product on the skin behind your ear or on the skin of the inner forearm. Observe the area for 24 hours. If you develop any itching, irritation, or redness it may indicate allergy to some ingredients. Further patch testing can then be advised to know the exact allergen. And it will be advisable to avoid the product in that case. I hope this helps. | Q. I have redness, burning and itching in skin after using a new cosmetic product. Please help. |
Hello doctor, I had a sore throat and fever four months ago. I took some antibiotics (Cebosh) referred by an ENT and the sore throat went away. But I have a constant nasal dripping and throat clearing since then somedays it is more and some days it is normal. I can see mucus in my throat and it looks irritated. I have no fever, no body pain, and no shortness of breath. I have a severely deviated septum too. What can I do to get rid of it? | 584 | Hi. As per your description, you are having a deviated nasal septum (DNS). Your continuous presence of mucus in the nose and throat clearing is because of sinusitis which is a common consequence of your deviated septum. I have given some tablets try using those. If not relieved you should nasal sprays, but they contain steroids. Steroids are not advocated during this COVID season. So it is best to avoid the nasal spray at present. And regularly have steam inhalation. DNS with chronic sinusitis. Karvol plus capsule for steam inhalation, tablet Montelukast 10 mg twice daily for two weeks, Cetirizine 10 mg + Phenylephrine 10 mg twice daily for two weeks. Cover your nose while going out. Avoid dust exposure. | Q. I have deviated nasal septum with persistent nasal drip and throat irritation. How to get rid of it? |
Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for annular bulging and tear? | 585 | Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist | Q. What does abutment of the nerve root mean? |
Hello doctor, I am 48 years old. I am experiencing weak erection and difficulty in sustaining the same. This condition was observed 10 years back. Also, there is premature ejaculation. Other physical ailments that I have are, I am suffering from hypertension and taking Amlopres-L (Amlodipine and Lisinopril) for the last 10 years, high cholesterol and triglycerides. My cholesterol level is 225 and triglyceride is 200 for the last 12 years. I used to do frequent masturbation in early age. I do have erection during morning hours many times, particularly after sound sleep or if I had long walk previous day. I am having Sildenafil 25 mg or 5 mg Cialis, which is effective enough. But, I wish to get rid of tablet support and live natural way. I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days. I wish to have your second opinion on this. Please guide. | 586 | Hi. For further doubts consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist | Q. Will Nano-Leo give permanent solution for erection problem? |
Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I do not have a family history of colon cancer. I got blood tests done last night. Please find my reports attached. | 587 | Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online --> https://icliniq.com./ask-a-doctor-online/general-surgeon | Q. Every time I eat spicy food, I poop blood. Why? |
Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well. | 588 | Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help. | Q. Will Kalarchikai cure multiple ovarian cysts in PCOD? |
Hi doctor, During masturbation I just rub the tip of the penis and not the entire penis. Is it a wrong way of doing? I do not get excited during sex and unable to ejaculate. Only, rubbing the tip of the penis gives me excitement. Also, two weeks ago, I have undergone circumcision as my foreskin did not retract. Before circumcision too, I have the same problem. Please help. | 589 | Hi. For further doubts consult a sexologist online -->https://www.icliniq.com/ask-a-doctor-online/sexologist | Q. I masturbate only by rubbing the tip of the penis. Is it a wrong way? |
Hello doctor, I am having a problem with my eyes. I had a black eye a month ago and it swelled and bruised. The bruise went from purple to dark purple to yellowish-green and then brown. Now it stuck with brown and I am getting worried that it won't fade away. What do I have to do? Or what medicine do I need to take? I am getting worried. | 590 | Hello. I think it is due to any blunt trauma to the eye. As you have described it is changing color so that color change will be due to pigments change in the blood. Is there any trauma history? Kindly send a picture of your eye so that I can diagnose it properly. Without an image it is a bit difficult to say. And is there any effect on your vision? Kindly provide answers to the above queries, I will guide you for treatment. | Q. Bruise in eye caused discoloration and is not fading out. What should I do now? |
Hello doctor, About six months ago, I developed pain in my lower back mainly in my waistline towards the right side. I visited a doctor and we tried PT but it did not work. I then scheduled an appointment with a chiropractor, however, it was canceled dude to COVID-19. A couple of days ago, I was lifting at the gym and everything was going fine. I started noticing the left side of my back waistline beginning to hurt so I went home. Since then, the pain has worsened a lot. It is a sharp shooting pain that will extend from my waistline into my buttocks. I can barely sleep at night because when I try to turn over the pain is too extreme. I feel it a lot when walking as well, or trying to stand up if I am sitting down. Also, lying on my back causes the area to ache really bad. The pain is at its worse when I need to roll over in bed or when I stand up from being in a lying position, even if I was lying or lounging for a minute or less. I am a 23-year-old male in the military. The initial back pain that started months ago was found to be caused by wearing my sidearm at work for 9-13 hours a day and additional gear such as body armor. However, this new pain is something different. Please help. | 591 | Hello. You will need some investigations to confirm the cause. However, the likely possibility is lumbar spondylosis with nerve compressions. Most importantly, you should avoid heavy activities, lifting heavy weights, etc. You will need an x-ray of spine AP (anteroposterior) and lateral view and may need an MRI (magnetic resonance imaging). Physiotherapy would be helpful. You may continue to have Aleve (Naproxen) according to need. You may use local Diclofenac gel or hot water fomentation. We usually give patients a multivitamin like Neurobion forte (B12) which is good for nerves and next in the line is Pregabalin which is a nerve stabilizer. I hope this helps. | Q. I have sharp low back pain after weight lifting and it hurts while lying down. Please help. |
Hello doctor, My dad is 78 years old. Recently, (one month back) he had acute left medullary infarct with hyperacute infarct of the midbrain. After which he is unable to open both of his eyelids on his own but can see when we lift the eyelids, also his voice was very low. After a month now his speech has improved but the eyelids issue is still there. Can you please suggest any treatment for his eyelids to open? | 592 | Hello. As you have described, your father had brain infarct after that he developed all symptoms related to eye right. So let me explain you that in case of stroke or infarct in the brain there will be involvement of cranial nerves also. The cranial nerve which is responsible for elevation of eyelid will also get affected in such situations like stroke. So the same thing has happened here in your father's case. So for treatment of his eyelids, only surgery you can plan but you should consult oculoplastic surgeon for that. He is the one who will measure all the parameters and depending on that he will tell you which surgery he should undergo. So my advice is you should take your father to an oculoplastic surgeon for this problem. I hope this helps. | Q. After a brain infarct, my dad is unable to open his eyelids on his own. Why? |
Hello doctor, I am having severe localized pain when I lift my left arm over my head and it is in muscles for more than four months. The rheumatologist did an x-ray and blood test which are all normal. He prescribed tablet Arcoxia-285 (90 mg) and Panadol (665 mg) + injection Depo Medrol 40 mg for 14 days. Seven days have been passed but a bit of pain is reduced but muscle is slightly locked and I cannot freely move my upper arm (pain is near triceps and biceps). Any advice will be greatly appreciated. | 593 | Hi. I read in detail your symptoms. It is suggesting periarthritis shoulder. The profile does not suggest inflammatory arthritis as the signs of inflammation are lacking and the tests are normal. Periarthritis shoulder or frozen shoulder. MRI shoulder. Adhesive capsulitis. Periarthritis shoulder. Continue medication. Local fomentation. Range of motion exercise. Avoid lifting weights. Avoid gymnasium and weight training. Avoid heavy bag lifting. Eggs, fish, dry fruits for natural omega-3 intake turmeric capsules to boost healing. | Q. I have severe localized pain in my left arm while lifting up. Why? |
Hello doctor, My father is recently diagnosed with diabetes along with high creatinine level. I need a therapeutic diet plan for a week according to the condition. | 594 | Hi. Please let me know the current weight and height of your father, also his present age, his blood sugar levels, and any other lab reports. Also, please do let me know whether you are vegetarian or nonvegetarian and his daily meal pattern with timings. | Q. My father is a diabetic with high creatinine levels. Please recommend diet plan for him. |
Hi doctor, I am 49 years old and I have been drinking approximately 350 ml of vodka every day for approximately 10-15 years. I also have smoked half pack a day for 30 years but just recently quit. For the past year and a half (maybe even two years) I have had diarrhea daily. I went to a doctor who prescribed IBS medicine and B12 shots, but nothing changed. My stomach is large, distended, and hard. When I eat half a sandwich or six bites of salad, I am so bloated I cannot move. I feel a dull bruise like pain (very dull) in my lower right quadrant from time to time maybe once every two weeks. My AST and ALT levels are high (112 and 113), glucose is 116, absolute eosinophils are 720H. I have attached my lab reports. My guess is, this is liver disease, pancreas disease, or diabetes. Any ideas? Do I have to quit drinking? Or can I cut back? I am currently taking Stelara for psoriasis. | 595 | Hello. I think there are multiple issues. You need proper workup. Your ALT (alanine transaminase) / AST (aspartate transaminase) are due to alcohol-related liver disease, better is to do USG (ultrasound) abdomen. Other issues are, I had gone through your blood reports (attachment removed to protect patient identity). Your hemoglobin and hematocrit are in range of polycythemia vera which is a blood coagulation disorder. So what is feel is you need a good doctor hematologist for polycythemia and related to your gastric issues. USG abdomen and endoscopy with biopsy can be done if possible, as this will tell us liver and pancreas status as alcohol affects both. Second thing, stop smoking which is a culprit for your high Hb so to get that worked up there are series of tests need to be done. My advice is to choose a good doctor to get everything thing done. | Q. I get abdominal distension and persistent diarrhea with high ALT and AST values. What is my problem? |
Hello doctor, I had a CBC (complete blood count) done yesterday and it came back with elevated WBC of 13500, with neutrophils 9000 (more or less), ESR 36, and close to normal lymphocytes. My urine sample was negative. I had a severe eye infection that lasted about 10 days and started clearing up really nicely yesterday. When I had the blood work done, I was crying for an hour due to unrelated massive stress factors. I have severe anxiety and I am going through a rough time, I am hardly ever at ease. I am mentioning this because I read stress can be a factor. I am worried because my levels are elevated and I show no signs of infection apart from the eye (which still has a little pus). I do not go out due to COVID-19 at all. Food is delivered and handled in a very safe way, packages are disinfected and I have no contact with anyone. I am puzzled as to where an infection could come from. My doctor thinks it is a bacterial infection and has put me on antibiotics. I am very worried about cancer. Should I be? | 596 | Hello. Following is my opinion for your asked question. Your total count and neutrophils are elevated. So it could be due to bacterial infection or stress as per provided history. You can complete the course of antibiotics. Meanwhile, try to reduce stress and anxiety by yoga, exercise, breathing exercises, etc. You can be prescribed anti-anxiety medication for stress. It does not seem to be cancer according to history provided. However, kindly attach your all reports so that I can check it and can give you detailed comments. | Q. I have severe eye infection with increased WBC and neutrophil levels. Can this be due to stress? |
Hello doctor, I am a 24-year-old male with no past medical history. I have been facing pain while passing stool. The pain ceases after a few hours. But, it comes again if I sit for a longer duration. Sometimes, I see small strips of blood on the stool. I have been sitting in warm water and keeping ice-pack for some days. It does help relieve pain. On examination, I also saw a small fleshy lobe near the anus. I am attaching a picture of the area. | 597 | Hello. As I can know from your history that you are suffering from pain while passing stool and also blood in the stool you have noticed. I have diagnosed your problem, it looks from your photographs although it is not very clear that you are suffering from anal fissure. May I know if you have occasional constipation and if you have work that has a more sedentary lifestyle? I suggest you to have leafy vegetables, salads, high fiber diet, cabbages, and spinach so that you do not have constipation. Next, you can buy Dabur Isabgul powder and take two teaspoons in one glass of water or milk. You can take at bedtime, and drink plenty of water. Apply Anovate ointment (Beclomethasone dipropionate) in the raw area where you have pain after passing stool. Get back to me after three days and let us see if it works or not. Take hot sitz bath, I mean you have to sit in a tub of lukewarm water at least three to four times a day. It heals 80% of anal fissure. | Q. I get pain in the anus while passing stool and sitting with a fleshy lobe in that area. Please help. |
Hi doctor, I want to inquire what are the causes and possible treatment for acid reflux? | 598 | Hello. Welcome to icliniq.com. The common causes of peptic ulcer disease are H pylori infection, Non-steroidal antiinflammatory drugs (NSAIDs), drugs other than NSAIDs such as Tetracycline, Iron tablets, potassium supplements and Bisphosphonates, Zollinger Ellison syndrome, and carcinoid tumors. The treatment is according to the cause. For H pylori, the treatment is combination antibiotic therapies including Amoxicillin, Clarithromycin, Levofloxacin, and Metronidazole adopted in different first and second line therapy. The world common treatment is Clarithromycin based triple regimen including Amoxicillin 1 gm twice daily for 14 days plus Clarithromycin 500 mg twice daily for 14 days plus any acid suppressant such as Omeprazole 40 mg once daily for six weeks. This is the first line therapy. There is a long list of second and third line rescue therapies for H pylori infection. Treatment for NSAIDs is simply stopping the medicine and due course of Omeprazole for 8 weeks. The treatment of the rest of the above condition is variable which could not fit in this single page answer. I hope this helps. | Q. What is the possible treatment options for acid reflux? |
Hello doctor, I am a 25-year old male. My problem is excess night fall as I am masturbating since around the age of 13-14. Now I ejaculate within 30 seconds and I am scared of marrying now thinking of failure on the bed. So please tell me what to do? And the physical health of my penis is not as I expect and the reason behind it is masturbation? | 599 | Hi. As per your history, you are suffering from chronic masturbation. Nowadays, masturbation is very common in the younger generation. If you masturbate two times a week it is normal. But if you do frequently it is bad for your health. How to stop the addiction of masturbation? Stay busy and less alone, find another outlet for your time and energy. Fill your life with engaging activities. The excitement of doing something different can help replace the urge to masturbate, and you will have a go-to distraction next time when you are tempted. Stop punishing oneself and do not be despondent. Remove triggers that tempt one to masturbate. Be persistent and patient. You should be busy with your daily routine. Do regular exercise and join the gym. I hope this helps. | Q. Excessive masturbation is resulting in nightfall and early ejection. Why? |
Subsets and Splits