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Hello!one day when I masturbated my right testicle went up and at the same time I felt a burning in the perineal area. After ejaculation I felt an intense pain in that area and from that time I always have problems walking or ejaculating. The thing that scares me is that the penis veins have increased in volume and have a dark color.initially I thought of a nerve injury but now I don't understand why this veins and pains along the legs. the doctor said that I have a prostatitis and vesiculitis but he didn't tell me about the veins.if I try to walk the lower part of the scrotum becomes dark like a hematoma and I have pain.it seems to me that there was damage to the veins and nerves because I always have pains that start from the perineum and branch towards the legs... | 700 | Hi Let me tell you that the symptoms described by you suggest that you have vasculitis(inflammation of the blood vessels) can cause Peyronie's disease. More over it may be due to epididymo orchitis. In this situation I suggest you non steroidal anti inflammatory madication like ibuprofen 400mg and antibiotics medication. I recommend you lignocaine ointment apply locally. Use ice packs for good blood supply. Avoid alcohol and smoking. Avoid stress and anxiety. More details you may consult with me. Hope I have answered your query. | Q. When I try to walk, the lower part of the scrotum becomes dark, and I have pain. Please help. |
Hi doctor I have question about hepatite C I had vaginal sex with condom but unfortunately the condom was torn during the sex and I stopped it. Is there any possibility for me to get hepatite C in this way?(actually I didn’t know her) I have tested for HCV blood test 60 days after exposure and it was negative. If I test one more time at 90 days ,it will be conclusive? Or I should repeat the test more?thanks for your help. | 701 | Hello. I welcome you to icliniq. I want to know which test did you do to check Hepatitis C? If this was a high quantitative PCR test and if it was negative, then you are completely safe. If it was antibody test, and was negative, then I suggest to confrim with quantitative HCV PCR test. The antibody response to HCV viral infection is slow, hence a negative antibody tests does not confirm absence of infection. Means it can be falsely negative. Quantitative HCV PCR if negative then it can confirmly rule out the infection. For example if you were exposed, then PCR test can come positive as earliest as 1 to 2 weeks. Do scree yourself for other sexually transmitted disease, HBV and HIV. I hope this will help you understand things. Good day Risk stratification for HCV exposure Risk stratification for HCV exposure Follow if required. | Q. Is there any possibility for me to get hepatitis C if condom tears during vaginal sex? |
Hello doctor, My three months baby is avoiding breast while feeding. Is there any other option to make her drink breast milk without direct feeding? | 702 | Hello. You can express breast milk (either manually or by using a breast pump) and give that milk to the baby using a spoon. But the reason for avoiding breastfeeding needs to be evaluated. Nose block is a common cause for refusal to feed. If the child is having a nose block, you can use Nasoclear drops two drops prior to each feed. You have mentioned the baby's current weight as 6 lbs, for a three months old baby 6 lbs fall much below the normal range. Was the child preterm? How much was the birth weight? | Q. My baby is avoiding breast while breast feeding. How to feed her? |
Hello doctor, I am a 41-year-old male who is 5'10" and in pretty good shape. However, last week while I was sitting on the couch at night I noticed muscle twitches in my quad muscles. I ignored it thinking maybe I walked or exercised more than normal. But since then they have not gone away and I notice them in all different parts of my body but mostly the legs (calves, shins, quads) of both legs. I feel them every few minutes or so while sitting or laying down. They are not painful. I have not lost any strength while doing pull-ups, lunges, or dumbell curls. I do not drink coffee nor alcohol and I do not take any medicines. I took a magnesium supplement for the last few days and it did not help my symptoms. I started googling stuff and became very afraid. Could this be caused by anxiety? I did have some restless nights last week. Please help. | 703 | Hello. Such muscle twitching can happen in few medical conditions like anxiety, motor neuron disease, nerve injury, benign fasciculation syndrome, and hyperthyroidism. If you do not have any weakness or muscle thinning, it may be due to anxiety. I suggest to observe it. Get T3, T4, and TSH (thyroid-stimulating hormone) test. If you are anxious, you need to overcome that too. If it persists, then it may need some further investigations. | Q. I get muscle twitches in my quad and calf muscles often with no pain. Could this be due to anxiety? |
Hi doctor, Yesterday, I had roti with spinach, which is home made. Today morning, I experienced a stomach bout, but not watery. Should I take a combination of antibiotics Ridol and Ulticept 500 mg along with Metrogyl and Eldoper? I am still feeling uneasy. Please guide me on this. Every 20 days, I am having issues related to the stomach. Should I go for endoscopy? I am scared of my present health condition. Please advise some tests. | 704 | Hello. Revert back with the answers to the above questions to an internal medicine physician online -->https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician | Q. Please suggest some tests to assess my stomach. |
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? | 705 | 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. | 706 | 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. | 707 | 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. | 708 | 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. | 709 | 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 am 60 years old. I am in excellent health. I just had medical checkup and everything fine except cholesterol reading of 320 despite a healthy diet and exercise. My problem is peripheral edema, spider veins and swollen legs, which is often very painful after standing for a long time. In the past, has spent a long time standing at work. I have good shoes and surgical stockings for help. I am not on any medication for this. I have this problem for over five years now. Please help. | 710 | Hello. I had gone through all the data posted. Revert back with the report details to an internal medicine physician online -->https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician | Q. What shall I do for spider veins and swollen legs? |
Hi doctor, I am having severe mental problems and I cannot concentrate on anything. I am a civil engineer and working in a private firm. I am married and have one child. I am unable to take my wife with me because of financial issues. My wife got pregnant last year and since then I have stayed alone. Due to excessive sexual desire, I have approached many prostitutes, but only after spending lots of money I got physical satisfaction. Mental desire was still unsatisfied. Nearly one year, I went through many troubles in my jobs, including court case and money loses. Since then I have changed three offices, but did not receive proper funding from the company. I was all alone with less or no friends. I searched in dating sites and found a girl, who is a professional sex chat agent. She made a personal contact with me out of her job scope. In less than a week's time, I feel like I am in love with her and cannot live without her. Now, she is having some financial problem and seeking money from me for providing sex chat services. She is not a fraud and somehow I can manage to give her that by taking a loan on credit card and something. I am in constant touch with her since last 7 days and I have yet not done any sex chat because my mind did not allow me to ask her for sex. I am thinking about her only and not be able to concentrate on my work. I cannot get rid of the problem and cannot take myself out of the situation. I am seeking help in this regard. Thank you. | 711 | Hi. I can understand your mental turmoil. I can see that you are deep in trouble. For further information consult a psychiatrist online -->https://www.icliniq.com/ask-a-doctor-online/psychiatrist | Q. I am ready to help a sex chat agent by giving her some money. Is it right? |
Hi doctor, Myself and my wife are stressed by my mom's behavior. She keeps changing every single minute and fights with us for small matters. Kindly help me to resolve this. | 712 | Hi. For further information consult a psychiatrist online -->https://www.icliniq.com/ask-a-doctor-online/psychiatrist | Q. My mom's behavior changes every single minute. How to resolve this? |
Hi doctor, I got married recently. For the last few months, I am experiencing erection problems during intercourse and struggling to get the sperm out. Hence, a general physician advised me to take a few tests. I have uploaded the results of the test. Can you please tell me what would be the next step to improve my sexual activities? I have high levels of prolactin. Has that affected my sex desire? Also, I want to know if it really leads to delay in getting a kid. Please advice. | 713 | Hi. I understand your concern. For further information consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist | Q. Has high level prolactin affected my sexual desire? |
Hi doctor, I had a CT scan of my heart to check for calcium buildup in my arteries. The score is 5.83 cubic mm and there is a break down in left anterior descending and no detectable calcification. An approximately 2 mm calcification is present within the proximal aspect of the left circumflex coronary artery about 2 to 3 cm distal to its origin. And 2.8 mm calcification is present within the proximal aspect of the right coronary artery just distal to its origin. Please tell me your opinion. Am I at a risk of heart attack? I do not have any previous history of heart issue, but heart disease runs in my family. Last month, my cholesterol and LDL were 280 and 235 and now 182 and 149 respectively. | 714 | Hi. We follow so many patients, but these are just a predictor of screening patient who are at risk. Even, a low score person also gets a heart attack. You need to show your report to your cardiologist rather than doing interpretation by yourself. Even we had seen so many patients with critical blockages in coronary CT and found the only minimal disease. So, it is not a gold standard test. Still risk factors like obesity, smoking, high cholesterol are better predictors. Revert back with detailed history to a cardiologist online -->https://www.icliniq.com/ask-a-doctor-online/cardiologist | Q. Am I at a risk for heart attack? |
Hi doctor, My son was diagnosed with ADHD before a year and subsequently he was given Vyvanse 20 mg. He has continued to take this medication until this year with a dosage increase from 20 mg to 30 mg. He is 8 years old and weighs about 70 lbs. I would like to get him off this medication and try an ayurvedic approach. Last one year, when he has been on Vyvanse, he has not gained any weight and frequently lacks appetite. Currently, he is on summer break and not on this medication. He will be homeschooled from this year onwards. | 715 | Hi. Rather than just mentioning as ADHD (attention deficit hyperactive disorder), I would request you mention the dominant symptoms you have noted in him. Also, mention about his bowel movements, sleeping and food habits. Revert back with a detailed history to an ayurveda specialist online -->https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist | Q. I would like to try ayurveda for ADHD. Please help. |
Hi doctor, I am 41 years old. I am dealing with separation. My husband is possibly a sociopath. He left the city two years ago and wants a divorce now. I am unable to go ahead with it. I need some help for my anxiety and the illusion he created years ago. Also, I was on Daxid 100 mg and stopped now. | 716 | Hello. Separation from spouse. Depression mixed anxiety. Revert back with a detailed history to a psychiatrist online.---> https://www.icliniq.com/ask-a-doctor-online/psychiatrist | Q. Dealing with separation. Please suggest something to take my feelings away. |
Hi doctor, I am 44 years old. My right eye seems a little more watery than my left eye. It is not running down my cheek, but does feel a bit more watery. I just feel this for a couple of weeks. I have not had any swelling or pain in my eye. Also, there is no discharge from my eye. My vision is normal. Could right eye a bit more sensitive than the left? | 717 | Hi. For further information consult an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist | Q. Could right eye be more sensitive than the left? |
Hi doctor, I am having cough for two to three weeks now. It is mostly dry and frequent throughout the day. I am getting two to three coughs at one time and then it continues. Currently, I am taking Piriton-CS, Pantocid and Montek-LC. I had bronchitis problem a few years back wherein I used to get frequent cough. Please help. | 718 | Hello. I had gone through all the details you have posted. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician | Q. Am I under the right treatment for cough? |
Hi doctor, My baby is 9 days old. Heart murmur was identified during check with the pediatrician. He said that the cardiovascular system is abnormal with soft systolic grade 2/6 murmur at LSB. We have done the echocardiogram and the results are as follows: Ventricular septal defect (Q21.0) with stable condition and atrial septal defect (Q21.1) with stable condition. Moderate size secundum ASD, moderate size perimembranous VSD with PG of 55 mmHg. I would like to know the risk factor on the identification of the murmur and the steps to cure this as early as possible. We need your support and guidance on this. Thank you. | 719 | Hi. I appreciate your trust in our services. I have carefully reviewed your query and can well establish the sensitivity of the health issues you described. For further information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist | Q. What is the risk of heart murmur in a 9 days old 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? | 720 | 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. | 721 | 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. | 722 | 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. | 723 | 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. | 724 | 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 am a 24 year old female. I was previously diagnosed with UTI for three to four times in the last two years. Now, I have a frequently occurring problem of itching and burning in my urethra about three to four times in a month. It stays for around 4 to 5 hours and slowly goes off after drinking lots of water and visiting the washroom every now and then. This generally happens when I miss drinking required amount of water. I drink a plenty of water of more than 8 liters a day. It also happens when I miss going to the washroom if my bladder is full. Kindly help me as my life is getting severely affected by this and I stay quite depressed owing to this. I have taken Urispas when the situation gets worse. The urine culture reports show nothing negative. Is there any treatment for this? What are the necessary precautions? | 725 | Hi. For further information consult a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist | Q. Other than UTI, what can cause urethral discomfort? |
Hi doctor, My brother had pain in the right side under the rib and feeling stomach fullness. We took him to the hospital and an ECG and a few blood tests were taken. Both are normal and he was discharged with some painkillers. Next day morning, the same issue repeated. When we took him to the doctor, he advised to take a urine test. After seeing pus cells, he asked us to take urine culture. The urine culture report came as no growth. I have attached the above reports for your reference. Please look into the reports and suggest the treatment. | 726 | Hi. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician | Q. Should I worry about my brother's urine culture report? |
Hi doctor, I am suffering from depression for the last two years. My doctor had changed my drug recently to a new one, which is Zoloft. I have been taking it for a month maybe. I am traveling now and in the airplane I got tired along with depression and severe panic attacks. Even, after reaching the place I could not settle down. I feel as if my heart is going to stop beating from fear, anxiety and panic attacks. I do not really know the reason. I just need something I can do in order to relax from these symptoms. My flight is after two days and I really do not know how and what will happen. Before a year, when the severity of the depression was stronger than now, I did not breathe and the emergency staff gave me oxygen. How to make myself relax? I am really trying to calm down. I am telling myself not to fear and relax without thinking anything. Please help me. | 727 | Hi. I read your query and understand your concerns. I am glad to know that you are willing to take necessary steps for avoiding similar problems of depression, which had crippled you last year. Although all kinds of behavioral intervention need personal interaction and complete assessment, but deep breathing is the one, which can be used in any situations without much effort. When you feel something is wrong do deep breathing. Allow a single breath of in and out around 10-15 seconds. This will help you to control the tiredness and fatigue. Secondly, keep yourself hydrated. Take at least four to five liters of water every day, including the day of travel. Thirdly, ensure proper sleep if possible. If you are not able to sleep properly without medication, then consult your specialist doctor and ask for a prescription. For further information consult a psychologist counsellor online --> https://www.icliniq.com/ask-a-doctor-online/psychologist-counsellor | Q. How to relax myself during panic attacks? |
Hi doctor, I am a type 1 diabetic. I have been prescribed Evista as I have precancerous cells in my breasts. I have had multiple biopsies done in the past 5 years and they were always benign. I am concerned about the harsh side effects of Evista. I cannot sit for extended periods of time as blood clots may occur and also I have an increased chance to get stroke being diabetic. Now, I am retired and not as active as I used to be. Please help. | 728 | Hello. I had gone through all the details you have posted. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician | Q. Being a diabetic, why was I started on Evista? |
Hi doctor, I have had about a six years dependency on the drug Suboxone. I do not abuse it, but I have tried several times to taper or wean. I have a white-collar high profile job and I really need to get this off to avoid problems in the future. Do you have any recommendations to get this off? I would really appreciate any help you could mention. Thank you for your time in advance. | 729 | Hi. For further information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist | Q. How to stop taking the drug Suboxone? |
Hi doctor, I have some kind of allergy on the head of my penis. Please tell me how to resolve it and which doctor should I consult. My age is 25. I did not consult any doctor before this. I do catch a cold in a month or two and I skip my diet many days. I saw this allergy a month ago when my girlfriend got tonsillitis after having oral sex. She said it was because of this. It has still not resolved, I thought it as nothing much and it is in the same manner since then. I do wash it regularly and I use to masturbate too much. | 730 | Hello. Revert back with the answers to the above questions to an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician | Q. What shall I do for allergy on the head of the penis? |
Hi doctor, I am having DVT in my left leg. I had about a year of Warfarin treatment and it was stopped two months back. I had my thrombophilia profile and it shows protein C deficiency. What to do? | 731 | Hi. Based on your query, my opinion is as follows: For further doubts consult a hematologist online --> https://www.icliniq.com/ask-a-doctor-online/hematologist | Q. What is the treatment for DVT? |
Hi doctor,My wife is 14 weeks pregnant. Since yesterday night, she has been suffering with severe left hip pain. She is unable to stand, sit and walk comfortably. It started with mild pain before a month. The pain seems to be unbearable. I have applied the pain reliever cream and spray, but it did not work. Kindly suggest me what I have to do. | 732 | Hello. For further information consult an orthopaedician and traumatologist online --> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist | Q. What to do for severe hip pain during pregnancy? |
Hi doctor, I am 25 years old. My weight is 53 kg and height is 5.3. From yesterday afternoon, I have some pain under my rib cage. Please check the reference image. I can breathe easily, but it is paining when I am breathing heavy. It has also pained when I laugh, cough and puke. Please help me with this. Recently, I took a thyroid test. I do not know of it is useful, but I am attaching it. Thank you. | 733 | Hello. Revert back with the answers to the above questions to an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician | Q. Please help with my pain under my rib cage. |
Hi doctor, This is regarding the personal health of my husband. I am suffering from a very bad sex life due to very low sex interest of my husband. To tell about the past, we had a long courtship period of 1-1/2 years in which I was able to understand from his conversations that he has very low interest in sex. I ignored that and got married to him. Right after our marriage, we had sex daily and then it started reducing gradually. The frequency fell drastically from having sex once in a week to once in 15 days. Whenever I tried to initiate or have a word with him about it, he said that a man needs to be very free to have sex and busy people generally have low sexual engagements. I know that it is not true and I believe that he gives some excuse to his own weakness. Now, at the end of one year of our marriage, the sex has reduced to once in a month. So, you can understand the level of frustration I have landed into, which is severely affecting my own personal health and interest in staying with him. He hardly gets aroused once in many days and does not react sexually even after I make advancements. He does not react, does not understand and most importantly, not able to enter me without putting a condom. He says he gets support with the condom. So, the second issue you can understand is that with that condom I cannot conceive also. He has very low interest in anything related to sex and he is not able to enter me properly as he says it hurts him. Otherwise, he is such a loving husband and its tough for me to believe that he does not want to make love to his wife for any other reason. I would like to tell you that he does not have a separate skin from the shaft, it rather covers the shaft and that pretty much indicates he even masturbates very less. Could you please help me? Could you please tell me if this is normal with some men? Does the case of my husband look abnormal? What are the tests that he must get done to affirm that he suffers from sex issues or low testosterone? What line of treatment should I take him to? Thanks in advance. Please help me as this is ruining my personal health and would probably push our marriage to the end of divorce as my family knows about it now and does not want me to stay in a marriage with a man who cannot keep me physically happy and still not accept he has some issues. Thank you so much. | 734 | Hi. I read your query and understand your concerns. For further information consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist | Q. How to affirm that my husband suffers from sex issue? |
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? | 735 | 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. | 736 | 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. | 737 | 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. | 738 | 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. | 739 | 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 do not have any health issue. But, I am not in mental peace with my close friends. I do something that is unintentional and it bothers my friends. This creates a sense of agony in me; it bothers me a lot as I overthink. The issue can be very small and negligible, but I think that one of my friends uses me monetarily, may it be a matter of a very small amount. I am often embarrassed amongst them, but this is because of the reaction of the other people. | 740 | Hello. Welcome to icliniq.com. For further information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist | Q. I feel that one of my friends uses me monetarily. What to do? |
Hi doctor, My grandmother is 80 years old. Her left side is paralyzed. She is incapable of holding or carrying any weight or exert pressure by her left arm for more than 15 years. Now, she met with a fracture in the same hand. I have attached the x-ray of her left arm. If the fracture and dislocation of elbow remain uncorrected, will there be any problem? Please advice. Will it fuse or calcify in some position? Now, she is using an arm pouch sling and feeling no pain in her arm. | 741 | Hello. Thanks for posting your query along with the x-ray image (attachment removed to protect patient identity). For further information consult an orthopaedician and traumatologist online --> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist | Q. Can an 80 year old undergo surgery for fracture? |
Hello doctor, My brother-in-law gone through CA tongue right side operation followed by radiation and chemotherapy before six months. From last two weeks, he is getting pain on the left side of the tongue and we consulted the doctor again. Doctor said that there is no possibility for further operation and radiation therapy. He suggested that he needs to go for chemotherapy only. Though we opt to go for chemo, his body is not able to support. He became very weak as he underwent surgery, radiation and chemo already. This also has more side effects and with this he will be unable resist. Also, the doctor said that there is no scope in curing. And, he advised to go for medicine, which is equal to chemo. I kindly request you to give best possible solutions to save his life. Is there a possibility of recurrence of cancer in the left side within this short period? What is the stage of cancer before and after operation? I have attached his current medication. Is it fine to continue? | 742 | Hi. I understand that your brother-in-law has undergone treatment for tongue cancer. For further information consult a family physician online --> https://www.icliniq.com/ask-a-doctor-online/family-physician | Q. Can cancer recur within six months of operation? |
Hi doctor, I met with an accident three months before and my left leg was injured. It includes tendon cut and multiple fractures. On the next day, the tendon was repaired through an operation. After 25 days all stitches had been removed and I got plaster on my left leg. And now, the plaster has been removed. Yesterday, when was going through physiotherapy for my left leg, it started paining a lot. My face started sweating and I felt dizzy. Then, I had a glass of water and managed. My question is that why is it so paining? Will I be able to run in the future? | 743 | Hi. Revert back with the x-ray to an orthopaedician and traumatologist online --> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist | Q. I could not bear the pain while doing physiotherapy for leg injury. Why? |
Hello doctor, I am 44 years old. I have Bartholin's cyst for the past eight months. It is small but painful daily and has a very tiny pinprick hole on hymen that seeps a translucent non-offensive discharge after I bathe or massage the lump. The lump is deep under labia major pea-sized. According to MRI, it is 10×8×4 mm. Will a gynecologist operate on it being so small and do a biopsy due to my age? | 744 | Hello. I have gone through your description, the details you mentioned definitely suggest there must be some infection in the Bartholin's gland. As you have mentioned it has been painful for eight months, I would like to know if you took any course of antibiotics to address the infection. In your case, you can try that as the cyst is still very small. Although the definitive treatment for a Bartholin's abscess is excision and marsupialization of the cyst, for mild cases a course of antibiotics may provide some relief for some time. But there can be a recurrence of infection in such cases in the future. If the lesion is persistent or it increases in size, excision of the same is recommended. And it is usually a very minor procedure and not that painful too. So please do follow up with your gynecologist in case you face any such issues. I hope this helps. | Q. I have a small painful Bartholin's cyst with translucent discharge. Is biopsy required? |
I got my wisdom teeth removed 5 days ago , I ran out of my medicine and my mouth in severe pain so I went to place again and got gauze soaked in colver oil put into the holes of my wisdom teeth, the taste is horrible and burns and is making me sick to my stomach , I’m wondering if I can just take the gauze out myself | 745 | Hello , Welcome to ICLINIQ This is your personal Dentist - I went through your query and am deeply sorry for your inconvinience and you have been uncomfortable for these may days. As an Expert I understood exactly what happened, after an extraction we warn the patient of not rinsing vigorously only warm saline gargle as softly as possible after 24 hrs . If this is not follows the clott at the extraction site dislodges exposing the bones , day to day food acumulations also adds up leading to the level of pain you are under . So your Dentist to heal the socket places a gauge with medication which is not ment to be taken out by you . As its heling the wound healing and will eventually reduce the pain and also donot allow food particle to accumulate at the extraction Site. The smeel can be too annowing as one can be deeply iritated by it , due ti clove oil it might feel burning sensation too . But donot worry that will fade off as soons as the extra medicament which might got rubbes on your gums gets risned out( do it slowly or you might disloage the gauze too thats not good ) . You can apply *BUT DONOT TRY TO TAKE THE GAUZE OUT*. let me know if any further query am here to help.Feel free donot hazitate and upload an image of the site if possible. I will be waiting . Thanks alot. | Q. Can I remove the gauze soaked in clove oil placed on the site of wisdom tooth extraction? |
I am 22 yr old girl. I was suffering from Urinary infrction. I comleted my medication nd have urine culture but no bacteria found there but I still have high symptoms that is urge to pee and sensation in genital feels like I hv to pee all the time. I am getting depressed this is now 3 4 months I am experiencing these things. One year back these type of symptoms I have experienced but I didn't paid attention and I dont know when they goes away by own. | 746 | Hello, Welcome to Icliniq. I understand how distressing it must be for you. Please go for thorough evaluation of the cause for recurrent Urinary Infection. First of improve your water intake. Make sure you drink at least 3-4litres of water. Excessive urine while drinking plenty of water will flush out the infection from the body. Regarding your urine culture, it would be advisable to check if you had given the sample prior to starting the antibiotics course, as once you start the antibiotics and then submit the sample it may not show any bacterial growth on culture , plus you are likely to develop Antibiotics resistance infection because of inappropriate antibiotics. Please get an ultrasound KUB ( Kidney, Urinary Blaader) to look for any kidney or ureteric stone which can cause repeated infections. Please feel free to revert back with your queries anytime. Would be happy to help. - Urine routine and microscopy - Urine culture and sensitivity, - Ultrasound whole abdomen and pelvis. - Haemogram. - Syrup Citralka 2tsp thrice daily in half glass water when there is burning. - Tablet Urispas twice daily after food for 5 days. - Antibiotic after urine culture sensitivity report. - Drink plenty of water or fluids at least 3-4litres per day. - Review with reports as advised, or if there are any doubts or queries. | Q. I have symptoms of urinary infection, but no bacteria found in the urine culture. Why? |
I am observing viginal burning and not regular but white discharge also. I am having cramps after having orgasm, very uncomfirtable feeling in my lower body. What to do? Also please suggest some hime remedies to help more.. Its been more than 6 months earlier i didnt left pain after having intercourse but now i am feeling pain i dnno why which is why i have become scared to do any further . Im feeling like vaginal burning , cramps after orgasm even though its been 2 months i hadnt done any sexual activity. And uncomfortable feeling in my lower body.. Gender- female Age -26 Height- 5.6 Weight -72 kgs Thanks | 747 | Hello, Welcome to Icliniq. Based on your symptoms, it appears you are suffering from genital tract infection. I would like to the if you have any offensive odour of the vaginal discharge, or associated itching. I can prescribe some Medications for the pain relief. But for definitive treatment with antibiotics more details would be needed. Please consult me for a detailed discussion so that definitive treatment can be given. Ideally, you should be visiting a Gynaecologist to have a physical check up and a pap smear. Please revert back to me with further details and for definitive treatment. - Ultrasound Abdomen and Pelvis. - Pap smear. - Tablet Meftal Spas SOS after food for pain relief. - V wash for local cleansing. - Avoid Sexual intercourse till symptoms subside. - Avoid vaginal douching. - Change Undergarments frequently. Follow up for further discussion and definitive treatment. | Q. I am having vaginal burning and white discharge. What to do? |
Dear Sir, When my eye power 2 years back, My Vision was RE- SPH- +0.5 and ADD + 1.25 LE- SPH- +0.75 and ADD +1.25 But wrongly I was using a Glass of Power RE- SPH- +1.50 ADD +1.25 and LE - SPH +1.50 ADD +1.25 yesterday when I went for a test I got to find my Vision is RE- SPH- +1.50 LE- SPH--+1.75 SO requesting you to guide me how can I get back my previous Vision. Regards | 748 | Hello, Welcome to icliniq. Com According to your Age you are having hypermteropia which is called far sightedness in which you can see distance objects clearly but near focus will be blurred without glasses. And one more thing you are 46 years old now,so this is an age for cataract. And when you will have cataract and once it will start increasing then because of lens changes there will be change in refractive index of lens which will lead to improvement of near vision and worsening of distance vision . This you can see in your case. You can compare your previous power and recent power. Now you are not having glasses or power for near vision that means you have cataracts which can be in starting stage. So you have to consult an ophthalmologist and you should undergo cataract assessment. | Q. My eye power changed as I was using wrong glasses. How to get back my previous vision? |
Hello doctor, I feel my metabolism rate is slow. When I have food, I am not getting energy. But my stomach and buttock fat level are increasing gradually. My weight is also increasing and stamina is also very low. Please help. | 749 | Hi. Your symptoms look more like hypothyroidism. I would suggest you to check for the same and review back. Take syrup Zincovit 5 ml once daily for one month. CBC (complete blood count). RBS (random blood sugar). Free T4, TSH (thyroid-stimulating hormone). ? Hypothyroidism. | Q. I am not getting energy with low metabolic rate, inspite I am gaining weight. 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? | 750 | 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. | 751 | 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. | 752 | 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. | 753 | 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. | 754 | 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 am 23 years old. My BMI rate is 29 and I am trying to conceive for the past one and a half years. I have irregular periods and my doctor prescribed me Duphaston tablets for getting periods last year. Should I take this medicine again? It has been 90 days since my last period. I tested for pregnancy it was negative. My query is, what should I do for getting my periods or getting hormone balance? These days I cannot go to my doctor due to lockdown. Please help. | 755 | Hi. You may be suffering from PCOD (polycystic ovary disease). If you want to conceive then the entire approach to treatment changes because we then focus on making you ovulate. Let me know your LMP (last menstrual period) and health history and also, any investigations done previously. I understand things are difficult with COVID but you can get the treatment at home only. Do not worry. | Q. It has been 90 days since my last period with negative pregnancy test. Should I take Duphaston? |
Hi doctor, I have been experiencing flare-ups for weeks now. I do not know if this has something to do with the change of weather. I have been having trouble sleeping lately since I am very uncomfortable right now. I am using Cetaphil gentle wash and shampoo because my scalp gets itchy as well. I am using Elica ointment and somehow it helps me with some of the areas that are not really that worse, however, the uncomfortable feeling is still there. Sometimes I take antihistamines, however, I do not think that it helps me feel relieved with my atopic dermatitis. I am 28 years old and a project manager. My clients are in the US and I need to follow their timezone, my shift starts at 10 PM to 7 AM. I weigh around 190 lbs and I am 5'1". I also have an irregular menstrual cycle, and I usually get my period every quarter. I have asthma and I am currently taking Seretide inhaler as prescribed by my doctor. Please help. | 756 | Hi. Atopic dermatitis is relatively more sort of relapsing with seasonal aggravation. It has a genetic and familial component as well. If you have severe symptoms which is hampering your daily activities you need to start with systemic immunosuppressants like Prednisolone and or Azathioprine. Elica ointment i.e. Mometasone is good enough for skin lesions. But I would rather add on Tacrolimus gel 0.1% over the inflamed lesions. But you need to use moisturizers very frequently than previous. You need to take antihistamine on a daily basis. Reduce your stress. Avoid wool and strong soaps. Practice wet wrap therapy. I hope this helps. | Q. I am getting flare-ups of atopic dermatitis with change in weather. Please help. |
Hello doctor, I am 58 years old. I have some very minor tingle in my right second toe. I am very healthy with no medicines and no other symptoms. It started with unilateral tinnitus. MRI of the spine showed moderate to severe stenosis spine. I do exercise, and running, and my neurologist says this might be normal. I had a concussion when I was 17 and spent a day in the hospital. My MRI brain is obviously abnormal with white matter. What is the likelihood of MS? I had an MRI in 2015 and said chronic microvascular changes. MRI of a couple of weeks ago said no tumor on auditory nerves. Please explain. | 757 | Hello. I understand your concern and would explain that your MRI findings (head and spine) fulfill the radiological criteria of MS (multiple sclerosis). There are many old lesions in the head and spine and there is a new lesion in the left parietal lobe, which explains the tingling in the right toes. Although you have no past medical history for paralysis or limb numbness and weakness, these brain lesions are compatible with MS. I recommend discussing with your neurologist about that. As there is a new lesion (with light contrast enhancement), steroids would help to relieve the tingling in the right toes. Regarding the mild spinal canal stenosis, it does not explain the spinal cord lesions in the upper levels which are probably related to MS. I recommend performing a spinal tap in order to examine your cerebrospinal fluid and visual evoked potentials. I hope this helps. | Q. I have minor tingle in my right second toe with moderate to severe stenosis of spine. Please help. |
Hi doctor, I am a 21-year-old healthy male with no underlying conditions. Today about six to seven hours ago, I was getting a haircut and the barber had the cape/blanket around my neck pretty tight and so I asked him to loosen it and when he did, he yanked it back before unbuttoning it and it choked me for a couple of seconds. The cape was lying on above my Adam’s apple so I know it got pressed inward. There is not a lot of pain just discomfort like the feeling after getting choked. It was not intentionally done hard but it might have been the angle and where it was lying because it is a bit uncomfortable right now. If I take my mind off from it I do not feel it but as soon as I am remembered I feel the discomfort. Wondering if I had any damage permanently or if it is just temporary discomfort? | 758 | Hello. Your symptom seems to be temporary. You need not worry about it. You can take a plain Paracetamol 750 mg (Tylenol) twice daily for three days after food. Tylenol will not only reduce the pain and discomfort but also the inflammation post-injury. Instead of Semithecone, you can take Nexium 20 mg (Esomeprazole) once daily on empty stomach for three days (because Tylenol can cause acidity). | Q. Due to accidental pulling of cloth around neck, I choked for a few seconds. Will it cause any damage? |
Hello doctor, When I am trying to pass stools my testicles get really big, also there is a cyst in my right testicle. Besides this, I have pain in my lower back. What is your advice to get the cyst killed and get back to normal? If necessary, I can send photos. Please help. | 759 | Hi. With the history you have told, it seems like a hydrocele or an inguinal hernia with extension into the scrotum. If possible do send the pictures for a better idea. And also answer these questions. Do you suffer from constipation? Any abdominal pain? Any fever? Any issues while passing urine? Do you have diabetes? Awaiting your reply. Please update a clear picture. | Q. Cyst in my testicles are getting bigger while trying to pass stools. Please help. |
Hi doctor, I am 34 years old and weigh about 96 kg. My latest lipid profile shows Triglycerides - 398 mg/dl. HDL - 27 mg/dl. LDL - 96 mg/dl. Total - 175 mg/dl. Please advise what to do? Any immediate medication I need to start? Which doctor to consult? Any other tests to be done? | 760 | Hello. I can understand your concern. According to your statement, you have increased triglyceride levels and low HDL (high dentisity lipoprotein) levels. Your HDL has been varying from 24 to 38 for the last three years and your current medication is Colred powder which is a nutritional supplement used for dyslipidemia. For your high TG (triglycerides) level you can start Fenofibrate (trade names Finate, Fenofibrate 200 mg) at night. You can also take Omega-3 fatty acid (trade name Beneficial, Bree C, Carmax) for increasing your HDL. You should avoid oily and fatty foods. Continue your current medication with Fenofibrate and Omega-3 fatty acid. After three months, repeat your fasting lipid profile. | Q. I have high triglyceride and low HDL. What medication do I need to start? |
Hello doctor, I had a miscarriage two months ago resulting in a Dand C at 10 weeks. I am now pregnant (4 weeks and 3 days) and taking 400 mg Progesterone suppositories once per day due to low progesterone levels both in the last pregnancy and in the weeks leading up to the confirmation of this pregnancy. However, my doctor has told me that my estradiol is very low, and that is concerning me. My results so far: 14 DPO Hcg 69 U/L Progesterone 77 nmol/L Estradiol 220 pmol/L. Two days later: 16DPO (yesterday), Hcg 129 U/L, Progesterone 75 nmol/L, Estradiol 239 pmol/L. Is my pregnancy doomed because of my very low estradiol? I was hoping my doctor would prescribe estrogen medication but he does not seem to think that would be an option. Why would he decide that? Do you think estrogen supplementation would help? Instead he is having me take 25 mg daily of DHEA. Do you think this will help and is it safe to take in pregnancy? Will eating foods high in phytoestrogens e.g. soy help increase my estradiol? Also, do you think my low Hcg levels are a bad sign? At 12DPO they were 15U/L so they increased rapidly to 69U/L on day 14 but then slowed a bit to get to 129U/L on day 16. I am due for another blood test tomorrow. I really do not want to lose this pregnancy, but these low numbers are making me worry. | 761 | Hello, Welcome to iclinq.com. I saw your concern. The normal levels of estradiol in early pregnancy can vary from 188 to 2400 pmol/ l. Similarly, progesterone can vary from 12 to 90 nmol/l. HCG (human chorionic gonadotropin) has doubled, which happens only in a healthy growing fetus with good trophoblastic activity. Do not worry much about estradiol, it has no big significance in treating previous early miscarriages. Everything looks normal. Continue progesterone for luteal support and prenatal vitamins as prescribed. Above all stay positive and confident. | Q. My estradiol level is low. Will taking DHEA help in increasing the same? |
Hi doctor, For the past two weeks, I have been having calf tightness in both legs. I am 22 years old and I weigh around 230 pounds. Nothing I do seems to make it go away. Three weeks ago, I went to the hospital for chest pain and they did a D-dimer and it came back negative. I feel the tightness in my lower calf and upper back of the thigh. It is in both legs but I mainly feel it in the left. It is not unbearable more of an annoyance. I have tried Epsom salt baths, Ibuprofen, etc. | 762 | Hi. I see you are suffering from calf tightness and pain for the past two weeks. One reason could be due to your overweight. Other, could be blood clot formation in the veins as you are at high risk for it. Or, it could be because of salt imbalance in your body if you are not taking adequate nutrition and water. I would like to know, do you exercise regularly or go to the gym for weight reduction? Do you take any medicines as a part of weight-reduction plan? Are you in any regular medicines for any issues like high cholesterol, diabetes, or thyroid problems? What is your job? Do you stand for long hours in a day? CBC (complete blood count). Free T4, TSH (thyroid-stimulating hormone). RBS (random blood sugar). Serum lipid profile. Serum potassium. Both lower limb venous Doppler. Tablet Aceclofenac and Tizanidine 1 tablet twice daily after food for five days. Electral powder one sachet mixed with 1 liter of water to be taken frequently. Adequately hydrate yourself. Avoid long time standing. | Q. I have tightness and pain in both calves. How to get rid of this pain? |
Hello doctor, I am 62 years old. A week back, I had severe abdomen pain so I took an ultrasound. The report says I have 9 mm size gallstone. I have also checked my lipid profile which are normal. I request you kindly suggest further action required. I am currently taking Lipicard. | 763 | Hello. I have to have more information about this pain before I can tell you what is the cause of this pain. Usually, the gall bladder stone of such size (less than 10 mm) in size does not cause pain, and if it does, then the pain has to be characteristic one like pain starts within half hour of meals and gradually increases in intensity within next 1 hour and then start declining for the next three to six hours. Vomiting can occur with increased severity of the pain. If you have any of symptoms as mentioned, then it is possible that pain is coming from gall bladder stones, and the definitive treatment is cholecystectomy i.e. removal of the gall bladder. Again, I want to emphasize that most of the stones of such size usually do not cause pain and remain asymptomatic doing no harm to the patient throughout their life. The other cause of sudden and severe abdominal pain are ulcers within the stomach, food pipe or small bowel, inflammation of the pancreas called pancreatitis, diabetes and its complications, lead poisoning, drugs such as pain killers, and few other causes. Your lipid profile is normal, and ultrasound is otherwise normal except that stones which are clearly visible. You can start capsule Esomeprazole 40 mg half an hour before meals, it will resolve the pain if coming from ulcers in the stomach. However, I highly recommend you to provide more information regarding your problem as I can be in a good position to diagnose and tell you what to do. Peptic ulcer disease. ? symptomatic gall bladder stone. Pancreatitis. Drug-related functional pain. Complete blood count. Serum amylase, lipase, calcium, BUN, creatinine, and electrolytes. Stool for H.pylori antigen. Pancreatitis. Drug related. Lead poisoing. Peptic ulcer disease. Asymptomatic gallstones. Capsule Esomeprazole 40 mg half an hour before meals once daily. Follow up to provide more information about the pain. | Q. I have severe abdominal pain with 9 mm gallstones. What should I do now? |
Hello doctor, I have ED problems for about a year. I am 22 years old, healthy, active, no other physical health problems. A possible reason for this is I had a bad case of blue balls on a night and was not resolved until the next morning. I believe this may have affected my veins in my testicles. My ED may be mentally too, like libido, but I do not think that as much as a physical problem with blood flow. Please help. I did a test with that gel stuff on testicles and x-ray type thing and they said nothing wrong. | 764 | Hello. I would like to know a few information about your general health. Is ED present all the time or noticing association with anything particular? Do you take any medications in general or anything for ED? The most common cause for ED in your age is psychological. Any undue stress in life? Any family history of medical problems diabetes, cholesterol, etc? Do you have a partner? Any change in partner recently? Any relevance you notice either this? Also, I am not very sure what blue balls exactly describe. But seeing that you have had an ultrasound of scrotum, I think it is unrelated to ED. Scrotal scans are not relevant for ED. So need more information on how and why you had this? Stress, psychological. Check fasting lipids, glucose, thyroid and testosterone levels. Also need the reports of scans, consultation reports already done. ? Varicocele (incidental not a cause for present complaint). Anorgasmia. Dysejaculation. All these are far less likely. ED (erectile dysfunction). Ensure no stress, take help if needed. Reassure that ED due to pathological cause at this age is unheard of. Try a dose of drugs like Viagra, purely to see responset. It is not recommended as long term until we have further information. Relaxation techniques. Avoid stress. Reassure positively. Highly recommend to take proper urological consultation to work up properly either locally or online. | Q. I am 22 years old and not able to acheive full erection. 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? | 765 | 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. | 766 | 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. | 767 | 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. | 768 | 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. | 769 | 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 25 years old. I suffer from premature ejaculation. I have always had it in the sense if I am aroused, I ejaculate within the first 20 to 30 seconds and if I am not aroused, it can take longer, but still less than two minutes. It feels like I am always forcing myself to ejaculate, and perhaps this started with me masturbating in my early teens. Would counseling solve this issue, or is it more serious than that? | 770 | Hi. Let me tell you that the symptoms described by you suggest that you have erectile dysfunction. In this situation, I suggest you Avanafil medication. Moreover, counseling also helpful for premature ejaculation. I recommend you do testosterone therapy (TRT). Avoid alcohol and smoking. Avoid stress and anxiety. Some exercises also helps like Kegel exercise and aerobic exercise. More details you may consult with me. I hope this helps. | Q. I have problem with PE where I ejaculate within 20 seconds of arousal. Is it a serious issue? |
What are some common causes of one sided SI joint Pain that comes and goes? I'm 25 and just had a baby (naturally) 10 months ago. Back pain started at 8 months Postpartum . | 771 | There are various causes of SI joint pain which range from: Considering your history, it appears more likely due to pregnancy and incorrect posture. It is imperative to know if you are able to fold your legs , any pain in bending forward or backward, any issue in walking. Mild SI joint pains can get relieved with exercises. Severe may require SI joint injections Please let me know if something else is required With regards | Q. What are some common causes of one-sided SI joint pain? |
Hello doctor, I am 32 years old and weigh about 65 kg with a height of 5.5 feet. I have a problem in my anus, Actually, I had anal fissure before and when it is gone there is a skin tag and warts develop. But the crucial thing is an unexplained thing that looks like a wound near in my anus. I hope someone could tell me and answer my problem. | 772 | Hello. I will definitely help you with your query. Skin tags are formed in long-standing anal fissure. These are nothing but accumulated skin due to fissure usually nothing to do for that but if you have any problem because of it like pain, bleeding, or pus discharge, you can opt for surgery. It is a very minor surgery. No side effects or any problem after removing them by an experienced surgeon. A raw area will form that will heal on its own. It can reappear if you have another formation of anal fissure. So avoid the conditions that will cause it again like spicy food and constipation. I will advise you to start a sitz bath in which you have to sit in lukewarm water for 15 minutes twice a day, 10 ml Betadine can be added to it. You will get a better result in some time. I hope this helps. | Q. Skin tag post healing of anal fissure appears as wound near my anus. Please help. |
Hello doctor, I am experiencing pelvic pain for the last few days everytime and my period is late for 1 week as of now. I confirmed that I am not pregnant. I have an urge to urinate more than normal. I also have small nipple pain on both the sides. Please clarify my doubt. | 773 | Hi. Please mention how your menstrual cycles are regarding regularity, duration of bleeding, etc. Your symptoms might be due to premenstrual syndrome with Urinary tract infection. If periods are delayed for 7 days and pregnancy test is negative wait another 7 days for your periods. If not repeat a preg colour test again and inform. Take the tablet below for pain and if pain increases or there is dizziness nausea vomiting or fainting do an USG TVS and inform. Urine for RE ,ME and Culture sensitivity test .Urine for pregnancy test and USG TVS if no periods in 7 days Preg colour test and USG TVS if periods dont occur in 7 days. Urinary tract infection with delayed periods with premenstrual syndrome Tablet Urispas (Flavoxate) 1 tablet twice daily for 3 days. Tablet Drotin Ds 1 tablet SOS on pain abdomen Drink plenty of water avoid salt sugar and caffeine intake. 7 days. | Q. What causes delayed period with pelvic pain? |
Hello doctor, Approximately 4 months ago, some mild pain started in my right shoulder joint but i have not taken it seriously. It started bothering me since end of February and it was slowly worsening. I daily travel by crowded trains, approximately 25 km to my workplace and back. By middle of March, while travelling (by standing) in train holding overhead handles my shoulder was hurting with every push from the crowds at various stations. During day time, there was not much pain I felt, but in the night, my sleep was disrupted frequently with pain (like pulling with a hook) on the shoulder. I applied "DYNAPAR QPS" (Diclofenac Diethylamine and absolute Alchohol Non-Aqueous Topical Solution). My mother was using it for joint pains and she asked me to try it but I got no relief with it. Then my cousin practicing Homeo medicine advised me some Homeo medicines and it provided only a slight relief. In the 1st week of April, I consulted an Orthopedic (Joint pain/bone specialist) and had taken X-ray of my right hand in 2 different positions. He suggested it is due to frozen shoulder problem and advised rotation of hands, shoulders, neck, etc., along with some medicines (mainly pain killers and anti-acidity medicine). Even after taking it for 25 days, still I am having pain, mainly in the inside bend of the right-elbow. If I raise my hands straight, it hurts very little, but if I bend it to comb my hair or putting my hands through the sleeve of my shirt it hurts very badly. During day time, the pain is very minor but in the night after the sleep of an hour, it starts paining badly. What I assessed is, while the weight of the upper body rests on the shoulder or around the area (including back side) while lying down, the pain radiates from this region and it hurts mainly the shoulder joint, forearm muscles, elbow joint and the wrist. After trying various positions to rest the hand and shoulder with pillows/soft towels, the pain eases little and I fall asleep again. This repeats throughout the night. I use Laptop extensively at work and at home also. Sometimes I feel a pulling pain in the wrist when I use the mouse more, but no problem with key board. Now I am working from home due to Covid19 lockdown, but afterwards, I may have to travel again by train and I am scared of the pain I will have to suffer. | 774 | Hi. It seems to be frozen shoulder, as told by orthopaedic earlier. Primary treatment of frozen shoulder is physiotherapy. Pain killer and muscle relaxants are given temporarily, start on tablet Neorelax MR 8 (Aceclofenace + Thiocolchicoside) two times a day for 5 days along with anti-acid tablet Pantoprazole 40 mg before breakfast for 5 days, stop remaining medicines. After 3 to 4 days start physiotherapy of shoulder, you may consult physiotherapist, he may suggest better physiotherapy excercise. Diabetes has to be ruled out, please check FBS and PPBS for sugar. If not relieved with above then get an ultrasound of that shoulder done. | Q. How can severe shoulder pain be treated? |
Hello doctor, I am hypothyroid. Thyroid gland destroyed by Radioactive Iodine 14 years ago. My fasting blood sugar level is always in the range of 6.1 to 6.5. I have tried intermittent fasting even after 22 hours it does not drop below 6.0. Postprandial is in the range of 9.5-10.4. I do not have any sugar or rice or bread in my diet. Only carbohydrates is brown chapatis. Am I Type 2 diabetic? I take 200 mcg Levothyroxine everyday. | 775 | Hi. From your history it is evident that you are on replacement therapy for hypothyroidism post-radioactive iodine,and also known diabetic since 6 months. From your history, age and other parameters it is type 2 diabetes mellitus. It is not only carbohydrates which contributes to the same. Insulin resistance is the main culprit. From the details above it is clear your blood sugars are not under good control (hbA1C 8.8). I would recommend to monitor your blood sugars at different point of time to know at which time it is increasing. (That is monitoring before and 2 hours after breakfast, lunch and dinner using a glucometer) and want to adjust your diabetic medications accordingly. lifestyle modification Diabetic diet regular aerobic exercises for about 30min a day avoid simple sugars, juices, fruit with high glycemic index modify oral antihypoglycemic agents according to blood sugars | Q. Is it possible for a hypothyroid patient to develop diabetes? |
Hello doctor, I went to my doctor in February complaining of burning pee and discomfort. They tested me for a UTI and yeast infection and said there was nothing. Then I went to my gynecologist two months after that still having the symptoms she swabbed me and I had a yeast infection. Sex really hurts and I am scared that it is not just the yeast infection. What if sex hurts? | 776 | Hi. Please tell me that do you have any discharge through vagina. Sometimes urinary tract infection along with vaginal infection causes this pain. Please do get back to me for the follow up once the urine and blood reports are available. If sex hurts now refrain from sex till the infection is cleared and use the following medication. UTI with fungal infection Urinary tract infection and fungal infection Clotrimazole vaginal pessary (100 mg ) insert into the vagina at bed time for 6 consecutive nights. Maintain hygiene, drink plenty of water and oral fluids. | Q. I am having burning sensation while urination. Is it due to fungal infection? |
Hello doctor, I have a burning sensation in the left side lower abdomen (a bit underneath the navel) and nausea for 2 weeks. | 777 | Hello. Well to be very honest I am not convinced with the diagnosis of IBS. IBS does cause a significant pain which is obvious in nature and show characteristic spasm like pain, not the burning you you described. Pain of IBS however, do occur over lower part of the abdomen. The burning nature of the pain suggest may be ongoing urinary tract infection, or a nerve pain within the wall of abdomen not necessarily within the bowel itself. This may be the reason pain is not responding to colofac which is an effective medication to control pain of IBS in among every patient. I suggest you test urine detail report and ultrasound abdomen with kidney ureter and bladder to exclude if there is underling kidney or ureter stone or infections involving these organs. Take plenty of water making sure you have adequate amount of urine daily. You can continue with Omeprazole if you think this helps in this condition, otherwise you can stop these medications for now. First confirm then I can suggest you some treatment. Meanwhile for burning you can take capsule Pregablin 75 mg at night. It causes increased sleep that why suggested to take at night. This will help nerve and muscle pain. Nerve entrapment pain KUB stones, infections urine detail report and Ultrasound abdomen with kidney ureter and bladder Cap Pregablin 75 mg at night. It causes increased sleep that why suggested to take at night. This will help nerve and muscle pain. You can follow up after investigations | Q. What causes burning sensation in lower abdomen with nausea? |
Hello doctor, I had a bad complaints of OCD 7 years ago, then I met with a Psychiatrist, he advised me Clonazepam 0.5 at night alongwith Escitalopram 10 mg in the morning. I felt a little comfort. But for getting more effectiveness I increased myself the dose of Clonazepam upto 2 mg for anxiety, panic attacks, etc. Now I am quite well using the above-mentioned medicines and I do not miss my dose (Escitalopam 10 and at night 2 mg Clonazepam). Now I am facing serious problems of sexual erection due to which my marriage life is disturbing because my libido is too much low. It is requested to kindly help me or advise me in the matter. | 778 | Hello. I am sorry to hear about your situation. I can imagine how hard it must be for you. I would put forward a few things you need to consider right now. First of all, Clonazepam at a dose of 2 mg if used for long duration can be addictive. This medication should be used only for initial few weeks or months to stabilize the anxiety symptoms. Escitalopram unfortunately can cause sexual side effects, what you can do is, if medication is working for you, ask your doctor to add something for sexual side effects or you can ask for changing the medication. Please do not worry as this is a common side-effect and only stays till the medication is going on and it gets normal after a few days of stopping the medication. Please do not stop medications suddenly, you need to taper them off and also take an alternative medicine otherwise your OCD symptoms can come back. You can start therapy. Cognitive behavioral therapy will help you with OCD symptoms and this will help you getting off of medications soon. | Q. I am having low libido after taking medications for OCD. Kindly advise. |
Hi doctor, My father is suffering from hepatitis B and currently his medication is going on. Medicines are: Entaliv 0.5 mg, Reheptin, Pantodac L, Livoluk 15 a day, Ulyses 300, Norflox 400, Lasilactone once a day, Lket trice a day. Also, tapoing is doing. Condition- Fluid in abdomen, back pain, low BP (90/60). No improvement even after two months of treatment. | 779 | Hello. I can understand you must be very upset about your father's health. Form history and medication history, it seems he has liver cirrhosis. In other words it is called scarring of liver, shrunken liver, or chronic liver disease. Well the medications he is on, and recent history of tapping of abdominal water, suggest he has advanced disease which require a close follow up and listing such patient on liver transplantation. The liver transplantation is the only definite therapy for advanced liver scarring such as in your's father case. But it is required to assign liver transplantation not too early and neither too late. There are some scoring that should be performed before recommending liver transplant. The one such score require blood investigations, radiological test such as Contrast enhanced CT scan. The reason why you do not see any improvement even after 2 months of treatment is that all treatment is just supportive and does not correct underlying problem within liver, except Entaliv which is used for suppression of hepatitis B infection. To correct underlying liver, it is liver transplantation which could help. The survival are good after liver transplantation such as on average 70% individuals survive at 5 years after successful transplant. I want you to share me the complete blood investigations and tests that have been done, as I can be able to stage his disease, and give you reasonable approach to the problem. Chronic liver disease Hepatitis B related Follow up to provide more information and investigations | Q. What causes fluid in abdomen with back pain and low BP in a hepatitis B patient? |
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? | 780 | 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. | 781 | 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. | 782 | 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. | 783 | 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. | 784 | 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 have been feeling a little tired and only right or center part of my forehead hurts. No fever but sometimes I get mucus from the throat. This is happening form yesterday. Can this because of frequent showers? Each time I go outside the house to buy something, I get paranoid and take complete head to toe shower. This happens 3-4 times a day. Can you suggest how to go about it? | 785 | Hello. With the history you have given, the problem you have can because of the frequent showers. Kindly avoid going out and take bath frequently. I would suggest a short course of antibiotics with supportive measures. Take tablet Augmentin (Amoxicillin and Clavulanic acid) 625 1-0-1, Montek-LC (Montelukast and Levocetirizine) 0-0-1, Zencold plus (Paracetamol, Phenylephrine, and Chlorpheniramine maleate) 1-1-1, and Pantocid (Pantoprazole) 1-0-0, all these for three days. Take hot water, and avoid frequent showers. Kindly get back for follow up after three days. | Q. I am feeling tired with mild headache. Can this be due to frequent head showers? |
Hello doctor, I have pain in my bowel. I have had an MRI and the doctor noted that I have bowel wall thickening in my distal colon. Before that, I did a stool test that was negative in Calprotectin and I had a CDSA it showed no inflammation negative for Lactoferrin. No bacterial infection. I also had a colonoscopy and it showed clear. Why there are pain and bowel wall thickening? | 786 | Hello. I can understand you must be very upset about your ill health. So the comprehensive stool analysis is well within normal limits-particularly calprotectin and lactoferrin which are inflammatory markers. Their absence theoretically excludes any inflammation within the bowel, hence a good finding. The MRE examination and its reporting is a subjective findings means it is interpreted by a radiologist and may sometime have an error in reporting because of differential enhancement pattern within bowel and bowel movements at the time of scan, plus given your colonoscopy report afterward also showed no pathology, suggest it was possibly an error in interpretation. The colonoscopy is however, the best modality to explain the MRE (magnetic resonance electrography) reported findings. Given normal colonoscopy suggest that the possibility of inflammation is unlikely. Now coming to your symptoms and use of medication that you believe helped for some time. From your history, I understand you have been given Mesalamine for the duration of seven months after a colonoscopy that showed colitis and biopsy showed non-specific inflammation. So first of all, Mesalamine is an anti-inflammatory drug which is commonly being given among patient suffering from inflammatory bowel disease (IBD). The IBD is further classified into ulcerative colitis (UC) which is a superficial inflammation usually of large bowel starting down from rectum and goes above to involve large bowel. The other one is Crohn's disease (CD) which is somewhat deeper inflammation of the gut wall having a tendency to involve almost every part of the gut starting from the mouth toward the anus. Given your symptoms of mucus or pus discharge and presence of pancolitis on one of your colonoscopy make me think that there is a possibility of ulcerative colitis. Plus the response you observed to Mesalamine is also favoring this diagnosis. Your second colonoscopy did not show any inflammation, possibly because of the remission of the disease. The UC tend to have an intermittent course with flares and intervening remissions. Possibly at the time of second colonoscopy, the disease was in remission. Given your recent stool test and recent normal colonoscopy, make me think that you do not have active disease at the moment. Your disease seems to be controlled with Budesonide or previous Mesalamine you took. The mucus/pus discharge suggests that there may be some other problem such as anal fissure, anal fistula, or anal sinus which may accompany the ulcerative colitis in its course. For this, I want you to examine your perianal (bottom) area and see from where exactly the mucus is coming. The abdominal pain may be just because of stress and anxiety accompanying the current situation and not necessarily the active disease. For such pain SSRI (selective serotonin reuptake inhibitors) are helpful. For treatment, I need to have the biopsy report of your colon (both the previous one and recent one), as I can see there is ongoing microscopic inflammation. Budesonide is an expensive drug and it is recommended in UC where the inflammation does not go beyond the left side of the colon. You had pan colitis (inflammation involving the whole colon) and that is why oral steroids such as tablet Prednisolone is more effective than Budesonide. The physician prescribes Budesonide over oral Prednisolone if the patient is unable to tolerate the systemic side effects which accompany oral Prednisolone, or patient has diabetes and bone mineral deficiency. Your physician probably kept this thing in mind. So to summarize: 1. You likely have ulcerative colitis because I did not see biopsy of your bowel, and as you said it was nonspecific. 2. The UC is in remission 3. The pus and mucus have to be closely examined by you or by a physician by doing a digital rectal examination. 4. The UC can frequently accompany depression and anxiety and that should be taken care of abdominal pain possibly related to stress and you consider taking SSRI at minimum dose like tablet Escitalopram 10 mg daily 5. Discuss with your primary gastroenterologist regarding oral Prednisolone if he is convinced enough. You may share your biopsy reports, I can advise you on this as well. One more thing, since you do not have any sign suggestive of active disease, the steroid are not required at the moment. You need to be given some immunosuppressive medications to control and prevent relapse/flare. The one more reason for your doctor prescribed Budesonide is he might have considered microscopic colitis which is entirely a different diagnosis and requires entirely a different management approach. You share me the biopsy and colonoscopy reports that will make me in a good position to tell you what to do now. And sorry for such a huge description and lengthy message. But I am sure this will really help you to understand your condition. I hope this helps. Ulcerative colitis in remission. Done already. Need biopsy reports of both colonoscopies also images of both colonoscopies. Crohn's colitis Ulcerative colitis. Follow up with biopsy report. | Q. I have bowel pain with negative calprotectin and lactoferrin tests. Why? |
Hi doctor, For the past one month, I am having pain in my anus. It pains while throwing waste and even while sitting. There is a skin flap that has appeared at the end of the anus towards the outer side. There are two flaps one is more white in color and the other is reddish. It is not bleeding however, I am having pain. I am not taking any medication for that as I could not go and see a doctor and thought that it will be cured on its own. It actually started at the time of my period when my stomach got disturbed with hard stools. Please help. | 787 | Hi. The picture (attachment removed to protect patient identity) and the symptoms suggest you have an external pile mass. The pain is due to an underlying fissure, or simply a crack at the anal opening. These usually result from hard stools or constipation. You need to start on dietary measures aimed at making stools soft as well as stool softening medicines. Also, topical medicines to apply at the anal orifice will also help in relieving the acute pain. I hope this helps. | Q. I get anal pain due to a flap in anal region. Why do I get this pain? |
Having blood with bowel movements, this has been occurring for the last 5 days with a consistent bleed, some bowel movements have a heavier bleed and i have a wipe there is an excessive amount of blood. The bleeding only occurs during my bowel movements. I am not feeling lightheaded/dizzy, nauseous or vomiting. No rectal pain but having lower quadrant tightness. No history hemorrhoids. | 788 | Hello. I welcome you to icliniq. I can understand you might have terrible time because of your condition. The quantity of blood is very important to understand before a list of diagnosis can be made. Since you said it is heavier, and that all started 5 days back, it seem most commonly due to acute large bowel infection. Some parasites and some bacterial can causes inflammation of the large bowel and bleeding. I suggest you some treatment at the moment, and want that you should get following blood and stool tests, and inform me in 3 days about your condition. The investigation will give us clue and we can better narrow down list of differentials. Meanwhile make sure you take only home cooked meals, take plenty of boiled or mineral water. Stomach tightness are rather non specific symptoms, can occur if large bowel is inflamed. I hope this will help GI bleeding Complete blood count Bun creatinine lytes IHA titer for E.histolytica Urine Detail report. for ova and parasitis Stool detail report Stool culture and sensitivity Fecal calprotectin Acute hemorrhagic colitis diverticulitis rectal ulcers Inflammatory bowel disease Acute infectious colitis Tab Flagyl 400 mg 2 tablets three times daily (6 tablets daily) for 5 days. It may cause metallic taste in mouth Tab. Cefspan 400 mg once daily for 7 days Follow up in 3 days with investigations | Q. Why do I have consistent bleeding during bowel movements? |
I'm a 23 years old female. For almost a month i've been experiencing thightness of chest, itchiness of throat and i feel there is something stuck at my throat. I am currently taking zykast for the itchiness of the throat. I also have a health history of asthma and allergies. | 789 | Hello, Welcome to icliniq. As you have mentioned, you are worried about your symptoms. Considering your history and previous symptoms, you may be having asthma as well as pharyngitis, at present. I would still advise you some investigations to confirm the diagnosis. And, if you are suffering from asthma, I would have prescribed you inhalational medication, because they are the best possible medication available for the treatment of Asthma. Also, I would like to know,if there are any factors resulting in increase in your symptoms. I hope this helps. Take Care. X-ray chest PA view, Spirometry with bronchodilator reversibility testing. Bronchial Asthma (Formoterol 6 mcg + Budesonide 200 mcg) Inahaler with spacer 2 puffs twice daily and can be taken up to 4 times daily if required. Continue Zycast. Avoid exposure to allergens and smoking. Take nutritious diet and adequate rest. | Q. I have chest tightness, throat itchiness, and feel like something is stuck at my throat. Please help. |
Hello doctor, My father is 68 years old. He takes Novorapid 3 times, 8-8-12 and Lantus at night 18 unit, above that taking Olmesor 40, Rozucor ASP 10, Cilacar 10. For the past 8-9 months new problem of hiccups arises while taking food and drinking water and about to stop his breath. If he takes Nukast 10 then it is fine. Allergy test for IgE is 229 and full panel are also done. What is the solution for this? | 790 | Hello. I understand from your query that your father, who is diabetic and hypertensive, suffers from hiccups problem since eight months. He has hiccups while taking food or water. Can I get more details? Does he have hiccups or cough? Both are different. Is his sugar and pressure in control? Does he eat very spicy? Is there any lump sensation in the throat? Did he smoke or drink? When he takes Nukast 10, does his hiccups completely disappear? Does he have any other symptoms of allergy like runny nose, headache, nose block, or scratchy throat? Please revert back to me with these details. | Q. My diabetic father gets threatening hiccups while eating and drinking water. Please suggest a solution. |
Hello doctor, I was COVID 19 Positive on 25th April 2020 while on 11th May 2020 my repeated test of COVID19 was negative. After that I feel all the time sweetness taste in my mouth upon that I myself went for blood sugar random and hbA1C, today on 15th May 2020 I received the results of my blood sugar random which is 92 while hbA1C is 6. Please do advise any medication for it. My age is 45 years and weight 73 kg. | 791 | Hi. It is a great news that you recovered and doing well after COVID-19 infection. Considering the current medical reports, your HbA1c is suggestive that you are in pre-diabetic stage. And your fasting sugar is absolutely normal. You do not need to start any medicine for diabetes. Sometimes recent infection may also lead to high sugar levels. Repeat tests after 1 month. And from now on I would suggest you adapt more healthier lifestyle choices. Good nutrition diet, regular exercises, quit smoking if doing are the basic ways. Take care of yourself. FBS/PPS hbA1C Lipid profile Vitamin D levels ?Pre diabetes Healthy life style modifications. Achieve 5 % weight loss from current status and maintain. After 1 month with reports. | Q. What causes sweet taste after recovering from COVID-19? |
Hello doctor, Around 6 PM today I had really bad back pain all of a sudden, I have a cold. So I have been texting so I thought it was just that but around 10 or 11 PM, the pain started to shoot down my leg as well, it hurts when I sit and walk and lift my leg. | 792 | Hello. Looking at your problem from very near, it would be sudden bending causing pressure on disc and protrusion to lumbar nerve causing shooting like pain on leg. The cold and even cough increase the inner disc pressure and causing nerve to more pressure which causes symptom worst. So I would recommend you to use lumbosacral belt on lumbar spine at lower back. I would also recommend some medicine to take for this problem and follow up with MRI for further improvement. Zanaflex (Tizanidine 4 mg PO bid for 1 week, capsule Neurontin (Gapapentin) 100 mg PO bid for one week, capsule Pantoprazole 40 mg once daily for one week. | Q. What causes pain in back and legs? |
Hello doctor, I have been to a councellor before at my high school about symptoms of anxiety and she told my mother that I may have symptoms of an autism disorder. I do not really know what to look for symptom-wise but I have done a little research and so far this is what I experience (almost daily); being easily irritated, I do not like doing things spontaneously. I need to plan it out beforehand, I much prefer to work alone than in groups, I fidget a lot, I have always been overly emotional, being extremely sensitive to criticism, daydreaming/zoning out especially in school, and excessive talking. I am 18 and female, also sorry about the long list. | 793 | Hello. Firstly please do not feel sorry about the long list, Please relax. This does not sound like autism to me. In autism, there are issues with social communication, verbal communication, repeated stereotypic behaviours which I do no’t see in your description. What it looks like is that you have issues in managing your emotions and possibly relationships. I suggest you to maintain a journal where you document about the events which have been troubling you and then you can discuss with me about specific events so that psychotherapy can be started to help you. | Q. Kindly explain about the symptoms of autism. |
Hi doctor, Before 20 days, I went to a party, got drunk and met with a fall. My leg started paining from the next day. I could not walk without it hurting. I went to A and E and they said it was just a soft tissue injury. Still now, I am having pain and not able to bend it properly or fully extend it without being uncomfortable. I am also struggling to walk anywhere far. It got seized up today whilst in the shower and I could barely move my leg. It just clamped up. Please help. | 794 | Hi. I understand your pain and concern. For further information consult a general practitioner online --> https://www.icliniq.com/ask-a-doctor-online/general-practitioner | Q. Kindly advise the treatment for leg pain and soft tissue injury. |
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? | 795 | 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. | 796 | 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. | 797 | 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. | 798 | 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. | 799 | 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? |
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