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Q. Can Yasmin birth control pill be used as an emergency contraceptive pill? | Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? | Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> |
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Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? [/INST] Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> |
Q. Please explain the poisonous effect of phenol ingestion. | Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. | Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> |
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Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. [/INST] Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> |
Q. For how long should I take Kalachikai powder to overcome PCOD problem? | Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? | Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> |
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Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? [/INST] Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> |
Q. Why do periods get delayed after first time sex? | Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? | Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> |
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Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? [/INST] Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> |
Q. How to resolve peripheral vision problem? | Hi doctor, I am suffering from peripheral vision for the past one year. I cannot control my peripheral vision by ignoring the people just beside my main vision. It is much wider than foveal vision and it seems like I am staring the person. Please help me to resolve this. | Hi. Revert back with the report and answers to the above question to an eye care ophthalmologist online --> |
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Hi doctor, I am suffering from peripheral vision for the past one year. I cannot control my peripheral vision by ignoring the people just beside my main vision. It is much wider than foveal vision and it seems like I am staring the person. Please help me to resolve this. [/INST] Hi. Revert back with the report and answers to the above question to an eye care ophthalmologist online --> |
Q. Is there any way to treat pinworm infestation permanently? | Hello doctor, I have had an infestation of pinworms, threadworms for a year now. I am a hygiene clean, single moral person. I have no idea how I got them. Have seen a number of doctors and Reese's, Ivermectin, Mebendazole and now Albenza once a week for five months have not helped. They made a reservoir of my female cavity and now have moved into my ears and occasionally nose. I am at my wits end. Afraid they will get in my brain and kill me. Can they do that? I see them every day, as I zap them during night with a lint roller and use a jewelers lens to examine them in morning. Sometimes they are still moving. Some look like long thread, some are black and some red, depending on what color of pjs I wear. That is weird, guessing chameleon. Take wormwood, cloves, garlic, black walnuts hulls, eat parasitic diet. Fasted 40 days with pineapple juice only and it did not kill them. I pray daily, asking God to help me. I pray that an infectious disease doctor is an answer. | Hi. Best is Ivermectin. If resistant, use 5 % Permethrin ointment in whole body. If possible, send me a picture for better advise. |
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Hello doctor, I have had an infestation of pinworms, threadworms for a year now. I am a hygiene clean, single moral person. I have no idea how I got them. Have seen a number of doctors and Reese's, Ivermectin, Mebendazole and now Albenza once a week for five months have not helped. They made a reservoir of my female cavity and now have moved into my ears and occasionally nose. I am at my wits end. Afraid they will get in my brain and kill me. Can they do that? I see them every day, as I zap them during night with a lint roller and use a jewelers lens to examine them in morning. Sometimes they are still moving. Some look like long thread, some are black and some red, depending on what color of pjs I wear. That is weird, guessing chameleon. Take wormwood, cloves, garlic, black walnuts hulls, eat parasitic diet. Fasted 40 days with pineapple juice only and it did not kill them. I pray daily, asking God to help me. I pray that an infectious disease doctor is an answer. [/INST] Hi. Best is Ivermectin. If resistant, use 5 % Permethrin ointment in whole body. If possible, send me a picture for better advise. |
Q. What are the ways to get pregnant without penetration? | Hello doctor, I want to ask you can I get pregnant without penetration or inserting? As I am not comfortable and I am scared to get STD, genital herpes? Even I read masturbating leads to impotecy and infertility. Can I get pregnant on my ovulation time (with clothes) just by stimulating or getting touch for short periods by my partner? Is this possible to get pregnant in this way? My grandmother told me they never did direct penetration stuff but still she got pregnant five times. How is this possible? | Hi, WeIcome to icliniq.com. I can understand your concern for your symptoms. Direct penetration is the normal way of sex. Normal sex release serotonin and oxytocin. Happy and trust hormone which is very important in building relationship. If you are not allowing your male partner for normal sex or penetration, he may find other options which will be an issue in your relationship. Your worry about infection is there for every one, if you are so worried you can ask your partner to do a blood work up then have sex. Still you need to get pregnant without penetration, yes you can. It is called artificial insemination. You can meet a gynecologist to do the procedure sterile method. |
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Hello doctor, I want to ask you can I get pregnant without penetration or inserting? As I am not comfortable and I am scared to get STD, genital herpes? Even I read masturbating leads to impotecy and infertility. Can I get pregnant on my ovulation time (with clothes) just by stimulating or getting touch for short periods by my partner? Is this possible to get pregnant in this way? My grandmother told me they never did direct penetration stuff but still she got pregnant five times. How is this possible? [/INST] Hi, WeIcome to icliniq.com. I can understand your concern for your symptoms. Direct penetration is the normal way of sex. Normal sex release serotonin and oxytocin. Happy and trust hormone which is very important in building relationship. If you are not allowing your male partner for normal sex or penetration, he may find other options which will be an issue in your relationship. Your worry about infection is there for every one, if you are so worried you can ask your partner to do a blood work up then have sex. Still you need to get pregnant without penetration, yes you can. It is called artificial insemination. You can meet a gynecologist to do the procedure sterile method. |
Q. Can I take PPI to treat gurgling caused due to GERD? | Hello doctor, I have reflux and GERD. Also a hiatal hernia. Sometimes I have gurgling in the stomach and into my throat. It is like a gurgling noise and a ticking noise if I hold my mouth open. I just started medium. Would you be worried or is this normal for reflex and the PPI should help? | Hi. PPI alone will not work. Need to add some pro motility medicines too. Also dietary modifications and lifestyle changes need to be considered consistently. If symptoms are worsening, then need to think of other measures. Would like to have a look at your endoscopy report before making further specific comments. Please consider a review with your report. |
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Hello doctor, I have reflux and GERD. Also a hiatal hernia. Sometimes I have gurgling in the stomach and into my throat. It is like a gurgling noise and a ticking noise if I hold my mouth open. I just started medium. Would you be worried or is this normal for reflex and the PPI should help? [/INST] Hi. PPI alone will not work. Need to add some pro motility medicines too. Also dietary modifications and lifestyle changes need to be considered consistently. If symptoms are worsening, then need to think of other measures. Would like to have a look at your endoscopy report before making further specific comments. Please consider a review with your report. |
Q. What should I do to be happy all over the day inspite of hurting myself? | Hello doctor, I am a 19-year-old girl. In my first year in school, I feel helpless and depressed because I cannot make friends, more specifically they do not like spending time with me because I am serious most of the time. And my way of thinking is different also I cannot focus on studies. I do give my best to succeed in the exams but still, I m feeling like it is not me, or it is not what I want to do. But I am not sure those are just thoughts that makes me all the time unfocused on what is necessary at the moment , I also suffer from a lack of confidence in myself and cannot say that my situation is the worse but all these 19 years I only learned to hate and hurt myself more than anyone can else do to me. I am scared of taking any wrong decision because I cannot afford it either mentally or financially. Please, can you help me? Going to a psychiatrist in my place is expensive and suspicious. I was a great person until nine years, everything has changed. I struggled alone till 16 which made me talk to some friends and my brother and my secret fiance. Still, I think it is too late because I became a person who is afraid of being happy for more than half a day. | Hello. First of all, you should stop hating yourself and stop blaming yourself for anything. The symptoms like helplessness, worthlessness (hating self), difficulty in making friends, weak confidence, lack of focus, indecisiveness, etc., are occurring most likely due to some mood disorder. This could be depression. Depression results in impairment in functioning. To come out of these thoughts, there are two treatment options. Medicines especially antidepressants are the first choice for these symptoms. But since you cannot afford to visit a psychiatrist so this option at this point is not possible. Another option is cognitive behavior therapy (CBT). This is a session based therapy. A therapist is needed, and this helps a lot in coming out of depression. Over the years since childhood, a person learns wrong things, but these thoughts become cognitive distortions like for example if you did not perform well in a group of friends, then you will imply this to your whole life that you are worthless because you fail to perform well in friends. Maximizing negative things, minimizing the positive things, disqualifying positives, generalizing things, etc. are examples of cognitive distortions. In CBT the cognitive distortions are identified, and an individual is made aware of these distortions. Then therapist and individual work together to eliminate these distortions and to work how an individual can live happily. Thanks |
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Hello doctor, I am a 19-year-old girl. In my first year in school, I feel helpless and depressed because I cannot make friends, more specifically they do not like spending time with me because I am serious most of the time. And my way of thinking is different also I cannot focus on studies. I do give my best to succeed in the exams but still, I m feeling like it is not me, or it is not what I want to do. But I am not sure those are just thoughts that makes me all the time unfocused on what is necessary at the moment , I also suffer from a lack of confidence in myself and cannot say that my situation is the worse but all these 19 years I only learned to hate and hurt myself more than anyone can else do to me. I am scared of taking any wrong decision because I cannot afford it either mentally or financially. Please, can you help me? Going to a psychiatrist in my place is expensive and suspicious. I was a great person until nine years, everything has changed. I struggled alone till 16 which made me talk to some friends and my brother and my secret fiance. Still, I think it is too late because I became a person who is afraid of being happy for more than half a day. [/INST] Hello. First of all, you should stop hating yourself and stop blaming yourself for anything. The symptoms like helplessness, worthlessness (hating self), difficulty in making friends, weak confidence, lack of focus, indecisiveness, etc., are occurring most likely due to some mood disorder. This could be depression. Depression results in impairment in functioning. To come out of these thoughts, there are two treatment options. Medicines especially antidepressants are the first choice for these symptoms. But since you cannot afford to visit a psychiatrist so this option at this point is not possible. Another option is cognitive behavior therapy (CBT). This is a session based therapy. A therapist is needed, and this helps a lot in coming out of depression. Over the years since childhood, a person learns wrong things, but these thoughts become cognitive distortions like for example if you did not perform well in a group of friends, then you will imply this to your whole life that you are worthless because you fail to perform well in friends. Maximizing negative things, minimizing the positive things, disqualifying positives, generalizing things, etc. are examples of cognitive distortions. In CBT the cognitive distortions are identified, and an individual is made aware of these distortions. Then therapist and individual work together to eliminate these distortions and to work how an individual can live happily. Thanks |
Q. Kindly explain well defined altered cystic signal intensity along nerves in MRI. | Hello doctor, My wife is suffering from back pain from couple of years and now this has got extended to legs. She kind of gets regular pains like muscle pulling in legs. We got the MRI done and it says well defined altered cystic signal intensity noted along the lumbo sacral nerves on right side measuring 1.8 x 1.4 cm. Based on the MRI results what do you suggest? | Hello. Regarding your question, I would explain that this cyst is not related to her clinical situation. These cysts are since birth and are usually asymptomatic. In my opinion her symptoms could be related to the bulging disc in L5S1 level, which may need surgery. For this reason I would recommend consulting with a spinal surgeon. Another treatment option would be steroid intrathekal injection. You should discuss with her doctor on the above treatment option. |
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Hello doctor, My wife is suffering from back pain from couple of years and now this has got extended to legs. She kind of gets regular pains like muscle pulling in legs. We got the MRI done and it says well defined altered cystic signal intensity noted along the lumbo sacral nerves on right side measuring 1.8 x 1.4 cm. Based on the MRI results what do you suggest? [/INST] Hello. Regarding your question, I would explain that this cyst is not related to her clinical situation. These cysts are since birth and are usually asymptomatic. In my opinion her symptoms could be related to the bulging disc in L5S1 level, which may need surgery. For this reason I would recommend consulting with a spinal surgeon. Another treatment option would be steroid intrathekal injection. You should discuss with her doctor on the above treatment option. |
Q. How can inflammatory myopathy be cured? | Hello doctor, I am suffering from inflammatory myopathy confirmed by EMG, NCS and biopsy with CPK 2300 range and SGOT, SGPT also were little higher. I have already taken five days 1 g Prednisone steroid injections and later was on oral steroid tablets Omnicortil for 1 to 1.5 months reducing doses gradually starting with 80 mg daily to bi-weekly reducing doses. Along with this, doctor had given Cellcept, 750 mg daily and Vitamin B12 and Vitamin D. Right after steroid that month only I feel little better improvement. After steroids effect or a month later like dilution, it goes away and I am back to my previous difficulty in walking and leg hitting floor condition since 2 to 3 years same. I was thinking inflammatory myopathy was cureable or atleast walking condition would be better and treatment would stay on. I do not see any options and want help in best advice for recovery. Completely confused now. I want other option and for mobility not hitting ground while walking or to have steady balance. Physiotherapy made me very fatigue that I had to stop. Any tablets for balance control or leg devices to help lift little upwards or muscle tightnening substances like enzyme powder Coq10 if any please suggest, any. | Hi. To be very honest myopathy inflammatory in origin needs lifetime treatment. We just have steriods and other immunosuppressive therapy to control the disease progression. Definitely, Prednisolone works magically but since it has lots of side effects, we taper and reduce it to bare minimum. I would recommend to discuss with your doctor to put you on lowest possible dose of Methylprednisolone based on your symptoms and total CPK levels. Co enzyme Q10 has controversial role. If you can afford you may go ahead with it. |
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Hello doctor, I am suffering from inflammatory myopathy confirmed by EMG, NCS and biopsy with CPK 2300 range and SGOT, SGPT also were little higher. I have already taken five days 1 g Prednisone steroid injections and later was on oral steroid tablets Omnicortil for 1 to 1.5 months reducing doses gradually starting with 80 mg daily to bi-weekly reducing doses. Along with this, doctor had given Cellcept, 750 mg daily and Vitamin B12 and Vitamin D. Right after steroid that month only I feel little better improvement. After steroids effect or a month later like dilution, it goes away and I am back to my previous difficulty in walking and leg hitting floor condition since 2 to 3 years same. I was thinking inflammatory myopathy was cureable or atleast walking condition would be better and treatment would stay on. I do not see any options and want help in best advice for recovery. Completely confused now. I want other option and for mobility not hitting ground while walking or to have steady balance. Physiotherapy made me very fatigue that I had to stop. Any tablets for balance control or leg devices to help lift little upwards or muscle tightnening substances like enzyme powder Coq10 if any please suggest, any. [/INST] Hi. To be very honest myopathy inflammatory in origin needs lifetime treatment. We just have steriods and other immunosuppressive therapy to control the disease progression. Definitely, Prednisolone works magically but since it has lots of side effects, we taper and reduce it to bare minimum. I would recommend to discuss with your doctor to put you on lowest possible dose of Methylprednisolone based on your symptoms and total CPK levels. Co enzyme Q10 has controversial role. If you can afford you may go ahead with it. |
Q. We lack sex because of premature ejaculation. How to overcome this problem? | Hello doctor, Lack of sex with my husband. He ejaculates prematurely. We avoid sex to reduce disappointment. Since from married years, it has never been better even after numerous counselings. No communications, we are like just best friends. I need a lover to help me get well again. I am taking Yelate antidepressants, Stresam, Ivedol sleeping tablets six in number. | Hello. If he has a fear of something (based on experience) like failed in proper sexual intercourse, he will try to avoid that, because he thinks that it is going to be abandoned, and going to face humiliation in front of you. So he thinks it is better to have no sex, no desire. So in management part first relax him, conquer his trust that you love him even without sex. Now start working on a treatment. 1. SSRI (antidepressants) and Clomipramine. 2. Anesthetic sprays on glance before sex (only study support it). 3. Weak pelvic floor muscles sometimes contribute to it. Kegel exercises may help strengthen them. Find the right muscles to tighten by stopping your urine in midstream. Hold them tight for three seconds and then release them for three seconds. Do this 10 times, at least three times a day. Wear a condom, and It may desensitize him. Some men find that masturbating a few hours before sex helps them stay in control during intercourse. Have proper counseling by a psychiatrist |
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Hello doctor, Lack of sex with my husband. He ejaculates prematurely. We avoid sex to reduce disappointment. Since from married years, it has never been better even after numerous counselings. No communications, we are like just best friends. I need a lover to help me get well again. I am taking Yelate antidepressants, Stresam, Ivedol sleeping tablets six in number. [/INST] Hello. If he has a fear of something (based on experience) like failed in proper sexual intercourse, he will try to avoid that, because he thinks that it is going to be abandoned, and going to face humiliation in front of you. So he thinks it is better to have no sex, no desire. So in management part first relax him, conquer his trust that you love him even without sex. Now start working on a treatment. 1. SSRI (antidepressants) and Clomipramine. 2. Anesthetic sprays on glance before sex (only study support it). 3. Weak pelvic floor muscles sometimes contribute to it. Kegel exercises may help strengthen them. Find the right muscles to tighten by stopping your urine in midstream. Hold them tight for three seconds and then release them for three seconds. Do this 10 times, at least three times a day. Wear a condom, and It may desensitize him. Some men find that masturbating a few hours before sex helps them stay in control during intercourse. Have proper counseling by a psychiatrist |
Q. If problem is in hip joint then why do I have pain in the knee? | Hi doctor, I am 24 years old. I have stiffness and pain in thighs and knees for more than a year. I cannot sit properly and stand up instantly. I am having problem in each and every activity involving legs. I have reduced mobility and flexibility of legs. My report shows AVN stage 3 of hip joint, for which I have been suggested hip replacement surgery. My question is that, if problem is in hip joint then why I have so many problems with knees? When I stand up, my knee gets blocked and I cannot stand instantly. There is cracking sound in knees when I sit or stand up. I am worried whether I have some other problem in knees also. | Hi. Hip avascular necrosis (AVN) and hip arthritis causes pain in the affected hip and also sometimes in the knees as the same nerve which supplies the hip also supplies the knee joint. It is called as obturator nerve. This nerve supplies both the joints. So if there is hip joint pain, many patients also get pain in the knee joint. But, also to be sure if nothing is wrong with the knee joint, you should take x-rays and document it. Get x-ray of the knee joint both in anteroposterior view (AP) and lateral view and then get a follow up done to confirm your problem. |
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Hi doctor, I am 24 years old. I have stiffness and pain in thighs and knees for more than a year. I cannot sit properly and stand up instantly. I am having problem in each and every activity involving legs. I have reduced mobility and flexibility of legs. My report shows AVN stage 3 of hip joint, for which I have been suggested hip replacement surgery. My question is that, if problem is in hip joint then why I have so many problems with knees? When I stand up, my knee gets blocked and I cannot stand instantly. There is cracking sound in knees when I sit or stand up. I am worried whether I have some other problem in knees also. [/INST] Hi. Hip avascular necrosis (AVN) and hip arthritis causes pain in the affected hip and also sometimes in the knees as the same nerve which supplies the hip also supplies the knee joint. It is called as obturator nerve. This nerve supplies both the joints. So if there is hip joint pain, many patients also get pain in the knee joint. But, also to be sure if nothing is wrong with the knee joint, you should take x-rays and document it. Get x-ray of the knee joint both in anteroposterior view (AP) and lateral view and then get a follow up done to confirm your problem. |
Q. Are there any complications associated with panurethral stricture? | Hi doctor, I am a 30 year old male. I had a BMG urethroplasty a week ago. Currently urinating with catheter due to pan-anterior urethral stricture. Are there any complications and risks associated with it? | Hello. I welcome you and want to assure you need not worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. The panurethral stricture is rather a less common but serious challenging surgical issue the urologists have to face. 2. This surgery is usually challenging as there is scanty tissue to cover the whole length of the urethra. Also as we know the reason for panurethral strictures is usually inflammatory disease, so the results of surgical repair may be less than expected on the scale of satisfaction. It is due to the spongiofibrosis of the repaired tissue. 3. During the post-operative period, infections and breakdown of the repaired tissue is commonly seen as a complication. But with all these risks, still this surgery is going on very successfully throughout the globe. If there is urinary tract infection your physician may prescribe you with Nitrofurantoin (Macrodantin). Take cranberry juice to avoid infection. |
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Hi doctor, I am a 30 year old male. I had a BMG urethroplasty a week ago. Currently urinating with catheter due to pan-anterior urethral stricture. Are there any complications and risks associated with it? [/INST] Hello. I welcome you and want to assure you need not worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. The panurethral stricture is rather a less common but serious challenging surgical issue the urologists have to face. 2. This surgery is usually challenging as there is scanty tissue to cover the whole length of the urethra. Also as we know the reason for panurethral strictures is usually inflammatory disease, so the results of surgical repair may be less than expected on the scale of satisfaction. It is due to the spongiofibrosis of the repaired tissue. 3. During the post-operative period, infections and breakdown of the repaired tissue is commonly seen as a complication. But with all these risks, still this surgery is going on very successfully throughout the globe. If there is urinary tract infection your physician may prescribe you with Nitrofurantoin (Macrodantin). Take cranberry juice to avoid infection. |
Q. How to reduce TG/HDL ratio? | Hi doctor, I got a complete medical checkup done today. My lipid profile reads total cholesterol 145 mg/dL, HDL 27.5 mg/dL, LDL 93.3 mg/dL, triglyceride 195 mg/dL and VLDL 39 mg/dL. Is this very concerning? Especially, I am concerned regarding the TG/HDL ratio. Please advice. My echo, ECG, and stress test were all normal. | Hi. Most of the population has low HDL (high density lipoprotein). More than 50 is a good thing which rarely people have. Triglyceride range is up to 150. Can be more if no fasting done prior test or seen in diabetics. Overall your test is good. You do not need cholesterol medicine. Exercise can increase your HDL. So, please check your FBS (fasting blood sugar) and post prandial blood sugar too. |
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Hi doctor, I got a complete medical checkup done today. My lipid profile reads total cholesterol 145 mg/dL, HDL 27.5 mg/dL, LDL 93.3 mg/dL, triglyceride 195 mg/dL and VLDL 39 mg/dL. Is this very concerning? Especially, I am concerned regarding the TG/HDL ratio. Please advice. My echo, ECG, and stress test were all normal. [/INST] Hi. Most of the population has low HDL (high density lipoprotein). More than 50 is a good thing which rarely people have. Triglyceride range is up to 150. Can be more if no fasting done prior test or seen in diabetics. Overall your test is good. You do not need cholesterol medicine. Exercise can increase your HDL. So, please check your FBS (fasting blood sugar) and post prandial blood sugar too. |
Q. Is there any dietary precaution for deranged kidney function? | Hi doctor, My brother is suffering from back pain. His doctor recommended some painkiller for one month. Now, he also got pain on the right side of his back. His doctor recommended laboratory test for kidney and liver along with MRI of back. The result showed some kidney related problem. I want to know whether it is a sign of something serious. Can it get cured easily? | Hi. We are here to help you. For further information consult a nephrologist online --> |
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Hi doctor, My brother is suffering from back pain. His doctor recommended some painkiller for one month. Now, he also got pain on the right side of his back. His doctor recommended laboratory test for kidney and liver along with MRI of back. The result showed some kidney related problem. I want to know whether it is a sign of something serious. Can it get cured easily? [/INST] Hi. We are here to help you. For further information consult a nephrologist online --> |
Q. How long should my husband and I wait to try for a baby if we did cocaine? | Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. | Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> |
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Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. [/INST] Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> |
Q. Can Yasmin birth control pill be used as an emergency contraceptive pill? | Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? | Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> |
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Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? [/INST] Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> |
Q. Please explain the poisonous effect of phenol ingestion. | Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. | Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> |
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Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. [/INST] Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> |
Q. For how long should I take Kalachikai powder to overcome PCOD problem? | Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? | Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> |
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Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? [/INST] Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> |
Q. Why do periods get delayed after first time sex? | Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? | Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> |
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Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? [/INST] Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> |
Q. What does my chest x-ray reveal? | Hi doctor, I have undergone chest x-ray. Report says that heart size, lungs vascular marking, soft tissue and bony cage appears normal. My doubt is am I free from TB? What is the outcome of the chest x-ray? | Hi. I have read your query and gone through the x-ray (attachment removed to protect patient identity). If a person has TB (tuberculosis), certain changes appear in the lungs which are detected by x-ray. The commonly seen changes are opacification of airspaces within the lung parenchyma. Any cavity in the lung lesion. Calcification can exist around a cavity and nodule with poorly defined margins. Pleural effusion - presence of a significant amount of fluid within the lung space. Hilar or mediastinal lymphadenopathy (bilateral hilar lymphadenopathy) - enlargement of lymph nodes in the lungs. Your chest x-ray has been described as normal which means that there is no evidence of any disease according to the x-ray. |
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Hi doctor, I have undergone chest x-ray. Report says that heart size, lungs vascular marking, soft tissue and bony cage appears normal. My doubt is am I free from TB? What is the outcome of the chest x-ray? [/INST] Hi. I have read your query and gone through the x-ray (attachment removed to protect patient identity). If a person has TB (tuberculosis), certain changes appear in the lungs which are detected by x-ray. The commonly seen changes are opacification of airspaces within the lung parenchyma. Any cavity in the lung lesion. Calcification can exist around a cavity and nodule with poorly defined margins. Pleural effusion - presence of a significant amount of fluid within the lung space. Hilar or mediastinal lymphadenopathy (bilateral hilar lymphadenopathy) - enlargement of lymph nodes in the lungs. Your chest x-ray has been described as normal which means that there is no evidence of any disease according to the x-ray. |
Q. What do high readings in kidney function tests indicate? | Hi doctor, I am scheduled for extracorporeal shock wave lithotripsy (ESWL) to treat a kidney stone that was discovered through testing for gross hematuria. My pre-operative blood work came back with a number of readings that were flagged as high. It includes Alpha-1-acid glycoprotein (AGP) 17, blood urea nitrogen (BUN) 25, creatinine level 1.3, calcium 10.3 and Na is 148. Is this anything should I be concerned about? Should I see a nephrologist prior to the ESWL? Or do you think that it is fine to proceed with the treatment as planned? | Hello. Your high readings in kidney function tests are probably attributed to the kidney stone that you are having. Any stone present in kidney that is causing hematuria is very likely to cause transient rise in creatinine levels and alter the kidney function test too. This is the reason for the stone need to be removed else it would cause permanent kidney damage. I suppose there is no need to see a nephrologist at this point. Once your stone is removed, your kidney function would dramatically improve within a matter of few weeks. However, I would still need to know the location of the stone? What is the size of the stone and any hydroureteronephrosis associated? If possible just attach your ultrasound or CT report. I will get my answers from the report and would help you with my final comment. |
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Hi doctor, I am scheduled for extracorporeal shock wave lithotripsy (ESWL) to treat a kidney stone that was discovered through testing for gross hematuria. My pre-operative blood work came back with a number of readings that were flagged as high. It includes Alpha-1-acid glycoprotein (AGP) 17, blood urea nitrogen (BUN) 25, creatinine level 1.3, calcium 10.3 and Na is 148. Is this anything should I be concerned about? Should I see a nephrologist prior to the ESWL? Or do you think that it is fine to proceed with the treatment as planned? [/INST] Hello. Your high readings in kidney function tests are probably attributed to the kidney stone that you are having. Any stone present in kidney that is causing hematuria is very likely to cause transient rise in creatinine levels and alter the kidney function test too. This is the reason for the stone need to be removed else it would cause permanent kidney damage. I suppose there is no need to see a nephrologist at this point. Once your stone is removed, your kidney function would dramatically improve within a matter of few weeks. However, I would still need to know the location of the stone? What is the size of the stone and any hydroureteronephrosis associated? If possible just attach your ultrasound or CT report. I will get my answers from the report and would help you with my final comment. |
Q. Why am I having red itchy rashes on thighs? | Hello doctor, I am 24 years old, female. I am married and have 6 months old baby. I actually wanna discuss something with you. The thing is I have small red bumps with red background on my thighs and it is very itchy as well. Now it is on my lower abdomen, on the right side of my ribs area. In total there are like 30 of them and there is no fluids or any discharge coming out of them. I have consulted three doctors. | Hello. 1. This looks to me like papular urticaria, which a kind of reaction which is seen with small insect bites. 2. The classical description is central vesicle or crusting surrounded by redness which can be seen in your case. 3. You need to make measures to avoid insect and mosquitoes including changing your bedding and washing your bedsheets in warm water. Use mosquito repellent. 4. For the existing lesions you can use the cream Mometasone, apply twice a day. Tablet Levocetirizine 5 mg twice a day. Do this for one week. |
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Hello doctor, I am 24 years old, female. I am married and have 6 months old baby. I actually wanna discuss something with you. The thing is I have small red bumps with red background on my thighs and it is very itchy as well. Now it is on my lower abdomen, on the right side of my ribs area. In total there are like 30 of them and there is no fluids or any discharge coming out of them. I have consulted three doctors. [/INST] Hello. 1. This looks to me like papular urticaria, which a kind of reaction which is seen with small insect bites. 2. The classical description is central vesicle or crusting surrounded by redness which can be seen in your case. 3. You need to make measures to avoid insect and mosquitoes including changing your bedding and washing your bedsheets in warm water. Use mosquito repellent. 4. For the existing lesions you can use the cream Mometasone, apply twice a day. Tablet Levocetirizine 5 mg twice a day. Do this for one week. |
Q. How to overcome lack of concentration and negative thinking? | Hello doctor, I overthink a lot. Because of that, I have doubt and negative thinking about my loved ones especially my fiance. I am not able to either concentrate on my studies. I am not able to follow my goals, and I get distracted very easily. Please help me. | Hello. Thank you for taking help from a psychiatrist. It is essential for you to trust your partner for a healthy relationship. Otherwise, it will get ruined. Just keep faith in him. Spend quality time with him. Make good memories with him. Start doing exercise daily for 30 to 45 minutes. Do meditation for 20 minutes. Spend a good time for your hobbies like read good books, write journals, painting, etc. Live your life, do not just spend it. Be bold and confident. Stay with positive people. Do not stay alone. Keep your self busy. Still, you have negative thinking, then you need to start medication for a short time. |
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Hello doctor, I overthink a lot. Because of that, I have doubt and negative thinking about my loved ones especially my fiance. I am not able to either concentrate on my studies. I am not able to follow my goals, and I get distracted very easily. Please help me. [/INST] Hello. Thank you for taking help from a psychiatrist. It is essential for you to trust your partner for a healthy relationship. Otherwise, it will get ruined. Just keep faith in him. Spend quality time with him. Make good memories with him. Start doing exercise daily for 30 to 45 minutes. Do meditation for 20 minutes. Spend a good time for your hobbies like read good books, write journals, painting, etc. Live your life, do not just spend it. Be bold and confident. Stay with positive people. Do not stay alone. Keep your self busy. Still, you have negative thinking, then you need to start medication for a short time. |
Q. I am having irregular periods with pain in left side of the body. Please help. | Hello doctor, I am 45 years old, female, having an irregular menstrual gap of 10 days and having pain in the left side of the body in hand and legs. | Hello. At this stage, two things are possible. First irregular menses due to the premenopausal syndrome. In this condition due to hormonal dysbalance, patient menses are irregular. It will solve automatically. Second is PCOD. In this case, the patient has increased weight gain and irregular menses. For this, you have to start tablet Metformin 250 mg BD, tablet Progesterone (Meperoate) 10 mg from the 21st day of cycle to 25th day. (Last week of the cycle). |
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Hello doctor, I am 45 years old, female, having an irregular menstrual gap of 10 days and having pain in the left side of the body in hand and legs. [/INST] Hello. At this stage, two things are possible. First irregular menses due to the premenopausal syndrome. In this condition due to hormonal dysbalance, patient menses are irregular. It will solve automatically. Second is PCOD. In this case, the patient has increased weight gain and irregular menses. For this, you have to start tablet Metformin 250 mg BD, tablet Progesterone (Meperoate) 10 mg from the 21st day of cycle to 25th day. (Last week of the cycle). |
Q. Are we undertaking the right treatment for ankle injury? | Hi doctor, My mother had an ankle injury and she cannot walk. She fell down inside the house while walking and her leg is twisted. We have subsequently taken an x-ray and I have attached the x-ray for your reference. Please help me. | Hello. For further information consult an orthopaedician and traumatologist online --> |
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Hi doctor, My mother had an ankle injury and she cannot walk. She fell down inside the house while walking and her leg is twisted. We have subsequently taken an x-ray and I have attached the x-ray for your reference. Please help me. [/INST] Hello. For further information consult an orthopaedician and traumatologist online --> |
Q. My son is 4-year-old has gas trouble and constipation. Please advice. | Hello doctor, My son is 4 years and 10 months old. His weight is 16.3 kg, and height is 3'6". He had blood in stool six months ago and was treated with antibiotics. Now he has gas in belly, constipation. He was tested for occult blood in stool was found negative. Deworming was done the previous week. Now he does not want to take food as earlier. | Hello. 1. Please increase water consumption for the child and reduce the amount of bread and bread products that may or may not be consumed. 2. As of now, you can start the child on some laxative like syrup Duphalac (Lactulose) which will help the child to pass stool. Please give syrup Duphalac 7 ml twice a day with plenty of water for 10 days and observe. 3. SOS if the child still needs help in passing stools, you may give a Dulcolax pediatric suppository (Bisacodyl). |
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Hello doctor, My son is 4 years and 10 months old. His weight is 16.3 kg, and height is 3'6". He had blood in stool six months ago and was treated with antibiotics. Now he has gas in belly, constipation. He was tested for occult blood in stool was found negative. Deworming was done the previous week. Now he does not want to take food as earlier. [/INST] Hello. 1. Please increase water consumption for the child and reduce the amount of bread and bread products that may or may not be consumed. 2. As of now, you can start the child on some laxative like syrup Duphalac (Lactulose) which will help the child to pass stool. Please give syrup Duphalac 7 ml twice a day with plenty of water for 10 days and observe. 3. SOS if the child still needs help in passing stools, you may give a Dulcolax pediatric suppository (Bisacodyl). |
Q. What causes gas issues with headache and leg pain? | Hello doctor, I am 37 years old and my height is 5 feet. I have some regular problems such as stool is not clear due to which I have gas problem. Headache now and then starts from one side left. Leg pain with swelling, more pain in the ankle to toe. | Hi. You need to do daily regular exercise and take tablet Zerodol P half tablet BD for five days. |
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Hello doctor, I am 37 years old and my height is 5 feet. I have some regular problems such as stool is not clear due to which I have gas problem. Headache now and then starts from one side left. Leg pain with swelling, more pain in the ankle to toe. [/INST] Hi. You need to do daily regular exercise and take tablet Zerodol P half tablet BD for five days. |
Q. Kindly suggest the management for chronic shoulder pain. | Hello doctor, I have extreme chronic shoulder pain in both shoulders. It keeps me away from sleeping every night for the past eight months. It is hard taking a shower or bath. Kindly help. | Hello. I would like to know if there was any fall or hit on the shoulder. In my opinion, I would recommend getting some soft tissue work on your shoulder rotator cuff muscles. Keep icing your shoulder frequently for 15 minutes once for every two hours. Do some posterior capsule stretch, and rotator cuff regularly stretches each stretch to be held for 30 seconds. I hope this is helpful for now. Kindly revert after a week to let me know the status of your shoulder. |
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Hello doctor, I have extreme chronic shoulder pain in both shoulders. It keeps me away from sleeping every night for the past eight months. It is hard taking a shower or bath. Kindly help. [/INST] Hello. I would like to know if there was any fall or hit on the shoulder. In my opinion, I would recommend getting some soft tissue work on your shoulder rotator cuff muscles. Keep icing your shoulder frequently for 15 minutes once for every two hours. Do some posterior capsule stretch, and rotator cuff regularly stretches each stretch to be held for 30 seconds. I hope this is helpful for now. Kindly revert after a week to let me know the status of your shoulder. |
Q. What can be done for raised heart rate in a hypothyroid patient? | Hi doctor, My wife sometimes has a high heart beat more than 200 times in a minute. Gone through ECG and Holter test, but could not find why it is happening. She is 40 and hypothyroid patient and taking Thyroxine 50 mg. Please suggest any treatment for that. | Hello. Please show me ECG and Holter so that I may diagnose what is rhythm, and prescribe management plan. She is taking Thyroxine which may also cause sometimes fast heart rate. Do thyroid profile, if not done recently, and send me results. Finally, try to reduce weight. Obesity is a field in which different diseases grow including cardiovascular, cerebrovascular and sugar. Thyroxine overdose, anxiety, atrial fibrillation. TSH, free THE, free T4. |
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Hi doctor, My wife sometimes has a high heart beat more than 200 times in a minute. Gone through ECG and Holter test, but could not find why it is happening. She is 40 and hypothyroid patient and taking Thyroxine 50 mg. Please suggest any treatment for that. [/INST] Hello. Please show me ECG and Holter so that I may diagnose what is rhythm, and prescribe management plan. She is taking Thyroxine which may also cause sometimes fast heart rate. Do thyroid profile, if not done recently, and send me results. Finally, try to reduce weight. Obesity is a field in which different diseases grow including cardiovascular, cerebrovascular and sugar. Thyroxine overdose, anxiety, atrial fibrillation. TSH, free THE, free T4. |
Q. Is it normal for a patient to behave like a child after a fainting episode? | Hello doctor, My sister was in stress for five days due to her mother in law, and she did not sleep for four days. The next day she fainted, and we took her to the hospital. I observed that she started forgetting small things and talk like a child. But she remembers everything but behaves like a child. Please help. | Hello. Your sister is suffering from conversion disorder, and the common name is hysteria. In hysteria, the patient does not have a physical basis for her symptoms. But at the same time, she is not doing willingly. It is a kind of protective mechanism of the brain, when the brain has a problem or face some dilemma, and if there is no way to get rid of it, tension rises in brain, mind choose a unique path to overcome this problem, converts the problem in acceptable symptoms, patient gets attention, her stress declines for some time. But after a few months, tension again builds up and result in weird symptoms. If she does not get the proper treatment, she may slip into depression. Treatment is counseling only. Counsellor finds out the problem area in life and all problem gets solved, and symptoms never come again. In your case, it seems she needs extra support from her husband. |
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Hello doctor, My sister was in stress for five days due to her mother in law, and she did not sleep for four days. The next day she fainted, and we took her to the hospital. I observed that she started forgetting small things and talk like a child. But she remembers everything but behaves like a child. Please help. [/INST] Hello. Your sister is suffering from conversion disorder, and the common name is hysteria. In hysteria, the patient does not have a physical basis for her symptoms. But at the same time, she is not doing willingly. It is a kind of protective mechanism of the brain, when the brain has a problem or face some dilemma, and if there is no way to get rid of it, tension rises in brain, mind choose a unique path to overcome this problem, converts the problem in acceptable symptoms, patient gets attention, her stress declines for some time. But after a few months, tension again builds up and result in weird symptoms. If she does not get the proper treatment, she may slip into depression. Treatment is counseling only. Counsellor finds out the problem area in life and all problem gets solved, and symptoms never come again. In your case, it seems she needs extra support from her husband. |
Q. How long should my husband and I wait to try for a baby if we did cocaine? | Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. | Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> |
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Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. [/INST] Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> |
Q. Can Yasmin birth control pill be used as an emergency contraceptive pill? | Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? | Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> |
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Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? [/INST] Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> |
Q. Please explain the poisonous effect of phenol ingestion. | Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. | Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> |
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Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. [/INST] Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> |
Q. For how long should I take Kalachikai powder to overcome PCOD problem? | Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? | Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> |
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Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? [/INST] Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> |
Q. Why do periods get delayed after first time sex? | Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? | Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> |
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Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? [/INST] Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> |
Q. Can I use ayurveda beauty products for tanned skin? | Hi doctor, I have dry skin. I do not have any health problems, but my skin got tanned and black as I spent most of my time in the sun. My appearance looks more than my age. I want to make my skin fair and glow with the ayurveda products. I have read a lot of natural beauty products on the internet like turmeric, sandalwood, multani mitti, papaya and milk powder. But, it is confusing as which suits me well to make my skin fair and glow. Please suggest me the best one for my skin, Also, advise when and how to use that. Also, I read on the internet about kumkumadi tailam, eladi oil and kanti vardhaka. Are these good to use? If it is so, then how to use it? Is there any oil and cream in ayurveda to make my skin glow? Please suggest. | Hello. Yes, what you have heard about ayurveda skin products are very good, but the product will not be suitable for everyone. For further information consult an ayurveda specialist online --> |
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Hi doctor, I have dry skin. I do not have any health problems, but my skin got tanned and black as I spent most of my time in the sun. My appearance looks more than my age. I want to make my skin fair and glow with the ayurveda products. I have read a lot of natural beauty products on the internet like turmeric, sandalwood, multani mitti, papaya and milk powder. But, it is confusing as which suits me well to make my skin fair and glow. Please suggest me the best one for my skin, Also, advise when and how to use that. Also, I read on the internet about kumkumadi tailam, eladi oil and kanti vardhaka. Are these good to use? If it is so, then how to use it? Is there any oil and cream in ayurveda to make my skin glow? Please suggest. [/INST] Hello. Yes, what you have heard about ayurveda skin products are very good, but the product will not be suitable for everyone. For further information consult an ayurveda specialist online --> |
Q. I have rashes since three years. Kindly advice. | Hello doctor, I have a rash for three years. It has started small but now it is really been bothering me. | Hello. 1. It looks like you have pityriasis versicolor, a superficial fungal infection (attachment removed to protect patient identity). Take the following medications: A. Tablet Fluconazole 400 mg one tablet today and then take another after a week. B. Use Ketoconazole 2 % shampoo as a body wash. Apply it on rash at the time of bath, leave it for five minutes and rinse. Do this every other day for a month. C. It might take 1 to 2 months for the rash to subside. |
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Hello doctor, I have a rash for three years. It has started small but now it is really been bothering me. [/INST] Hello. 1. It looks like you have pityriasis versicolor, a superficial fungal infection (attachment removed to protect patient identity). Take the following medications: A. Tablet Fluconazole 400 mg one tablet today and then take another after a week. B. Use Ketoconazole 2 % shampoo as a body wash. Apply it on rash at the time of bath, leave it for five minutes and rinse. Do this every other day for a month. C. It might take 1 to 2 months for the rash to subside. |
Q. Will I get pregnant after having unprotected sex the night before I got my period? | Hello doctor, I had unprotected sex the night before I got my period. I got my period, as usual, the day after. But about two weeks later, I feel extremely nauseous as soon as I wake up and it lasts throughout the day. I feel light headed, I have headaches, and I feel crampy, my sense of smell seems to be heightened. I have these symptoms every day. Could I be pregnant? | Hello. No, you are not pregnant possibly, because having sex just right before periods does not result in pregnancy. Secondly, if someone gets pregnant even then the symptoms of pregnancy does not show up quickly (15 days after having sex). You might be having stress and anxiety which is causing all these symptoms. You need to relax now and wait for your next periods to start. Hope it has helped you. If you have any further queries, please do not hesitate to contact me. |
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Hello doctor, I had unprotected sex the night before I got my period. I got my period, as usual, the day after. But about two weeks later, I feel extremely nauseous as soon as I wake up and it lasts throughout the day. I feel light headed, I have headaches, and I feel crampy, my sense of smell seems to be heightened. I have these symptoms every day. Could I be pregnant? [/INST] Hello. No, you are not pregnant possibly, because having sex just right before periods does not result in pregnancy. Secondly, if someone gets pregnant even then the symptoms of pregnancy does not show up quickly (15 days after having sex). You might be having stress and anxiety which is causing all these symptoms. You need to relax now and wait for your next periods to start. Hope it has helped you. If you have any further queries, please do not hesitate to contact me. |
Q. I have not got any withdrawal bleeding after taking I-pill. Am I pregnant? | Hello doctor, I am a 22-year-old female. I have had irregular periods since the beginning. I was sexually active, and I had protected intercourse before six months and had my period on second of very next month after having sex. I had sonography done, and the reports said only slightly enlarged ovary. I have not had my periods till date. Its been three months now. Please advise what could have gone wrong. I recently had unprotected intercourse on last month and had an I-pill within 12 hours. Its been 10 days I have not got any withdrawal bleeding. I took a pregnancy test yesterday and it is negative. I started having Primolut N to induce my periods. What are the chances of pregnancy? And what should I do to regularize my periods? | Hello. The chances of pregnancy are close to zero. Primolut N for period induction is good, but it is unlikely to work for you if I-pill did not give you a withdrawal bleeding. You may be suffering from PCOD. Please get your blood tested for LH, FSH, TSH, free testosterone, prolactin, DHEAS. Also, do your insulin fasting and transvaginal ultrasound. If the diagnosis of PCOD is confirmed you will have to take oral combined hormone pills with a prescription. That will regularize your periods and give contraceptive protection too. Also, your weight is towards the higher side. Try to lose weight that will help too. |
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Hello doctor, I am a 22-year-old female. I have had irregular periods since the beginning. I was sexually active, and I had protected intercourse before six months and had my period on second of very next month after having sex. I had sonography done, and the reports said only slightly enlarged ovary. I have not had my periods till date. Its been three months now. Please advise what could have gone wrong. I recently had unprotected intercourse on last month and had an I-pill within 12 hours. Its been 10 days I have not got any withdrawal bleeding. I took a pregnancy test yesterday and it is negative. I started having Primolut N to induce my periods. What are the chances of pregnancy? And what should I do to regularize my periods? [/INST] Hello. The chances of pregnancy are close to zero. Primolut N for period induction is good, but it is unlikely to work for you if I-pill did not give you a withdrawal bleeding. You may be suffering from PCOD. Please get your blood tested for LH, FSH, TSH, free testosterone, prolactin, DHEAS. Also, do your insulin fasting and transvaginal ultrasound. If the diagnosis of PCOD is confirmed you will have to take oral combined hormone pills with a prescription. That will regularize your periods and give contraceptive protection too. Also, your weight is towards the higher side. Try to lose weight that will help too. |
Q. I need a second opinion for the medicines I take for bipolar I and ADHD. | Hello doctor, I have a query about the medication prescribed to me, and I need a second opinion. My diagnoses are bipolar 1 and ADHD. I take daily, 1. Lithium 1600 mg. 2. Lamotrigine 300 mg. 3. Amisulpride 400 mg. 4. Haloperidol 4 mg. 5. Sertraline 200 mg. 6. Pregabalin 400 mg. 7. Propranolol 80 mg. 8. Lisdexamfetamine 60 mg. 9. Procyclidine 15 mg. 10. Diazepam 10 mg (PRN). Is that too much medication? Do some of these counteract with each other? | Hello. The rule of thumb in psychiatry is to prescribe medicine for an adequate duration and adequate dose, before considering it ineffective or plan to change. If your doctor has previously tried one medication for proper dose and duration now, he can add another drug, so it depends on how you are responding to medicine? So it might be possible that if you did not respond to one medicine your doctor keeps adding medicine to your prescription. If you are not in a depression or not a rapid cycler, Sertraline can be tapered down. If you are in remission, Lamotrigine can be slowly stopped. I found no counteracting drug. Antidepressants can be given with mood stabilizers in bipolar disorder (depression episode). |
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Hello doctor, I have a query about the medication prescribed to me, and I need a second opinion. My diagnoses are bipolar 1 and ADHD. I take daily, 1. Lithium 1600 mg. 2. Lamotrigine 300 mg. 3. Amisulpride 400 mg. 4. Haloperidol 4 mg. 5. Sertraline 200 mg. 6. Pregabalin 400 mg. 7. Propranolol 80 mg. 8. Lisdexamfetamine 60 mg. 9. Procyclidine 15 mg. 10. Diazepam 10 mg (PRN). Is that too much medication? Do some of these counteract with each other? [/INST] Hello. The rule of thumb in psychiatry is to prescribe medicine for an adequate duration and adequate dose, before considering it ineffective or plan to change. If your doctor has previously tried one medication for proper dose and duration now, he can add another drug, so it depends on how you are responding to medicine? So it might be possible that if you did not respond to one medicine your doctor keeps adding medicine to your prescription. If you are not in a depression or not a rapid cycler, Sertraline can be tapered down. If you are in remission, Lamotrigine can be slowly stopped. I found no counteracting drug. Antidepressants can be given with mood stabilizers in bipolar disorder (depression episode). |
Q. I am suffering from chest pain for three months. Kindly advice. | Hello doctor, I have chest pain for three months. I took ECG, Echo, TMT, my reports are normal. But still, I have the same problem. I take Solopose Beta 0.5 mg. My blood pressure suddenly rises to 120/90. | Hello. I understand your concern and would like to explain that as all your cardiac tests have resulted in normal, a cardiac issue is almost excluded. A 24 hours ECG monitoring test (Holter) would be necessary to eliminate any abnormal arrhythmic event. Probably the most important aspect to explain your symptoms seems to be anxiety. It may exacerbate tachycardia and also unpleasant chest discomfort. But, before getting to that conclusion, I would recommend a cardiac magnetic resonance imaging test. Also, be careful with your current medication as it contains a beta blocker (Propranolol), which if not taken continuously may lead to a rebound effect (increased heart rate). I hope to have been helpful to you. |
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Hello doctor, I have chest pain for three months. I took ECG, Echo, TMT, my reports are normal. But still, I have the same problem. I take Solopose Beta 0.5 mg. My blood pressure suddenly rises to 120/90. [/INST] Hello. I understand your concern and would like to explain that as all your cardiac tests have resulted in normal, a cardiac issue is almost excluded. A 24 hours ECG monitoring test (Holter) would be necessary to eliminate any abnormal arrhythmic event. Probably the most important aspect to explain your symptoms seems to be anxiety. It may exacerbate tachycardia and also unpleasant chest discomfort. But, before getting to that conclusion, I would recommend a cardiac magnetic resonance imaging test. Also, be careful with your current medication as it contains a beta blocker (Propranolol), which if not taken continuously may lead to a rebound effect (increased heart rate). I hope to have been helpful to you. |
Q. What cause severe itching and white discharge during periods? | Hello doctor, I have my periods but not as usual. It was very less than expected and lasted for a week. After that, I am facing white discharge and itching. Is this due to significant periods? Also once I was advised to use Sertacream for the same. Can the cream be used directly? The itching is very high, and I have uneasiness. Please guide me with the solution. | Hello. The presence of thick curdy white discharge with itching and often foul smell is indicative of a fungal and bacterial infection together called mixed vaginosis. This is usually caused by women who are sexually active and contract it while intercourse and also seen in women who use chemical based soaps to wash their genitals during bathing or while using toilets. This can be treated with an antifungal, antibiotic vaginal pessary to be kept intravaginally for seven nights and also an oral course of antibiotics for seven days to cover element of pelvic inflammatory disease as well. |
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Hello doctor, I have my periods but not as usual. It was very less than expected and lasted for a week. After that, I am facing white discharge and itching. Is this due to significant periods? Also once I was advised to use Sertacream for the same. Can the cream be used directly? The itching is very high, and I have uneasiness. Please guide me with the solution. [/INST] Hello. The presence of thick curdy white discharge with itching and often foul smell is indicative of a fungal and bacterial infection together called mixed vaginosis. This is usually caused by women who are sexually active and contract it while intercourse and also seen in women who use chemical based soaps to wash their genitals during bathing or while using toilets. This can be treated with an antifungal, antibiotic vaginal pessary to be kept intravaginally for seven nights and also an oral course of antibiotics for seven days to cover element of pelvic inflammatory disease as well. |
Q. What are the benefits of using krill oil for brain and heart? | Hello doctor,I am using a high dosage of krill oil to combat concentration problems. It seems to work on the cell membrane and it appears to improve the electrical signaling because electrical signals pass the cell membrane. However, if I improve the electrical signaling, will this impact the heart? Will my heart pump stronger if the electrical signals from the brain to the heart become stronger? Do I need to monitor my blood pressure for example? Or does the krill oil only work on the brain's electrical signaling and not the heart? | Hello. I passed carefully through your concern and would like to explain that krill oil is a good source of omega-3 fatty acids, which have proven beneficial to the brain and nerve endings activity. But, it shows only mild beneficial effects on the heart. Anyway, it has no adverse cardiac properties and you should not be concerned about any cardiac issues while using krill oil. It will not significantly affect your blood pressure or heart rate. You may follow a normal daily activity without any need to monitor specific cardiac parameters or blood tests. |
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Hello doctor,I am using a high dosage of krill oil to combat concentration problems. It seems to work on the cell membrane and it appears to improve the electrical signaling because electrical signals pass the cell membrane. However, if I improve the electrical signaling, will this impact the heart? Will my heart pump stronger if the electrical signals from the brain to the heart become stronger? Do I need to monitor my blood pressure for example? Or does the krill oil only work on the brain's electrical signaling and not the heart? [/INST] Hello. I passed carefully through your concern and would like to explain that krill oil is a good source of omega-3 fatty acids, which have proven beneficial to the brain and nerve endings activity. But, it shows only mild beneficial effects on the heart. Anyway, it has no adverse cardiac properties and you should not be concerned about any cardiac issues while using krill oil. It will not significantly affect your blood pressure or heart rate. You may follow a normal daily activity without any need to monitor specific cardiac parameters or blood tests. |
Q. Why am I having itching and burning penis with a red rash? | Hello doctor,I have itching and burning penis with a red rash which burns sometimes and it has been there for 20 days. It reduces and increases some times. I have used FourDerm and Candid B but what could be the problem? Kindly suggest. | Hello. 1. It seems you might have a fungal infection and the creams you are using are harmful in that. So stop using them at once. 2. Send me a picture of the area, if possible. 3. Meanwhile, apply the cream I am prescribing below. Tinea cruris. 1. Tablet Sebifin 250 once a day. 2. Tablet Levosiz 5 mg at night. 3. Cr Lulifin apply at night. For 15 days. |
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Hello doctor,I have itching and burning penis with a red rash which burns sometimes and it has been there for 20 days. It reduces and increases some times. I have used FourDerm and Candid B but what could be the problem? Kindly suggest. [/INST] Hello. 1. It seems you might have a fungal infection and the creams you are using are harmful in that. So stop using them at once. 2. Send me a picture of the area, if possible. 3. Meanwhile, apply the cream I am prescribing below. Tinea cruris. 1. Tablet Sebifin 250 once a day. 2. Tablet Levosiz 5 mg at night. 3. Cr Lulifin apply at night. For 15 days. |
Q. I am pregnant and suffering from low iron level. Can I have normal delivery? | Hello doctor, I am at my first pregnancy, and I am seven months pregnant. I have been anemic all of my life, and I am still struggling to get my iron levels up. When I went to the hospitals for my checkups, they have not said anything about my anemia. I was wondering should I request a C- section or can I have e normal delivery? Because I am scared that will I bleed out during labor if I do have natural as this happened to my mom when she was pregnant. I would like to know what would be best for the baby during birth. Thank you in advance. | Hello. You still have three months to go till delivery. This is enough time to diagnose the reason for your anemia and also to build up your hemoglobin levels. Talk to your obstetrician about it. Blood loss in C- section and normal delivery are almost the same. So any mode of delivery is equally risky for anemia. You should do a deworming. Look for your blood iron stores and test for thalassemia. Sometimes marrow biopsy is needed too. Your anemia needs diagnosis for better treatment. |
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Hello doctor, I am at my first pregnancy, and I am seven months pregnant. I have been anemic all of my life, and I am still struggling to get my iron levels up. When I went to the hospitals for my checkups, they have not said anything about my anemia. I was wondering should I request a C- section or can I have e normal delivery? Because I am scared that will I bleed out during labor if I do have natural as this happened to my mom when she was pregnant. I would like to know what would be best for the baby during birth. Thank you in advance. [/INST] Hello. You still have three months to go till delivery. This is enough time to diagnose the reason for your anemia and also to build up your hemoglobin levels. Talk to your obstetrician about it. Blood loss in C- section and normal delivery are almost the same. So any mode of delivery is equally risky for anemia. You should do a deworming. Look for your blood iron stores and test for thalassemia. Sometimes marrow biopsy is needed too. Your anemia needs diagnosis for better treatment. |
Q. What are the symptoms of bipolar disorder? | Hello doctor, I am 18 years old and I do not know what is wrong with me. I think I have severe depression and anxiety, but obviously, that cannot be 100 % accurate. The thing is, I think I am depressed, but there are times where I feel on top of the world. Maybe I have bipolar disorder? I do not know. I have been researching a lot lately and I have watched videos of people experiencing a maniac episode and I feel like sometimes I act like that. I am not sure though. It would really help if I could talk to a professional, but I am scared of asking my parents to see one. I know they would probably say yes and accept me but I have just always been closed off. So, now I am here. Please help. | Hi. Ideally, you should collect the courage to tell your problem to parents because you are still very young. If not comfortable with parents some close relative or friend or free helpline. Making the diagnosis of depression, the symptoms must present for at least two weeks regularly. Sometimes we see someone close to us suffering from any disease and try to find or check yourself for these symptoms, remain anxious with their thought, later that thought can lead to depression. One more easy way to decide is to ask yourself whether normal functioning is hampered. If the answer is yes you should go to a psychiatrist as early as possible. Again saying that taking help from the parent is the best option in front of you. Do not be afraid of the treatment. It is very simple and easy to treat depression nowadays. |
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Hello doctor, I am 18 years old and I do not know what is wrong with me. I think I have severe depression and anxiety, but obviously, that cannot be 100 % accurate. The thing is, I think I am depressed, but there are times where I feel on top of the world. Maybe I have bipolar disorder? I do not know. I have been researching a lot lately and I have watched videos of people experiencing a maniac episode and I feel like sometimes I act like that. I am not sure though. It would really help if I could talk to a professional, but I am scared of asking my parents to see one. I know they would probably say yes and accept me but I have just always been closed off. So, now I am here. Please help. [/INST] Hi. Ideally, you should collect the courage to tell your problem to parents because you are still very young. If not comfortable with parents some close relative or friend or free helpline. Making the diagnosis of depression, the symptoms must present for at least two weeks regularly. Sometimes we see someone close to us suffering from any disease and try to find or check yourself for these symptoms, remain anxious with their thought, later that thought can lead to depression. One more easy way to decide is to ask yourself whether normal functioning is hampered. If the answer is yes you should go to a psychiatrist as early as possible. Again saying that taking help from the parent is the best option in front of you. Do not be afraid of the treatment. It is very simple and easy to treat depression nowadays. |
Q. Is it advisable to take Tranlok-E during pregnancy? | Hi doctor, I am a 26 year old female. I have checked my pregnancy test on the 8th of this month and my last LMP was on the 5th of last month. I have consulted the doctor, he confirmed my pregnancy and prescribed me capsule Gestafine 200 (Progesterone soft gelatin 200) one capsule per day for 15 days and Folvite 5 mg one tablet per day for 15 days. After a week, I found some brown discharge. Then, My doctor did a scan and said that the baby growth is not well for the one month of pregnancy. She said that there is a 50% chance of miscarriage. So, she prescribed Aspirin gastro-resistant tablet IP 50 mg one tablet per day for 15 days and Tranlok-E two tablets per day for three days. As my brown discharge did not stop, again, I went to the doctor. She has done an ultrasonic scan and told me that the baby has started to grow. Now, she prescribed IM HUCOG 5000 one injection, IM Susten 200 one injection, Tranlok-E three tablets per day for 5 days, Duphastone 10 mg three tablets per day for 10 days, Susten 200 one tablet per day for 10 days, Folvite 5 mg one tablet per day for 10 days and Aspirin gastro-resistant IP 50 mg one tablet per day for 10 days. As of now my brown discharge has stopped. I tried to approach you this time, because on the internet I found that Tranlok-E is prescribed to stop uncontrolled bleeding in menstrual periods and it is not mentioned for pregnant women. Since, I am pregnant, I just want to confirm whether there is any side effect in the above mentioned tablets. Shall I continue those medicines?. Please help me. | Hello. I understand your query completely here. For further information consult an obstetrician and gynaecologist online --> |
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Hi doctor, I am a 26 year old female. I have checked my pregnancy test on the 8th of this month and my last LMP was on the 5th of last month. I have consulted the doctor, he confirmed my pregnancy and prescribed me capsule Gestafine 200 (Progesterone soft gelatin 200) one capsule per day for 15 days and Folvite 5 mg one tablet per day for 15 days. After a week, I found some brown discharge. Then, My doctor did a scan and said that the baby growth is not well for the one month of pregnancy. She said that there is a 50% chance of miscarriage. So, she prescribed Aspirin gastro-resistant tablet IP 50 mg one tablet per day for 15 days and Tranlok-E two tablets per day for three days. As my brown discharge did not stop, again, I went to the doctor. She has done an ultrasonic scan and told me that the baby has started to grow. Now, she prescribed IM HUCOG 5000 one injection, IM Susten 200 one injection, Tranlok-E three tablets per day for 5 days, Duphastone 10 mg three tablets per day for 10 days, Susten 200 one tablet per day for 10 days, Folvite 5 mg one tablet per day for 10 days and Aspirin gastro-resistant IP 50 mg one tablet per day for 10 days. As of now my brown discharge has stopped. I tried to approach you this time, because on the internet I found that Tranlok-E is prescribed to stop uncontrolled bleeding in menstrual periods and it is not mentioned for pregnant women. Since, I am pregnant, I just want to confirm whether there is any side effect in the above mentioned tablets. Shall I continue those medicines?. Please help me. [/INST] Hello. I understand your query completely here. For further information consult an obstetrician and gynaecologist online --> |
Q. How long should my husband and I wait to try for a baby if we did cocaine? | Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. | Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> |
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Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. [/INST] Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> |
Q. Can Yasmin birth control pill be used as an emergency contraceptive pill? | Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? | Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> |
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Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? [/INST] Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> |
Q. Please explain the poisonous effect of phenol ingestion. | Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. | Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> |
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Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. [/INST] Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> |
Q. For how long should I take Kalachikai powder to overcome PCOD problem? | Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? | Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> |
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Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? [/INST] Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> |
Q. Why do periods get delayed after first time sex? | Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? | Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> |
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Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? [/INST] Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> |
Q. What does echocardiography report indicate? | Hello doctor, I have done the echocardiography. Can you suggest me what to do? | Hi. Your echocardiography report is very normal (attachment removed to protect patient identity). One thing you may be thinking is what is diastolic dysfunction grade 1. DD grade 1 denotes that your left ventricle is a bit stiffer than normal. It is usually due to prolonged raised BP. Also, present in obese people without hypertension. So, control your BP if it is raised and lower your weight, reduce salt intake in the diet. Otherwise thumbs up for your echo. It is normal. |
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Hello doctor, I have done the echocardiography. Can you suggest me what to do? [/INST] Hi. Your echocardiography report is very normal (attachment removed to protect patient identity). One thing you may be thinking is what is diastolic dysfunction grade 1. DD grade 1 denotes that your left ventricle is a bit stiffer than normal. It is usually due to prolonged raised BP. Also, present in obese people without hypertension. So, control your BP if it is raised and lower your weight, reduce salt intake in the diet. Otherwise thumbs up for your echo. It is normal. |
Q. What are the ways to control farting at night? | Hello doctor, My problem is related to gas. I have farting at night. | Hi. Please provide me details of your symptoms. Exactly what symptoms you have and since how long? |
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Hello doctor, My problem is related to gas. I have farting at night. [/INST] Hi. Please provide me details of your symptoms. Exactly what symptoms you have and since how long? |
Q. I have a swelling on penis that does not hurt. What is it? | Hi doctor, I have problem with penis head and shaft. Meatus seems to be red and puffy and itches at times. Also the penis head seems to be very irritated. There is a ring puffed kind of swelling that goes around my shaft. It does not hurt but it came up around 3-5 weeks ago. Please help. | Hello. I read your query and understand your concerns. From the available pictures (attachments removed to protect patient identity) there is ample evidence of balanitis (inflammation of prepuce) and urethritis (inflammation of urethra). Since both condition can be caused by multiple bacteriological agents there is a need to get antibiotic treatment. The best thing is to get local swab and send it to microbiology for culture and sensitivity. In case that is not possible get empirical antibiotic treatment. |
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Hi doctor, I have problem with penis head and shaft. Meatus seems to be red and puffy and itches at times. Also the penis head seems to be very irritated. There is a ring puffed kind of swelling that goes around my shaft. It does not hurt but it came up around 3-5 weeks ago. Please help. [/INST] Hello. I read your query and understand your concerns. From the available pictures (attachments removed to protect patient identity) there is ample evidence of balanitis (inflammation of prepuce) and urethritis (inflammation of urethra). Since both condition can be caused by multiple bacteriological agents there is a need to get antibiotic treatment. The best thing is to get local swab and send it to microbiology for culture and sensitivity. In case that is not possible get empirical antibiotic treatment. |
Q. Is there any risk in repeated open heart surgery? | Hi doctor, I am a 32 year old male weighing 60 kg and my height is 5'9". I had undergone open heart surgery 7 years back for aortic stenosis valve replacement. One day my eye got swollen and felt some dizziness. So, I went to the doctor for checkup. He told me that I had calcium deposit on aortic valve, which is already replaced valve. Now I want to know that, Is there is any option for replacement of valve again other than open heart surgery? My whole report was good in terms of cholesterol and other things the only problem was calcium deposit. If valve can be replaced through TAVR, where can I get the best treatment? Earlier I had valve replacement open heart surgery in a reputed hospital. Please provide me all information regarding this. Is there any risk in another open heart surgery or in TAVR? | Hello. I have thoroughly gone through your case and can well understand your genuine health concerns. Transthoracic aortic valve replacement (TAVR) is usually considered as a good choice for patients who are not a good candidate for open heart surgery. It is a good alternative for patients based on clinical evaluation and severity of the disease. Every procedure has its own risk factors and the same to TAVR and open heart surgery. It includes heart musculature rupture, valvular damages, some damage to the vessels coming out and going into the heart. Damage to the brain and other major organs due to clot or thrombus formation may also occur due to manipulation and surgery. But in modern day techniques, there are least complications and the benefits outweigh the risks for sure. |
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Hi doctor, I am a 32 year old male weighing 60 kg and my height is 5'9". I had undergone open heart surgery 7 years back for aortic stenosis valve replacement. One day my eye got swollen and felt some dizziness. So, I went to the doctor for checkup. He told me that I had calcium deposit on aortic valve, which is already replaced valve. Now I want to know that, Is there is any option for replacement of valve again other than open heart surgery? My whole report was good in terms of cholesterol and other things the only problem was calcium deposit. If valve can be replaced through TAVR, where can I get the best treatment? Earlier I had valve replacement open heart surgery in a reputed hospital. Please provide me all information regarding this. Is there any risk in another open heart surgery or in TAVR? [/INST] Hello. I have thoroughly gone through your case and can well understand your genuine health concerns. Transthoracic aortic valve replacement (TAVR) is usually considered as a good choice for patients who are not a good candidate for open heart surgery. It is a good alternative for patients based on clinical evaluation and severity of the disease. Every procedure has its own risk factors and the same to TAVR and open heart surgery. It includes heart musculature rupture, valvular damages, some damage to the vessels coming out and going into the heart. Damage to the brain and other major organs due to clot or thrombus formation may also occur due to manipulation and surgery. But in modern day techniques, there are least complications and the benefits outweigh the risks for sure. |
Q. How to get treated for tinnitus? | Hi doctor, I am a 31 year old female. I am having tinnitus in my right ear. My PTA hearing test says R - 17 dB and L - 10 dB. My doctor informed me that there is slight nerve damage and it is causing tinnitus and slight hearing loss. He said that there is no cure for it. Please help. | Hello. Your PTA (pure tone audiometry) showing minimal hearing loss in right ear and normal hearing in the left. I do not think this minimal hearing loss cause the tinnitus unless the hearing loss is progressive. Tinnitus is not a disease. It is a symptom due to many underlying disease, so we need to exclude the cause for the tinnitus first. Next time please mention whether you are diabetic or hypertensive of having hearing impairment or heaviness in ear. Also mention whether the tinnitus is continuous or periodic or pulsating in nature. For the next seven days do valsalva maneuver 20 to 30 times a day, the procedure of which you can get in YouTube. Then take some medication as written below for seven days. Please get a tympanogram if possible. Tympanogram. ETD (Eustachian tube dysfunction). 1. Valsalva maneuver as advised. 2. Tablet Solvin (combination of Pseudoephedrine and Bromhexine) one tablet thrice daily. 3. Capsule Zincosule-4G (Multivitamin) one capsule twice a day. |
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Hi doctor, I am a 31 year old female. I am having tinnitus in my right ear. My PTA hearing test says R - 17 dB and L - 10 dB. My doctor informed me that there is slight nerve damage and it is causing tinnitus and slight hearing loss. He said that there is no cure for it. Please help. [/INST] Hello. Your PTA (pure tone audiometry) showing minimal hearing loss in right ear and normal hearing in the left. I do not think this minimal hearing loss cause the tinnitus unless the hearing loss is progressive. Tinnitus is not a disease. It is a symptom due to many underlying disease, so we need to exclude the cause for the tinnitus first. Next time please mention whether you are diabetic or hypertensive of having hearing impairment or heaviness in ear. Also mention whether the tinnitus is continuous or periodic or pulsating in nature. For the next seven days do valsalva maneuver 20 to 30 times a day, the procedure of which you can get in YouTube. Then take some medication as written below for seven days. Please get a tympanogram if possible. Tympanogram. ETD (Eustachian tube dysfunction). 1. Valsalva maneuver as advised. 2. Tablet Solvin (combination of Pseudoephedrine and Bromhexine) one tablet thrice daily. 3. Capsule Zincosule-4G (Multivitamin) one capsule twice a day. |
Q. What does abutment of the nerve root mean? | 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? | 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 --> |
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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? [/INST] 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 --> |
Q. Why does my seminal fluid leak out soon? | Hi doctor, Over a year we are trying for a baby. But, my wife is not getting pregnant. She underwent thyroid test also and the result was negative. I think the issue is with me. So what to do? While having sex my semen leaks out early and it does not stay for long. Do I need to take any medicine? Please suggest. | Hello. If you have been trying for last one year and not conceived yet then a semen analysis is necessary, which should evaluate the sperm count and morphology. If the results are normal, then your wife can be further evaluated with an ultrasound pelvis and a hormonal profile to rule out PCOS or any organic causes of uterus like endometriosis or polyp. So, please get a review with semen analysis report, as medicines can be started later on if needed. |
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Hi doctor, Over a year we are trying for a baby. But, my wife is not getting pregnant. She underwent thyroid test also and the result was negative. I think the issue is with me. So what to do? While having sex my semen leaks out early and it does not stay for long. Do I need to take any medicine? Please suggest. [/INST] Hello. If you have been trying for last one year and not conceived yet then a semen analysis is necessary, which should evaluate the sperm count and morphology. If the results are normal, then your wife can be further evaluated with an ultrasound pelvis and a hormonal profile to rule out PCOS or any organic causes of uterus like endometriosis or polyp. So, please get a review with semen analysis report, as medicines can be started later on if needed. |
Q. I have been sick with very sore joints and muscles. What could it be? | Hi doctor, I have been sick for the last two years with the following symptoms. Fatigue, ringing in ears, very sore joints, sore muscles, follicular carcinoma, passing out, and extreme headaches. I am taking Synthroid currently. I just had a flow cytometry and numerous bouts of blood work. I have attached that for your reference. Please help. | Hi. Based on test results, my opinion is, it could be chronic Lyme disease. Low CD57 with additional symptoms provided except follicular carcinoma, could be due to chronic Lyme disease. Chronic Lyme disease is associated with a decrease in the CD57 lymphocyte subset that may persist over 10 years. The decrease in CD57 cells appears to reflect a selective immunologic abnormality in patients with chronic Borrelia infection. Longer therapy, maybe up to 11 months with Tetracycline may be necessary. It could be helpful. Your doctor can guide you with further management. 1. Prolonged antibiotic therapy could be helpful. 2. Any co-infections present should be treated first. |
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Hi doctor, I have been sick for the last two years with the following symptoms. Fatigue, ringing in ears, very sore joints, sore muscles, follicular carcinoma, passing out, and extreme headaches. I am taking Synthroid currently. I just had a flow cytometry and numerous bouts of blood work. I have attached that for your reference. Please help. [/INST] Hi. Based on test results, my opinion is, it could be chronic Lyme disease. Low CD57 with additional symptoms provided except follicular carcinoma, could be due to chronic Lyme disease. Chronic Lyme disease is associated with a decrease in the CD57 lymphocyte subset that may persist over 10 years. The decrease in CD57 cells appears to reflect a selective immunologic abnormality in patients with chronic Borrelia infection. Longer therapy, maybe up to 11 months with Tetracycline may be necessary. It could be helpful. Your doctor can guide you with further management. 1. Prolonged antibiotic therapy could be helpful. 2. Any co-infections present should be treated first. |
Q. What home remedies can be used to cure loose motions in a baby? | Hello doctor, My 10 months old baby girl is having loose motion from the last five days. Sometimes she passes normal bowl, but today she is passing very loose bowls and since morning she has passed about five times, runny and loose stool. Kindly suggest me some home remedy or medicine. | Hi. Give ORS as much as she wants to prevent dehydration. Start Zinc syrup 10 milligrams once a day and a good brand of prebiotic probiotic available locally. Look around her bums area, if there is a redness rash, then apply Zinc-oxide cream locally 3 to 4 times a day. If she is looking dull, seems irritable for not passing urine, then please bring her to a pediatrician as soon as possible. If stool continues, please do stool routine and microbiology report. Above all advice will not help to stop the stool frequency but it will help to prevent the complication. Mostly it is looking like viral gastroenteritis so it will subside by itself only to just give ORS when she passed the motion to prevent dehydration. |
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Hello doctor, My 10 months old baby girl is having loose motion from the last five days. Sometimes she passes normal bowl, but today she is passing very loose bowls and since morning she has passed about five times, runny and loose stool. Kindly suggest me some home remedy or medicine. [/INST] Hi. Give ORS as much as she wants to prevent dehydration. Start Zinc syrup 10 milligrams once a day and a good brand of prebiotic probiotic available locally. Look around her bums area, if there is a redness rash, then apply Zinc-oxide cream locally 3 to 4 times a day. If she is looking dull, seems irritable for not passing urine, then please bring her to a pediatrician as soon as possible. If stool continues, please do stool routine and microbiology report. Above all advice will not help to stop the stool frequency but it will help to prevent the complication. Mostly it is looking like viral gastroenteritis so it will subside by itself only to just give ORS when she passed the motion to prevent dehydration. |
Q. Can bleeding after sex during pregnancy be due to miscarriage? | Hello doctor, I just found that I was pregnant three days ago, I got a faint positive and went to the hospital. The doctors said it was too early but they did a blood test and my hCG was at 150. I had sex yesterday morning and started light bleeding after. I had two small dots but the rest was light pink. I went back to the doctor and they did a vaginal ultrasound and I had the same problem. My cramping is nothing major. I am 21 years old, 5 feet 4 inches, and 161 pounds. Can you tell me if this is a miscarriage? | Hello. It could be a miscarriage and could be spotting in early pregnancy as miscarriages are usually confirmed on ultrasound scan and bleeding is heavy with abdominal pain and it usually takes a few days before getting stopped. I would suggest you to repeat a pregnancy test and see if it is positive or not because if pregnancy is miscarrying then there is a possibility for that to become negative due to falling levels of hCG. |
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Hello doctor, I just found that I was pregnant three days ago, I got a faint positive and went to the hospital. The doctors said it was too early but they did a blood test and my hCG was at 150. I had sex yesterday morning and started light bleeding after. I had two small dots but the rest was light pink. I went back to the doctor and they did a vaginal ultrasound and I had the same problem. My cramping is nothing major. I am 21 years old, 5 feet 4 inches, and 161 pounds. Can you tell me if this is a miscarriage? [/INST] Hello. It could be a miscarriage and could be spotting in early pregnancy as miscarriages are usually confirmed on ultrasound scan and bleeding is heavy with abdominal pain and it usually takes a few days before getting stopped. I would suggest you to repeat a pregnancy test and see if it is positive or not because if pregnancy is miscarrying then there is a possibility for that to become negative due to falling levels of hCG. |
Q. Is gum disease causing bleeding in mouth? | Hello doctor, I woke this morning and cleared my throat and there was blood in my saliva and then later some in the saliva in my mouth. I have gum disease and my top back teeth, gums are tender. Could that have caused the bleeding? | Hello. Yes, gum disease can cause such oral bleeding. You should first get your teeth and gums cleaned by a dentist. Apply an oral antibiotic gel over gums. Use warm salt water gargle twice a day for a week. Sometimes gum surgeries may be needed to remove infections and heal the gums in severe cases. |
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Hello doctor, I woke this morning and cleared my throat and there was blood in my saliva and then later some in the saliva in my mouth. I have gum disease and my top back teeth, gums are tender. Could that have caused the bleeding? [/INST] Hello. Yes, gum disease can cause such oral bleeding. You should first get your teeth and gums cleaned by a dentist. Apply an oral antibiotic gel over gums. Use warm salt water gargle twice a day for a week. Sometimes gum surgeries may be needed to remove infections and heal the gums in severe cases. |
Q. How long should my husband and I wait to try for a baby if we did cocaine? | Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. | Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> |
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Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. [/INST] Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> |
Q. Can Yasmin birth control pill be used as an emergency contraceptive pill? | Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? | Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> |
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Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? [/INST] Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> |
Q. Please explain the poisonous effect of phenol ingestion. | Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. | Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> |
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Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. [/INST] Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> |
Q. For how long should I take Kalachikai powder to overcome PCOD problem? | Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? | Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> |
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Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? [/INST] Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> |
Q. Why do periods get delayed after first time sex? | Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? | Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> |
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Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? [/INST] Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> |
Q. Will Nano-Leo give permanent solution for erection problem? | 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. | Hi. For further doubts consult a sexologist online --> |
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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. [/INST] Hi. For further doubts consult a sexologist online --> |
Q. Can high protein levels indicate cancer in ANA patient? | Hello doctor, Positive ANA, weak positive Smith through childhood or teens. Monitored for lupus by pediatric rheumatologist but never really exhibited symptoms. I have abnormal beta 2 glycoprotein that puts me at risk for blood clots. Was told in high school to take Baby Aspirin every day. I am now 28. Recently had full lab tests done for the first time in many years. Platelet count: 402 (had physical labs done three years ago and it was 432), protein: 8.9, ABS lymphocytes: 3.2. I went back to look through all my labs from my teenage years from a rheumatologist. I saw and I never had high protein. Also, my platelets were usually normal so I think the elevated thing is more recent? But it has gone down from 423 three years ago. I show no active signs and lupus and never truly did. I was always just monitored. I have a copper IUD and occasionally take my Aspirin. When I take it often, I bruise super easily. Just concerned mainly about the protein level. I have read about leukemia and other blood cancers. I was fasting for more than 12 hours and drank no water (I hardly ever do). All other labs are normal in the metabolic panel and CBC with auto diff. | Hello. The elevated high total protein does not indicate malignancy only. It could be due to some temporary infective etiology as well. Your all other parameters do not indicate any blood cancer. If you have a history of positive beta 2 glycoproteins as mentioned in the above description then you have to repeat your beta 2 glycoprotein estimation again after 12 weeks. If two repeated tests for beta 2 glycoprotein are positive and any history of thrombosis, then anti-phospholipid lipid syndrome can be possible or else not. The positive Smith antigen points towards lupus. If asymptomatic, then no need for treatment and only monitoring can be done. However, you can repeat your Smith antibody estimation again to exclude the possibility of lupus. You can investigate with anti-ds DNA estimation as well to exclude SLE. If beta 2 glycoprotein result comes negative in the repeat test, then no need to take Aspirin. The occasional Aspirin ingestion has no value and not indicated. You can consult nearby hematologist for detailed evaluation. |
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Hello doctor, Positive ANA, weak positive Smith through childhood or teens. Monitored for lupus by pediatric rheumatologist but never really exhibited symptoms. I have abnormal beta 2 glycoprotein that puts me at risk for blood clots. Was told in high school to take Baby Aspirin every day. I am now 28. Recently had full lab tests done for the first time in many years. Platelet count: 402 (had physical labs done three years ago and it was 432), protein: 8.9, ABS lymphocytes: 3.2. I went back to look through all my labs from my teenage years from a rheumatologist. I saw and I never had high protein. Also, my platelets were usually normal so I think the elevated thing is more recent? But it has gone down from 423 three years ago. I show no active signs and lupus and never truly did. I was always just monitored. I have a copper IUD and occasionally take my Aspirin. When I take it often, I bruise super easily. Just concerned mainly about the protein level. I have read about leukemia and other blood cancers. I was fasting for more than 12 hours and drank no water (I hardly ever do). All other labs are normal in the metabolic panel and CBC with auto diff. [/INST] Hello. The elevated high total protein does not indicate malignancy only. It could be due to some temporary infective etiology as well. Your all other parameters do not indicate any blood cancer. If you have a history of positive beta 2 glycoproteins as mentioned in the above description then you have to repeat your beta 2 glycoprotein estimation again after 12 weeks. If two repeated tests for beta 2 glycoprotein are positive and any history of thrombosis, then anti-phospholipid lipid syndrome can be possible or else not. The positive Smith antigen points towards lupus. If asymptomatic, then no need for treatment and only monitoring can be done. However, you can repeat your Smith antibody estimation again to exclude the possibility of lupus. You can investigate with anti-ds DNA estimation as well to exclude SLE. If beta 2 glycoprotein result comes negative in the repeat test, then no need to take Aspirin. The occasional Aspirin ingestion has no value and not indicated. You can consult nearby hematologist for detailed evaluation. |
Q. What are the causes for missed periods after sex? | Hello doctor,I am in doubt that I am pregnant. I had safe sex with my husband as we are sure that there is no scope of pregnancy because we were very cautious but still I did not have periods this month. I need to be sure if I am pregnant. | Hello. Though chances of getting pregnant are really minimal with all types of protection but nothing is 100 percent safe. So if you have missed periods and you seem concerned then there is no harm in doing a pregnancy test for your own peace of mind to rule it out and to avoid further accidents, I would suggest you opt for a regular birth control method according to your preferences. |
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Hello doctor,I am in doubt that I am pregnant. I had safe sex with my husband as we are sure that there is no scope of pregnancy because we were very cautious but still I did not have periods this month. I need to be sure if I am pregnant. [/INST] Hello. Though chances of getting pregnant are really minimal with all types of protection but nothing is 100 percent safe. So if you have missed periods and you seem concerned then there is no harm in doing a pregnancy test for your own peace of mind to rule it out and to avoid further accidents, I would suggest you opt for a regular birth control method according to your preferences. |
Q. Why am I having elevated lymphocytes? | Hello doctor, For the past five years, my absolute lymphocytes have been 4.2 to 4.9 range, never going over 5 (I have had multiple CBC's and every single one of my absolute lymphocytes is elevated). However, they have been continually elevated to the point that I was recently sent to a hematologist who initially thought I had CLL, but the flow cytometry test came back negative, then he did a T-cell gamma rearrangement test, also negative. At that point, he decided it must be autoimmune and sent me back to my PCP. Several years earlier when all this started, I woke up with joint pain, swelling and was sent to a Rheumatologist who decided I had RA despite every RA test being negative, and the joint swelling is not following what is clinically seen in RA (my joints were not bilaterally swollen, red, or hot. They were randomly swelling in my hands, feet and were really painful). So, I refused to take Methotrexate because I had no positive RA tests and after about a year, the swelling went down, the pain faded away and I have had no other flares since that time. So, my question is, should I try to get to the bottom of my chronically elevated absolute lymphocyte and if so, are there any other tests I should have my PCP pursue? I do not want to blame it on the RA when there is no proof I ever had RA but at this point, five years of elevated absolute lymphocytes are concerning to me and I feel like it is indicative of something, but I do not know what. | Hello. If you have any type of leukemia especially CLL (chronic lymphocytic leukemia) or MBL (monoclonal B-cell lymphocytosis) then it could have been reflected in the peripheral smear examination report or in flow cytometry investigation. Your flow cytometry report is negative and hence it suggestive of non-leukemia condition. Autoimmune disease chances can be there. So for that, you need to investigate with serum ANA estimation, ESR estimation and then if needed full autoimmune cell panel can be run to exclude any possibility of autoimmune disorder. If you have chronic cold symptoms then also it can be causative for high lymphocytes. |
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Hello doctor, For the past five years, my absolute lymphocytes have been 4.2 to 4.9 range, never going over 5 (I have had multiple CBC's and every single one of my absolute lymphocytes is elevated). However, they have been continually elevated to the point that I was recently sent to a hematologist who initially thought I had CLL, but the flow cytometry test came back negative, then he did a T-cell gamma rearrangement test, also negative. At that point, he decided it must be autoimmune and sent me back to my PCP. Several years earlier when all this started, I woke up with joint pain, swelling and was sent to a Rheumatologist who decided I had RA despite every RA test being negative, and the joint swelling is not following what is clinically seen in RA (my joints were not bilaterally swollen, red, or hot. They were randomly swelling in my hands, feet and were really painful). So, I refused to take Methotrexate because I had no positive RA tests and after about a year, the swelling went down, the pain faded away and I have had no other flares since that time. So, my question is, should I try to get to the bottom of my chronically elevated absolute lymphocyte and if so, are there any other tests I should have my PCP pursue? I do not want to blame it on the RA when there is no proof I ever had RA but at this point, five years of elevated absolute lymphocytes are concerning to me and I feel like it is indicative of something, but I do not know what. [/INST] Hello. If you have any type of leukemia especially CLL (chronic lymphocytic leukemia) or MBL (monoclonal B-cell lymphocytosis) then it could have been reflected in the peripheral smear examination report or in flow cytometry investigation. Your flow cytometry report is negative and hence it suggestive of non-leukemia condition. Autoimmune disease chances can be there. So for that, you need to investigate with serum ANA estimation, ESR estimation and then if needed full autoimmune cell panel can be run to exclude any possibility of autoimmune disorder. If you have chronic cold symptoms then also it can be causative for high lymphocytes. |
Q. What are the ways to regulate periods in an overweight patient? | Hello doctor, How to regulate periods on time? How to manage my overweight? My height is 5 inches, weight is 68 kg. Please help me on how to control my weight and periods problem. | Hello. It seems that you might have problems with PCOS. It is a complex problem commonly affecting young girls. Once your weight will be reduced to at least 5 kg from the current level, your cycle will regularize itself. For weight reduction, first of all, you can try low-carbohydrate, low-fat and high-fiber diet and some exercise and secondly you can go for Metformin tablets which help in weight reduction and also regularizing hormonal imbalance associated with PCOS. For periods you have to take regular hormonal pills (birth control pills) which will regularize your cycle on a monthly basis by correcting the process of ovulation. |
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Hello doctor, How to regulate periods on time? How to manage my overweight? My height is 5 inches, weight is 68 kg. Please help me on how to control my weight and periods problem. [/INST] Hello. It seems that you might have problems with PCOS. It is a complex problem commonly affecting young girls. Once your weight will be reduced to at least 5 kg from the current level, your cycle will regularize itself. For weight reduction, first of all, you can try low-carbohydrate, low-fat and high-fiber diet and some exercise and secondly you can go for Metformin tablets which help in weight reduction and also regularizing hormonal imbalance associated with PCOS. For periods you have to take regular hormonal pills (birth control pills) which will regularize your cycle on a monthly basis by correcting the process of ovulation. |
Q. How can I get relief from inguinal hernia without surgery? | Hello doctor, I am a 30-year-old male. I am suffering from right inguinal hernia for the past two months. I have consulted a doctor, and he asked me to go for surgery. Is it possible to cure an inguinal hernia without surgery? | Hello. Inguinal hernias generally are of two types: Strangulated and non-strangulated. Nonstrangulated are simple as currently, you have. So if you do not undergo surgery, it can be converted to strangulated and complicated one. The hernia is due to muscle weakness, so better you should undergo surgery, they will apply for mash work and strengthen the muscles. Avoid heavy exercise, and work out. |
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Hello doctor, I am a 30-year-old male. I am suffering from right inguinal hernia for the past two months. I have consulted a doctor, and he asked me to go for surgery. Is it possible to cure an inguinal hernia without surgery? [/INST] Hello. Inguinal hernias generally are of two types: Strangulated and non-strangulated. Nonstrangulated are simple as currently, you have. So if you do not undergo surgery, it can be converted to strangulated and complicated one. The hernia is due to muscle weakness, so better you should undergo surgery, they will apply for mash work and strengthen the muscles. Avoid heavy exercise, and work out. |
Q. I am HLA-B27 patient. Is there any side effects on taking Adalimumab injections? | Hello doctor, I am a 26-year-old male. I am HLA-B27 positive (hereditary issue). I am suffering from joint pains since the last 16 years, I generally use Ultracet to suppress the pain. I have undergone a resurfacing surgery before nine years. Since then I have not taken any treatment. I have visited a rheumatologist recently due to back pain, he had advised me to take Adalimumab injection for six months (once in 15 days). However, I am a little worried about the side effects, as my immunity is not so great. TB test is done, and the results are favorable. Both my father and his brother had joint pains and both of them passed away due to kidney issues, so I always test myself for high creatinine frequently, fortunately so far everything is under control. So, 1. Is there any chance that Adalimumab injection might trigger a kidney ailment. 2. Can I go ahead to take the treatment ignoring the side effects? Please advice. | Hello. You need to understand that every medicine has its side effects and it is not that everyone gets it. Important is treatment. Since your disease may get worse with the passing years, Adalimumab injections would help you in controlling your disease. It rarely affects the kidneys and that too in people with already worsening kidney functions. Since you have been checked for tuberculosis and it is not there, so that part is also clear. I hope it helps you. If you have any further queries, please ask me. |
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Hello doctor, I am a 26-year-old male. I am HLA-B27 positive (hereditary issue). I am suffering from joint pains since the last 16 years, I generally use Ultracet to suppress the pain. I have undergone a resurfacing surgery before nine years. Since then I have not taken any treatment. I have visited a rheumatologist recently due to back pain, he had advised me to take Adalimumab injection for six months (once in 15 days). However, I am a little worried about the side effects, as my immunity is not so great. TB test is done, and the results are favorable. Both my father and his brother had joint pains and both of them passed away due to kidney issues, so I always test myself for high creatinine frequently, fortunately so far everything is under control. So, 1. Is there any chance that Adalimumab injection might trigger a kidney ailment. 2. Can I go ahead to take the treatment ignoring the side effects? Please advice. [/INST] Hello. You need to understand that every medicine has its side effects and it is not that everyone gets it. Important is treatment. Since your disease may get worse with the passing years, Adalimumab injections would help you in controlling your disease. It rarely affects the kidneys and that too in people with already worsening kidney functions. Since you have been checked for tuberculosis and it is not there, so that part is also clear. I hope it helps you. If you have any further queries, please ask me. |
Q. What is the scale of STD risk in masturbating a man with bare hand? | Hello doctor, I have a question about STD exposure risk. I masturbated another male with my hand, and my palm was moist with lube. I wiped away with a hand towel and precum when it became present. His ejaculate went on the floor, maybe a small amount on my hands. I quickly wiped my hands dry with a towel and then washed them with hot soap and water. I had no visible scratches or cuts on my hand. Additionally, he had no visible sores, blisters or warts on his penis. What is the scale of risk associated with this behavior? This was my first encounter such as this. | Hello. I understand your concern. With your history, it seems like the risk of getting STD's like herpes, syphilis, chancroid, and the wart is very negligible as you have mentioned that the person had no sores, ulcers, blisters or wart. If the person has latent herpes, then there are remote chances of getting herpes on hands that again depends on your immunity. Mucosal contact has a significant risk of transmission of STDs. Oral sex has the risk of 1 in 1000 chances of acquiring HIV, and anal sex has 1 in 100. In your case, I would say the risk is negligible. |
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Hello doctor, I have a question about STD exposure risk. I masturbated another male with my hand, and my palm was moist with lube. I wiped away with a hand towel and precum when it became present. His ejaculate went on the floor, maybe a small amount on my hands. I quickly wiped my hands dry with a towel and then washed them with hot soap and water. I had no visible scratches or cuts on my hand. Additionally, he had no visible sores, blisters or warts on his penis. What is the scale of risk associated with this behavior? This was my first encounter such as this. [/INST] Hello. I understand your concern. With your history, it seems like the risk of getting STD's like herpes, syphilis, chancroid, and the wart is very negligible as you have mentioned that the person had no sores, ulcers, blisters or wart. If the person has latent herpes, then there are remote chances of getting herpes on hands that again depends on your immunity. Mucosal contact has a significant risk of transmission of STDs. Oral sex has the risk of 1 in 1000 chances of acquiring HIV, and anal sex has 1 in 100. In your case, I would say the risk is negligible. |
Q. A 9-year-old is suffering from red eye, tearing, and uncontrolled pupil movement. Kindly advice. | Hello doctor, My son is 9 years old. He got his first prescription glasses two years ago, and it was 1.00 and 1.25. Since he started to wear glasses, he had red eyes, tearing, and after some times pupil goes side to side out of control. Then we were referred to an ophthalmologist. He said my son's shape is a little different than an average person. Then I stopped him from wearing glasses until the last year. He got his prescription glasses before three months. It was for long distance of 1.25 and 1.50. Now it dropped to 2.25 and 2.50 in four months. And he started to face the same problems. What can be the problem? Please help. | Hello. Did he undergo cycloplegic refraction? Cycloplegic refraction means, children cannot be tested for glasses like adults. For children, we have to first put drops like Homatropine to dilate their eyes and then optometrist has to do a retinoscopy to determine the number. If this method is not used, one cannot determine the error correctly. Only after cycloplegic refraction, one can tell exact refractive mistake of a child. |
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Hello doctor, My son is 9 years old. He got his first prescription glasses two years ago, and it was 1.00 and 1.25. Since he started to wear glasses, he had red eyes, tearing, and after some times pupil goes side to side out of control. Then we were referred to an ophthalmologist. He said my son's shape is a little different than an average person. Then I stopped him from wearing glasses until the last year. He got his prescription glasses before three months. It was for long distance of 1.25 and 1.50. Now it dropped to 2.25 and 2.50 in four months. And he started to face the same problems. What can be the problem? Please help. [/INST] Hello. Did he undergo cycloplegic refraction? Cycloplegic refraction means, children cannot be tested for glasses like adults. For children, we have to first put drops like Homatropine to dilate their eyes and then optometrist has to do a retinoscopy to determine the number. If this method is not used, one cannot determine the error correctly. Only after cycloplegic refraction, one can tell exact refractive mistake of a child. |
Q. What causes blisters on the lip? | Hello doctor, Last week I woke up with what appeared to be three to four tiny blisters on my upper left lip, outside of the mouth, not inside. I recently had a baby and have not left the house except to go to a dental appointment one week before developing these small blisters. I went to the doctor a few hours after finding the blisters, and she ran an Ig blood test which came back negative. I also had an HSV 1 and HSV 2 test done before seven months before giving birth that came back negative. So I know I was not a carrier of the virus. After seeing what could be the beginning of primary infection, my doctor prophylactically put me on a dose of Valtrex. Three days before we did a culture swab test which came back today as negative. My question is, are there any possible ailments that would closely mirror a cold sore? I understand that if my primary infection was only two weeks ago, it is possible that it would be undetectable in the bloodstream but I was surprised that the culture swab came back negative as well. Could this be because of the use of Abreva earlier in the day? The blisters never leaked much fluid, so it was quite hard to get a great sample on the swab. After a few days, the blisters never turned into an open sore, just slowly dried and tingled a little. At this point, they appear to be gone entirely. There was never any pain associated with the sore. | Hello. 1. There can be other skin diseases which mimic HSV 1 infection on lips, but still, it is quite characteristic clinically, things which can sometimes look like are paederus dermatitis, hand foot, and mouth disease, but it is seen usually in children and blisters elsewhere are also present. Candida can be there, but it rarely presents as blisters in adults. 2. To conclude the appearance is quite characteristic and your description of vesicles and their evolution looks like HSV. 3. The serology can take up to a month (average 2 to 4 weeks) to become positive after primary infection, HSV IgM will be detectable at that time in serum. So it might be one of the reasons for that. 4. For culture the sensitivity overall is 50 percent, that is 50 out 100 patients culture will grow the virus. Although in primary syphilis sensitivity is up to 80 percent. 5. When lesions start to heal it is difficult for a culture to get a positive result. Also, fluid will be required for it to be positive. Either fluid from blisters or erosions whatever is present. It will not come positive if the sample is taken from the surface of the vesicle. 6. My advice is to repeat serology after 3 to 4 weeks once again, and even if it is positive, you do not need to get frightened so much as HSV 1 serology is usually seen in 50 to 75 percent cases. It does not mean it will come back again, though being a carrier chance of spread is there somewhat. |
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Hello doctor, Last week I woke up with what appeared to be three to four tiny blisters on my upper left lip, outside of the mouth, not inside. I recently had a baby and have not left the house except to go to a dental appointment one week before developing these small blisters. I went to the doctor a few hours after finding the blisters, and she ran an Ig blood test which came back negative. I also had an HSV 1 and HSV 2 test done before seven months before giving birth that came back negative. So I know I was not a carrier of the virus. After seeing what could be the beginning of primary infection, my doctor prophylactically put me on a dose of Valtrex. Three days before we did a culture swab test which came back today as negative. My question is, are there any possible ailments that would closely mirror a cold sore? I understand that if my primary infection was only two weeks ago, it is possible that it would be undetectable in the bloodstream but I was surprised that the culture swab came back negative as well. Could this be because of the use of Abreva earlier in the day? The blisters never leaked much fluid, so it was quite hard to get a great sample on the swab. After a few days, the blisters never turned into an open sore, just slowly dried and tingled a little. At this point, they appear to be gone entirely. There was never any pain associated with the sore. [/INST] Hello. 1. There can be other skin diseases which mimic HSV 1 infection on lips, but still, it is quite characteristic clinically, things which can sometimes look like are paederus dermatitis, hand foot, and mouth disease, but it is seen usually in children and blisters elsewhere are also present. Candida can be there, but it rarely presents as blisters in adults. 2. To conclude the appearance is quite characteristic and your description of vesicles and their evolution looks like HSV. 3. The serology can take up to a month (average 2 to 4 weeks) to become positive after primary infection, HSV IgM will be detectable at that time in serum. So it might be one of the reasons for that. 4. For culture the sensitivity overall is 50 percent, that is 50 out 100 patients culture will grow the virus. Although in primary syphilis sensitivity is up to 80 percent. 5. When lesions start to heal it is difficult for a culture to get a positive result. Also, fluid will be required for it to be positive. Either fluid from blisters or erosions whatever is present. It will not come positive if the sample is taken from the surface of the vesicle. 6. My advice is to repeat serology after 3 to 4 weeks once again, and even if it is positive, you do not need to get frightened so much as HSV 1 serology is usually seen in 50 to 75 percent cases. It does not mean it will come back again, though being a carrier chance of spread is there somewhat. |
Q. My baby is 10 month old. Can I start solid food now? | Hello doctor, My baby is 10 months old, and he is two months premature. If I feed him with solid food, he does vomiting. Is it not safe for him to feed with solid food? | Hello. I just read your query. I advise you to try giving some soft and semi-solid foods to your baby right now. Once he starts digesting these then move on slowly towards other food items. Moreover, some babies do not take solid food properly until they develop teeth. But if your baby does not digest semi-solid foods too, then you need to visit a nearby child specialist. Because it can be due to some other underlying cause which needs to be ruled out. I hope you understand my point. |
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Hello doctor, My baby is 10 months old, and he is two months premature. If I feed him with solid food, he does vomiting. Is it not safe for him to feed with solid food? [/INST] Hello. I just read your query. I advise you to try giving some soft and semi-solid foods to your baby right now. Once he starts digesting these then move on slowly towards other food items. Moreover, some babies do not take solid food properly until they develop teeth. But if your baby does not digest semi-solid foods too, then you need to visit a nearby child specialist. Because it can be due to some other underlying cause which needs to be ruled out. I hope you understand my point. |
Q. Every time I eat spicy food, I poop blood. Why? | 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. | 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 --> |
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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. [/INST] 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 --> |
Q. How long should my husband and I wait to try for a baby if we did cocaine? | Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. | Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> |
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Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. [/INST] Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> |
Q. Can Yasmin birth control pill be used as an emergency contraceptive pill? | Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? | Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> |
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Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? [/INST] Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> |
Q. Please explain the poisonous effect of phenol ingestion. | Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. | Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> |
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Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. [/INST] Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> |
Q. For how long should I take Kalachikai powder to overcome PCOD problem? | Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? | Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> |
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Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? [/INST] Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> |
Q. Why do periods get delayed after first time sex? | Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? | Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> |
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Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? [/INST] Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> |
Q. What should I do when I miss my regular contraceptive pills after having unprotected intercourse? | Hello doctor, I use a combined contraception pill. In this cycle, I forgot to take the 8th and the 13th. I further forgot the 15th but consumed it in the morning and on the same day on time consumed the 16th. On the 14th I had unprotected intercourse. Should I now take the pill after, or wait? And in the case of pregnancy do I have to consume the abortion pill? | Hello. Since you have missed pills in between, it is better to take an emergency contraceptive pill within 72 hours of intercourse. There is no chance of pregnancy. However, if you have a doubt then get back to me. |
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Hello doctor, I use a combined contraception pill. In this cycle, I forgot to take the 8th and the 13th. I further forgot the 15th but consumed it in the morning and on the same day on time consumed the 16th. On the 14th I had unprotected intercourse. Should I now take the pill after, or wait? And in the case of pregnancy do I have to consume the abortion pill? [/INST] Hello. Since you have missed pills in between, it is better to take an emergency contraceptive pill within 72 hours of intercourse. There is no chance of pregnancy. However, if you have a doubt then get back to me. |
Q. Should I take an emergency move when a 9-month-old swallowed a piece of balloon? | Hi doctor, My son is 9 months old and has swallowed balloon. Post that he had food. He had no breathing problem. Now he is sleeping. What should I do now? | Hello. Please give the child laxative food like banana, rice, etc., to help the child pass stool. Usually, the balloon should come out from stools in 24 hours if it has gone into the stomach. It is less likely that it may have gone into the wind pipe because there is no breathing problem. Please watch for any signs of breathlessness, vomiting episodes, abdominal distension till the balloon does not come out in the stools. |
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Hi doctor, My son is 9 months old and has swallowed balloon. Post that he had food. He had no breathing problem. Now he is sleeping. What should I do now? [/INST] Hello. Please give the child laxative food like banana, rice, etc., to help the child pass stool. Usually, the balloon should come out from stools in 24 hours if it has gone into the stomach. It is less likely that it may have gone into the wind pipe because there is no breathing problem. Please watch for any signs of breathlessness, vomiting episodes, abdominal distension till the balloon does not come out in the stools. |
Q. What do my foot and ankle scans indicate? | Hello doctor,I was injured three months back when my left foot and ankle were forced inward during a test and we heard a loud pop. Since there is extreme pain, I cannot put weight or walk basically bed-bound, it has been three months. It has not changed instead gotten worse with more pops, swelling more and bruising too. Was at the beginning and it has gone down now to back again. I need help with another radiologist opinion. They said my calf and foot scans were unremarkable. I need to see if there is a change in my foot, ankle condition. Please help. | Hi. There is no area of obvious injury in the scan images (attachment removed to protect patient identity). However, due to the presence of small muscles and ligaments, it is always best to know where exactly you are having the maximum pain and review the images again. It is requested that you please upload a photo of your foot with a marking over the area of pain. I will review the images of the previous and new scan and make a detailed analysis. It may be noted that the images are of MRI foot and lower leg. If your pain and discomfort are extending to the ankle and subtalar joint, then a MRI ankle joint is also needed. |
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Hello doctor,I was injured three months back when my left foot and ankle were forced inward during a test and we heard a loud pop. Since there is extreme pain, I cannot put weight or walk basically bed-bound, it has been three months. It has not changed instead gotten worse with more pops, swelling more and bruising too. Was at the beginning and it has gone down now to back again. I need help with another radiologist opinion. They said my calf and foot scans were unremarkable. I need to see if there is a change in my foot, ankle condition. Please help. [/INST] Hi. There is no area of obvious injury in the scan images (attachment removed to protect patient identity). However, due to the presence of small muscles and ligaments, it is always best to know where exactly you are having the maximum pain and review the images again. It is requested that you please upload a photo of your foot with a marking over the area of pain. I will review the images of the previous and new scan and make a detailed analysis. It may be noted that the images are of MRI foot and lower leg. If your pain and discomfort are extending to the ankle and subtalar joint, then a MRI ankle joint is also needed. |
Q. What are the chances for TB to recur after completion of medicine? | Hello doctor, I had pulmonary TB and undergone six months of continuous medication as suggested by the doctor. There was blood in sputum few times and sputum test showed negative but based on CT scan doctor suspected pulmonary TB. I was recommended medicine for six months. I gained 3 kg weight and there was no blood in sputum during this period. The medicine was completed last week and I visited the doctor. This time again CT scan was done and the report is attached. The doctor says there are a significant improvement but still some suspicious nodules that may be active in a rare case of 1 to 2 percent. He suggests extending medicine for another three months. I consulted another doctor based on same CT scan and he says there is no need to extend medicine. There will always be 1 to 2 percent chance of TB recurring even after taking medicine for another three months. He says that since TB is detected early and sputum was negative, hence there is no need to extend medicine. I have attached the first and last CT scan report for your reference. These are some queries in this regard. 1) What does the current CT scan report say about TB? 2) Whether should I take TB medicine for another three months? 3) Is there always 1 to 2 percent chance of TB recurring even after completion of medicine? 4) Is there any chance of TB getting drug resistance if it happens again? 5) Can I be sure that I do not have drug resistance TB right now? | Hello. I have gone through both the CT scans and reports (attachment removed to protect patient identity). It is good that you have completed six months of TB treatment in spite of the sputum test being negative. Even though the sputum test for AFB was negative, the symptoms and CT scan were suggestive of active TB before six months. Now, the CT scan is showing signs of healed fibronodular shadows but we cannot decide whether this is active TB at present or not just on the basis of CT scan report. For that, we have to consider, if there are any symptoms at present or not, second now what is the status of sputum AFB test whether positive or negative and if sputum test is negative then we should do induced sputum test after nebulization with saline or perform bronchoscopy test, a kind of endoscopy of lungs and collect sputum sample through the scope. Regarding extension of treatment, it is always the decision of treating doctor to extend the medicines for extra three months, based on sputum report or if any active symptoms as there is always a chance of some residual infection or reinfection with TB bacteria. Also, we can do Bactec test of sputum to find out whether it is drug-resistant TB or not and decide the appropriate medicines based on the Bactec test report. So it is advisable to discuss all these things with the treating doctor and based on the fresh reports, to decide whether to extend the same medicines for three months more or to start new medicines. I hope all your queries are clear now. Simultaneously you should concentrate on the high protein diet and avoid junk food. All the best and take care. Sputum AFB test, bronchoscopy to collect sputum directly from the lungs. It should be based upon the results of fresh sputum test. |
<s>[INST]
Hello doctor, I had pulmonary TB and undergone six months of continuous medication as suggested by the doctor. There was blood in sputum few times and sputum test showed negative but based on CT scan doctor suspected pulmonary TB. I was recommended medicine for six months. I gained 3 kg weight and there was no blood in sputum during this period. The medicine was completed last week and I visited the doctor. This time again CT scan was done and the report is attached. The doctor says there are a significant improvement but still some suspicious nodules that may be active in a rare case of 1 to 2 percent. He suggests extending medicine for another three months. I consulted another doctor based on same CT scan and he says there is no need to extend medicine. There will always be 1 to 2 percent chance of TB recurring even after taking medicine for another three months. He says that since TB is detected early and sputum was negative, hence there is no need to extend medicine. I have attached the first and last CT scan report for your reference. These are some queries in this regard. 1) What does the current CT scan report say about TB? 2) Whether should I take TB medicine for another three months? 3) Is there always 1 to 2 percent chance of TB recurring even after completion of medicine? 4) Is there any chance of TB getting drug resistance if it happens again? 5) Can I be sure that I do not have drug resistance TB right now? [/INST] Hello. I have gone through both the CT scans and reports (attachment removed to protect patient identity). It is good that you have completed six months of TB treatment in spite of the sputum test being negative. Even though the sputum test for AFB was negative, the symptoms and CT scan were suggestive of active TB before six months. Now, the CT scan is showing signs of healed fibronodular shadows but we cannot decide whether this is active TB at present or not just on the basis of CT scan report. For that, we have to consider, if there are any symptoms at present or not, second now what is the status of sputum AFB test whether positive or negative and if sputum test is negative then we should do induced sputum test after nebulization with saline or perform bronchoscopy test, a kind of endoscopy of lungs and collect sputum sample through the scope. Regarding extension of treatment, it is always the decision of treating doctor to extend the medicines for extra three months, based on sputum report or if any active symptoms as there is always a chance of some residual infection or reinfection with TB bacteria. Also, we can do Bactec test of sputum to find out whether it is drug-resistant TB or not and decide the appropriate medicines based on the Bactec test report. So it is advisable to discuss all these things with the treating doctor and based on the fresh reports, to decide whether to extend the same medicines for three months more or to start new medicines. I hope all your queries are clear now. Simultaneously you should concentrate on the high protein diet and avoid junk food. All the best and take care. Sputum AFB test, bronchoscopy to collect sputum directly from the lungs. It should be based upon the results of fresh sputum test. |
Q. Is it normal to have frequent urination and vomiting while taking Insulin? | Hello doctor, Medical history: I am a diabetic patient under insulin treatment. Frequent vomiting from today morning onwards, unable to drink even water, continuously vomiting. An urge to drink is also there due to dryness. Morning there was an urge to urinate frequently. Normally when there is an increase in sugar level, itching all over the body will be there. But this time, it is not there. Sugar level was normal when checked last week also. Kindly advice. More details about the presenting complaint: Continuous vomiting, excessive thirst due to dryness but unable to drink and eat anything from morning onwards due to continuous vomiting. Morning there was an urge to urinate frequently but now it is not there. No itching. Current medications: Insulin treatment. Lab tests performed: Sugar level was normal last week when checked. | Hello. I have a few concerns here and would like to know what is her blood sugar right now if you have a glucose monitor. She may be having very very high blood sugars causing her to go to the bathroom as now vomiting. She may be having a stomach virus. |
<s>[INST]
Hello doctor, Medical history: I am a diabetic patient under insulin treatment. Frequent vomiting from today morning onwards, unable to drink even water, continuously vomiting. An urge to drink is also there due to dryness. Morning there was an urge to urinate frequently. Normally when there is an increase in sugar level, itching all over the body will be there. But this time, it is not there. Sugar level was normal when checked last week also. Kindly advice. More details about the presenting complaint: Continuous vomiting, excessive thirst due to dryness but unable to drink and eat anything from morning onwards due to continuous vomiting. Morning there was an urge to urinate frequently but now it is not there. No itching. Current medications: Insulin treatment. Lab tests performed: Sugar level was normal last week when checked. [/INST] Hello. I have a few concerns here and would like to know what is her blood sugar right now if you have a glucose monitor. She may be having very very high blood sugars causing her to go to the bathroom as now vomiting. She may be having a stomach virus. |
Q. Will Kalarchikai cure multiple ovarian cysts in PCOD? | 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. | 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. |
<s>[INST]
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. [/INST] 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. What are the ways to treat chronic telogen effluvium? | Hello doctor,I have been diagnosed with CTE (chronic telogen effluvium), but my doctor did not provide me with any information basically what to do about this condition. Can you help me out? What should I do to get it under control? | Hello. 1. Chronic telogen effluvium occurs when your body has been under stress like any drugs, any disorders like thyroid, nutritional deficiencies, chronic mental stress or any other chronic illness. And rest of the times no cause can be appreciated. 2. So then you need to look for these and control. Take plenty of fresh fruits, and protein sources including eggs, meat, and dairy products. 3. Use a Ketoconazole 2 % shampoo once or twice a week to help scalp keeping free of dandruff. 4. Manage your stress, take good sleep and drink plenty of water. 5. And if you are using Minoxidil use it regularly and it might also in phases causes shedding as it rearranges hair cycle. Do not stop it again and again. |
<s>[INST]
Hello doctor,I have been diagnosed with CTE (chronic telogen effluvium), but my doctor did not provide me with any information basically what to do about this condition. Can you help me out? What should I do to get it under control? [/INST] Hello. 1. Chronic telogen effluvium occurs when your body has been under stress like any drugs, any disorders like thyroid, nutritional deficiencies, chronic mental stress or any other chronic illness. And rest of the times no cause can be appreciated. 2. So then you need to look for these and control. Take plenty of fresh fruits, and protein sources including eggs, meat, and dairy products. 3. Use a Ketoconazole 2 % shampoo once or twice a week to help scalp keeping free of dandruff. 4. Manage your stress, take good sleep and drink plenty of water. 5. And if you are using Minoxidil use it regularly and it might also in phases causes shedding as it rearranges hair cycle. Do not stop it again and again. |
Q. My period has not started even after taking Regestrone. Please help | Hello doctor, My pregnancy test is negative. But my period is not coming. I checked my pregnancy five times with pregnancy kit. Every time it shows negative. But my period has not started. I take Regesterone 5 mg for three days. I took my last dose two days before but not yet got my periods. So what should I do now? | Hello. Since your urine pregnancy test is negative, there is nothing to worry about. The delay could be because of hormonal changes. After taking Regesterone it will take a week or so to get your periods. So relax and do not worry. Wait for a week or so and if you do not get periods by then get yourself checked by a gynecologist and get a pelvic scan done to rule out the exact cause. Do get back to me with reports so that I can guide you further on. |
<s>[INST]
Hello doctor, My pregnancy test is negative. But my period is not coming. I checked my pregnancy five times with pregnancy kit. Every time it shows negative. But my period has not started. I take Regesterone 5 mg for three days. I took my last dose two days before but not yet got my periods. So what should I do now? [/INST] Hello. Since your urine pregnancy test is negative, there is nothing to worry about. The delay could be because of hormonal changes. After taking Regesterone it will take a week or so to get your periods. So relax and do not worry. Wait for a week or so and if you do not get periods by then get yourself checked by a gynecologist and get a pelvic scan done to rule out the exact cause. Do get back to me with reports so that I can guide you further on. |
Q. I lack concentration in my studies. Kindly help. | Hello doctor, I have always been naturally motivated to study, and I used to be able to concentrate and focus on my studies exceptionally well. Last year, I joined college, and the schedule was very hectic. Classes were from 6 AM to 6 PM, and then I used to study till midnight. This was my schedule. But in the last three months, I have no motivation to study and even if I sit to study, I am not able to concentrate for even 30 minutes. I used to study for three to four hours at a stretch just four months ago. My exams are nearing, and I need to get a move on. Kindly guide me. I also need to mention that I took Modalert 100 mg with breakfast this morning, but I am not been able to see the results. | Hello. Is there any precipitating cause for such problem like loss of money, relationship problem, family issue. Have you started Modalert before your concentration problem have arisen? It is an activator type of drug but create an anxious feeling and can decrease concentration. What about your current pattern of sleep? So the management plan will be like, 1. Remove any causative problem if present. 2. If your problem is without any cause, then it might be performance anxiety. It may need treatment for the short term. 3. Yoga, moderate exercise, meditation can help you. 4. Psychotherapy. |
<s>[INST]
Hello doctor, I have always been naturally motivated to study, and I used to be able to concentrate and focus on my studies exceptionally well. Last year, I joined college, and the schedule was very hectic. Classes were from 6 AM to 6 PM, and then I used to study till midnight. This was my schedule. But in the last three months, I have no motivation to study and even if I sit to study, I am not able to concentrate for even 30 minutes. I used to study for three to four hours at a stretch just four months ago. My exams are nearing, and I need to get a move on. Kindly guide me. I also need to mention that I took Modalert 100 mg with breakfast this morning, but I am not been able to see the results. [/INST] Hello. Is there any precipitating cause for such problem like loss of money, relationship problem, family issue. Have you started Modalert before your concentration problem have arisen? It is an activator type of drug but create an anxious feeling and can decrease concentration. What about your current pattern of sleep? So the management plan will be like, 1. Remove any causative problem if present. 2. If your problem is without any cause, then it might be performance anxiety. It may need treatment for the short term. 3. Yoga, moderate exercise, meditation can help you. 4. Psychotherapy. |
Q. I had pain under breast and armpit following delivery. What could it be? | Hello doctor, Just had a baby three weeks ago. Three days ago it started to pain under left breast then under left armpit. The pain continued in a part of my arm, then a spot on my neck and then a spot on my shoulder. And I read about heart attack. And I have been under a lot of stress recently. Kindly advice. | Hello. Unlikely to be a heart attack. This is atypical chest pain. I guess you do not have any shortness of breath. Considering your age group the possibility of heart attack is extremely low. Next, the pattern of pain is not consistent with the heart attack. Heart attack pain is sudden onset, retrosternal or left-sided rather than just below the breast, going to left arm associated with uneasiness sweating, etc. It usually does not persist for three days even without treatment. The possibilities in you are musculoskeletal pain, cervical causes, pain from breast itself due to hormonal changes and stretching of tissues due to breast enlargement, etc. Try to press over the site and see if pain reappears, if yes then it suggests that it is a local pain rather than due to the heart attack. So, unlikely to be related to heart attack, but should get examined by a local doctor and ECG done if necessary after examination. Examination of doctor will also help to assess the possibility of peripartum cardiomyopathy, which usually presents with shortness of breath rather than chest pain. Hope this helps you and get back if you have any doubts. |
<s>[INST]
Hello doctor, Just had a baby three weeks ago. Three days ago it started to pain under left breast then under left armpit. The pain continued in a part of my arm, then a spot on my neck and then a spot on my shoulder. And I read about heart attack. And I have been under a lot of stress recently. Kindly advice. [/INST] Hello. Unlikely to be a heart attack. This is atypical chest pain. I guess you do not have any shortness of breath. Considering your age group the possibility of heart attack is extremely low. Next, the pattern of pain is not consistent with the heart attack. Heart attack pain is sudden onset, retrosternal or left-sided rather than just below the breast, going to left arm associated with uneasiness sweating, etc. It usually does not persist for three days even without treatment. The possibilities in you are musculoskeletal pain, cervical causes, pain from breast itself due to hormonal changes and stretching of tissues due to breast enlargement, etc. Try to press over the site and see if pain reappears, if yes then it suggests that it is a local pain rather than due to the heart attack. So, unlikely to be related to heart attack, but should get examined by a local doctor and ECG done if necessary after examination. Examination of doctor will also help to assess the possibility of peripartum cardiomyopathy, which usually presents with shortness of breath rather than chest pain. Hope this helps you and get back if you have any doubts. |
Q. What does streakiness in X-ray of lower lung indicate? | Hello doctor, I am a 62-year-old male. I went for a routine X-ray, and the radiologist found some streakiness in the lower left lung. He said it appeared small and not significant, but it was adviced that I should come back in six months for a comparative X-ray and that it could just be a scar from an earlier infection. I have read that a small scar area is probably non-progressive but I have also read about IPF, and that fills me with fear. Spirometry test was normal as it was a physical exam. I am so scared that it might be a progressive disease, but I hope that it is just an old scar as it is really small. Otherwise mostly healthy with no cough or difficulty breathing at all. Are all lung scars progressive? | Hello. Does not look worrisome (attachment removed to protect patient identity). Small streaks or fibrosis is usually due to old infection or collapses etc., The usual cause for such fibrosis is typically an infection and commonly found at such age groups. The probability of IPF (idiopathic pulmonary fibrosis) is extremely low as the fibrosis is not diffuse or bilateral, no symptoms and spirometry are normal. So, I think it is not worrisome at present and should follow up as advised to be sure. Should consult your doctor earlier if developed any symptoms. Majority of the scar is non-progressive and extremely common to find such scars on routine X-ray and the majority are benign. I hope this helps you and get back if you have any doubts. |
<s>[INST]
Hello doctor, I am a 62-year-old male. I went for a routine X-ray, and the radiologist found some streakiness in the lower left lung. He said it appeared small and not significant, but it was adviced that I should come back in six months for a comparative X-ray and that it could just be a scar from an earlier infection. I have read that a small scar area is probably non-progressive but I have also read about IPF, and that fills me with fear. Spirometry test was normal as it was a physical exam. I am so scared that it might be a progressive disease, but I hope that it is just an old scar as it is really small. Otherwise mostly healthy with no cough or difficulty breathing at all. Are all lung scars progressive? [/INST] Hello. Does not look worrisome (attachment removed to protect patient identity). Small streaks or fibrosis is usually due to old infection or collapses etc., The usual cause for such fibrosis is typically an infection and commonly found at such age groups. The probability of IPF (idiopathic pulmonary fibrosis) is extremely low as the fibrosis is not diffuse or bilateral, no symptoms and spirometry are normal. So, I think it is not worrisome at present and should follow up as advised to be sure. Should consult your doctor earlier if developed any symptoms. Majority of the scar is non-progressive and extremely common to find such scars on routine X-ray and the majority are benign. I hope this helps you and get back if you have any doubts. |
Q. How long should my husband and I wait to try for a baby if we did cocaine? | Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. | Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> |
<s>[INST]
Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. [/INST] Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> |
Q. Can Yasmin birth control pill be used as an emergency contraceptive pill? | Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? | Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> |
<s>[INST]
Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? [/INST] Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> |
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