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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. Soreness in eyes with paranoid nature refrains my sleep with fear of becoming blind. Please help. | Hello doctor, I am a very paranoid person. The smallest thing that happens to me ends up searching it up on the internet and stressing over it. One of my main problems is freaking out about going to sleep and waking up worse. For example, yesterday I got an eyelash in my eye and it was so close to my cornea, but it did not touch it. After that, I would constantly go to the bathroom to check if there was something in my eye. The constant touching led to my eye being sore and I was afraid to fall asleep and wake up blind. I ended up sleeping at 5 AM. I was wondering if you had any tips to help me not be afraid to sleep at night. | Hi. Try sleep hygiene. Avoid excessive caffeine intake, do not sleep at day time. Maintain a regular schedule for sleeping and waking time. Do not use mobile phone or watch TV when you are in bed. Go to bed when you fall asleep. If you do not feel sleepy in the bed wake up and engage in some activities until you feel sleepy. Try this first as well as regular exercise or meditation and engage in your regular activity. If this does not help try Zolpidem 10 mg at night time for 10 days, eat this medicine and immediately go to sleep. Along with this take Fluoxetine 20 mg in the morning after meal. |
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Hello doctor, I am a very paranoid person. The smallest thing that happens to me ends up searching it up on the internet and stressing over it. One of my main problems is freaking out about going to sleep and waking up worse. For example, yesterday I got an eyelash in my eye and it was so close to my cornea, but it did not touch it. After that, I would constantly go to the bathroom to check if there was something in my eye. The constant touching led to my eye being sore and I was afraid to fall asleep and wake up blind. I ended up sleeping at 5 AM. I was wondering if you had any tips to help me not be afraid to sleep at night. [/INST] Hi. Try sleep hygiene. Avoid excessive caffeine intake, do not sleep at day time. Maintain a regular schedule for sleeping and waking time. Do not use mobile phone or watch TV when you are in bed. Go to bed when you fall asleep. If you do not feel sleepy in the bed wake up and engage in some activities until you feel sleepy. Try this first as well as regular exercise or meditation and engage in your regular activity. If this does not help try Zolpidem 10 mg at night time for 10 days, eat this medicine and immediately go to sleep. Along with this take Fluoxetine 20 mg in the morning after meal. |
Q. How can tooth sensitivity and bad breath be cured? | Hello doctor, I am feeling sensitivity in my teeth and my mouth smells as well. What should I do? | Hello. As stated by you this seems to be the case of gums disease commonly called pyorrhoea. There are different reasons of teeth sensitivity. Most commonly sensitivity to all teeth and bad smell from the mouth is caused by gum disease gingivitis or periodontitis. Other cause for sensitivity can be a generalized teeth erosion resulting due to gastroesophageal reflux in which due to acidity, the outer layer of teeth is washed off by acid. This also causes a foul smell. OPG (full mouth X-ray). Generalized teeth erosion due to GERD. Chronic generalized periodontitis. Treatment planning would depend upon the cause. Avoid having very hot or very cold food and drinks. Mention the history of chronic acidity and gastritis. Send an image of the oral cavity (mouth) for better and specific treatment planning. |
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Hello doctor, I am feeling sensitivity in my teeth and my mouth smells as well. What should I do? [/INST] Hello. As stated by you this seems to be the case of gums disease commonly called pyorrhoea. There are different reasons of teeth sensitivity. Most commonly sensitivity to all teeth and bad smell from the mouth is caused by gum disease gingivitis or periodontitis. Other cause for sensitivity can be a generalized teeth erosion resulting due to gastroesophageal reflux in which due to acidity, the outer layer of teeth is washed off by acid. This also causes a foul smell. OPG (full mouth X-ray). Generalized teeth erosion due to GERD. Chronic generalized periodontitis. Treatment planning would depend upon the cause. Avoid having very hot or very cold food and drinks. Mention the history of chronic acidity and gastritis. Send an image of the oral cavity (mouth) for better and specific treatment planning. |
Q. What are the ways to contract mycoplasma infections? | Hello doctor, I contracted microplasma and microplasma hominis. I had this from my partner since last six months and was treated. A future test confirmed it had gone away after treatment. A new test has shown it has come back. Can you advise if this can return naturally if neither of us has it or does one of us has to have had sex with an infected person? I do not know if it is an STD or natural bacteria. Please, can you help? | Hi. Are there any symptoms? |
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Hello doctor, I contracted microplasma and microplasma hominis. I had this from my partner since last six months and was treated. A future test confirmed it had gone away after treatment. A new test has shown it has come back. Can you advise if this can return naturally if neither of us has it or does one of us has to have had sex with an infected person? I do not know if it is an STD or natural bacteria. Please, can you help? [/INST] Hi. Are there any symptoms? |
Q. I missed period and my pregnancy test is negative. Should I take another test? | Hello doctor, I have missed periods and a negative pregnancy test. Should I wait for another test? I tested three days back. The last LMP date was exactly a month back. This is related to my wife. | Hi. Since your urine pregnancy test is negative, there is nothing to worry about. The delay could be because of hormonal changes. However, if you do not get periods within a week or so, 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. Take care. |
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Hello doctor, I have missed periods and a negative pregnancy test. Should I wait for another test? I tested three days back. The last LMP date was exactly a month back. This is related to my wife. [/INST] Hi. Since your urine pregnancy test is negative, there is nothing to worry about. The delay could be because of hormonal changes. However, if you do not get periods within a week or so, 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. Take care. |
Q. Is it advisable to use Keto soap to recover my skin after stopping Melacare cream? | Hello doctor,I use Melacare cream for the past four years. Now I want to stop using it. But when I try to stop, it produces irritation and turns my skin into very black. Can I use Keto soap to recover my skin? | Hello. 1. Your condition is known as topical steroid dependent face (TSDF). 2. Melacare has steroids and it is not advised to use it for more than six weeks and you are using it for the past four years. 3. Use the medicines I am prescribing. 4. No, Keto soap does not have any benefit in this condition. TSDF. 1. Tacvido Forte 0.1 cream once at night. 2. Metrogyl 2 % cream once in the morning. 3. Suncros lotion all over face before going in the sun. 4. Tablet Allegra 180 mg once at night. For one month. |
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Hello doctor,I use Melacare cream for the past four years. Now I want to stop using it. But when I try to stop, it produces irritation and turns my skin into very black. Can I use Keto soap to recover my skin? [/INST] Hello. 1. Your condition is known as topical steroid dependent face (TSDF). 2. Melacare has steroids and it is not advised to use it for more than six weeks and you are using it for the past four years. 3. Use the medicines I am prescribing. 4. No, Keto soap does not have any benefit in this condition. TSDF. 1. Tacvido Forte 0.1 cream once at night. 2. Metrogyl 2 % cream once in the morning. 3. Suncros lotion all over face before going in the sun. 4. Tablet Allegra 180 mg once at night. For one month. |
Q. How can I manage constipation with hard stools and frequent urination? | Hello doctor, I am 34 years old, female. I am suffering from asthma, rhinitis allergy, IBS, ulcerative colitis and osteoporosis, and anemia. My last blood report was of 7.9 hemoglobin. I feel constantly tired and exhausted plus new problem has started that each and every bone pains all the time mostly at night. If I do not take any bedsheet, then my hands, and legs along with knees hurt and get cold and once I wake up slowly that pain and cold goes away. Currently, from 4 to 5 months, I am suffering from terrific constipation and super dry sticky painful stools. I have to spend 40 minutes approximately in the washroom. One more issue I am having from the past 3 to 4 years is that whenever I go to urinate I have to do it 10 times still I do not feel it is done, it really frustrates me. What test should I do? Is this a sign of a big disease? And what medicines I should take? Currently, I just have Pan 40 and Cibis plus Dunose nasal spray. | Hi. Get started with Iron and Calcium supplements. Take fiber rich diet and plenty of fluids. Take laxatives and cranberry juice for constipation and bladder symptoms. You can have an active bladder and chronic constipation. Get a urine examination, thyroid profile and pelvic scan done to rule the exact cause. Do get back to me with reports so that I can guide you further. Take care. |
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Hello doctor, I am 34 years old, female. I am suffering from asthma, rhinitis allergy, IBS, ulcerative colitis and osteoporosis, and anemia. My last blood report was of 7.9 hemoglobin. I feel constantly tired and exhausted plus new problem has started that each and every bone pains all the time mostly at night. If I do not take any bedsheet, then my hands, and legs along with knees hurt and get cold and once I wake up slowly that pain and cold goes away. Currently, from 4 to 5 months, I am suffering from terrific constipation and super dry sticky painful stools. I have to spend 40 minutes approximately in the washroom. One more issue I am having from the past 3 to 4 years is that whenever I go to urinate I have to do it 10 times still I do not feel it is done, it really frustrates me. What test should I do? Is this a sign of a big disease? And what medicines I should take? Currently, I just have Pan 40 and Cibis plus Dunose nasal spray. [/INST] Hi. Get started with Iron and Calcium supplements. Take fiber rich diet and plenty of fluids. Take laxatives and cranberry juice for constipation and bladder symptoms. You can have an active bladder and chronic constipation. Get a urine examination, thyroid profile and pelvic scan done to rule the exact cause. Do get back to me with reports so that I can guide you further. Take care. |
Q. TPA is high but VDRL is negative. Please advice. | Hello doctor, I have been tested for TPA by CLIA and a high titer of 451 was detected. But VDRL is nonreactive. There is a history of unprotected sex three years back with small erosions in genitalia. At that time broad medicines including antibiotics and antifungals were taken without any specific test. And remaining years were asymptomatic. Does it indicate latent syphilis? My wife also has similar test results now. If its latent form, how do we proceed with treatment? | Hello. 1. As you have mentioned the TPA (Treponema pallidum antibody assay) is positive. 2. VDRL is nonreactive.3. Next step to confirm if you have latent syphilis, you need to get one of the following two tests first. A.TPHA (Treponema pallidum Haemagglutination assay). Or B. TPPA ( Trepenoma pallium particle agglutination assay). A. TPPA/TPHA B. HIV C. HBsAg D. Anti HCV Please revert back with the investigations I have asked for so that I can decide on the specific treatment plan for you. |
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Hello doctor, I have been tested for TPA by CLIA and a high titer of 451 was detected. But VDRL is nonreactive. There is a history of unprotected sex three years back with small erosions in genitalia. At that time broad medicines including antibiotics and antifungals were taken without any specific test. And remaining years were asymptomatic. Does it indicate latent syphilis? My wife also has similar test results now. If its latent form, how do we proceed with treatment? [/INST] Hello. 1. As you have mentioned the TPA (Treponema pallidum antibody assay) is positive. 2. VDRL is nonreactive.3. Next step to confirm if you have latent syphilis, you need to get one of the following two tests first. A.TPHA (Treponema pallidum Haemagglutination assay). Or B. TPPA ( Trepenoma pallium particle agglutination assay). A. TPPA/TPHA B. HIV C. HBsAg D. Anti HCV Please revert back with the investigations I have asked for so that I can decide on the specific treatment plan for you. |
Q. Took Unwanted 72 and bled after 13 days. Is that implantation bleeding or withdrawal bleeding? | Hello Doctor, We (me and my fiancee) had unprotected sex on the 11th day of the month (mensuration). I am very sure I did not eject that day. But for safety within 24 hours, she had taken Unwanted 72. Now after 13 days of it, before 1 to 3 days of expected periods. She got bleeding for a full day and continued the next day as well. Blood is of red and brown color. 1. Can you please help me? Is it implantation bleeding or withdrawal bleeding? 2. When did she get her periods? 3. When we will surely come to know there is no pregnancy? 4. When to use a pregnancy test? | Hello. It is likely that she has got her withdrawal bleed which can be seen in next 7 to 10 days to post unwanted 72 intakes, however, implantation bleed occurs in next 2 to 3 days and it is often spotting to scanty bleeding and not in the good flow. This can be confirmed by getting a serum beta hCG test (human chorionic gonadotrophin test) done which can conclusively rule out pregnancy as well, earliest by 10 days post intercourse. If the hCG levels are less than 3mIU then she is surely not pregnant and the bleed is not an implantation bleed(as it is always a retrospective diagnosis). She would get her menses now only after a month counting from the day of the start of the withdrawal bleed as this bleed marks the day one of the starts of a fresh cycle, for sure her dates would be changed now. |
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Hello Doctor, We (me and my fiancee) had unprotected sex on the 11th day of the month (mensuration). I am very sure I did not eject that day. But for safety within 24 hours, she had taken Unwanted 72. Now after 13 days of it, before 1 to 3 days of expected periods. She got bleeding for a full day and continued the next day as well. Blood is of red and brown color. 1. Can you please help me? Is it implantation bleeding or withdrawal bleeding? 2. When did she get her periods? 3. When we will surely come to know there is no pregnancy? 4. When to use a pregnancy test? [/INST] Hello. It is likely that she has got her withdrawal bleed which can be seen in next 7 to 10 days to post unwanted 72 intakes, however, implantation bleed occurs in next 2 to 3 days and it is often spotting to scanty bleeding and not in the good flow. This can be confirmed by getting a serum beta hCG test (human chorionic gonadotrophin test) done which can conclusively rule out pregnancy as well, earliest by 10 days post intercourse. If the hCG levels are less than 3mIU then she is surely not pregnant and the bleed is not an implantation bleed(as it is always a retrospective diagnosis). She would get her menses now only after a month counting from the day of the start of the withdrawal bleed as this bleed marks the day one of the starts of a fresh cycle, for sure her dates would be changed now. |
Q. How can I stop IVF failure? | Hello doctor, I have had three IVF failures. Latest failure -four embryos transferred, two -day 3, two -day 5 (blastocyst with array), negative beta hCG. I want to know the reason for the failure. | Hello. I am sorry that you had an IVF failure. The causes can be many, right from immature poor quality egg fertilization, inadequate endometrialization, inadequate post embryo transfer medical support, previous endometriosis or any subsistent pelvic or vaginal infection or a UTI, improper technique, implantation failure, poor initial ovarian response as in your case with poor AMH levels, life-style factors like smoking and drinking are also contributory to reducing chances of an IVF success. It is always best to treat and cover each factor before opting for this expensive procedure. Please share your reports and protocols or medicines offered during the procedure to evaluate and guide further. |
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Hello doctor, I have had three IVF failures. Latest failure -four embryos transferred, two -day 3, two -day 5 (blastocyst with array), negative beta hCG. I want to know the reason for the failure. [/INST] Hello. I am sorry that you had an IVF failure. The causes can be many, right from immature poor quality egg fertilization, inadequate endometrialization, inadequate post embryo transfer medical support, previous endometriosis or any subsistent pelvic or vaginal infection or a UTI, improper technique, implantation failure, poor initial ovarian response as in your case with poor AMH levels, life-style factors like smoking and drinking are also contributory to reducing chances of an IVF success. It is always best to treat and cover each factor before opting for this expensive procedure. Please share your reports and protocols or medicines offered during the procedure to evaluate and guide further. |
Q. How should I get treated for my bruising of eyes? | Hello doctor, I got hit on my cheek by a rock while doing some work. The area under my eye swole up and caused me to have a black eye. Now a whole one year two months later, I still feel the bruising of under eye similar to the look of a black eye. Is there a certain term for this? | Hello. The certain term for this is the black eye that you have told yourself. This is a particular term (black eye) used for trauma to eye area resulting in blood collection around it. Another term used for it is raccoon eyes or panda eyes as it forms a complete ring around the eye. Because the eye area is very thin, the blood gets accumulated in collagen tissue and takes a long time to clear it up. |
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Hello doctor, I got hit on my cheek by a rock while doing some work. The area under my eye swole up and caused me to have a black eye. Now a whole one year two months later, I still feel the bruising of under eye similar to the look of a black eye. Is there a certain term for this? [/INST] Hello. The certain term for this is the black eye that you have told yourself. This is a particular term (black eye) used for trauma to eye area resulting in blood collection around it. Another term used for it is raccoon eyes or panda eyes as it forms a complete ring around the eye. Because the eye area is very thin, the blood gets accumulated in collagen tissue and takes a long time to clear it up. |
Q. What are the treatment options available for pilonidal sinus? | Hello doctor, I have a pilonidal sinus, that is 20 mm long. I consulted the surgeon and he suggested surgery. Is it mandatory to get the surgery done now itself or can I wait for three to four months? | Hello. A pilonidal sinus is more common among men who: 1. Have more hard body hair. 2. Have long working hours (sitting down). 3. Obese. Unfortunately, surgery is the best option for you in going forward. However, as the recovery period can be a lengthy one, you may hold off on surgery for a few months provided the discharge from the sinus is not bothering you too much and is not painful. Whilst you decide on when to get it operated, you should continue to maintain local hygiene, keep the area as dry as possible, and remove any hair in the area. That being said, the longer you leave it, the more problematic it might become due to infection, and worsening of the sinus. If you do not wish to undergo a surgical procedure, there is the option of opting for laser treatment or trying various creams. I should warn you that either of these is less successful than treating it surgically. Sinogram. Maintain local hygiene, Shave hair from the region. Keep the area dry. |
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Hello doctor, I have a pilonidal sinus, that is 20 mm long. I consulted the surgeon and he suggested surgery. Is it mandatory to get the surgery done now itself or can I wait for three to four months? [/INST] Hello. A pilonidal sinus is more common among men who: 1. Have more hard body hair. 2. Have long working hours (sitting down). 3. Obese. Unfortunately, surgery is the best option for you in going forward. However, as the recovery period can be a lengthy one, you may hold off on surgery for a few months provided the discharge from the sinus is not bothering you too much and is not painful. Whilst you decide on when to get it operated, you should continue to maintain local hygiene, keep the area as dry as possible, and remove any hair in the area. That being said, the longer you leave it, the more problematic it might become due to infection, and worsening of the sinus. If you do not wish to undergo a surgical procedure, there is the option of opting for laser treatment or trying various creams. I should warn you that either of these is less successful than treating it surgically. Sinogram. Maintain local hygiene, Shave hair from the region. Keep the area dry. |
Q. My last period lasted only for few hours with a history of unprotected sex. Should I worry? | Hi doctor, I had my last period on 15th April which lasted only for 15 hours (the due date was 19th but it came four days early). My partner and I had unprotected sex on 4th but he did not ejaculate inside. Since yesterday I feel tenderness in my breasts, a little fatigue and mild cramps in between. Is there anything to worry about? | Hello. I can understand your concern. According to your statement, you have been suffering from tenderness in your breast and little bit fatigue. Your last menstrual period was on 15th April which lasted for 15 hours and you had unprotected sexual intercourse on 4th. Usually, woman's menstrual cycle is 28 days (+/-7days) normally. So if period occurs seven days before the estimated date as well as seven days after the estimated date is quite normal. It may happen in every woman in her lifetime. It is nothing to be worried. Again menstrual bleeding can last for 2-7 days normally. So your last menstrual bleeding lasted for 15 hours which may be quite normal. You should not worry about that. You should know about the safe period during a normal menstrual cycle. It is also known as calendar method. In this period no woman becomes pregnant from unprotected sex. If your menstrual cycle is 28 days, then from the 9th day of your last menstrual cycle to the 16 th day of your last day of menstruation will be counted as danger period (from 9th day to 16th day, total 7 days are known as danger period). In this period a woman can bear pregnancy from unprotected sexual intercourse. The rest 21 days are counted as safe period. In this period no woman can become pregnant from unprotected sex. So, luckily 4th April was your safe day. So there is no chance for you to become pregnant. Hormonal fluctuations can cause breast tenderness. Breasts may become painful before three to five days of starting of a menstrual period and stop hurting after your period begins. Menstrual cycle causes hormone fluctuations in estrogen and progesterone which make your breasts swell and can lead to sore and discharge. Those hormonal imbalance may make you fatigue too. I hope this helps. |
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Hi doctor, I had my last period on 15th April which lasted only for 15 hours (the due date was 19th but it came four days early). My partner and I had unprotected sex on 4th but he did not ejaculate inside. Since yesterday I feel tenderness in my breasts, a little fatigue and mild cramps in between. Is there anything to worry about? [/INST] Hello. I can understand your concern. According to your statement, you have been suffering from tenderness in your breast and little bit fatigue. Your last menstrual period was on 15th April which lasted for 15 hours and you had unprotected sexual intercourse on 4th. Usually, woman's menstrual cycle is 28 days (+/-7days) normally. So if period occurs seven days before the estimated date as well as seven days after the estimated date is quite normal. It may happen in every woman in her lifetime. It is nothing to be worried. Again menstrual bleeding can last for 2-7 days normally. So your last menstrual bleeding lasted for 15 hours which may be quite normal. You should not worry about that. You should know about the safe period during a normal menstrual cycle. It is also known as calendar method. In this period no woman becomes pregnant from unprotected sex. If your menstrual cycle is 28 days, then from the 9th day of your last menstrual cycle to the 16 th day of your last day of menstruation will be counted as danger period (from 9th day to 16th day, total 7 days are known as danger period). In this period a woman can bear pregnancy from unprotected sexual intercourse. The rest 21 days are counted as safe period. In this period no woman can become pregnant from unprotected sex. So, luckily 4th April was your safe day. So there is no chance for you to become pregnant. Hormonal fluctuations can cause breast tenderness. Breasts may become painful before three to five days of starting of a menstrual period and stop hurting after your period begins. Menstrual cycle causes hormone fluctuations in estrogen and progesterone which make your breasts swell and can lead to sore and discharge. Those hormonal imbalance may make you fatigue too. I hope this helps. |
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. Could recurrence of nasal sinus congestion with thick mucous secretion be due to nasal polyp? | Hello doctor, Approximately one year ago, I began to have recurrent, once per month or few weeks approximately, left-sided sinus congestion. Though my nose was never stuffy, I could feel the congestion somewhere between my lower nasal passage and sinus. When I would go to clear this, it would take a few minutes of hard blowing to get it loose enough to exit. When it finally would clear, the mucous was the strongest, thickest, non-separating gelatin-like, clear or white material I have ever come across. I chalked it up as allergies as I have begin to develop them mildly at the age of 40. This symptom over the last six months became more frequent, and now, for the last week, it is there daily and bright, dark yellow. The mucous is still very difficult to bring out, and sometimes I am able to bring it through the oral cavity, after incredulous amounts of effort. The mucous is so sticky it wants to stay right where it is. Or could this be a polyp issue, possibly? It is symptomatic of sinusitis as it is an obvious infection, but I am not stuffy at all. I can breathe finely. No fever or other symptoms, aside from very slight sinus pressure, but I sound nasal when I speak like I have a cold. | Hello. Do you have a decreased sense of smell or running nose or itchy eyes or watering of eyes or itchy nose? Do you have blocked sensation or choking feeling of the throat? Any soreness of throat or difficulty in swallowing? Your symptoms do sound like you have sinusitis and possibly polyposis like you rightly guessed. But the only way to confirm the same is to get a professional consult and ask the ENT to do a nasal endoscopy which is an office procedure and simple. Thereafter, if needed, you can subject yourself to a sinus CT scan. Empirically, you may start a steroid nasal spray and an antiallergic for now. You can start on a mucolytic medicine also for five days. For more details do revert back to me. |
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Hello doctor, Approximately one year ago, I began to have recurrent, once per month or few weeks approximately, left-sided sinus congestion. Though my nose was never stuffy, I could feel the congestion somewhere between my lower nasal passage and sinus. When I would go to clear this, it would take a few minutes of hard blowing to get it loose enough to exit. When it finally would clear, the mucous was the strongest, thickest, non-separating gelatin-like, clear or white material I have ever come across. I chalked it up as allergies as I have begin to develop them mildly at the age of 40. This symptom over the last six months became more frequent, and now, for the last week, it is there daily and bright, dark yellow. The mucous is still very difficult to bring out, and sometimes I am able to bring it through the oral cavity, after incredulous amounts of effort. The mucous is so sticky it wants to stay right where it is. Or could this be a polyp issue, possibly? It is symptomatic of sinusitis as it is an obvious infection, but I am not stuffy at all. I can breathe finely. No fever or other symptoms, aside from very slight sinus pressure, but I sound nasal when I speak like I have a cold. [/INST] Hello. Do you have a decreased sense of smell or running nose or itchy eyes or watering of eyes or itchy nose? Do you have blocked sensation or choking feeling of the throat? Any soreness of throat or difficulty in swallowing? Your symptoms do sound like you have sinusitis and possibly polyposis like you rightly guessed. But the only way to confirm the same is to get a professional consult and ask the ENT to do a nasal endoscopy which is an office procedure and simple. Thereafter, if needed, you can subject yourself to a sinus CT scan. Empirically, you may start a steroid nasal spray and an antiallergic for now. You can start on a mucolytic medicine also for five days. For more details do revert back to me. |
Q. Is it fine to use Nilavarai powder for constipation in a pregnant woman? | Hello doctor, I am 27 years old, female. I am taking Nilavarai powder continuously for constipation. I am 47 days pregnant. Can I continue this powder? | Hi. Nilavarai is commonly known as Senna or Sonamukhi in Ayurveda. It has laxative property. After taking for a long time, it makes habitual and mildly irritating. If you are pregnant then you should avoid taking it for a long time. You can take Haritaki powder 3 gm twice a day with warm water after meals to remove your constipation. It is completely safe to you in pregnancy too. |
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Hello doctor, I am 27 years old, female. I am taking Nilavarai powder continuously for constipation. I am 47 days pregnant. Can I continue this powder? [/INST] Hi. Nilavarai is commonly known as Senna or Sonamukhi in Ayurveda. It has laxative property. After taking for a long time, it makes habitual and mildly irritating. If you are pregnant then you should avoid taking it for a long time. You can take Haritaki powder 3 gm twice a day with warm water after meals to remove your constipation. It is completely safe to you in pregnancy too. |
Q. I got dark eyes after using minoxidil. What to do? | Hello doctor, I am using Minoxidil and noticing dark eyes and wrinkles. Is there a way to keep using Minoxidil but counter the side effects? | Hello. 1. Minoxidil has nothing to do with dark eye circles or wrinkles. 2. It can lead to dryness, a bit of headache, and facial bloating. 3. Apply it in the prescribed amount only. Not more than 1 ml at a time and wash your hands afterwards. 4. Apply half a centimeter inside your frontal hairline so it does not get diffused on the forehead. |
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Hello doctor, I am using Minoxidil and noticing dark eyes and wrinkles. Is there a way to keep using Minoxidil but counter the side effects? [/INST] Hello. 1. Minoxidil has nothing to do with dark eye circles or wrinkles. 2. It can lead to dryness, a bit of headache, and facial bloating. 3. Apply it in the prescribed amount only. Not more than 1 ml at a time and wash your hands afterwards. 4. Apply half a centimeter inside your frontal hairline so it does not get diffused on the forehead. |
Q. Can a NAFLD patient consume cashew and groundnut? | Hello doctor, My mom is suffering from NAFLD. Is she supposed to avoid both saturated fats and unsaturated fats? Can she eat nuts like cashew and groundnut? | Hello. Dear, she may take unsaturated fats like omega-3 fatty acids or fish oils or cod liver oil, etc. Avoid spicy food and saturated fats. Vitamin E and Vitamin C are useful to reduce fat in the liver. Use tablet Pantoprazole before breakfast for one week in case of acidity or indigestion which is more common in fatty liver disease. Regular exercise, weight reduction may be useful. Please consult your physician for a follow-up scan and blood tests. Take care. |
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Hello doctor, My mom is suffering from NAFLD. Is she supposed to avoid both saturated fats and unsaturated fats? Can she eat nuts like cashew and groundnut? [/INST] Hello. Dear, she may take unsaturated fats like omega-3 fatty acids or fish oils or cod liver oil, etc. Avoid spicy food and saturated fats. Vitamin E and Vitamin C are useful to reduce fat in the liver. Use tablet Pantoprazole before breakfast for one week in case of acidity or indigestion which is more common in fatty liver disease. Regular exercise, weight reduction may be useful. Please consult your physician for a follow-up scan and blood tests. Take care. |
Q. What causes nonsustained ventricular tachycardia with orthostatic hypotension? | Hello doctor,I was recently diagnosed by my cardiologist with nonsustained ventricular tachycardia, unspecified syncope type, and orthostatic hypotension. Also, during an echocardiogram, it was reported. I was recently diagnosed by my cardiologist with nonsustained ventricular tachycardia, unspecified syncope type and orthostatic hypotension.Also, during an echocardiogram, it was reported they saw trace mitral regurgitation and trace tricuspid regurgitation. I was not given much information with these scary-sounding diagnoses. I was just looking for some explanation of them and also if it means something with them all together. Is there something I need to do to make these things better? | Hello. When was it diagnosed? Yes, during the episode of ventricular tachycardia you may feel syncope and palpitations due to reduced stroke volume. You may get it done tilt table test, 24-hour ambulatory blood pressure, ECG monitoring is useful. Do not worry, mild MR, TR may not cause much problem. In severe cases, a few people may need ICD insertion. Anti-arrhythmia drugs may be useful. Please check it out for hypo or hyperthyroidism, electrolyte imbalance or hypocalcemia or magnesemia, etc. Please consult your cardiologist. He will examine and treat you accordingly. |
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Hello doctor,I was recently diagnosed by my cardiologist with nonsustained ventricular tachycardia, unspecified syncope type, and orthostatic hypotension. Also, during an echocardiogram, it was reported. I was recently diagnosed by my cardiologist with nonsustained ventricular tachycardia, unspecified syncope type and orthostatic hypotension.Also, during an echocardiogram, it was reported they saw trace mitral regurgitation and trace tricuspid regurgitation. I was not given much information with these scary-sounding diagnoses. I was just looking for some explanation of them and also if it means something with them all together. Is there something I need to do to make these things better? [/INST] Hello. When was it diagnosed? Yes, during the episode of ventricular tachycardia you may feel syncope and palpitations due to reduced stroke volume. You may get it done tilt table test, 24-hour ambulatory blood pressure, ECG monitoring is useful. Do not worry, mild MR, TR may not cause much problem. In severe cases, a few people may need ICD insertion. Anti-arrhythmia drugs may be useful. Please check it out for hypo or hyperthyroidism, electrolyte imbalance or hypocalcemia or magnesemia, etc. Please consult your cardiologist. He will examine and treat you accordingly. |
Q. My eczema is coming back on and off. Am I allergic to gluten? | Hello doctor, I have had an issue with a topical dermatitis\eczema for about a year and a half. I have been using steroid creams and anti-itch cream but it kept coming back on and off. Three weeks ago I started getting hives and before two weeks, they covered most of my body from my neck to my ankles. As per my doctor, I went on Prednisone and Cetirizine but it did not stop. Now I am on Methylprednisolone and Cetirizine and it seems to be getting a little better. I cannot figure out any triggers though, the itching and the hives are pretty much unbearable. It does not seem to be a sugar allergy, but I am uncertain about a gluten allergy. I have had a previous allergy test but revealed nothing except for allergy to a few animals, which I have none. I never had a gluten test. My current medications are Amlodipine, Paroxetine, Wellbutrin, Famotidine, and Cetirizine. Methylprednisolone for the past four days. I am 52 years old. | Hello. I have seen the attachments. (attachment removed to protect patient identity). It must be difficult for you with the itch and the rashes. Can you upload the report of your allergy testing? Why do not you go ahead and get the flute testing? It is a blood test and not as costly as the routine allergy panel. Secondly, when did you start Paroxetine and Wellbutrin? Were those started recently? Is there any correlation between their start and the development of the rashes? When you take the steroid tablets and antihistaminics are you better off? Do the rashes stay at bay then? Are there any triggers inside the house? Any insects or dust particles? Any history of change of place of stay? |
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Hello doctor, I have had an issue with a topical dermatitis\eczema for about a year and a half. I have been using steroid creams and anti-itch cream but it kept coming back on and off. Three weeks ago I started getting hives and before two weeks, they covered most of my body from my neck to my ankles. As per my doctor, I went on Prednisone and Cetirizine but it did not stop. Now I am on Methylprednisolone and Cetirizine and it seems to be getting a little better. I cannot figure out any triggers though, the itching and the hives are pretty much unbearable. It does not seem to be a sugar allergy, but I am uncertain about a gluten allergy. I have had a previous allergy test but revealed nothing except for allergy to a few animals, which I have none. I never had a gluten test. My current medications are Amlodipine, Paroxetine, Wellbutrin, Famotidine, and Cetirizine. Methylprednisolone for the past four days. I am 52 years old. [/INST] Hello. I have seen the attachments. (attachment removed to protect patient identity). It must be difficult for you with the itch and the rashes. Can you upload the report of your allergy testing? Why do not you go ahead and get the flute testing? It is a blood test and not as costly as the routine allergy panel. Secondly, when did you start Paroxetine and Wellbutrin? Were those started recently? Is there any correlation between their start and the development of the rashes? When you take the steroid tablets and antihistaminics are you better off? Do the rashes stay at bay then? Are there any triggers inside the house? Any insects or dust particles? Any history of change of place of stay? |
Q. What is the treatment for recurrent gingival polyp? | Hello doctor, I have a gingival polyp that has been removed three times but keeps growing back. Do I have to live with this or is there a way to permanently remove this? | Hi. I had gone through your question I can understand your concern. No, you do not have to live with it throughout your life. Make sure you get the polyp excised from a periodontist or an oral surgeon. There are chances of recurrences sometimes and because of your bad luck, you fall among them. |
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Hello doctor, I have a gingival polyp that has been removed three times but keeps growing back. Do I have to live with this or is there a way to permanently remove this? [/INST] Hi. I had gone through your question I can understand your concern. No, you do not have to live with it throughout your life. Make sure you get the polyp excised from a periodontist or an oral surgeon. There are chances of recurrences sometimes and because of your bad luck, you fall among them. |
Q. Is it normal for an 8-year-old to have nystagmus like eye movement while looking outside the car? | Hello doctor,My 8-year-old son has nystagmus like eye movement only when he is in the car looking out the window and as soon as he looks at me, it stops. | Hello. I understand your concern, this is quite a common issue most children at his age develop. The eye uses several mechanisms which help to keep it steady and focused in on a target. Such mechanisms are inoperative when the person is just looking in a particular direction and not trying to see anything specific or while daydreaming. When you redirect his attention to you, he looks at your face (the target), hence the nystagmus stops. How is he in class, is he able to see his books or what the teacher writes on the board, does he have problems with seeing these? I recommend seeing a pediatric ophthalmologist just to be sure that he is not developing any refractive errors. But like I said, this is quite common at his age and is not a serious problem. In case you need any further information, please send me a scanned copy of his doctors records, I will do my best to help. |
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Hello doctor,My 8-year-old son has nystagmus like eye movement only when he is in the car looking out the window and as soon as he looks at me, it stops. [/INST] Hello. I understand your concern, this is quite a common issue most children at his age develop. The eye uses several mechanisms which help to keep it steady and focused in on a target. Such mechanisms are inoperative when the person is just looking in a particular direction and not trying to see anything specific or while daydreaming. When you redirect his attention to you, he looks at your face (the target), hence the nystagmus stops. How is he in class, is he able to see his books or what the teacher writes on the board, does he have problems with seeing these? I recommend seeing a pediatric ophthalmologist just to be sure that he is not developing any refractive errors. But like I said, this is quite common at his age and is not a serious problem. In case you need any further information, please send me a scanned copy of his doctors records, I will do my best to help. |
Q. My right eye is smaller and looking down after exotropia surgery. Why? | Hello doctor, I had an exotropia surgery before. It was a strabismus kind of thing. But my eye, the one with the condition, is small and the pupil is like looking down. When I take pictures is very noticeable. I need to flip them to make them look normal. Is it normal that my eye is smaller and is looking down? Is my right eye fine? The left one is fine. This is really bringing me down. Please help. | Hello. I understand your concerns. From the image you sent (attachment removed to protect patient identity), I can see that your right eye is a bit red. Has your right eye always been a little red? How long back did you get the squint surgery? If you have had surgery long ago, then I can tell you that your images show a hypotropia in the right. This is once again treatable with surgery. I do not feel that flipping the images has made the defect any less apparent. Nonetheless, such a condition is not an emergency unless you feel that the vision in your eyes has dropped. If it helps you, some people can get their eyes straighter for photos by first closing the normal eye, then looking at an object with the squinting eye then opening to see with the normal eye. In case you need any further information, kindly send me a scanned copy of your surgery report. I will do my best to help you. |
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Hello doctor, I had an exotropia surgery before. It was a strabismus kind of thing. But my eye, the one with the condition, is small and the pupil is like looking down. When I take pictures is very noticeable. I need to flip them to make them look normal. Is it normal that my eye is smaller and is looking down? Is my right eye fine? The left one is fine. This is really bringing me down. Please help. [/INST] Hello. I understand your concerns. From the image you sent (attachment removed to protect patient identity), I can see that your right eye is a bit red. Has your right eye always been a little red? How long back did you get the squint surgery? If you have had surgery long ago, then I can tell you that your images show a hypotropia in the right. This is once again treatable with surgery. I do not feel that flipping the images has made the defect any less apparent. Nonetheless, such a condition is not an emergency unless you feel that the vision in your eyes has dropped. If it helps you, some people can get their eyes straighter for photos by first closing the normal eye, then looking at an object with the squinting eye then opening to see with the normal eye. In case you need any further information, kindly send me a scanned copy of your surgery report. I will do my best to help you. |
Q. What does coarsened echotexture and increased echogenicity in liver ultrasound indicate? | Hello doctor, I had discomfort recently in my right upper rear torso. I recently had an ultrasound and a CAT scan. The results covered a variety of body parts. But I am interested in speaking to a liver specialist regarding what the results said about my liver. I would like a doctor to explain to me what these results mean. My recent ultrasound showed: Measures 12 cm. Liver shows coarsened echotexture and increased echogenicity. No liver masses identified. CAT scan showed: Liver: Diffuse hepatic steatosis. Indeterminant subcapsular posterior right hepatic lobe 13 x 9 mm hypoattenuation segment 7. | Hi. I read your US reports and I can say that: 1. You have fatty liver disease (steatosis). 2. With regards to second ultrasound indeterminant subcapsular posterior right hepatic lobe, 13x9 mm hypoattenuation means that ultrasound cannot identify the reason. Often it is related with no fatty tissues at this part of the liver. Otherwise, if I were your treating doctor I would suggest doing MRI of liver to better evaluate the parenchyma of the liver. |
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Hello doctor, I had discomfort recently in my right upper rear torso. I recently had an ultrasound and a CAT scan. The results covered a variety of body parts. But I am interested in speaking to a liver specialist regarding what the results said about my liver. I would like a doctor to explain to me what these results mean. My recent ultrasound showed: Measures 12 cm. Liver shows coarsened echotexture and increased echogenicity. No liver masses identified. CAT scan showed: Liver: Diffuse hepatic steatosis. Indeterminant subcapsular posterior right hepatic lobe 13 x 9 mm hypoattenuation segment 7. [/INST] Hi. I read your US reports and I can say that: 1. You have fatty liver disease (steatosis). 2. With regards to second ultrasound indeterminant subcapsular posterior right hepatic lobe, 13x9 mm hypoattenuation means that ultrasound cannot identify the reason. Often it is related with no fatty tissues at this part of the liver. Otherwise, if I were your treating doctor I would suggest doing MRI of liver to better evaluate the parenchyma of the liver. |
Q. Is Meftal advisable for higher fever in a baby? | Hello doctor, My baby is having a fever. Morning around 8 it was 100. I have given him Crocin. Around 12.30 his temp was 101.3. So I have given him Meftal P. Now (5.30) again the temperature is 100.3. What should I give him now? Crocin or Meftal? What should be the time gap? | Hello. I got your concern. Initially, it looks like a viral fever. Let us wait and watch for the pattern of fever. Yes, for fever, if less than 100 F, do just tap water sponging all over the body. If 100 F to 102 F, give Paracetamol as and when the fever comes with a gap of six hours between two doses. If fever is more than 102 F then give Meftal with a gap of eight hours between two doses of Meftal. Avoid Meftal as much as possible. Give more food and more liquid. If he is dull, not taking orally, then go to the doctor. |
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Hello doctor, My baby is having a fever. Morning around 8 it was 100. I have given him Crocin. Around 12.30 his temp was 101.3. So I have given him Meftal P. Now (5.30) again the temperature is 100.3. What should I give him now? Crocin or Meftal? What should be the time gap? [/INST] Hello. I got your concern. Initially, it looks like a viral fever. Let us wait and watch for the pattern of fever. Yes, for fever, if less than 100 F, do just tap water sponging all over the body. If 100 F to 102 F, give Paracetamol as and when the fever comes with a gap of six hours between two doses. If fever is more than 102 F then give Meftal with a gap of eight hours between two doses of Meftal. Avoid Meftal as much as possible. Give more food and more liquid. If he is dull, not taking orally, then go to the doctor. |
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 is the possibility of previous staph infection causing septic shock? | Hello doctor, I had a staph infection and I took antibiotics a month ago. I had been in the sun a lot recently and I am feeling symptoms of heat exhaustion, but I am worried that the staph infection is causing septic shock? Is this a possibility? | Hi. I can understand your concern. According to your statement, you have been suffering from a feeling of heat exhaustion as you were more exposed to the sunlight and worried about Staph infection that may cause septic shock. You had a staph infection one month back and you took antibiotics for that. So I think your previous staph infection was well eradicated by taking antibiotics. Even without treatment, it can be eradicated within 10-20 days. Staph infection may cause life-threatening condition like sepsis. Clinical features of sepsis are high fever with chills and rigors, rapid pulse rate, rapid breathing, hypotension, vomiting, diarrhea, etc. When staph bacteria enters a person's bloodstream and develop an infection that may affect the entire body and cause death is known as sepsis. You are not mentioned here that you are affected by sepsis-like clinical features and no history of having sepsis in the past. So now you are free from staph infection and no chance of sepsis caused by staph infection. I hope this helps. |
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Hello doctor, I had a staph infection and I took antibiotics a month ago. I had been in the sun a lot recently and I am feeling symptoms of heat exhaustion, but I am worried that the staph infection is causing septic shock? Is this a possibility? [/INST] Hi. I can understand your concern. According to your statement, you have been suffering from a feeling of heat exhaustion as you were more exposed to the sunlight and worried about Staph infection that may cause septic shock. You had a staph infection one month back and you took antibiotics for that. So I think your previous staph infection was well eradicated by taking antibiotics. Even without treatment, it can be eradicated within 10-20 days. Staph infection may cause life-threatening condition like sepsis. Clinical features of sepsis are high fever with chills and rigors, rapid pulse rate, rapid breathing, hypotension, vomiting, diarrhea, etc. When staph bacteria enters a person's bloodstream and develop an infection that may affect the entire body and cause death is known as sepsis. You are not mentioned here that you are affected by sepsis-like clinical features and no history of having sepsis in the past. So now you are free from staph infection and no chance of sepsis caused by staph infection. I hope this helps. |
Q. Why are there white spots on cheeks of a 10-year-old? | Hello doctor, My 10-year-old son has white spots on his cheeks. They have been around for the last couple of years. Some appear to look like blackheads. I do not know how to treat them. Or if this is milia or keratosis. They are only on his cheeks and some tiny spots under his eye. But chin and forehead and nose are totally free of them. | Hello. The white colored papules are indeed milia. The others are comedones. Comedones are part of acne vulgaris. Comedian acne with milia. Milia, comedonal acne. 1. Adapalene gel 0.1 percent for local application once at night on comedones. 2. For milia, they require needle extirpation for removal. Sometimes they subside on their own in a few months. |
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Hello doctor, My 10-year-old son has white spots on his cheeks. They have been around for the last couple of years. Some appear to look like blackheads. I do not know how to treat them. Or if this is milia or keratosis. They are only on his cheeks and some tiny spots under his eye. But chin and forehead and nose are totally free of them. [/INST] Hello. The white colored papules are indeed milia. The others are comedones. Comedones are part of acne vulgaris. Comedian acne with milia. Milia, comedonal acne. 1. Adapalene gel 0.1 percent for local application once at night on comedones. 2. For milia, they require needle extirpation for removal. Sometimes they subside on their own in a few months. |
Q. I have pain in the left last lower tooth region. What is it? | Hi doctor, I am suffering from pain in the left lower jaw. I do not have any tooth pain, but the skin surrounding the last tooth is troubling me. Please help. | Hello. I think it can be due to pericoronitis. This is a condition where the tissue over the erupting wisdom tooth will get inflamed. Apply anesthetic gel in that area. Do lukewarm saline mouth rinse three to four times a day. If possible attach a picture for better diagnosis. |
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Hi doctor, I am suffering from pain in the left lower jaw. I do not have any tooth pain, but the skin surrounding the last tooth is troubling me. Please help. [/INST] Hello. I think it can be due to pericoronitis. This is a condition where the tissue over the erupting wisdom tooth will get inflamed. Apply anesthetic gel in that area. Do lukewarm saline mouth rinse three to four times a day. If possible attach a picture for better diagnosis. |
Q. Experiencing pins and needles in both legs. What can be the cause? | Hello doctor, I had a neck fusion a few years back. I like to understand more about my MRI. I am going to start Gabapentin for nerve issues soon and also I have Crohn's disease and Lyme. Currently experiencing pins and needles in both legs. I have seen a neurologist and going to see a few surgeons this week. I would like to know, what you think about all this information? The neck is worse than the back at this point. Also, I want to know what my options are for fixing scar tissue? Thank you in advance. | Hi. I have read through your query in detail. Sorry to hear the pain and discomfort you are having and wish you a quick recovery. Please find my observations below. Your MRI scan reports (attachment removed to protect patient identity) show that there are changes seen in the neck region of the spinal cord at the level of fusion surgery for which the term myelomalacia (softening of the spinal cord) and myelopathy (compression of the spinal cord) has been used. The cervical spondylosis has probably increased from before. These changes make the neck changes a little worse than the lower back. There is significant pinching of nerve roots at C6 - C7 level on the right side and this becomes important because it affects your daily activities. There are changes in the spinal cord at this level which is a concern. If you are right-handed and have to use the computer at work then this can be one of the reasons for the tingling and numbness. The lower back problem is mild and is of less concern when compared to the neck. In conclusion, the visit to the neurosurgeon should be focused on reducing the nerve pinching in the neck C6 - C7 level and preventing any progressive changes in the spinal cord at that level. I would be glad if you can share the CD so that I can have a look at your images. However, my observations will most likely be the same as mentioned above. |
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Hello doctor, I had a neck fusion a few years back. I like to understand more about my MRI. I am going to start Gabapentin for nerve issues soon and also I have Crohn's disease and Lyme. Currently experiencing pins and needles in both legs. I have seen a neurologist and going to see a few surgeons this week. I would like to know, what you think about all this information? The neck is worse than the back at this point. Also, I want to know what my options are for fixing scar tissue? Thank you in advance. [/INST] Hi. I have read through your query in detail. Sorry to hear the pain and discomfort you are having and wish you a quick recovery. Please find my observations below. Your MRI scan reports (attachment removed to protect patient identity) show that there are changes seen in the neck region of the spinal cord at the level of fusion surgery for which the term myelomalacia (softening of the spinal cord) and myelopathy (compression of the spinal cord) has been used. The cervical spondylosis has probably increased from before. These changes make the neck changes a little worse than the lower back. There is significant pinching of nerve roots at C6 - C7 level on the right side and this becomes important because it affects your daily activities. There are changes in the spinal cord at this level which is a concern. If you are right-handed and have to use the computer at work then this can be one of the reasons for the tingling and numbness. The lower back problem is mild and is of less concern when compared to the neck. In conclusion, the visit to the neurosurgeon should be focused on reducing the nerve pinching in the neck C6 - C7 level and preventing any progressive changes in the spinal cord at that level. I would be glad if you can share the CD so that I can have a look at your images. However, my observations will most likely be the same as mentioned above. |
Q. Is there any way to get rid of post acne hyperpigmentation? | Hello doctor,I need to get rid of the post acne hyperpigmentation that is a year old. I have had post-acne hyperpigmentation on my arm and back since I was 15 years old and have tried everything to fade and nothing works. | Hello. 1. Post acne hyperpigmentation lasting for so long is not very common. 2. There are two kinds of options for post inflammatory hyperpigmentation. Either using creams at home which I will prescribe you below or going for cosmetic procedures like microdermabrasion, or chemical peelings. You can start with the creams. Use for six weeks and see the results. Post inflammatory hyperpigmentation. 1. Glyco 6 cream (Glycolic acid) apply locally once at night for six weeks. 2. Tablet Limcee 500 (Sodium Ascorbate and Vitamin C) once a day after breakfast for six weeks. |
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Hello doctor,I need to get rid of the post acne hyperpigmentation that is a year old. I have had post-acne hyperpigmentation on my arm and back since I was 15 years old and have tried everything to fade and nothing works. [/INST] Hello. 1. Post acne hyperpigmentation lasting for so long is not very common. 2. There are two kinds of options for post inflammatory hyperpigmentation. Either using creams at home which I will prescribe you below or going for cosmetic procedures like microdermabrasion, or chemical peelings. You can start with the creams. Use for six weeks and see the results. Post inflammatory hyperpigmentation. 1. Glyco 6 cream (Glycolic acid) apply locally once at night for six weeks. 2. Tablet Limcee 500 (Sodium Ascorbate and Vitamin C) once a day after breakfast for six weeks. |
Q. Is it mandatory to get the optional vaccines for a 45 days old infant? | Hello doctor, I have a baby girl (45 days old). There are some vaccinations in this period. Our pediatrician suggests vaccination option for DTwP/DTaP-1, OPV1/OPV1+IVP1, Hib vaccination, hepatitis B vaccination by oral administration or by injection. What is the difference between it and which one is better? Secondly, in optional vaccination like PCV1 and rotavirus vaccination 1, they have different options. Here the difference is of doses they said. So can you explain it what is it? Which one is better? Please let me know as soon as possible as I have to get it within two days. | Hello. I understand your concern. 1. Optional vaccines are given in special and high-risk kids. Does your child is any one of them? 2. Yes, in the market there are various brands of different vaccines. 3. There is no limit for optional vaccines. 4. If a baby is healthy no high-risk factor I suggest go for routine vaccination. |
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Hello doctor, I have a baby girl (45 days old). There are some vaccinations in this period. Our pediatrician suggests vaccination option for DTwP/DTaP-1, OPV1/OPV1+IVP1, Hib vaccination, hepatitis B vaccination by oral administration or by injection. What is the difference between it and which one is better? Secondly, in optional vaccination like PCV1 and rotavirus vaccination 1, they have different options. Here the difference is of doses they said. So can you explain it what is it? Which one is better? Please let me know as soon as possible as I have to get it within two days. [/INST] Hello. I understand your concern. 1. Optional vaccines are given in special and high-risk kids. Does your child is any one of them? 2. Yes, in the market there are various brands of different vaccines. 3. There is no limit for optional vaccines. 4. If a baby is healthy no high-risk factor I suggest go for routine vaccination. |
Q. There is tightness on my calf during sprint after gastrocnemius injury. Why? | Hello doctor, 10 to 11 days ago I had a gastrocnemius injury on my left calf. The first four days the pain was really bad but now there is no pain. I just tried to do a little sprint, run. I can feel tightness but not pain. What do you think this is? | Hello. Usually, post any sprint or run which is done all of a sudden without reconsidering it as a regular activity there might be doms (delayed onset muscle soreness) and this stays for around 4 to 5 days of time. Post that, the pain reduces in its own without any kind of medication. For now, since the pain is dropped down, do regular exercise which can help muscle stay in the active state so future pains are avoided due to doms and also do hot water fomentation for now for the calf muscle to relax. |
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Hello doctor, 10 to 11 days ago I had a gastrocnemius injury on my left calf. The first four days the pain was really bad but now there is no pain. I just tried to do a little sprint, run. I can feel tightness but not pain. What do you think this is? [/INST] Hello. Usually, post any sprint or run which is done all of a sudden without reconsidering it as a regular activity there might be doms (delayed onset muscle soreness) and this stays for around 4 to 5 days of time. Post that, the pain reduces in its own without any kind of medication. For now, since the pain is dropped down, do regular exercise which can help muscle stay in the active state so future pains are avoided due to doms and also do hot water fomentation for now for the calf muscle to relax. |
Q. How can I manage the pressure I feel from the eyebrows that extends till my head? | Hello doctor, I have been having a really strange problem for the past five months. I have been to the doctors and got some blood tests done with some CT scans as well and they told me that they cannot find anything wrong with me. So I am beginning to think that this may be a mental issue and I feel as though it is gradually getting worse. I have a painless tight pressure that starts from the top of my eyebrows and ends at the back of my head, then I start feeling as though I am not an actual person for a moment, I feel as though I am not real. I catch myself just staring at stuff and what worsens my issue is when I look at something, I feel as though I am not really looking at that specific thing. Like right now I am looking at my screen and typing but my brain just makes it feel as though I am not really doing any of that. I have also been very forgetful. It has gotten worse to a point where I cannot remember the things that I did past a minute. I do not even notice or realize half the things that I do anymore, nor can I remember half the things that I do and it just makes me really sad. This all started a day after I finished drinking a Four Loko, a bud light, and a coca-cola all in one night and I stayed up until 5 AM or so. Please help me, I feel as if I am going crazy and I am scared to die even though I feel it is already too late. | Hello. Your symptoms are suggestive of depersonalization or derealisation disorder (a state in which thoughts and feelings of a person seem to be unreal or not to belong to oneself). It could be part of a broader spectrum of anxiety disorder. You could benefit from both psychotherapies as well as pharmacotherapy. It is important to calm your mind. You can try guided meditation and other relaxation exercises. If it still bothers you, you will have to take medications. Let me know if I can help with anything. Anxiety disorder, depersonalisation or derealisation disorder. Guided meditation, relaxation exercises. |
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Hello doctor, I have been having a really strange problem for the past five months. I have been to the doctors and got some blood tests done with some CT scans as well and they told me that they cannot find anything wrong with me. So I am beginning to think that this may be a mental issue and I feel as though it is gradually getting worse. I have a painless tight pressure that starts from the top of my eyebrows and ends at the back of my head, then I start feeling as though I am not an actual person for a moment, I feel as though I am not real. I catch myself just staring at stuff and what worsens my issue is when I look at something, I feel as though I am not really looking at that specific thing. Like right now I am looking at my screen and typing but my brain just makes it feel as though I am not really doing any of that. I have also been very forgetful. It has gotten worse to a point where I cannot remember the things that I did past a minute. I do not even notice or realize half the things that I do anymore, nor can I remember half the things that I do and it just makes me really sad. This all started a day after I finished drinking a Four Loko, a bud light, and a coca-cola all in one night and I stayed up until 5 AM or so. Please help me, I feel as if I am going crazy and I am scared to die even though I feel it is already too late. [/INST] Hello. Your symptoms are suggestive of depersonalization or derealisation disorder (a state in which thoughts and feelings of a person seem to be unreal or not to belong to oneself). It could be part of a broader spectrum of anxiety disorder. You could benefit from both psychotherapies as well as pharmacotherapy. It is important to calm your mind. You can try guided meditation and other relaxation exercises. If it still bothers you, you will have to take medications. Let me know if I can help with anything. Anxiety disorder, depersonalisation or derealisation disorder. Guided meditation, relaxation exercises. |
Q. Other than BCP, what can I opt to control menstrual bleeding? | Hello doctor, I am a 53-year-old female who has been on a low dosage of BCP continuously for past 17 years due to periods that never stopped and was bedridden for six months due to having no more blood left to pump my heart. Secondly, I was hospitalized and had three blood transfusions. Medically I was unable to have a period due to the issues. Now I have a new doctor and wants me to go off the BCP. I want an opinion on what to do as I cannot have a period. I have had other options done as well and none worked. Can I stay on them? | Hello. As you are 53 years now and your primary concern was menorrhagia (heavy menstrual bleeding) which causes anemia and other issues. If it has been controlled with birth control since the last six months, then this indicates hormonal imbalances. Now at 53, you should be expecting your menopause soon, which cannot be found out if you remain on birth control, hence you can opt to stop them for two cycles and watch for bleeding. If any, then either you can restart or simply opt for hysterectomy (surgery to remove a part of the uterus) for failed medical management for menorrhagia, as fertility is not a concern in your case. |
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Hello doctor, I am a 53-year-old female who has been on a low dosage of BCP continuously for past 17 years due to periods that never stopped and was bedridden for six months due to having no more blood left to pump my heart. Secondly, I was hospitalized and had three blood transfusions. Medically I was unable to have a period due to the issues. Now I have a new doctor and wants me to go off the BCP. I want an opinion on what to do as I cannot have a period. I have had other options done as well and none worked. Can I stay on them? [/INST] Hello. As you are 53 years now and your primary concern was menorrhagia (heavy menstrual bleeding) which causes anemia and other issues. If it has been controlled with birth control since the last six months, then this indicates hormonal imbalances. Now at 53, you should be expecting your menopause soon, which cannot be found out if you remain on birth control, hence you can opt to stop them for two cycles and watch for bleeding. If any, then either you can restart or simply opt for hysterectomy (surgery to remove a part of the uterus) for failed medical management for menorrhagia, as fertility is not a concern in your case. |
Q. Is it normal to feel that the ankles are displaced while running? | Hello doctor, I am aware a chiropractor only works on the back, but I have a question about my ankles. Every time I run, it feels similar to my ankles rolling out of place, and back into place again. It is extremely painful and I would like to know if there is anything I can do to help this. Also, I am a waitress and I have to stand for long periods of time. | Hello. As standing for long hours can lead to weakness in the ligaments of the ankle joint, leading to ankle instability. If never taken an MRI of the ankle due to any sprain I will recommend one to take. You can start using the balance board training which will help improve the muscle imbalances and provide good stability of the ankle. Balance board training has been found effective for providing ankle stability. |
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Hello doctor, I am aware a chiropractor only works on the back, but I have a question about my ankles. Every time I run, it feels similar to my ankles rolling out of place, and back into place again. It is extremely painful and I would like to know if there is anything I can do to help this. Also, I am a waitress and I have to stand for long periods of time. [/INST] Hello. As standing for long hours can lead to weakness in the ligaments of the ankle joint, leading to ankle instability. If never taken an MRI of the ankle due to any sprain I will recommend one to take. You can start using the balance board training which will help improve the muscle imbalances and provide good stability of the ankle. Balance board training has been found effective for providing ankle stability. |
Q. I am having a bruise at the base of the penis shaft with pain after intercourse. Kindly advise. | Hello doctor, Last night during intercourse, I started having a burning feeling at the base of my shaft, almost like a paper cut. I finished the fun like normal and pain subsided. Later that night, a few hours later, we did it again. It hurt a little but not bad. This morning when I woke up I had a bruise at the base, where the pain was. As the day had progressed, it has gotten more purple and a little more swollen. I have a picture if needed. | Hi. This could be a fractured penis (tear in the hard lining of penis rods below the skin). It has to be confirmed by penile doppler and if present, has to be repaired by small surgery. If not repaired, it may lead to poor erections in the future. Avoid intercourse for a few days. Also, avoid vigorous intercourse in the future. Take care. Till then you may take some anti-inflammatory medication. |
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Hello doctor, Last night during intercourse, I started having a burning feeling at the base of my shaft, almost like a paper cut. I finished the fun like normal and pain subsided. Later that night, a few hours later, we did it again. It hurt a little but not bad. This morning when I woke up I had a bruise at the base, where the pain was. As the day had progressed, it has gotten more purple and a little more swollen. I have a picture if needed. [/INST] Hi. This could be a fractured penis (tear in the hard lining of penis rods below the skin). It has to be confirmed by penile doppler and if present, has to be repaired by small surgery. If not repaired, it may lead to poor erections in the future. Avoid intercourse for a few days. Also, avoid vigorous intercourse in the future. Take care. Till then you may take some anti-inflammatory medication. |
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. I have diarrhea, and anal pain increases every time I poop. Please help. | Hi there! I have a case of diarrhea since yesterday and I have gone to the loo quite a few times. However, with each time it starts to hurt more and more and its reached a point where i am scared to poop. It hurts as soon as i start to poop and continues till 5-10 minutes after i am done. | Hello. I welcome you to icliniq. I can understand you must be very upset about this. So here are something that i want you to understand. since you started to have diarrhea since yesterday which classifies it as acute (recent) gastroenteritis. The most common cause usually a food that has caused poisoing and suddent burst of large volume of poop. i want you to start taking Oral rehydration therapy ORS. Add one sachet of ORS in one liter of mineral water or boiled water and take 200 to 300 ml each time you have loose bowel. This will replenish your salt in body and help decrease diarrhea. The antibiotics are not really recommend in acute diarrhea except someone has blood in stools. so i am not recommending you at this point in time. Tab lomotil 2 tablets thrice daily no more than 3 days. food poisoing enterotoxin mediated diarrhea Oral rehydration therapy ORS. Add one sachet of ORS in one liter of mineral water or boiled water and take 200 to 300 ml each time you have loose bowel. Tab lomotil 2 tablets thrice daily no more than 3 days.( Generic diphenoxylate hydrochloride plus atropine) I really hope this will surely settle your diarrhea. If it does not help in 48 hours plz let me know. |
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Hi there! I have a case of diarrhea since yesterday and I have gone to the loo quite a few times. However, with each time it starts to hurt more and more and its reached a point where i am scared to poop. It hurts as soon as i start to poop and continues till 5-10 minutes after i am done. [/INST] Hello. I welcome you to icliniq. I can understand you must be very upset about this. So here are something that i want you to understand. since you started to have diarrhea since yesterday which classifies it as acute (recent) gastroenteritis. The most common cause usually a food that has caused poisoing and suddent burst of large volume of poop. i want you to start taking Oral rehydration therapy ORS. Add one sachet of ORS in one liter of mineral water or boiled water and take 200 to 300 ml each time you have loose bowel. This will replenish your salt in body and help decrease diarrhea. The antibiotics are not really recommend in acute diarrhea except someone has blood in stools. so i am not recommending you at this point in time. Tab lomotil 2 tablets thrice daily no more than 3 days. food poisoing enterotoxin mediated diarrhea Oral rehydration therapy ORS. Add one sachet of ORS in one liter of mineral water or boiled water and take 200 to 300 ml each time you have loose bowel. Tab lomotil 2 tablets thrice daily no more than 3 days.( Generic diphenoxylate hydrochloride plus atropine) I really hope this will surely settle your diarrhea. If it does not help in 48 hours plz let me know. |
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. Is it advisable to get root canal treatment before extraction of adjacent wisdom tooth? | Hello doctor, I have an infection in my root canal and also have wisdom tooth nearby root canal. So first what should I remove? Infection in the root canal or wisdom tooth? Please suggest. | Hello. From the X-ray, I understand that all your wisdom teeth are indicated for removal as they are erupting in the wrong path. However, I would suggest you get the one which is troubling you extracted first followed by re-root canal treatment for the adjacent tooth. It is better to get the extraction done first followed by the root canal. This sequence may vary from dentist to dentist and also based on patients preferences. |
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Hello doctor, I have an infection in my root canal and also have wisdom tooth nearby root canal. So first what should I remove? Infection in the root canal or wisdom tooth? Please suggest. [/INST] Hello. From the X-ray, I understand that all your wisdom teeth are indicated for removal as they are erupting in the wrong path. However, I would suggest you get the one which is troubling you extracted first followed by re-root canal treatment for the adjacent tooth. It is better to get the extraction done first followed by the root canal. This sequence may vary from dentist to dentist and also based on patients preferences. |
Q. Is it advisable to take Buspar to cope with serotonin depletion? | Hello doctor, My complaints started 22 years back, light feeling in the head, cramped neck and chest, hypochondriacal thoughts about heart disease (which I do not have). This caused several panic attacks and anxiety and finally chronic fatigue. My doctor prescribed Paroxetine 20 mg and after some extra anxiety, I was practically free of problems for 20 years and lived a wonderful life. Six months ago after a long period of bad sleep and insomnia, I became anxious again with panic attacks and this time along with negative obsessive thoughts about breathing (not able to stop thinking about breathing), so severe that I cannot function in a normal state anymore. My doctor, the general practitioner, upped the dose of Paroxetine from 20 to 30 mg, but it caused a strong adverse reaction. I became very emotional and unstable, not able to sleep and very restless and racing thoughts. I have had the 30 mg dose over a period of 8 to 9 weeks to see if the symptoms went away and my situation improved, but it did not. So I am back at 20 mg again. The extreme adverse effects have eased it but I still have obsessive thoughts about my breathing. This is going on dozens or many times a day and is causing so much anxiety. The bottom line is that I am aware of my breathing and is afraid to get rid of this thought, but I think it is fed by general anxiety, because when I take a Benzo or sleeping aid later in the day, the obsessive thoughts are gone. This now controls my life and I am unable to cope. It is also mentioned under the name sensorimotor obsession. In my opinion, this is a kind of OCD, but the basis lies in general anxiety. This breath OCD also manifested itself 21 years back when I first took the Paroxetine, but after a while went away and never brought so much anxiety. Now my question is whether this is caused by Paxil poop out or tachyphylaxis although the upped dose did not work. And what to do, augment the Paroxetine with Buspar to try to fight the possible Serotonin depletion? Or switch to another SSRI or SRNI? Or TCA? I am 51 years old, male and only taking some Benzos as other medications. I also have no other medical issues as far as I know. | Hello. You have provided a helpful insightful summary of your problems. As you rightly identified, your difficulties appear to be related to excessive anxiety. Panic attacks, obsessive preoccupation about breathing, fatigue and sleep disturbance appear to be related to high anxiety levels. I note that you responded very well to Paroxetine 20 mg for more than two decades but did not tolerate the increased dose recently and 20 mg is no longer effective. This is noticed commonly clinically due to various reasons. Just wanted to clarify whether in addition to medication, have you received any psychological therapy like CBT for management of your anxiety. CBT is highly effective in anxiety and will be very useful for the symptoms you describe. Kindly discuss with your doctor about CBT input. Even if you had CBT before, it will be worthwhile having it again to gain an additional perspective. Regarding medication change, switching to another SSRI like Sertraline should be considered first before SNRIs or TCAs or augmentation strategies. Benzo can be continued for short periods. Kindly discuss with your doctor as you will need to be monitored during the switching period. Also, I just wanted to highlight other additional strategies that help to decrease anxiety levels. Try progressive muscle relaxation exercises at least twice daily. Avoid alcohol, caffeinated drinks, it will worsen anxiety. Regular walking or exercise helps. To sum up, medication helps but also consider CBT and non-pharmacological measures in addition to medication as there is good evidence that they help with anxiety. |
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Hello doctor, My complaints started 22 years back, light feeling in the head, cramped neck and chest, hypochondriacal thoughts about heart disease (which I do not have). This caused several panic attacks and anxiety and finally chronic fatigue. My doctor prescribed Paroxetine 20 mg and after some extra anxiety, I was practically free of problems for 20 years and lived a wonderful life. Six months ago after a long period of bad sleep and insomnia, I became anxious again with panic attacks and this time along with negative obsessive thoughts about breathing (not able to stop thinking about breathing), so severe that I cannot function in a normal state anymore. My doctor, the general practitioner, upped the dose of Paroxetine from 20 to 30 mg, but it caused a strong adverse reaction. I became very emotional and unstable, not able to sleep and very restless and racing thoughts. I have had the 30 mg dose over a period of 8 to 9 weeks to see if the symptoms went away and my situation improved, but it did not. So I am back at 20 mg again. The extreme adverse effects have eased it but I still have obsessive thoughts about my breathing. This is going on dozens or many times a day and is causing so much anxiety. The bottom line is that I am aware of my breathing and is afraid to get rid of this thought, but I think it is fed by general anxiety, because when I take a Benzo or sleeping aid later in the day, the obsessive thoughts are gone. This now controls my life and I am unable to cope. It is also mentioned under the name sensorimotor obsession. In my opinion, this is a kind of OCD, but the basis lies in general anxiety. This breath OCD also manifested itself 21 years back when I first took the Paroxetine, but after a while went away and never brought so much anxiety. Now my question is whether this is caused by Paxil poop out or tachyphylaxis although the upped dose did not work. And what to do, augment the Paroxetine with Buspar to try to fight the possible Serotonin depletion? Or switch to another SSRI or SRNI? Or TCA? I am 51 years old, male and only taking some Benzos as other medications. I also have no other medical issues as far as I know. [/INST] Hello. You have provided a helpful insightful summary of your problems. As you rightly identified, your difficulties appear to be related to excessive anxiety. Panic attacks, obsessive preoccupation about breathing, fatigue and sleep disturbance appear to be related to high anxiety levels. I note that you responded very well to Paroxetine 20 mg for more than two decades but did not tolerate the increased dose recently and 20 mg is no longer effective. This is noticed commonly clinically due to various reasons. Just wanted to clarify whether in addition to medication, have you received any psychological therapy like CBT for management of your anxiety. CBT is highly effective in anxiety and will be very useful for the symptoms you describe. Kindly discuss with your doctor about CBT input. Even if you had CBT before, it will be worthwhile having it again to gain an additional perspective. Regarding medication change, switching to another SSRI like Sertraline should be considered first before SNRIs or TCAs or augmentation strategies. Benzo can be continued for short periods. Kindly discuss with your doctor as you will need to be monitored during the switching period. Also, I just wanted to highlight other additional strategies that help to decrease anxiety levels. Try progressive muscle relaxation exercises at least twice daily. Avoid alcohol, caffeinated drinks, it will worsen anxiety. Regular walking or exercise helps. To sum up, medication helps but also consider CBT and non-pharmacological measures in addition to medication as there is good evidence that they help with anxiety. |
Q. Why is there pain in filled teeth? | Hello doctor, About a month ago, I got a filling on one of my front teeth, they called it a surface cavity but filled it like a normal cavity. For the first two weeks, I could barely drink room temperature drinks without being in agony. I made an appointment after two weeks to have my dentist look at it to make sure it was not cracked or anything. He never even looked at it, he gave me an antibiotic and said if it did not get any better, I would need a root canal. A few days later the sensitivity went away and I thought it healed. Last week, I noticed the gums above it have changed color. They are a slight red, purple and the gum itself is very sensitive. Under my nose and some of my cheek, I can feel where it is swollen (the gum). It also throbs sometimes. Should I take the antibiotic that my orginal dentist prescribed or should I just wait it out until I see the new dentist to see what they say? I am just scared. Is it an abscess and I do not want it to become more infected. | Hi. Unfortunately, your doubt is true about it. The swollen gum and change in its color right above the tooth in question indicate that your tooth is infected and you need a root canal treatment now. Immediately, start taking the antibiotics from now, before starting take a picture of the color of gums and tooth so that you may show it to the new dentist that at this condition you started with antibiotics to avoid severity of infection and he might not give you this antibiotic coverage again and start treatment from the next step. Feel free to ask if you have any further question in mind. Stay happy and blessed. Take care. |
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Hello doctor, About a month ago, I got a filling on one of my front teeth, they called it a surface cavity but filled it like a normal cavity. For the first two weeks, I could barely drink room temperature drinks without being in agony. I made an appointment after two weeks to have my dentist look at it to make sure it was not cracked or anything. He never even looked at it, he gave me an antibiotic and said if it did not get any better, I would need a root canal. A few days later the sensitivity went away and I thought it healed. Last week, I noticed the gums above it have changed color. They are a slight red, purple and the gum itself is very sensitive. Under my nose and some of my cheek, I can feel where it is swollen (the gum). It also throbs sometimes. Should I take the antibiotic that my orginal dentist prescribed or should I just wait it out until I see the new dentist to see what they say? I am just scared. Is it an abscess and I do not want it to become more infected. [/INST] Hi. Unfortunately, your doubt is true about it. The swollen gum and change in its color right above the tooth in question indicate that your tooth is infected and you need a root canal treatment now. Immediately, start taking the antibiotics from now, before starting take a picture of the color of gums and tooth so that you may show it to the new dentist that at this condition you started with antibiotics to avoid severity of infection and he might not give you this antibiotic coverage again and start treatment from the next step. Feel free to ask if you have any further question in mind. Stay happy and blessed. Take care. |
Q. What are the treatment methods available for ringworm infection? | Hello doctor, I have ringworms on my face, nose, eyebrows, scalp, jock itch, white spots around the anus that hurt and itch. I get blood when I go to the bathroom, nails rip off easily, always feeling sleepy, swollen lymph nodes and itching all over the body. Please help. | Hi. For how long do you have this problem? This is not ringworm or fungal infection. There are multiple atrophic plaques over the face and arms from your picture. Have you applied anything over them? It looks like it is lupus erythematosus but confirming the diagnosis would be made on skin biopsy. You also have folliculitis over beard area with secondary infection over it. I will suggest you consult your nearby health facility. Skin biopsy. Lupus erythematosus, Tinea incognito, atrophic lichen planus, folliculitis. Take oral antibiotics for folliculitis, tablet Co-Amoxiclav 1 gm BD for one week, apply Fusidic acid ointment BD over the lesions. Maintain hygiene of body, wash with soap and water, avoid using Dettol and other irritants. |
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Hello doctor, I have ringworms on my face, nose, eyebrows, scalp, jock itch, white spots around the anus that hurt and itch. I get blood when I go to the bathroom, nails rip off easily, always feeling sleepy, swollen lymph nodes and itching all over the body. Please help. [/INST] Hi. For how long do you have this problem? This is not ringworm or fungal infection. There are multiple atrophic plaques over the face and arms from your picture. Have you applied anything over them? It looks like it is lupus erythematosus but confirming the diagnosis would be made on skin biopsy. You also have folliculitis over beard area with secondary infection over it. I will suggest you consult your nearby health facility. Skin biopsy. Lupus erythematosus, Tinea incognito, atrophic lichen planus, folliculitis. Take oral antibiotics for folliculitis, tablet Co-Amoxiclav 1 gm BD for one week, apply Fusidic acid ointment BD over the lesions. Maintain hygiene of body, wash with soap and water, avoid using Dettol and other irritants. |
Q. Why is there pain in hands and feet with fever? | Hi doctor, My 4 years son had a cough for two days. Now his cough is fine but now he has a high fever on the head side but his hands are ice cold. He is telling pain sometimes in hands and some times in feet. What is the cause? Please explain. | Hi. From the description, it seems your son is having an upper respiratory infection. If he is playful and active in between fever it may be a simple infection which will subside by its own. You can give Paracetamol during the fever spikes. If his fever is lasting for more than three days, then you have to do a blood test including complete blood counts and may go for antibiotics after consulting a doctor in person. Pain can be part of the infection. |
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Hi doctor, My 4 years son had a cough for two days. Now his cough is fine but now he has a high fever on the head side but his hands are ice cold. He is telling pain sometimes in hands and some times in feet. What is the cause? Please explain. [/INST] Hi. From the description, it seems your son is having an upper respiratory infection. If he is playful and active in between fever it may be a simple infection which will subside by its own. You can give Paracetamol during the fever spikes. If his fever is lasting for more than three days, then you have to do a blood test including complete blood counts and may go for antibiotics after consulting a doctor in person. Pain can be part of the infection. |
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. How can I treat uneven skin tone? | Hello doctor, I am 18 years old boy. I am having very uneven skin tone on my cheeks somewhere it is dark and somewhere it is white. It started about one year ago. What can I do now any remedies or diet or treatment? | Hello. Yes, you have pigmentation problem along with mild acne. I will suggest you to start with topical Clindamycin lotion over the pimple area morning and evening and a topical retinoid at night time by mixing it in cold cream. Wash your face with Dove soap. Retinoid at night will improve your skin problems. Apply Acsolve lotion over the lesions BD, apply Arynoin gel plus cold cream at night in small quantity on the whole face. Use skin aqua moisturizing serum 2 to 3 times a day, use Solaris sunblock SPF 60, avoid using Dettol and other irritants. |
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Hello doctor, I am 18 years old boy. I am having very uneven skin tone on my cheeks somewhere it is dark and somewhere it is white. It started about one year ago. What can I do now any remedies or diet or treatment? [/INST] Hello. Yes, you have pigmentation problem along with mild acne. I will suggest you to start with topical Clindamycin lotion over the pimple area morning and evening and a topical retinoid at night time by mixing it in cold cream. Wash your face with Dove soap. Retinoid at night will improve your skin problems. Apply Acsolve lotion over the lesions BD, apply Arynoin gel plus cold cream at night in small quantity on the whole face. Use skin aqua moisturizing serum 2 to 3 times a day, use Solaris sunblock SPF 60, avoid using Dettol and other irritants. |
Q. There is back pain after getting up from sitting position and walking. Why? | Hi doctor, My mother is 65 years old (height 4'11", weight 64 kg), and has been doing all the household chores since she was 20 years. She has no problems except diabetes. Since one week, she started getting lower back pain. The symptoms are if she is in a sleeping position and gets up and starts walking, there is no problem. But if she is in a sitting position and gets up to walk, there is sharp lower back pain. Can you please let me know what could be the reason? How can the pain be relieved? Any special exercises or chair or vitamin supplements, etc.? | Hello. At 65, your mother seems to be suffering from spondylosis which is nothing but wear and tear of the spine. This is made worse after any period of rest and sitting usually makes it worse. Is there any radiation of pain to the leg? I will recommend that you get an X-ray of the affected part like lumbar spine AP and lateral. In the meantime, I will also recommend that she tries hot packs or preferably ice packs over the site area to see if that relieves pain. She can also apply Dynapar QPS spray. Take Ultracet for pain one tablet twice a day. Please send me the X-rays for further advice. |
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Hi doctor, My mother is 65 years old (height 4'11", weight 64 kg), and has been doing all the household chores since she was 20 years. She has no problems except diabetes. Since one week, she started getting lower back pain. The symptoms are if she is in a sleeping position and gets up and starts walking, there is no problem. But if she is in a sitting position and gets up to walk, there is sharp lower back pain. Can you please let me know what could be the reason? How can the pain be relieved? Any special exercises or chair or vitamin supplements, etc.? [/INST] Hello. At 65, your mother seems to be suffering from spondylosis which is nothing but wear and tear of the spine. This is made worse after any period of rest and sitting usually makes it worse. Is there any radiation of pain to the leg? I will recommend that you get an X-ray of the affected part like lumbar spine AP and lateral. In the meantime, I will also recommend that she tries hot packs or preferably ice packs over the site area to see if that relieves pain. She can also apply Dynapar QPS spray. Take Ultracet for pain one tablet twice a day. Please send me the X-rays for further advice. |
Q. How to get TSH level control in a diabetic? | Hi doctor, My dad is 67 years of age and my mom is 63 now. I have got general health checkup done for my parents. I am uploading the reports here. Kindly check and let me know if anything needs our immediate attention. Thanks | Hello. I have seen all the reports (attachment removed to protect patient identity) of your parents. Your mother is diabetic and she is controlling her diabetes good. She has a mild increase in her leukocyte count, it is due to infection. Did she get any fever in past weeks? Or did she have a sore throat? Is she taking any thyroid medication? If yes, which one and what is the dosage? Her TSH (thyroid stimulating hormone) is high which means there is thyroid disorder, but to be hundred percent sure you need to do TPO (thyroid peroxidase antibody test) it will tell us what exactly the problem is. Your father probably does not have diabetes as you have done HB1AC (glycated hemoglobin) and FBS (fasting blood sugar) test first time on him. But I think he is a little obese. He should go for a walk for 30 minutes and reduce the fat and oil from his diet. |
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Hi doctor, My dad is 67 years of age and my mom is 63 now. I have got general health checkup done for my parents. I am uploading the reports here. Kindly check and let me know if anything needs our immediate attention. Thanks [/INST] Hello. I have seen all the reports (attachment removed to protect patient identity) of your parents. Your mother is diabetic and she is controlling her diabetes good. She has a mild increase in her leukocyte count, it is due to infection. Did she get any fever in past weeks? Or did she have a sore throat? Is she taking any thyroid medication? If yes, which one and what is the dosage? Her TSH (thyroid stimulating hormone) is high which means there is thyroid disorder, but to be hundred percent sure you need to do TPO (thyroid peroxidase antibody test) it will tell us what exactly the problem is. Your father probably does not have diabetes as you have done HB1AC (glycated hemoglobin) and FBS (fasting blood sugar) test first time on him. But I think he is a little obese. He should go for a walk for 30 minutes and reduce the fat and oil from his diet. |
Q. My back is not in proportion. How to correct it? | Hi doctor, When I started my workout today, I noticed that my back is not in proportion and not developed properly. I am wondering, why is it so? Do I have to see a chiropractor? Or do I need to adjust my workout forum? Kindly guide. | Hi. Are you right-handed? Is your left arm weaker? Or vice-versa? Normally, we all tend to use one side of our body more frequently and comfortably than the other, making us left or right-handed. We spend most of our life performing endless daily tasks with one side of our body at a much higher frequency than the other side. Hence, more developed and stronger muscles on that side. But, it is more visible in some individuals than others. You can spend more time building muscles on the weaker side and forcing yourself to use your uncomfortable side. You will strengthen and develop those muscles at least close enough so that you cannot tell visually that you are uneven. I advise you to do more of dumbbell exercises like bent over lateral raises, one arm dumbbell row and pushing your weaker side, left as per picture (attachment removed to protect patient identity), to take more weight. |
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Hi doctor, When I started my workout today, I noticed that my back is not in proportion and not developed properly. I am wondering, why is it so? Do I have to see a chiropractor? Or do I need to adjust my workout forum? Kindly guide. [/INST] Hi. Are you right-handed? Is your left arm weaker? Or vice-versa? Normally, we all tend to use one side of our body more frequently and comfortably than the other, making us left or right-handed. We spend most of our life performing endless daily tasks with one side of our body at a much higher frequency than the other side. Hence, more developed and stronger muscles on that side. But, it is more visible in some individuals than others. You can spend more time building muscles on the weaker side and forcing yourself to use your uncomfortable side. You will strengthen and develop those muscles at least close enough so that you cannot tell visually that you are uneven. I advise you to do more of dumbbell exercises like bent over lateral raises, one arm dumbbell row and pushing your weaker side, left as per picture (attachment removed to protect patient identity), to take more weight. |
Q. My brother has high BP, mood swings, night sweat, etc. What does it indicate? | Hi doctor, My brother is 34 years old. He was diagnosed to have high blood pressure in his 20 years of age. He feels palpitations and sweats at night while sleeping even in cold weather. Many times the sole of his feet get swollen. He remains in haste, cannot wait for long, and gets anxious many times. He forgets things easily that is things where he had kept earlier like taking mobile or purse or identity card with him while going to office. He dislikes delay in anything because he cannot wait much. He gets angry and irritated if the person before him works slowly or not able to understand what he said. He does not have patience and has little tolerance for delays and imperfection. He used to talk more negative about girls. He knew that is wrong but by saying so he feels relaxed. Though he accepts his faults, he is impulsive about scolding others for their imperfection, shortfalls, weakness and sluggishness. He lost his father at the age of 12. His father died of heart attack and his mother is suffering from chronic schizophrenia. | Hi. First, regarding his mental condition, it seems that he is suffering and there is a definite need for treatment. The problem becomes more acute considering positive family history of schizophrenia in mother. Most of his symptoms indicate mood disorder which includes both bipolar disorders as well as depression. Now regarding his physical condition, I feel there is a definiteneed to evaluate for pheochromocytoma. It is a condition where high secretion of brain chemicals (noradrenaline) resulting in high blood pressure, irritability, instability, and swelling of feet. Even his psychiatric condition can be explained by the same disorder. Considering all these, please take to him to a doctor for physical evaluation about the possibility of pheochromocytoma. He will take a more detailed history and will suggest some investigations which include vanillylmandelic acid (VMA) level. |
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Hi doctor, My brother is 34 years old. He was diagnosed to have high blood pressure in his 20 years of age. He feels palpitations and sweats at night while sleeping even in cold weather. Many times the sole of his feet get swollen. He remains in haste, cannot wait for long, and gets anxious many times. He forgets things easily that is things where he had kept earlier like taking mobile or purse or identity card with him while going to office. He dislikes delay in anything because he cannot wait much. He gets angry and irritated if the person before him works slowly or not able to understand what he said. He does not have patience and has little tolerance for delays and imperfection. He used to talk more negative about girls. He knew that is wrong but by saying so he feels relaxed. Though he accepts his faults, he is impulsive about scolding others for their imperfection, shortfalls, weakness and sluggishness. He lost his father at the age of 12. His father died of heart attack and his mother is suffering from chronic schizophrenia. [/INST] Hi. First, regarding his mental condition, it seems that he is suffering and there is a definite need for treatment. The problem becomes more acute considering positive family history of schizophrenia in mother. Most of his symptoms indicate mood disorder which includes both bipolar disorders as well as depression. Now regarding his physical condition, I feel there is a definiteneed to evaluate for pheochromocytoma. It is a condition where high secretion of brain chemicals (noradrenaline) resulting in high blood pressure, irritability, instability, and swelling of feet. Even his psychiatric condition can be explained by the same disorder. Considering all these, please take to him to a doctor for physical evaluation about the possibility of pheochromocytoma. He will take a more detailed history and will suggest some investigations which include vanillylmandelic acid (VMA) level. |
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. My child has developmental dysplasia of hip. Please help. | Hi doctor, My 5 months old baby girl has got developmental dysplasia of the hip. DDH was suspected at 3.5 months when there was slightly limited hip abduction and the ultrasound showed signs of physiologically immature hip, Graf type IIa on both sides. In right side, the alpha angle is 57 degrees and beta angle is 59 degrees. Left side, the alpha angle is 58 degrees and beta angle is 57 degrees. We were recommended massage and exercise. At 5 months of age, no frejka splint or pavlik harness was given to control DDH. Our orthopedist said that hip abduction is still slightly limited, but after an x-ray, he reassured us that everything is fine. He advised avoiding sitting until 6-7 months and standing until 12 months. He advised to just do exercises and massage but nothing else. Currently, I am giving her calcium and vitamin D3 supplements. X-ray was taken. I am attaching it for your reference. My questions are, is there DDH and how serious it is? What consequences it will give in her later life? What do you recommend right now? Please help us. We do not have good specialists in my area to consult. We are waiting for your answers with hope. Thank you. | Hi. Yes, there is DDH - developmental dysplasia of hip but of a mild variety, as suggested by the ultrasound, which suggests an immature hip. X-ray (attachment removed to protect patient identity) features show that the hip is not dislocated, but since it is an immature hip. The recommended treatment given by your doctor is proper, and you should follow that. You should follow up with the doctor every month until one year of age for clinical examination, and at one year another x-ray should be taken and compared. Thereafter, if there is no dislocation, then follow up should be every year until skeletal maturity. You should also do a triple-diaper technique (a technique in which three diapers are put together to keep the thighs apart in newborn) at night only for another six to eight weeks. Complications associated with DDH are epiphyseal dysplasia of the proximal femur and avascular necrosis. The chance of which is very less in this case and these complications are more related to treatment with braces. |
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Hi doctor, My 5 months old baby girl has got developmental dysplasia of the hip. DDH was suspected at 3.5 months when there was slightly limited hip abduction and the ultrasound showed signs of physiologically immature hip, Graf type IIa on both sides. In right side, the alpha angle is 57 degrees and beta angle is 59 degrees. Left side, the alpha angle is 58 degrees and beta angle is 57 degrees. We were recommended massage and exercise. At 5 months of age, no frejka splint or pavlik harness was given to control DDH. Our orthopedist said that hip abduction is still slightly limited, but after an x-ray, he reassured us that everything is fine. He advised avoiding sitting until 6-7 months and standing until 12 months. He advised to just do exercises and massage but nothing else. Currently, I am giving her calcium and vitamin D3 supplements. X-ray was taken. I am attaching it for your reference. My questions are, is there DDH and how serious it is? What consequences it will give in her later life? What do you recommend right now? Please help us. We do not have good specialists in my area to consult. We are waiting for your answers with hope. Thank you. [/INST] Hi. Yes, there is DDH - developmental dysplasia of hip but of a mild variety, as suggested by the ultrasound, which suggests an immature hip. X-ray (attachment removed to protect patient identity) features show that the hip is not dislocated, but since it is an immature hip. The recommended treatment given by your doctor is proper, and you should follow that. You should follow up with the doctor every month until one year of age for clinical examination, and at one year another x-ray should be taken and compared. Thereafter, if there is no dislocation, then follow up should be every year until skeletal maturity. You should also do a triple-diaper technique (a technique in which three diapers are put together to keep the thighs apart in newborn) at night only for another six to eight weeks. Complications associated with DDH are epiphyseal dysplasia of the proximal femur and avascular necrosis. The chance of which is very less in this case and these complications are more related to treatment with braces. |
Q. What is the role of undescended testis in fertility? | Hello doctor, One of my testicles is not descended completely to the sac. I am 31 years old and not married yet. I have few queries regarding this. Do I need surgery? Does it affect fertility? Does it have any adverse effect on my sex life? | Hello. This condition is known as cryptorchidism (absence of one or both testes in the scrotum). If one of the testes has not descended as yet, then ideally it may have become dysfunctional already depending on the location of the testis, if it is still intra-abdominal or in the inguinal canal. There are high chances in such cases that the undescended testis may form a seminoma which is a tumor of the testis. If the other testis has descended, then it would be functional, and the chance of infertility is not there. Get an MRI pelvis done and most likely it would have to be removed. Also, get a semen culture done to check the sperm count and quality as well.Please meet your surgeon soon as undescended testis is not recommended to be kept to sit this long. |
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Hello doctor, One of my testicles is not descended completely to the sac. I am 31 years old and not married yet. I have few queries regarding this. Do I need surgery? Does it affect fertility? Does it have any adverse effect on my sex life? [/INST] Hello. This condition is known as cryptorchidism (absence of one or both testes in the scrotum). If one of the testes has not descended as yet, then ideally it may have become dysfunctional already depending on the location of the testis, if it is still intra-abdominal or in the inguinal canal. There are high chances in such cases that the undescended testis may form a seminoma which is a tumor of the testis. If the other testis has descended, then it would be functional, and the chance of infertility is not there. Get an MRI pelvis done and most likely it would have to be removed. Also, get a semen culture done to check the sperm count and quality as well.Please meet your surgeon soon as undescended testis is not recommended to be kept to sit this long. |
Q. When will the wound created during urolift procedure heal? | Hello doctor, I just had my second urolift a week back. My doctor-surgeon pinned down the median lobe of the prostate and removed a bladder stone during that surgery. Had voiding trial two days back. Urinated out about 200 cc at urologist's office. I think she put in 300 cc if I recall correctly. Went home and had to come back and be recatheterized at 4:30 PM. Had 485 cc in. My bladder at that point was able to get a fairly good stream going for a while but then got spasms and just dribbling so the amount out was not good enough to handle the amount of liquid going into the bladder. The head of my penis had stopped bleeding from the surgery but the recatheterization has caused it to start bleeding again. PA wants another voiding trial next week. I am concerned that this is too soon and that the wound inside the head of my penis will never heal and the spasms which do not allow me to accomplish a successful voiding trial will never cease if I am not given enough time to heal. Your thoughts? | Hi. In urolift, there is no cutting and therefore no wound. The prostate tissue is pinned to its covering and this widens the urine tube. So one week's rest should be fine for whatever healing there has to occur. The spasms that occur with a catheter in place are due to bladder trying to push out the catheter and these go once the catheter is removed. I think another trial of catheter removal is fine. If it does not work, or you are not happy with the flow or symptoms, or if you have more than 100 to 150 cc residue, better to undergo a formal TURP or HoLEP surgery for the prostate. It is an endoscopically performed, under anesthesia and little side effects. In your case, the urolift is causing problems and this defeats the whole purpose of urolift being less invasive than prostate surgery. |
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Hello doctor, I just had my second urolift a week back. My doctor-surgeon pinned down the median lobe of the prostate and removed a bladder stone during that surgery. Had voiding trial two days back. Urinated out about 200 cc at urologist's office. I think she put in 300 cc if I recall correctly. Went home and had to come back and be recatheterized at 4:30 PM. Had 485 cc in. My bladder at that point was able to get a fairly good stream going for a while but then got spasms and just dribbling so the amount out was not good enough to handle the amount of liquid going into the bladder. The head of my penis had stopped bleeding from the surgery but the recatheterization has caused it to start bleeding again. PA wants another voiding trial next week. I am concerned that this is too soon and that the wound inside the head of my penis will never heal and the spasms which do not allow me to accomplish a successful voiding trial will never cease if I am not given enough time to heal. Your thoughts? [/INST] Hi. In urolift, there is no cutting and therefore no wound. The prostate tissue is pinned to its covering and this widens the urine tube. So one week's rest should be fine for whatever healing there has to occur. The spasms that occur with a catheter in place are due to bladder trying to push out the catheter and these go once the catheter is removed. I think another trial of catheter removal is fine. If it does not work, or you are not happy with the flow or symptoms, or if you have more than 100 to 150 cc residue, better to undergo a formal TURP or HoLEP surgery for the prostate. It is an endoscopically performed, under anesthesia and little side effects. In your case, the urolift is causing problems and this defeats the whole purpose of urolift being less invasive than prostate surgery. |
Q. Kindly explain about the normal blood sugar level in a heart surgery patient. | Hello doctor, What is the normal blood sugar level for open heart surgery patient in the morning test before fasting and after fasting? | Hello. Normal fasting glucose levels are the same for all types of patients, persons of different age group. The range of fasting glucose is 70 to 100 mg/100 ml (earlier upper margin was allowed up to 110 mg). The usual levels measured are fasting (10 plus hours after dinner) and after food or PP level ( two hours after food). Your terminology is not correct (before fasting and after fasting). Normal PP (postprandial) level is less than 140 mg/100 ml for all persons including one going for any surgery. |
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Hello doctor, What is the normal blood sugar level for open heart surgery patient in the morning test before fasting and after fasting? [/INST] Hello. Normal fasting glucose levels are the same for all types of patients, persons of different age group. The range of fasting glucose is 70 to 100 mg/100 ml (earlier upper margin was allowed up to 110 mg). The usual levels measured are fasting (10 plus hours after dinner) and after food or PP level ( two hours after food). Your terminology is not correct (before fasting and after fasting). Normal PP (postprandial) level is less than 140 mg/100 ml for all persons including one going for any surgery. |
Q. What are the ways to whiten my orange colored tooth? | Hello doctor, My teeth are orange in color since I was born. What is the treatment to make them white? | Hi. I have gone through your question. I can understand your concern. In case, there is any sort of stains, plaque or calculus, you need to visit a periodontist and get oral prophylaxis done with post-bleaching. In case, there is thin enamel and the yellowish discoloration is because of dentin reflection, you may need crown replacement or composite build up. I will recommend you to upload some pictures of your teeth so that I can provide you better possible diagnosis and treatment plan. |
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Hello doctor, My teeth are orange in color since I was born. What is the treatment to make them white? [/INST] Hi. I have gone through your question. I can understand your concern. In case, there is any sort of stains, plaque or calculus, you need to visit a periodontist and get oral prophylaxis done with post-bleaching. In case, there is thin enamel and the yellowish discoloration is because of dentin reflection, you may need crown replacement or composite build up. I will recommend you to upload some pictures of your teeth so that I can provide you better possible diagnosis and treatment plan. |
Q. My nails are itchy, yellow and break easily. Kindly advise the treatment. | Hello doctor, Nails are itchy, yellow looking, break easily and it has probably been more than six months and getting worse. | Hi, Welcome to iclinq.com. It would be great if you could attach pictures of your nails for proper diagnosis and treatment. You see there can be different reasons for that, it might be onychomycosis (fungal infection of nails) or may be weathering of nails. So, please kindly attach pictures for that because treatment gets different. |
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Hello doctor, Nails are itchy, yellow looking, break easily and it has probably been more than six months and getting worse. [/INST] Hi, Welcome to iclinq.com. It would be great if you could attach pictures of your nails for proper diagnosis and treatment. You see there can be different reasons for that, it might be onychomycosis (fungal infection of nails) or may be weathering of nails. So, please kindly attach pictures for that because treatment gets different. |
Q. What can be done to treat continuous itching in a thyroid patient? | Hello doctor, My mother has a big-time issue with itching on all parts of her body. She is 66 years old and has blood pressure and thyroid. Kindly suggest. | Hello. Itching can be due to dry skin (xerosis), eczema (dermatitis), psoriasis, scabies, liver disease, kidney failure, iron deficiency anemia, thyroid disease, lymphoma or medications. Please get comprehensive blood work done to rule out these causes. Please treat according to the cause. Symptomatic treatment includes using calamine lotion, Caladryl lotion, antihistaminics. Take oil whole body bath at least three days a week since you already have hypothyroidism it may be the cause. Hypothyroidism and high BP can be completely reversed without any medicines because they are lifestyle diseases. First, fix your hypothyroidism without medicines naturally with lifestyle and diet. Do the correct basic tests for thyroid function which is seven in number. If you have done only the total T4, total T3 and TSH, it is incorrect. These three tests are commonly done and these tests are incomplete. You are missing the autoimmune cause which should never be left out. Hypothyroidism does not require lifelong treatment unless you have got your thyroid removed by surgery or has been destroyed by radiation to neck. Thyronorm, Thyrox, Synthroid, Eltroxin which are synthetic T4 may or may not be the correct drug you need. T4 is an inactive hormone, T3 is the active hormone. T4 has to get converted to T3 in the presence of a healthy liver, healthy gut and adequate amounts of certain specific vitamins and minerals. T4 is useless unless it is converted to T3. Dose adjustment in hypothyroid based on normal standard laboratory TSH ranges is completely wrong. Your laboratory will be normal but you will still have symptoms like fatigue, constipation, hair loss, inability to lose weight, brain fog, etc. Triggers for hypothyroidism include chemicals in your food, water, cooking oils, toilet and kitchen cleaners, stress, infections, cosmetics, etc. Take a consultation and try to most probably reverse your hypothyroidism. Treat the triggers and taper your medicine and you may be able to stop medication eventually. |
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Hello doctor, My mother has a big-time issue with itching on all parts of her body. She is 66 years old and has blood pressure and thyroid. Kindly suggest. [/INST] Hello. Itching can be due to dry skin (xerosis), eczema (dermatitis), psoriasis, scabies, liver disease, kidney failure, iron deficiency anemia, thyroid disease, lymphoma or medications. Please get comprehensive blood work done to rule out these causes. Please treat according to the cause. Symptomatic treatment includes using calamine lotion, Caladryl lotion, antihistaminics. Take oil whole body bath at least three days a week since you already have hypothyroidism it may be the cause. Hypothyroidism and high BP can be completely reversed without any medicines because they are lifestyle diseases. First, fix your hypothyroidism without medicines naturally with lifestyle and diet. Do the correct basic tests for thyroid function which is seven in number. If you have done only the total T4, total T3 and TSH, it is incorrect. These three tests are commonly done and these tests are incomplete. You are missing the autoimmune cause which should never be left out. Hypothyroidism does not require lifelong treatment unless you have got your thyroid removed by surgery or has been destroyed by radiation to neck. Thyronorm, Thyrox, Synthroid, Eltroxin which are synthetic T4 may or may not be the correct drug you need. T4 is an inactive hormone, T3 is the active hormone. T4 has to get converted to T3 in the presence of a healthy liver, healthy gut and adequate amounts of certain specific vitamins and minerals. T4 is useless unless it is converted to T3. Dose adjustment in hypothyroid based on normal standard laboratory TSH ranges is completely wrong. Your laboratory will be normal but you will still have symptoms like fatigue, constipation, hair loss, inability to lose weight, brain fog, etc. Triggers for hypothyroidism include chemicals in your food, water, cooking oils, toilet and kitchen cleaners, stress, infections, cosmetics, etc. Take a consultation and try to most probably reverse your hypothyroidism. Treat the triggers and taper your medicine and you may be able to stop medication eventually. |
Q. Is there any treatment other than hormonal pills for perimenopause symptoms? | Hello doctor, I am a 46-year-old female who is dealing with perimenopause symptoms. My Ob-gyn has recommended taking low dose of birth control pills to relieve my symptoms. However, I am at a higher risk for breast cancer because my late mother (who died in an auto accident) was a breast cancer survivor and am not crazy about a course of treatment will fiddle with my hormones. Are there any treatments that do not involve hormones? | Hello. That is really sad to hear about your mother but I would like to add into your information that evidence suggests that HRT does not significantly increase the risk of breast cancer. It is only contraindicated if the person taking HRT has breast cancer already. Secondly, yes other options (SSRI, SNRI, Clonidine, Primrose oil, Black cohosh, Red clover, etc.) are available for menopausal symptoms. But the choice of the treatment option depends on your symptoms. Many over-the-counter drugs like evening Primrose oil, etc., are available which are helpful to many women in relieving their symptoms. Another way is the choice of route of administration of hormones like pills, skin patches, vaginal rings, etc. These again depend on your symptoms and your overall medical fitness. Hope this information has given you a brief idea regarding options for your query. |
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Hello doctor, I am a 46-year-old female who is dealing with perimenopause symptoms. My Ob-gyn has recommended taking low dose of birth control pills to relieve my symptoms. However, I am at a higher risk for breast cancer because my late mother (who died in an auto accident) was a breast cancer survivor and am not crazy about a course of treatment will fiddle with my hormones. Are there any treatments that do not involve hormones? [/INST] Hello. That is really sad to hear about your mother but I would like to add into your information that evidence suggests that HRT does not significantly increase the risk of breast cancer. It is only contraindicated if the person taking HRT has breast cancer already. Secondly, yes other options (SSRI, SNRI, Clonidine, Primrose oil, Black cohosh, Red clover, etc.) are available for menopausal symptoms. But the choice of the treatment option depends on your symptoms. Many over-the-counter drugs like evening Primrose oil, etc., are available which are helpful to many women in relieving their symptoms. Another way is the choice of route of administration of hormones like pills, skin patches, vaginal rings, etc. These again depend on your symptoms and your overall medical fitness. Hope this information has given you a brief idea regarding options for your query. |
Q. Can taking Thyronorm for hypothyroidism cause weakness and dizziness? | Hello doctor,I have hypothyroidism for the past two years. I feel very tired and dizzy, current TSH level is 5.56. I am taking 62.5 mg Thyronorm. I feel dizzy and very weak and tired after taking medicine. Should I continue the dosage or decrease the dose? Please suggest the dosage. | Hi. First, fix your hypothyroidism without medicines naturally with lifestyle and diet. Do the correct basic tests for thyroid function which is seven in number. If you have done only the total T4, total T3 and TSH, it is incorrect. These three tests are commonly done and these tests are incomplete. You are missing the autoimmune cause which should never be left out. Hypothyroidism does not require lifelong treatment unless you have got your thyroid removed by surgery or has been destroyed by radiation to neck. Please get educated about your disease first. Thyronorm, Thyrox, Synthroid, Eltroxin which are synthetic T4 may or may not be the correct drug you need. T4 is an inactive hormone, T3 is the active hormone. T4 has to get converted to T3 in the presence of a healthy liver, healthy gut and adequate amounts of certain specific vitamins and minerals. T4 is useless unless it is converted to T3. Dose adjustment in hypothyroid based on normal standard laboratory TSH ranges is completely wrong. Your laboratories will be normal but you will still have symptoms like fatigue, constipation, hair loss, inability to lose weight, brain fog, etc. Triggers for hypothyroidism include chemicals in your food, water, cooking oils, toilet and kitchen cleaners, stress, infections, cosmetics, etc. Try to most probably reverse your hypothyroidism. Treat the triggers and taper your medicine and you may be able to stop medication eventually. |
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Hello doctor,I have hypothyroidism for the past two years. I feel very tired and dizzy, current TSH level is 5.56. I am taking 62.5 mg Thyronorm. I feel dizzy and very weak and tired after taking medicine. Should I continue the dosage or decrease the dose? Please suggest the dosage. [/INST] Hi. First, fix your hypothyroidism without medicines naturally with lifestyle and diet. Do the correct basic tests for thyroid function which is seven in number. If you have done only the total T4, total T3 and TSH, it is incorrect. These three tests are commonly done and these tests are incomplete. You are missing the autoimmune cause which should never be left out. Hypothyroidism does not require lifelong treatment unless you have got your thyroid removed by surgery or has been destroyed by radiation to neck. Please get educated about your disease first. Thyronorm, Thyrox, Synthroid, Eltroxin which are synthetic T4 may or may not be the correct drug you need. T4 is an inactive hormone, T3 is the active hormone. T4 has to get converted to T3 in the presence of a healthy liver, healthy gut and adequate amounts of certain specific vitamins and minerals. T4 is useless unless it is converted to T3. Dose adjustment in hypothyroid based on normal standard laboratory TSH ranges is completely wrong. Your laboratories will be normal but you will still have symptoms like fatigue, constipation, hair loss, inability to lose weight, brain fog, etc. Triggers for hypothyroidism include chemicals in your food, water, cooking oils, toilet and kitchen cleaners, stress, infections, cosmetics, etc. Try to most probably reverse your hypothyroidism. Treat the triggers and taper your medicine and you may be able to stop medication eventually. |
Q. What is the treatment available for sore throat with bumps? | Hello doctor, I have had a sore throat for about two weeks now and the wall of my throat has some sort of bumps on it. My tongue as well has bumps on them but they are not painful. | Hello. The pictures show three things (attachment removed to protect patient identity). The bumps on the back of your tongue which are circumvallate papillae. Then, there are slightly enlarged tonsils on either side of the throat. There are granulations on the posterior pharyngeal wall. These may be present in acute pharyngitis. |
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Hello doctor, I have had a sore throat for about two weeks now and the wall of my throat has some sort of bumps on it. My tongue as well has bumps on them but they are not painful. [/INST] Hello. The pictures show three things (attachment removed to protect patient identity). The bumps on the back of your tongue which are circumvallate papillae. Then, there are slightly enlarged tonsils on either side of the throat. There are granulations on the posterior pharyngeal wall. These may be present in acute pharyngitis. |
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. Will taking excess of thyroid pills cause any serious problem? | Hi doctor, My sister ate a bottle full of thyroid pills. She feels so weak and nervous every day. And she gets angry and her body temperature is always too warm and I searched the effect of too much of thyroid pills. Her age is 18 what should we do now? | Hi. Please visit the emergency department of any hospital and get a stomach wash done. The symptoms she is exhibiting is that of hyperthyroidism for which treatment is needed. It will increase heart rate, cause diarrhea, tremors of hand, anxiety, and agitation. Do not waste time. Take her to the nearest hospital urgently. |
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Hi doctor, My sister ate a bottle full of thyroid pills. She feels so weak and nervous every day. And she gets angry and her body temperature is always too warm and I searched the effect of too much of thyroid pills. Her age is 18 what should we do now? [/INST] Hi. Please visit the emergency department of any hospital and get a stomach wash done. The symptoms she is exhibiting is that of hyperthyroidism for which treatment is needed. It will increase heart rate, cause diarrhea, tremors of hand, anxiety, and agitation. Do not waste time. Take her to the nearest hospital urgently. |
Q. Can I take Ashwagandha for perimenopause symptoms? | Hello doctor, I am thinking of using Ashwagandha supplements (400 mg) to help with my perimenopause symptoms. I would like to have an extensive list of side effects if there are any. I have no known illnesses and take no medications apart from Omega 3 twice a day. | Hi. Ashwagandha is a very potent ayurvedic medicine. It has very good effect in neurological issues. It helps to improve your immunity and metabolism. It is very helpful in perimenopause symptoms. You can take 3 gm Ashwagandha powder or 500 mg Ashwagandha tablet twice a day with warm milk after meals. It has no side effects if you take it as per direction. |
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Hello doctor, I am thinking of using Ashwagandha supplements (400 mg) to help with my perimenopause symptoms. I would like to have an extensive list of side effects if there are any. I have no known illnesses and take no medications apart from Omega 3 twice a day. [/INST] Hi. Ashwagandha is a very potent ayurvedic medicine. It has very good effect in neurological issues. It helps to improve your immunity and metabolism. It is very helpful in perimenopause symptoms. You can take 3 gm Ashwagandha powder or 500 mg Ashwagandha tablet twice a day with warm milk after meals. It has no side effects if you take it as per direction. |
Q. What causes pressure in the body with headache while standing? | Hi doctor, Over the last few days, I have a problem with standing without feeling dizzy. I feel that while I am standing or sitting on a hard surface, that I am in an elevator or a boat. Sometimes it happens when I lay down too. I also feel that there is like a pressure or a wave inside my body that directs the way I feel dizzy. Sometimes I feel it in my legs and sometimes I feel it goes up to my head. I can literally feel it and feel how it is dropping from my head to the body. Every time I feel I will faint, however that has not happened yet, probably because I lay down straight away as soon as it happens. I have panic disorder and sometimes when I feel this I get anxious as I am scared that it may be something serious. Occasionally, I have a slight headache but is not severe at all. A few days ago, I tried smelling lavender and chamomile oil, which is something new to me and I do not know if it has anything to do with this dizziness. I also have dry mouth most days recently too. It has started controlling me as I always need to hold the door or the wall in order not to fall down. I saw my GP. He asked me to close my eyes tight. I was going to fall down if he did not hold me while I was standing. Please note that I used to feel like the floor is moving up and down at night before I sleep. However, now it has increased to the stage where I feel it since I wake up till the moment I sleep even if I am lying down sometimes. The more I am awake, the more I feel it. Finally, when I come to sleep. As soon as I close my eyes, I imagine spinning even though I know the room is not moving as well as sometimes pain is in one side of the head. Your advice would be appreciated. | Hello. I passed carefully through your question and would explain that your symptoms could be related to orthostatic hypotension or thyroid gland dysfunction. Anxiety can mimic this clinical situation too. Coming to this point, I would recommend performing some tests: 1. Complete blood count for anemia. 2. Thyroid hormone levels for possible thyroid gland dysfunction. 3. Blood electrolytes for possible imbalances. 4. Vitamin B12 and vitamin D plasma levels for a possible deficiency. A head-up tilt test would help investigate for possible orthostatic hypotension. You should discuss with your doctor on the above tests. If all the above tests result normal you should consider anxiety as the main cause underlying your complaints. |
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Hi doctor, Over the last few days, I have a problem with standing without feeling dizzy. I feel that while I am standing or sitting on a hard surface, that I am in an elevator or a boat. Sometimes it happens when I lay down too. I also feel that there is like a pressure or a wave inside my body that directs the way I feel dizzy. Sometimes I feel it in my legs and sometimes I feel it goes up to my head. I can literally feel it and feel how it is dropping from my head to the body. Every time I feel I will faint, however that has not happened yet, probably because I lay down straight away as soon as it happens. I have panic disorder and sometimes when I feel this I get anxious as I am scared that it may be something serious. Occasionally, I have a slight headache but is not severe at all. A few days ago, I tried smelling lavender and chamomile oil, which is something new to me and I do not know if it has anything to do with this dizziness. I also have dry mouth most days recently too. It has started controlling me as I always need to hold the door or the wall in order not to fall down. I saw my GP. He asked me to close my eyes tight. I was going to fall down if he did not hold me while I was standing. Please note that I used to feel like the floor is moving up and down at night before I sleep. However, now it has increased to the stage where I feel it since I wake up till the moment I sleep even if I am lying down sometimes. The more I am awake, the more I feel it. Finally, when I come to sleep. As soon as I close my eyes, I imagine spinning even though I know the room is not moving as well as sometimes pain is in one side of the head. Your advice would be appreciated. [/INST] Hello. I passed carefully through your question and would explain that your symptoms could be related to orthostatic hypotension or thyroid gland dysfunction. Anxiety can mimic this clinical situation too. Coming to this point, I would recommend performing some tests: 1. Complete blood count for anemia. 2. Thyroid hormone levels for possible thyroid gland dysfunction. 3. Blood electrolytes for possible imbalances. 4. Vitamin B12 and vitamin D plasma levels for a possible deficiency. A head-up tilt test would help investigate for possible orthostatic hypotension. You should discuss with your doctor on the above tests. If all the above tests result normal you should consider anxiety as the main cause underlying your complaints. |
Q. Please suggest an alternative medicine for Lamictal. | Hello doctor, I am 61 year old and was lately diagnosed by a doctor as sick in fibromyalgia. In the last three years during the night time, I am suffering from aggressive involuntary movements while asleep. Those movements include kicking in the air and arching and bouncing my back and the whole body. At first those aggressive movements started as a physical response to a dream where I was being attacked which happened once in a while, lately, it happens more and more often without any noticeable reason. As a result of the movements, I suffer from strong pain in my back and knees which lasts for a long period of time and restrict me to my house. I am also very depressed of my physical condition which projects to anything I do in my private life, family life and job. I quit my last job a year ago due to my medical condition. Can you please advice on physical/neurological treatment that will improve my poor physical and emotional conditions? In addition, I am using Lamictal 200 mg which according to the medicine brochure might rarely cause involuntary limb movement. Therefore, I wish to replace it with equivalent medicine. Can you please advise on a possible replacement? I have already tried Seroxat, Depalept, Gabapentin, Lyrica, Teril, and Cymbalta which did not help. | Hello. Well, these involuntary movements do not sound normal at all. It looks more of chorea/hemiballismus (movement disorder). It can be drug-induced but at the same time considering your age, we should get an MRI scan for the brain done. If any problem there, we will have to treat it differently. I understand you have tried a lot of drugs. Tablet Lamictal (Lamotrigine) can cause involuntary movements but not to the extent you have. First, I suggest you consult a neurologist first and get your drugs sorted out. Secondly, you can try with Amitriptyline or Mirtazapine as the drugs for fibromyalgia. They do not have that many side effects and may give you improvement since the others have not responded. I would also recommend you to do meditation or yoga as it does play a big role in helping patients with fibromyalgia. |
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Hello doctor, I am 61 year old and was lately diagnosed by a doctor as sick in fibromyalgia. In the last three years during the night time, I am suffering from aggressive involuntary movements while asleep. Those movements include kicking in the air and arching and bouncing my back and the whole body. At first those aggressive movements started as a physical response to a dream where I was being attacked which happened once in a while, lately, it happens more and more often without any noticeable reason. As a result of the movements, I suffer from strong pain in my back and knees which lasts for a long period of time and restrict me to my house. I am also very depressed of my physical condition which projects to anything I do in my private life, family life and job. I quit my last job a year ago due to my medical condition. Can you please advice on physical/neurological treatment that will improve my poor physical and emotional conditions? In addition, I am using Lamictal 200 mg which according to the medicine brochure might rarely cause involuntary limb movement. Therefore, I wish to replace it with equivalent medicine. Can you please advise on a possible replacement? I have already tried Seroxat, Depalept, Gabapentin, Lyrica, Teril, and Cymbalta which did not help. [/INST] Hello. Well, these involuntary movements do not sound normal at all. It looks more of chorea/hemiballismus (movement disorder). It can be drug-induced but at the same time considering your age, we should get an MRI scan for the brain done. If any problem there, we will have to treat it differently. I understand you have tried a lot of drugs. Tablet Lamictal (Lamotrigine) can cause involuntary movements but not to the extent you have. First, I suggest you consult a neurologist first and get your drugs sorted out. Secondly, you can try with Amitriptyline or Mirtazapine as the drugs for fibromyalgia. They do not have that many side effects and may give you improvement since the others have not responded. I would also recommend you to do meditation or yoga as it does play a big role in helping patients with fibromyalgia. |
Q. Can psychiatric medicines cause high blood pressure? | Hi doctor, I am 24 year old and weigh 70 kg. My blood pressure is on a higher side with readings around 150/90 always. I have a history of depression and ADHD (attention deficit hyperactivity disorder). I am currently on medication for depression and blood pressure and have been prescribed Nexito Forte, Skizoril 12.5 mg for depression and Nexovas 10 mg and Nebimac 5 mg for BP by my psychiatrist. Now, I have been referred to a cardiologist by my psychiatrist for further investigations for high blood pressure. Could the high blood pressure be a side effect of my psychiatric medicines? Or is it something else? I have been under psychiatric medicines for the past 10-12 years. Thank you. | Hello. You are already on blood pressure (BP) medicines tablet Nexovas (Cilnidipine) and Nebimac (Nebivolol). Tablet Nebimac controls heart rate. Psychiatric medicines may affect heart rate, but not that significant to affect BP (BP=Cardiac output x heart rate). And the benefit of psychiatric drugs is more important than small side effects. Maybe your cardiologist will the increased dose of Nexovas or add some other drug. But at 24 years, the cause of high BP is not like high BP of old age which is mostly idiopathic (unknown cause due to aging). At a young age, there can be a secondary cause for high BP like renal hypertension. Go for regular jogging or brisk walk 20-30 minutes every day and avoid a sedentary lifestyle. To know that, I would suggest you get a few tests: |
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Hi doctor, I am 24 year old and weigh 70 kg. My blood pressure is on a higher side with readings around 150/90 always. I have a history of depression and ADHD (attention deficit hyperactivity disorder). I am currently on medication for depression and blood pressure and have been prescribed Nexito Forte, Skizoril 12.5 mg for depression and Nexovas 10 mg and Nebimac 5 mg for BP by my psychiatrist. Now, I have been referred to a cardiologist by my psychiatrist for further investigations for high blood pressure. Could the high blood pressure be a side effect of my psychiatric medicines? Or is it something else? I have been under psychiatric medicines for the past 10-12 years. Thank you. [/INST] Hello. You are already on blood pressure (BP) medicines tablet Nexovas (Cilnidipine) and Nebimac (Nebivolol). Tablet Nebimac controls heart rate. Psychiatric medicines may affect heart rate, but not that significant to affect BP (BP=Cardiac output x heart rate). And the benefit of psychiatric drugs is more important than small side effects. Maybe your cardiologist will the increased dose of Nexovas or add some other drug. But at 24 years, the cause of high BP is not like high BP of old age which is mostly idiopathic (unknown cause due to aging). At a young age, there can be a secondary cause for high BP like renal hypertension. Go for regular jogging or brisk walk 20-30 minutes every day and avoid a sedentary lifestyle. To know that, I would suggest you get a few tests: |
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. |
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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. I have gained weight and I have high cortisol level. Do I have Cushing's syndrome? | Hi doctor, I am suffering with hypothyroidism and polycystic ovaries. Over last three years, I have gained 15 kg of weight. I am taking T4 150 mg, Glucophage 850 mg and Yasmin. I think I have Cushing's syndrome. My cortisol level in blood is 34 in the morning but in 24 hour urine test it is in normal level. Also my ACTH is 63.4 whereas the upper limit is 64. I am eating healthy diet and I exercise every day. Over three years now, but I cannot find a solution for this problem. I visited an endocrinologist and also a dietitian but of no use. I also have acne. If I do not take birth control pills then I will not get my periods. I am very tired all day and I even feel very difficult to move. I have anxiety too. Please help. | Hi. There may be three possibilities. Either your polycystic ovarian syndrome and hypothyroidism are two separate disorders or it may be a pituitary or autoimmune disease which affects many organs. If any problem in the above tests then pituitary is affected and the treatment differs. Revert back with the test reports to an internal medicine physician online --> |
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Hi doctor, I am suffering with hypothyroidism and polycystic ovaries. Over last three years, I have gained 15 kg of weight. I am taking T4 150 mg, Glucophage 850 mg and Yasmin. I think I have Cushing's syndrome. My cortisol level in blood is 34 in the morning but in 24 hour urine test it is in normal level. Also my ACTH is 63.4 whereas the upper limit is 64. I am eating healthy diet and I exercise every day. Over three years now, but I cannot find a solution for this problem. I visited an endocrinologist and also a dietitian but of no use. I also have acne. If I do not take birth control pills then I will not get my periods. I am very tired all day and I even feel very difficult to move. I have anxiety too. Please help. [/INST] Hi. There may be three possibilities. Either your polycystic ovarian syndrome and hypothyroidism are two separate disorders or it may be a pituitary or autoimmune disease which affects many organs. If any problem in the above tests then pituitary is affected and the treatment differs. Revert back with the test reports to an internal medicine physician online --> |
Q. What is the best treatment for urethral cancer? | Hi doctor, My father, who is 66 years now, had gone through a urethral stricture surgery 8 years ago. The treatment was done for his chronic problem of passing urine. Treatment by the doctor that time ended up in adopting an alternate route for passing urine, which is below the testicles. All was fine for six years and he could pass urine properly only via new exit route that is below the testicles. But, two months ago, he discovered a wound (peri-uretheral) near the place of new exit. For this doctors again did a surgery and recommended a biopsy as well. The biopsy done has concluded into a well differentiated SCC. The details of the biopsy report are attached here. What does the biopsy say? What kind of treatment option is available for his given urological history? Kindly help us. | Hi. For further information consult a urologist online --> |
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Hi doctor, My father, who is 66 years now, had gone through a urethral stricture surgery 8 years ago. The treatment was done for his chronic problem of passing urine. Treatment by the doctor that time ended up in adopting an alternate route for passing urine, which is below the testicles. All was fine for six years and he could pass urine properly only via new exit route that is below the testicles. But, two months ago, he discovered a wound (peri-uretheral) near the place of new exit. For this doctors again did a surgery and recommended a biopsy as well. The biopsy done has concluded into a well differentiated SCC. The details of the biopsy report are attached here. What does the biopsy say? What kind of treatment option is available for his given urological history? Kindly help us. [/INST] Hi. For further information consult a urologist online --> |
Q. Despite DPT vaccine, is tetanus injection a must? | Hi doctor, My daughter aged 6 years got a cut and scratch in her body while playing in a new cementing wall from a piece of old and unused iron four days ago. Does she require any toxoid injection? | Hi. I can understand your concerns. Since you are sure that the scratch is from an old iron piece, I think you should give tetanus injection to the child. I hope this will help you. |
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Hi doctor, My daughter aged 6 years got a cut and scratch in her body while playing in a new cementing wall from a piece of old and unused iron four days ago. Does she require any toxoid injection? [/INST] Hi. I can understand your concerns. Since you are sure that the scratch is from an old iron piece, I think you should give tetanus injection to the child. I hope this will help you. |
Q. hCG level is high in a pregnant patient. What can it be? | Hi doctor, I am 31 years old. I had two miscarriages around 9 and 8 years ago. My last 6-7 periods were heavy and had a lot of pain. A lot of my family members had fibroids. So, I thought the same in my case too. Two months back, I got my last period, and as usual, it lasts 5-7 days, 28-29 days cycle. Last month I missed my period, felt unwell, had very sore breast that got bigger noticeably. Most of the time I had a nauseous feeling and became moody (mostly sad and irritated), certain smells irritated me a lot, urinated a lot, started eating a lot, felt the need of eating sour things, weird taste in my mouth, my tummy felt full or bloated in a very uncomfortable way and I slept a lot. One month back, I had 2 pregnancy tests, and both were positive, but the positive pregnancy test was very dark. I used the double pack of ultra blue. After three days, I went to the doctor for a checkup, they withdrew the blood sample to check the hCG levels. I got a call from the hospital asking me to come to see the doctor because my hCG levels are very high. Next day the doctor examined me and then did a transvaginal ultrasound, the doctor told me that the placenta is empty and it is not a normal pregnancy, but it is in the uterus. The doctor told me that no baby would be a result of this pregnancy and he also told me that my only option was the surgery where they remove the cells or tissues like scrapping the uterus. My hCG before the surgery was 28,671. I had the surgery on the same day. The nurse inserted 4 Cytotec pills into my vagina a couple of hours before the surgery. They said it was successful and they removed all of the tissue. They sent the tissue to the laboratory to test it. They said they suspect a molar pregnancy. What is your opinion? They have not told me if it is a partial or a complete molar. It is 2 days after the surgery, and I am not bleeding a lot just spotting. Today I almost had no bleeding. I thought I am supposed to bleed more, should I be worried? I feel tired; I have this weird taste still. My breasts are less sore, but they are not back to normal. Are those good signs? I read that this condition might develop some sort of cancer. Since my hCG levels were quite high to start with, does that mean I have a higher risk of developing cancer? If there were complications and the levels did not lower down, in this case, how strong is the chemotherapy? Will it have strong side effects like losing hair? | Hi. I have gone through your history and understand your concerns. I feel sorry about your loss. It is most likely a molar pregnancy (benign tumor developing in the uterus) because hCG levels are quite high (human chorionic gonadotropin) and it is inside the uterus. Most likely a complete mole if the placenta has also involved. No need to worry, bleeding decreases when products come out and they are considered to be good signs. Sometimes, it can turn into cancer called trophoblastic disease. In your case, we have to go for a biopsy of the tissue and checkup of hCG levels after six weeks. If the levels are persistently high, then it is suggestive of cancer. Chemotherapy is quite effective in your case but the side effects of the drug could be there. |
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Hi doctor, I am 31 years old. I had two miscarriages around 9 and 8 years ago. My last 6-7 periods were heavy and had a lot of pain. A lot of my family members had fibroids. So, I thought the same in my case too. Two months back, I got my last period, and as usual, it lasts 5-7 days, 28-29 days cycle. Last month I missed my period, felt unwell, had very sore breast that got bigger noticeably. Most of the time I had a nauseous feeling and became moody (mostly sad and irritated), certain smells irritated me a lot, urinated a lot, started eating a lot, felt the need of eating sour things, weird taste in my mouth, my tummy felt full or bloated in a very uncomfortable way and I slept a lot. One month back, I had 2 pregnancy tests, and both were positive, but the positive pregnancy test was very dark. I used the double pack of ultra blue. After three days, I went to the doctor for a checkup, they withdrew the blood sample to check the hCG levels. I got a call from the hospital asking me to come to see the doctor because my hCG levels are very high. Next day the doctor examined me and then did a transvaginal ultrasound, the doctor told me that the placenta is empty and it is not a normal pregnancy, but it is in the uterus. The doctor told me that no baby would be a result of this pregnancy and he also told me that my only option was the surgery where they remove the cells or tissues like scrapping the uterus. My hCG before the surgery was 28,671. I had the surgery on the same day. The nurse inserted 4 Cytotec pills into my vagina a couple of hours before the surgery. They said it was successful and they removed all of the tissue. They sent the tissue to the laboratory to test it. They said they suspect a molar pregnancy. What is your opinion? They have not told me if it is a partial or a complete molar. It is 2 days after the surgery, and I am not bleeding a lot just spotting. Today I almost had no bleeding. I thought I am supposed to bleed more, should I be worried? I feel tired; I have this weird taste still. My breasts are less sore, but they are not back to normal. Are those good signs? I read that this condition might develop some sort of cancer. Since my hCG levels were quite high to start with, does that mean I have a higher risk of developing cancer? If there were complications and the levels did not lower down, in this case, how strong is the chemotherapy? Will it have strong side effects like losing hair? [/INST] Hi. I have gone through your history and understand your concerns. I feel sorry about your loss. It is most likely a molar pregnancy (benign tumor developing in the uterus) because hCG levels are quite high (human chorionic gonadotropin) and it is inside the uterus. Most likely a complete mole if the placenta has also involved. No need to worry, bleeding decreases when products come out and they are considered to be good signs. Sometimes, it can turn into cancer called trophoblastic disease. In your case, we have to go for a biopsy of the tissue and checkup of hCG levels after six weeks. If the levels are persistently high, then it is suggestive of cancer. Chemotherapy is quite effective in your case but the side effects of the drug could be there. |
Q. Is it normal to have post-nasal drip after root canal treatment? | Hello doctor, My daughter had a root canal yesterday and now has a strong post nasal drip that tastes like hypochlorite. Should I take her to the doctor? | Hi. Typically, you will recover completely from a minor sinus issue like this within a few days, without any intervention from your dentist. However, if you are experiencing sinus issues that have worsened, or have not gone away after 2 to 4 days after your root canal or you believe you may be developing a sinus infection or you feel serious and significant pain and discomfort around your sinus or there is a metallic taste in your mouth, nose, or throat or you notice any kind of bleeding or pus in your nose or mucus, you should visit your dentist immediately. |
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Hello doctor, My daughter had a root canal yesterday and now has a strong post nasal drip that tastes like hypochlorite. Should I take her to the doctor? [/INST] Hi. Typically, you will recover completely from a minor sinus issue like this within a few days, without any intervention from your dentist. However, if you are experiencing sinus issues that have worsened, or have not gone away after 2 to 4 days after your root canal or you believe you may be developing a sinus infection or you feel serious and significant pain and discomfort around your sinus or there is a metallic taste in your mouth, nose, or throat or you notice any kind of bleeding or pus in your nose or mucus, you should visit your dentist immediately. |
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 --> |
<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 --> |
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.---> |
<s>[INST]
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 --> |
<s>[INST]
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 --> |
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