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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. What are the possibilities of transmitting HSV-2 from an infected woman to a man? | What are the possibilities of transmitting HSV2 from an infected woman to a man and how to prevent it if they intend to enter into a relationship. Thanks | Hello , Welcome to Icliniq. I understand your concern about the HSV .. before I begin to preventive measures let me tell you it how it can spreads.. It is spread through oral, vaginal, or anal sex. It may be spread even if you do not see blisters. It can also be spread to other areas of your body, including your eyes, lips, mouth, by touching open blisters. Unprotected sex increases your risk for genital herpes. Now as you are well aware about its spreads now you just have to take precautions accordingly. Follow the following advice- Fortunately It can be treated effectively with proper medication.. let me know in the follow up if you need it. I hope this will help you. Regards! Do give your valuable feedback. |
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What are the possibilities of transmitting HSV2 from an infected woman to a man and how to prevent it if they intend to enter into a relationship. Thanks [/INST] Hello , Welcome to Icliniq. I understand your concern about the HSV .. before I begin to preventive measures let me tell you it how it can spreads.. It is spread through oral, vaginal, or anal sex. It may be spread even if you do not see blisters. It can also be spread to other areas of your body, including your eyes, lips, mouth, by touching open blisters. Unprotected sex increases your risk for genital herpes. Now as you are well aware about its spreads now you just have to take precautions accordingly. Follow the following advice- Fortunately It can be treated effectively with proper medication.. let me know in the follow up if you need it. I hope this will help you. Regards! Do give your valuable feedback. |
Q. Why are there hard yellow deposits in lower teeth? | Hello doctor, I am having a hard yellow thing accumulated in lower four teeth near gums. I do not know what it is? It just happened a few days ago. | Hello. The hard yellow deposit is calculus (mineral deposits) on lower teeth which are receding your gum (attachment removed to protect patient identity). It can be apical periodontitis and/or apical periodontitis with abfraction. Please share a good picture just focusing on lower teeth. As per treatment, if you have calculus then get ultrasonic scaling done. Oral hygiene. Abfraction. Apical periodontitis. Maintain your oral hygiene and get ultrasonic scaling done every six months. |
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Hello doctor, I am having a hard yellow thing accumulated in lower four teeth near gums. I do not know what it is? It just happened a few days ago. [/INST] Hello. The hard yellow deposit is calculus (mineral deposits) on lower teeth which are receding your gum (attachment removed to protect patient identity). It can be apical periodontitis and/or apical periodontitis with abfraction. Please share a good picture just focusing on lower teeth. As per treatment, if you have calculus then get ultrasonic scaling done. Oral hygiene. Abfraction. Apical periodontitis. Maintain your oral hygiene and get ultrasonic scaling done every six months. |
Q. Do you have any suggestion to reduce dark pigmentation around my mouth? | Hello doctor, I have dry skin that usually becomes dull without constant care such as face masks and steaming. But my main problem is my dark under eye bags and the hyper pigmentation around my mouth area. Do you have any suggestion on what I can do to reduce the appearance of darkness around my mouth due to pigmentation? Also, please suggest a way to lighten under eye bags. Thanks. | Hi. Please apply fresh cucumber around the mouth area and under the eyes as it is very safe. Also, apply little Lactocalamine lotion in the same area. Apply fresh tomatoes peelings, take vitamin E capsule once daily for a month and vitamin B complex. Eat a lot of citrus fruits and drink lots of water. It would take little time, but the effects will start slowly appearing. Be patient and keep using these materials. Also, you can apply fresh aloe vera paste over this area. |
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Hello doctor, I have dry skin that usually becomes dull without constant care such as face masks and steaming. But my main problem is my dark under eye bags and the hyper pigmentation around my mouth area. Do you have any suggestion on what I can do to reduce the appearance of darkness around my mouth due to pigmentation? Also, please suggest a way to lighten under eye bags. Thanks. [/INST] Hi. Please apply fresh cucumber around the mouth area and under the eyes as it is very safe. Also, apply little Lactocalamine lotion in the same area. Apply fresh tomatoes peelings, take vitamin E capsule once daily for a month and vitamin B complex. Eat a lot of citrus fruits and drink lots of water. It would take little time, but the effects will start slowly appearing. Be patient and keep using these materials. Also, you can apply fresh aloe vera paste over this area. |
Q. What are the ways to come out of depression? | Hello doctor,I am depressing a lot for the past one year because of my personal issues. I do not know why when I am depressed my heart started paining high. It pains a lot. So, I could not concentrate on my studies due to depression. My thoughts are going to it even though I try to control. I want to not be depressed but I do not know why it is happening, my heart is paining a lot whenever I am depressed. I am facing these issues from childhood, so before when I am a teenager, whenever I was depressed, I started masturbating but I started getting addicted to masturbating. After that, I realized that it is a bad thing. So I stopped it. But now am depressing a lot as my love is failed, parents pressure on goals, so my depression is at peak. I was stressed a lot. I want to masturbate but I do not want to start it again as I was feeling shame and shy of doing it. So my depression was not cured, it hurts me a lot. I want to use pills but I do not know to whom I should tell my problem. I am feeling nice when I masturbate but it is wrong so please show the right way to solve my problem. | Hello. I can figure out that the whole problem is love here. Let me tell you in this way. See people have a wrong belief that love is only once. Love is always alive within us because we first love our mother, then father, then toys, then games, then school, then friends, then girls, then the job, then money, etc. The list keeps moving but it is our inner block which does not allow us to move further. We need to understand that when time do not stop nothing stops. If we stop people will go ahead of us. Today's world is full of competition and if we are delayed we are at loss. Forget about movies. Movies are just a story. But I see that movies spoil our life and make us helpless. When celebrities can do love, sex and betrayal then we are fine we should also be one of them. That is human nature. Love is like a mobile. We buy one which is best, next year still the best come and it keeps following. Do we stick to depression? No, right? Then we need to move. everything updates even the android and iOS software for gadgets. Something like that our life we should take. Marriage is just a social show off. We do get married and have sex. Nothing else. Our life has been constantly changing. We finish studies, struggle for jobs, then salary, then buying house, then car, then marriage, then kids and much more. Nothing is easy. We should be hard rock internally. I should share my personal experience in the last 12 years. I was depressed once upon a time, I needed a psychiatrist for myself. But I understood that until I rise nothing can help me, no one can help me. I need to move I need to be strong and I need to be practical. I Will advice you to not masturbate because if you do then you lose your energy of the body and please understand that we are all with one time growing till 18 to 20 years of age. Then we are not going to grow but going to get aged. We will get blood pressure, diabetes, pain, and aches and we will forget anything about love. We will only wait when life will end. Things happen this way only. I will even request you to go for some old age home. Ask their experience with lives. You will really feel so relaxed that life is nothing but just to pass with time. I hope you will become positive and take the decision in life to accept challenges. Because if we accept challenges then we enjoy more and more. If there is no failure in life we will never know what success is. Let us keep the ego, attitude, and anger in us alive to achieve the best for us in life. Think over it. |
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Hello doctor,I am depressing a lot for the past one year because of my personal issues. I do not know why when I am depressed my heart started paining high. It pains a lot. So, I could not concentrate on my studies due to depression. My thoughts are going to it even though I try to control. I want to not be depressed but I do not know why it is happening, my heart is paining a lot whenever I am depressed. I am facing these issues from childhood, so before when I am a teenager, whenever I was depressed, I started masturbating but I started getting addicted to masturbating. After that, I realized that it is a bad thing. So I stopped it. But now am depressing a lot as my love is failed, parents pressure on goals, so my depression is at peak. I was stressed a lot. I want to masturbate but I do not want to start it again as I was feeling shame and shy of doing it. So my depression was not cured, it hurts me a lot. I want to use pills but I do not know to whom I should tell my problem. I am feeling nice when I masturbate but it is wrong so please show the right way to solve my problem. [/INST] Hello. I can figure out that the whole problem is love here. Let me tell you in this way. See people have a wrong belief that love is only once. Love is always alive within us because we first love our mother, then father, then toys, then games, then school, then friends, then girls, then the job, then money, etc. The list keeps moving but it is our inner block which does not allow us to move further. We need to understand that when time do not stop nothing stops. If we stop people will go ahead of us. Today's world is full of competition and if we are delayed we are at loss. Forget about movies. Movies are just a story. But I see that movies spoil our life and make us helpless. When celebrities can do love, sex and betrayal then we are fine we should also be one of them. That is human nature. Love is like a mobile. We buy one which is best, next year still the best come and it keeps following. Do we stick to depression? No, right? Then we need to move. everything updates even the android and iOS software for gadgets. Something like that our life we should take. Marriage is just a social show off. We do get married and have sex. Nothing else. Our life has been constantly changing. We finish studies, struggle for jobs, then salary, then buying house, then car, then marriage, then kids and much more. Nothing is easy. We should be hard rock internally. I should share my personal experience in the last 12 years. I was depressed once upon a time, I needed a psychiatrist for myself. But I understood that until I rise nothing can help me, no one can help me. I need to move I need to be strong and I need to be practical. I Will advice you to not masturbate because if you do then you lose your energy of the body and please understand that we are all with one time growing till 18 to 20 years of age. Then we are not going to grow but going to get aged. We will get blood pressure, diabetes, pain, and aches and we will forget anything about love. We will only wait when life will end. Things happen this way only. I will even request you to go for some old age home. Ask their experience with lives. You will really feel so relaxed that life is nothing but just to pass with time. I hope you will become positive and take the decision in life to accept challenges. Because if we accept challenges then we enjoy more and more. If there is no failure in life we will never know what success is. Let us keep the ego, attitude, and anger in us alive to achieve the best for us in life. Think over it. |
Q. How can I treat toothache? | Hello doctor, I have been having an oral problem, most specifically teeth for over 10 years. I have faded gums, beneath my lower pre-molars, incisors and canines are yellow. I have two severe curved molars on my lower jaws which have lasted for 10 years. I resorted to removing but I was advised not to since it could lead to affect rest of the teeth and I would eventually find myself toothless. Minding my food consumption, they have not been itchy. Just for the past few weeks, one of the curved teeth started hurting me severely that I visited my doctor. I have convinced myself that it is the right time to eliminate them. Please advice on this as well how to permanently regain my white teeth. They are not very yellow but partially. | Hi. Do not worry too much about the color of the teeth. The color varies in each individual from bright white to pale yellow. There are many shades of teeth that can occur due to varied reasons. As long as the teeth and gums are healthy, nothing much to worry about the color. Regarding pain in one of the molar teeth, visit your dentist and get the suggested treatment done. (My advice is not to get the tooth removed). You can get a few sessions of teeth bleaching done to improve the teeth color to a few shades whiter. (This should be done under the supervision of a dentist). |
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Hello doctor, I have been having an oral problem, most specifically teeth for over 10 years. I have faded gums, beneath my lower pre-molars, incisors and canines are yellow. I have two severe curved molars on my lower jaws which have lasted for 10 years. I resorted to removing but I was advised not to since it could lead to affect rest of the teeth and I would eventually find myself toothless. Minding my food consumption, they have not been itchy. Just for the past few weeks, one of the curved teeth started hurting me severely that I visited my doctor. I have convinced myself that it is the right time to eliminate them. Please advice on this as well how to permanently regain my white teeth. They are not very yellow but partially. [/INST] Hi. Do not worry too much about the color of the teeth. The color varies in each individual from bright white to pale yellow. There are many shades of teeth that can occur due to varied reasons. As long as the teeth and gums are healthy, nothing much to worry about the color. Regarding pain in one of the molar teeth, visit your dentist and get the suggested treatment done. (My advice is not to get the tooth removed). You can get a few sessions of teeth bleaching done to improve the teeth color to a few shades whiter. (This should be done under the supervision of a dentist). |
Q. I am having neck and back pain. What is causing it? | Hello doctor, I have neck pain and back pain. Allopathy says I have disc prolapse and pinched nerve but Ayurvedic doctor said nothing. He has suggested Gorochanadi Guggulu tablet. I am afraid of taking this medicine. Please give me suggestions. | Hi. Neck and back pain mostly occurs due to disc prolapse, disc compression, etc. It happens due to injuries, sitting and laying in the wrong posture. In this condition needs Basti therapy along with oral medicines. Gorochanadi Gutika is mostly used in respiratory disorders. You can take Vatagajankusha Rasa one tablet with Vatavidhwansini Vati one tablet, Prawal Bhasma 500 mg, Bruhat Vata Chintamani Rasa one tablet twice a day with honey after meals. Along with these medicines, you should go for the basti therapy. It helps to resolve your issues. Avoid spicy and fried junk foods. Do regular Kapalbhati, Markatasana. |
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Hello doctor, I have neck pain and back pain. Allopathy says I have disc prolapse and pinched nerve but Ayurvedic doctor said nothing. He has suggested Gorochanadi Guggulu tablet. I am afraid of taking this medicine. Please give me suggestions. [/INST] Hi. Neck and back pain mostly occurs due to disc prolapse, disc compression, etc. It happens due to injuries, sitting and laying in the wrong posture. In this condition needs Basti therapy along with oral medicines. Gorochanadi Gutika is mostly used in respiratory disorders. You can take Vatagajankusha Rasa one tablet with Vatavidhwansini Vati one tablet, Prawal Bhasma 500 mg, Bruhat Vata Chintamani Rasa one tablet twice a day with honey after meals. Along with these medicines, you should go for the basti therapy. It helps to resolve your issues. Avoid spicy and fried junk foods. Do regular Kapalbhati, Markatasana. |
Q. Can hand job and body to body massage cause HIV? | Hello doctor, Do hand job and body to body massage have some HIV risk where the lady was not fully naked? Only the top part was naked. | Hi. No, you will not get HIV because of body massage or hand job, unless, you have an ulcer or cut injury or she should be positive and she should contact your ulcer or cut with her saliva or vaginal secretion or other body secretion. You may get a bacterial infection if the person giving hand job did not wash hands. So, no need to worry. |
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Hello doctor, Do hand job and body to body massage have some HIV risk where the lady was not fully naked? Only the top part was naked. [/INST] Hi. No, you will not get HIV because of body massage or hand job, unless, you have an ulcer or cut injury or she should be positive and she should contact your ulcer or cut with her saliva or vaginal secretion or other body secretion. You may get a bacterial infection if the person giving hand job did not wash hands. So, no need to worry. |
Q. What causes moist anal area? | Hello doctor,My anal area is always moist. What could be the reason? I am 26 years old, female. | Hello. This could be because of overactive sweat glands, oily skin with or without chronic low-grade infection. After bathing let the area dry completely, use pure cotton undergarments and use Myoderm-C dusting powder over your anal area as well as sprinkle some on the panty. I hope your bowels are fine and you are not constipated. If that is not the case, you need to be treated for the same. |
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Hello doctor,My anal area is always moist. What could be the reason? I am 26 years old, female. [/INST] Hello. This could be because of overactive sweat glands, oily skin with or without chronic low-grade infection. After bathing let the area dry completely, use pure cotton undergarments and use Myoderm-C dusting powder over your anal area as well as sprinkle some on the panty. I hope your bowels are fine and you are not constipated. If that is not the case, you need to be treated for the same. |
Q. Why am I having red patch below the neck? | Hello doctor, I have a red color patch just below my neck. It just appeared a few weeks back. It comes and goes away. This time it looks a little prominent. It does not itch or bother me. I have attached photos for your reference. Gender: Female, age: 26, height: 160 cm, weight: 63 kg. | Hello. It is pityriasis versicolor (a type of fungal infection). Kindly follow the prescription. 1. Apply Clotrimazole lotion over the area BD for two weeks. 2. Maintain hygiene of the area. 3. Wash with mild soap and water. 4. Avoid Dettol and other irritants. You will get better. |
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Hello doctor, I have a red color patch just below my neck. It just appeared a few weeks back. It comes and goes away. This time it looks a little prominent. It does not itch or bother me. I have attached photos for your reference. Gender: Female, age: 26, height: 160 cm, weight: 63 kg. [/INST] Hello. It is pityriasis versicolor (a type of fungal infection). Kindly follow the prescription. 1. Apply Clotrimazole lotion over the area BD for two weeks. 2. Maintain hygiene of the area. 3. Wash with mild soap and water. 4. Avoid Dettol and other irritants. You will get better. |
Q. How can cataract be treated without pain? | Hello doctor, My mother is diagnosed with cataract. The prescription of an eye specialist is attached (attachment removed to protect patient identity). Doctor has recommended for surgery and has prescribed some tests before surgery. My question is what is the most advanced surgery available at present without having pain. | Hi. As far as cataract surgery is concerned, any good surgeon would do under topical anesthesia (no injection). The most advanced option is Femtosecond laser-assisted surgery and the most advanced lens is Alcon Panoptix Trifocal lens. |
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Hello doctor, My mother is diagnosed with cataract. The prescription of an eye specialist is attached (attachment removed to protect patient identity). Doctor has recommended for surgery and has prescribed some tests before surgery. My question is what is the most advanced surgery available at present without having pain. [/INST] Hi. As far as cataract surgery is concerned, any good surgeon would do under topical anesthesia (no injection). The most advanced option is Femtosecond laser-assisted surgery and the most advanced lens is Alcon Panoptix Trifocal lens. |
Q. I have a lump in breast. Is it something serious? | Hello doctor, I am a 27-year-old female with a lump in the breast and already have ultrasound and mammogram done but the doctor has suggested for biopsy. | Hi. Do you have any written report? |
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Hello doctor, I am a 27-year-old female with a lump in the breast and already have ultrasound and mammogram done but the doctor has suggested for biopsy. [/INST] Hi. Do you have any written report? |
Q. My mother has gallstones. Should we get it removed as an emergency? | Hi doctor, My mother is 59 years old. She has gallstone and she was supposed to have cholecystectomy but was postponed due to quarantine. Last month was the supposed schedule and that time the size of the stone in her gall bladder was 3 cm. Now she is experiencing increased pain on her right shoulder. I would like to know if there is something she can do for the pain or should she have her gall bladder removed? | Hello. I will help you with your problem. Gall stone surgery is not emergency surgery. It should be done in an emergency if there is gall bladder perforation or malignancy. In your case, the stone size is large, and with the age of the patient malignancy is ruled out. I will advise to go for CT (computed tomography) scan if possible. If not at least USG (ultrasound) abdomen should be done. If everything is normal and only stones are there then you can wait for some time. Consult in an emergency if she developed jaundice any time. For pain, she may take any regular pain killers. Avoid fatty diet and get back to me after investigations. |
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Hi doctor, My mother is 59 years old. She has gallstone and she was supposed to have cholecystectomy but was postponed due to quarantine. Last month was the supposed schedule and that time the size of the stone in her gall bladder was 3 cm. Now she is experiencing increased pain on her right shoulder. I would like to know if there is something she can do for the pain or should she have her gall bladder removed? [/INST] Hello. I will help you with your problem. Gall stone surgery is not emergency surgery. It should be done in an emergency if there is gall bladder perforation or malignancy. In your case, the stone size is large, and with the age of the patient malignancy is ruled out. I will advise to go for CT (computed tomography) scan if possible. If not at least USG (ultrasound) abdomen should be done. If everything is normal and only stones are there then you can wait for some time. Consult in an emergency if she developed jaundice any time. For pain, she may take any regular pain killers. Avoid fatty diet and get back to me after investigations. |
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 normal to bleed after intercourse during pregnancy? | Hello doctor, I am 13 weeks pregnant, and after having intercourse I passed a blood clot about the size of a quarter. I have a subchronic bleed behind my placenta. Are these two related? | Hello. Yes, they are related. Intercourse should ideally be avoided till the 18th week of gestation to avoid such episodes of threatened miscarriage. Any bleeding during pregnancy is threatened miscarriage unless proven otherwise and you have a sub-chorionic bleed which confirms it. You require Progesterone support and absolute bed rest for a week and review USG to follow up the sub-chorionic bleed. |
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Hello doctor, I am 13 weeks pregnant, and after having intercourse I passed a blood clot about the size of a quarter. I have a subchronic bleed behind my placenta. Are these two related? [/INST] Hello. Yes, they are related. Intercourse should ideally be avoided till the 18th week of gestation to avoid such episodes of threatened miscarriage. Any bleeding during pregnancy is threatened miscarriage unless proven otherwise and you have a sub-chorionic bleed which confirms it. You require Progesterone support and absolute bed rest for a week and review USG to follow up the sub-chorionic bleed. |
Q. What is the treatment for frequent sneezing and running nose? | Hello doctor, Most of the time, I have sneezing and running nose with water for the past 2 to 3 years. I took Cetirizine for it but sometimes I feel better but after that, I face the same problem. Presently, I am not taking medicine. My age is 25 years and I am a male. l am not having past history and report, during this period sometimes I am also facing inhalation problem. | Hello. This is a common problem these days with a lot of industrialization and pollution around. Check your eosinophil count by doing a routine blood examination. Check blood IgE level. Do a skin prick allergy test to find out the major cause that triggers this anaphylactic response. Some conservative measures that have proven helpful in my patients are: 1. Warm steam inhalations once at night during the entire spring and autumn months. 2. Warm foot bath every night before going to bed. 3. Breathing exercises. 4. Probiotics for three months. |
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Hello doctor, Most of the time, I have sneezing and running nose with water for the past 2 to 3 years. I took Cetirizine for it but sometimes I feel better but after that, I face the same problem. Presently, I am not taking medicine. My age is 25 years and I am a male. l am not having past history and report, during this period sometimes I am also facing inhalation problem. [/INST] Hello. This is a common problem these days with a lot of industrialization and pollution around. Check your eosinophil count by doing a routine blood examination. Check blood IgE level. Do a skin prick allergy test to find out the major cause that triggers this anaphylactic response. Some conservative measures that have proven helpful in my patients are: 1. Warm steam inhalations once at night during the entire spring and autumn months. 2. Warm foot bath every night before going to bed. 3. Breathing exercises. 4. Probiotics for three months. |
Q. What is the reason for problem with breathing in summer? | Hello doctor,I have a problem in breathing often especially in summers less in winters. It seems some sound while breathing and some chest pain often. My eye power is frequently changing in a short time interval. I cannot focus well on studies on laptop and books offline also. I am feeling this for a long time. What is the reason for changing my power of lens frequently and what is the solution?I have a problem in backbone near the lowermost corner, at below from top and below joints of hands in the backbone. How can I treat this? I had a treatment for this around ten years ago, but now the pain is quite severe. Please help me. | Hello. Problems with breathing during in summer seem to be related to allergy. Chest x-ray and allergy tests are advised to further together with stool examination for ova parasites. Changes in power lens often are due to hormonal changes or working too long in front of computer or cellphones. Should train your eyes when working with the computer. Keep in frequent contact with an eye specialist. Also, get thyroid hormones to check further. Back and joint problems seem like arthritis. You should run arthritis tests and x-ray of the back. Also, further consultation with rheumatologist advised. All the best. |
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Hello doctor,I have a problem in breathing often especially in summers less in winters. It seems some sound while breathing and some chest pain often. My eye power is frequently changing in a short time interval. I cannot focus well on studies on laptop and books offline also. I am feeling this for a long time. What is the reason for changing my power of lens frequently and what is the solution?I have a problem in backbone near the lowermost corner, at below from top and below joints of hands in the backbone. How can I treat this? I had a treatment for this around ten years ago, but now the pain is quite severe. Please help me. [/INST] Hello. Problems with breathing during in summer seem to be related to allergy. Chest x-ray and allergy tests are advised to further together with stool examination for ova parasites. Changes in power lens often are due to hormonal changes or working too long in front of computer or cellphones. Should train your eyes when working with the computer. Keep in frequent contact with an eye specialist. Also, get thyroid hormones to check further. Back and joint problems seem like arthritis. You should run arthritis tests and x-ray of the back. Also, further consultation with rheumatologist advised. All the best. |
Q. Does missed period after taking Z pack mean pregnancy? | Hello doctor,My last period started a month back. The next week I was on a Z pack for a throat infection. I have not gotten my period this month. I am 7 to 10 days late. Took six different brands, etc. Pregnancy tests are all negative. What could be causing this late period? I am under a lot of stress also. | Hello. The fact that urine pregnancy test is negative, and as this is the first time that your menses have been delayed and there is a likely cause present- the throat infection and the stress factor during this month. So, stress as we know that it can easily cause hormonal imbalances which can delay menses, you are likely experiencing a stress delay. As you are already delayed by 10 days you can either opt for a withdrawal bleed with Progesterones now or wait for a week to allow menses to return naturally and if not, then use Progesterone pills for withdrawal bleed to initiate menses. Please maintain a menstrual calendar for the next three months to understand the pattern of your menses to ascertain the need for treatment for oligomenorrhoea. |
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Hello doctor,My last period started a month back. The next week I was on a Z pack for a throat infection. I have not gotten my period this month. I am 7 to 10 days late. Took six different brands, etc. Pregnancy tests are all negative. What could be causing this late period? I am under a lot of stress also. [/INST] Hello. The fact that urine pregnancy test is negative, and as this is the first time that your menses have been delayed and there is a likely cause present- the throat infection and the stress factor during this month. So, stress as we know that it can easily cause hormonal imbalances which can delay menses, you are likely experiencing a stress delay. As you are already delayed by 10 days you can either opt for a withdrawal bleed with Progesterones now or wait for a week to allow menses to return naturally and if not, then use Progesterone pills for withdrawal bleed to initiate menses. Please maintain a menstrual calendar for the next three months to understand the pattern of your menses to ascertain the need for treatment for oligomenorrhoea. |
Q. Will giving Budecort and Montelukast to a child cause any side-effects? | Hello doctor,My son is 3.5 years old. We live in a place which has a lot of dust along with cold weather. My son has been suffering from regular cold cough problems since he turned 1, on an average three times in a month. Sometimes, the gap is longer when we are too careful and maybe the weather is stable. Starts with a runny nose, then cough, coughing is too much when he lies down, at night and early morning. Many times he also gets fever.We have visited several doctors and have been told it is RAD, we still do not know what is he allergic to, could be dust. In the past 2.5 years, he has regularly (when suffering) taken Allegra/Cetrizine, Nasivion drops, finished several bottles of Beta2, Salbutamol, Asthaline syrups, Paracetamol, sometimes but less of Azithromycin when it is throat infection, once or twice taken Kidpred also, also he has taken Montelukast 4 mg for certain intervals like taken for a few months and stopped and again taken.Three weeks back he got cough, we went to pediatric pulmonologist and were advised to start Budecort 200 inhaler twice a day for a year. Also, Asthaline inhaler three times a day for a week but still has cough. Allegra for a week along with Montair 4 mg. We did not start Budecort but started with Asthaline inhaler, Montelukast and Allegra. It improved and third week again he has got cold and cough but intensity is little less.My question is should we start Budecort 200 inhaler for a year and stop Montelukast? Or should we not start Budecort right now and continue with Montelukast for some time and check if it works? Or should we give both Budecort and Montelukast? Also is it fine to start with Asthaline inhalers whenever he gets cough? Lastly is there any way which we can find out what things he is allergic to? Or a list of common allergies? | Hi. Please note that Budecort inhaler is the medicine to prevent or reduce these instances and Asthalin is the emergency medicine to control sudden bouts. Hence, without fail you should start and continue using Budecort along with Montelukast and use Asthalin on SOS basis. As far as the question regarding allergy to certain items goes, it is best to observe the child for the same rather than doing umpteen number of tests just for finding the causative allergens. Any which ways the chances of you preventing the child from coming in contact with such an allergen would be less only. So do not worry much about the allergens point of view. |
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Hello doctor,My son is 3.5 years old. We live in a place which has a lot of dust along with cold weather. My son has been suffering from regular cold cough problems since he turned 1, on an average three times in a month. Sometimes, the gap is longer when we are too careful and maybe the weather is stable. Starts with a runny nose, then cough, coughing is too much when he lies down, at night and early morning. Many times he also gets fever.We have visited several doctors and have been told it is RAD, we still do not know what is he allergic to, could be dust. In the past 2.5 years, he has regularly (when suffering) taken Allegra/Cetrizine, Nasivion drops, finished several bottles of Beta2, Salbutamol, Asthaline syrups, Paracetamol, sometimes but less of Azithromycin when it is throat infection, once or twice taken Kidpred also, also he has taken Montelukast 4 mg for certain intervals like taken for a few months and stopped and again taken.Three weeks back he got cough, we went to pediatric pulmonologist and were advised to start Budecort 200 inhaler twice a day for a year. Also, Asthaline inhaler three times a day for a week but still has cough. Allegra for a week along with Montair 4 mg. We did not start Budecort but started with Asthaline inhaler, Montelukast and Allegra. It improved and third week again he has got cold and cough but intensity is little less.My question is should we start Budecort 200 inhaler for a year and stop Montelukast? Or should we not start Budecort right now and continue with Montelukast for some time and check if it works? Or should we give both Budecort and Montelukast? Also is it fine to start with Asthaline inhalers whenever he gets cough? Lastly is there any way which we can find out what things he is allergic to? Or a list of common allergies? [/INST] Hi. Please note that Budecort inhaler is the medicine to prevent or reduce these instances and Asthalin is the emergency medicine to control sudden bouts. Hence, without fail you should start and continue using Budecort along with Montelukast and use Asthalin on SOS basis. As far as the question regarding allergy to certain items goes, it is best to observe the child for the same rather than doing umpteen number of tests just for finding the causative allergens. Any which ways the chances of you preventing the child from coming in contact with such an allergen would be less only. So do not worry much about the allergens point of view. |
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. Will I get rabies infection years after dog bite? | Hello doctor, A dog had bit me in my finger eight years back. At that time I did not take any vaccine or treatment. Is it possible that I can get affected with rabies in the future? What is the diagnosis system of rabies? If I get diagnosed with rabies then what I have to do? | Hello. No need to get panicky over the dog bite. You are fine. Rabies testing on humans is performed on samples of saliva, serum. Saliva can be tested by virus isolation or reverse transcription followed by polymerase chain reaction (RT-PCR). Serum and spinal fluid are tested for antibodies to rabies virus. In animals suspected of rabies, they have to be killed and their brains are examined for the presence of this rabies virus. Rabies is usually fatal. So the best thing is prevention. So if you have a pet dog get it vaccinated. |
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Hello doctor, A dog had bit me in my finger eight years back. At that time I did not take any vaccine or treatment. Is it possible that I can get affected with rabies in the future? What is the diagnosis system of rabies? If I get diagnosed with rabies then what I have to do? [/INST] Hello. No need to get panicky over the dog bite. You are fine. Rabies testing on humans is performed on samples of saliva, serum. Saliva can be tested by virus isolation or reverse transcription followed by polymerase chain reaction (RT-PCR). Serum and spinal fluid are tested for antibodies to rabies virus. In animals suspected of rabies, they have to be killed and their brains are examined for the presence of this rabies virus. Rabies is usually fatal. So the best thing is prevention. So if you have a pet dog get it vaccinated. |
Q. Having white discharge and bleeding after unsafe sex. What does it indicate? | Hi doctor, I had unprotected sex with my girlfriend. Her regular period was on 17th of every month. We had an affair on the 16th day. She is 18 years old. After 19 hours of sex, she took an i-pill. Now she is having some white discharge and bleeding with clots. Please help us. | Hi. You have had sex with her in her fertile period, and chances of pregnancy were practically high in that period. She has rightly taken I-pill within 72 hours which shall prevent pregnancy. The present clots and discharge which generally starts by 4 to 5 days after the intake of pill which indicates a withdrawal bleed. It is expected to occur shedding the endometrium completely thereby preventing pregnancy. If she is changing 3 to 5 pads daily, then it is normal and expected to occur. So, just wait and allow the bleeding to complete and then reduce over the next few days. |
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Hi doctor, I had unprotected sex with my girlfriend. Her regular period was on 17th of every month. We had an affair on the 16th day. She is 18 years old. After 19 hours of sex, she took an i-pill. Now she is having some white discharge and bleeding with clots. Please help us. [/INST] Hi. You have had sex with her in her fertile period, and chances of pregnancy were practically high in that period. She has rightly taken I-pill within 72 hours which shall prevent pregnancy. The present clots and discharge which generally starts by 4 to 5 days after the intake of pill which indicates a withdrawal bleed. It is expected to occur shedding the endometrium completely thereby preventing pregnancy. If she is changing 3 to 5 pads daily, then it is normal and expected to occur. So, just wait and allow the bleeding to complete and then reduce over the next few days. |
Q. My 4 month baby has not passed stools. Please help. | Hi doctor, My baby is 4 months old and is vomiting in between while having breast milk. His belly is not much hard, but there is more swelling when compared to the breastfeeding days. He has been switched to formula feed from Sunday night and till now he has not passed stools. I am worried about this. Please suggest anything natural. Thank you. | Hi. It is common to have a decrease in stool frequency or constipation after switching from breast milk to formula feed. As long as your child is feeding well, passing gas from below, has no vomiting and has a soft belly, there is nothing to worry about. It is normal to pass stool once every 2-3 days. Also, you may noticea change in stool color (green) after switching to formula feed. In this scenario, you can try using a cotton Q-tip (cotton swab). Apply some lubrication on it and stimulate the rectal area to see if your child passes stool. If this does not help, then try seeing your local pediatrician who can help with rectal stimulation and passage of his stool. |
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Hi doctor, My baby is 4 months old and is vomiting in between while having breast milk. His belly is not much hard, but there is more swelling when compared to the breastfeeding days. He has been switched to formula feed from Sunday night and till now he has not passed stools. I am worried about this. Please suggest anything natural. Thank you. [/INST] Hi. It is common to have a decrease in stool frequency or constipation after switching from breast milk to formula feed. As long as your child is feeding well, passing gas from below, has no vomiting and has a soft belly, there is nothing to worry about. It is normal to pass stool once every 2-3 days. Also, you may noticea change in stool color (green) after switching to formula feed. In this scenario, you can try using a cotton Q-tip (cotton swab). Apply some lubrication on it and stimulate the rectal area to see if your child passes stool. If this does not help, then try seeing your local pediatrician who can help with rectal stimulation and passage of his stool. |
Q. I am weak and slim. Help me gain weight. | Hello Doctor, I eat well, but I am very weak and I look slim. Please suggest me treatment for a healthy and muscular body. | Hi Most of the people will be skinny till the age of 22-24 years and will gain weight after that without any exercise or supplement. So do not worry. Weight gain is a gradual phenomenon. It takes time. Do not expect immediate results. |
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Hello Doctor, I eat well, but I am very weak and I look slim. Please suggest me treatment for a healthy and muscular body. [/INST] Hi Most of the people will be skinny till the age of 22-24 years and will gain weight after that without any exercise or supplement. So do not worry. Weight gain is a gradual phenomenon. It takes time. Do not expect immediate results. |
Q. How to handle an alcoholic person? | Hi doctor, This is query is about my brother-in-law, who is 38 year old now. He got married before seven years and has a child aged 6 years. He is working in a reputed company. He drinks a lot. Over the last few months, especially last fortnight onward he kept on threatening my sister that he will go away from home. This will be his last day in the life and he will end his life. He is repeating the same thing since yesterday. He does not listen to anybody and keep on fighting for small issues repeatedly and also blames my sister for every small thing. He is not ready to go to any marriage counselor or doctor because of some trust issue. He is behaving very abnormally. I do not know how to handle him. Please suggest. | Hi.First, answer a few questions, so I would be able to come with some diagnosis. |
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Hi doctor, This is query is about my brother-in-law, who is 38 year old now. He got married before seven years and has a child aged 6 years. He is working in a reputed company. He drinks a lot. Over the last few months, especially last fortnight onward he kept on threatening my sister that he will go away from home. This will be his last day in the life and he will end his life. He is repeating the same thing since yesterday. He does not listen to anybody and keep on fighting for small issues repeatedly and also blames my sister for every small thing. He is not ready to go to any marriage counselor or doctor because of some trust issue. He is behaving very abnormally. I do not know how to handle him. Please suggest. [/INST] Hi.First, answer a few questions, so I would be able to come with some diagnosis. |
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. What can be done for eye swelling due to trauma in a person with pigment dispersion syndrome? | Hi doctor, I have pigment dispersion syndrome for 10 years. Now I take Bimatoprost in both eyes at night. A few days back, I suffered a trauma to the eye area and as a result, I have a lot of swelling and a subconjunctival hemorrhage and the doctor carried out the funduscopic exam and it was clear. Today hemorrhage has gotten bigger and feel like my eye is discharging or weeping. Eyesight is normal. Should I get it checked? | Hello. I understand that you suffered a trauma to the eye. When examined, the doctor said that you have a subconjunctival hemorrhage with no damage to the retina. As of now your vision is clear but the hemorrhage has increased for two days and you are on treatment for pigment dispersion, psoriasis or ankylosing spondylitis. With this scenario, I feel that a visit to an ophthalmologist is necessary. An appearance of increasing redness of your eyes could be due to both the congestion of the eye or due to an increasing hemorrhage. The fact that you have discharge from your eyes suggests that an infection could have developed. This is quite a common occurrence after an injury. I advise you to avoid rubbing your eyes, wash the discharge away with cold clean water and review with your doctor. |
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Hi doctor, I have pigment dispersion syndrome for 10 years. Now I take Bimatoprost in both eyes at night. A few days back, I suffered a trauma to the eye area and as a result, I have a lot of swelling and a subconjunctival hemorrhage and the doctor carried out the funduscopic exam and it was clear. Today hemorrhage has gotten bigger and feel like my eye is discharging or weeping. Eyesight is normal. Should I get it checked? [/INST] Hello. I understand that you suffered a trauma to the eye. When examined, the doctor said that you have a subconjunctival hemorrhage with no damage to the retina. As of now your vision is clear but the hemorrhage has increased for two days and you are on treatment for pigment dispersion, psoriasis or ankylosing spondylitis. With this scenario, I feel that a visit to an ophthalmologist is necessary. An appearance of increasing redness of your eyes could be due to both the congestion of the eye or due to an increasing hemorrhage. The fact that you have discharge from your eyes suggests that an infection could have developed. This is quite a common occurrence after an injury. I advise you to avoid rubbing your eyes, wash the discharge away with cold clean water and review with your doctor. |
Q. Is it possible for a HIV patient to lead a normal life without transmitting the infection? | Hi doctor, One of my relatives is HIV positive. He says that it is functional and the virus is not affecting him in any way and he will not transmit the infection to anyone. As per him he does not require the antiviral medicine also but taking it as he is extra cautious. 1. Please help me on how can I be sure of his claims as truth in this relation is very important for me. 2. Also, can you please let me know the prognosis of this disease. As per him, he will live a normal life and there is no threat of developing AIDS as he is a special case. Please let me know if this is true and how can it be proved. | Hi. There is nothing like functional HIV infection. Confirm, whether he is HIV 1 or 2 because HIV 2 is less infectious and less violent than 1. If he is infected with 1, then there will be slow progressor or rapid progressor. If he is rapid, then he will have a low CD4 count below 350 by two years, and if he is slow progressor then it will take 4 to 5 years but inevitable to land in AIDS if he will not take medicines. 1. Get his viral load and CD4 report to know the current status to assess his claims. 2. Prognosis is very good at current age owing to very good use of HAART medication. They can live a normal life with medicine. |
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Hi doctor, One of my relatives is HIV positive. He says that it is functional and the virus is not affecting him in any way and he will not transmit the infection to anyone. As per him he does not require the antiviral medicine also but taking it as he is extra cautious. 1. Please help me on how can I be sure of his claims as truth in this relation is very important for me. 2. Also, can you please let me know the prognosis of this disease. As per him, he will live a normal life and there is no threat of developing AIDS as he is a special case. Please let me know if this is true and how can it be proved. [/INST] Hi. There is nothing like functional HIV infection. Confirm, whether he is HIV 1 or 2 because HIV 2 is less infectious and less violent than 1. If he is infected with 1, then there will be slow progressor or rapid progressor. If he is rapid, then he will have a low CD4 count below 350 by two years, and if he is slow progressor then it will take 4 to 5 years but inevitable to land in AIDS if he will not take medicines. 1. Get his viral load and CD4 report to know the current status to assess his claims. 2. Prognosis is very good at current age owing to very good use of HAART medication. They can live a normal life with medicine. |
Q. What is the reason for losing interest in studies? | Hello doctor, Till school, I was a very bright student but while pursuing graduation, I lost my interest in studies. Now I am not able to concentrate on studies and keep on thinking about other things. I am very tensed. What to do? | Hello. There are various reasons of lack of interest in studies. Not having the subject of one's choice, parental expectations, the stress of performance, anxiety problem, lack of motivation. I would advise you to make a schedule and follow it strictly. Set some rewards for better performance. Do yoga, meditation to increase concentration. |
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Hello doctor, Till school, I was a very bright student but while pursuing graduation, I lost my interest in studies. Now I am not able to concentrate on studies and keep on thinking about other things. I am very tensed. What to do? [/INST] Hello. There are various reasons of lack of interest in studies. Not having the subject of one's choice, parental expectations, the stress of performance, anxiety problem, lack of motivation. I would advise you to make a schedule and follow it strictly. Set some rewards for better performance. Do yoga, meditation to increase concentration. |
Q. I have been facing excessive sleeping. Why? | Hi doctor, I am 22 years old. I have been facing excessive sleeping for the last two weeks. Even after having a sound sleep for 6 to 8 hours at night I find it difficult to wake up. I feel sleepy all day long. If I think of taking a nap in the afternoon, then it again lasts for 3 to 4 hours and again I cannot wake up. My height is 5'3" and weight is 58 kg. | Hi. With the symptoms I feel sorry for your health condition. It is bothersome for sure. For further information consult an internal medicine physician online --> |
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Hi doctor, I am 22 years old. I have been facing excessive sleeping for the last two weeks. Even after having a sound sleep for 6 to 8 hours at night I find it difficult to wake up. I feel sleepy all day long. If I think of taking a nap in the afternoon, then it again lasts for 3 to 4 hours and again I cannot wake up. My height is 5'3" and weight is 58 kg. [/INST] Hi. With the symptoms I feel sorry for your health condition. It is bothersome for sure. For further information consult an internal medicine physician online --> |
Q. I am feeling low and have fear of gaining weight. Please help. | Hello doctor, I have been feeling low for quite some time. I have crying spells for no reason. I have fear of gaining weight. So I hardly eat anything and compensate the calories consumed by exercising and sometimes throwing up after eating. I am not able to concentrate on my studies. I end up staring at walls. | Hello. You may have a major depressive disorder. You should take antidepressants for short time. You can take tablet Fluoxetine 20 mg daily for short time. Do not worry about your weight. You have a low BMI. Do not follow any actress or model. Take healthy food, avoid junk food. Take good sleep. Go for exercise daily. Spend good time with family and friends. Spend some time for good creative hobbies like reading, writing, painting, etc. Do something new daily. Accept yourself. Be confident. Enjoy life. Live life. Do not just spend life. For more information consult a psychiatrist online --> |
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Hello doctor, I have been feeling low for quite some time. I have crying spells for no reason. I have fear of gaining weight. So I hardly eat anything and compensate the calories consumed by exercising and sometimes throwing up after eating. I am not able to concentrate on my studies. I end up staring at walls. [/INST] Hello. You may have a major depressive disorder. You should take antidepressants for short time. You can take tablet Fluoxetine 20 mg daily for short time. Do not worry about your weight. You have a low BMI. Do not follow any actress or model. Take healthy food, avoid junk food. Take good sleep. Go for exercise daily. Spend good time with family and friends. Spend some time for good creative hobbies like reading, writing, painting, etc. Do something new daily. Accept yourself. Be confident. Enjoy life. Live life. Do not just spend life. For more information consult a psychiatrist online --> |
Q. Kindly suggest the best medicine for depression, anxiety, and lack of confidence. | Hello doctor,I have depression, anxiety, lack of confidence, lack of energy and sleep, excess sweating, fast heartbeat from last 18 years. I have tried several ayurvedic treatments, then went to psychiatric treatment but no benefit. Previously doctor prescribed me Nexito Forte and Pronol 10 in morning and evening and Prestiq 50 in the night. I had taken it for two years but feel some benefit only. It causes me excess sweating.Then I consulted another doctor and he suggested me Paxep CR 12.5 in morning and Buspar 10 in morning and evening. But it creates a problem in sleeping and some weakness. Then I consulted another doctor, he prescribed me Nexito 10 and Clonazepam 0.5 in the morning and evening and Mirtazapine 15 in the night. But it created excess sleep and stomach upset. But I feel slightly better mentally. I am really confused that which treatment of medicine I should follow for a long term to get rid of my problem completely. Which will be a better option for me? Please help. | Hi. I understand you are suffering a lot due to your depression and anxiety. Most medications given for depression as well as anxiety have similar efficacy. As per the history given by you, I think you have benefited from treatment suggested by the last doctor. I would advise you to continue tablet Nexito 10 mg in the morning and tablet Mirtaz at night around two hours before sleep. You can withhold tablet Clonazepam if you feel too sleepy. Along with medicines, I would advise you to focus on your diet and sleep hygiene. You can choose a physical activity and continue it. It will help you. There are some relaxation exercises like Jacobson's muscular relaxation techniques. These will help reduce the physical symptoms of your anxiety. Please follow up regularly with your doctor and continue medicines started for atleast six months. |
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Hello doctor,I have depression, anxiety, lack of confidence, lack of energy and sleep, excess sweating, fast heartbeat from last 18 years. I have tried several ayurvedic treatments, then went to psychiatric treatment but no benefit. Previously doctor prescribed me Nexito Forte and Pronol 10 in morning and evening and Prestiq 50 in the night. I had taken it for two years but feel some benefit only. It causes me excess sweating.Then I consulted another doctor and he suggested me Paxep CR 12.5 in morning and Buspar 10 in morning and evening. But it creates a problem in sleeping and some weakness. Then I consulted another doctor, he prescribed me Nexito 10 and Clonazepam 0.5 in the morning and evening and Mirtazapine 15 in the night. But it created excess sleep and stomach upset. But I feel slightly better mentally. I am really confused that which treatment of medicine I should follow for a long term to get rid of my problem completely. Which will be a better option for me? Please help. [/INST] Hi. I understand you are suffering a lot due to your depression and anxiety. Most medications given for depression as well as anxiety have similar efficacy. As per the history given by you, I think you have benefited from treatment suggested by the last doctor. I would advise you to continue tablet Nexito 10 mg in the morning and tablet Mirtaz at night around two hours before sleep. You can withhold tablet Clonazepam if you feel too sleepy. Along with medicines, I would advise you to focus on your diet and sleep hygiene. You can choose a physical activity and continue it. It will help you. There are some relaxation exercises like Jacobson's muscular relaxation techniques. These will help reduce the physical symptoms of your anxiety. Please follow up regularly with your doctor and continue medicines started for atleast six months. |
Q. Why is there a gap between teeth after cap placement? | Hello doctor, I just recently had an RCT and crown placed on the upper front tooth. Now, there is a gap between my two front teeth. Can the crown be adjusted now? | Hello. After capping, it is very difficult to adjust the crown because it may lead to misalignment of the crown with respect to occlusion. There is another method by which you can close the gap between tooth like composite filling between tooth leaving the cervical area or another method is to repeat the capping procedure. Please share your pictures of the front tooth which will help me guide you more. Treatment failure. The composite filling between tooth leaving the cervical area or another method is to repeat the capping procedure. |
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Hello doctor, I just recently had an RCT and crown placed on the upper front tooth. Now, there is a gap between my two front teeth. Can the crown be adjusted now? [/INST] Hello. After capping, it is very difficult to adjust the crown because it may lead to misalignment of the crown with respect to occlusion. There is another method by which you can close the gap between tooth like composite filling between tooth leaving the cervical area or another method is to repeat the capping procedure. Please share your pictures of the front tooth which will help me guide you more. Treatment failure. The composite filling between tooth leaving the cervical area or another method is to repeat the capping procedure. |
Q. What treatment can be done for cold with swollen nose? | Hello doctor, I have a cold for more than one month. And have a swollen nose. What are the remedies to get relief? | Hello. It may be due to viral infection or bacterial infection or allergy. Use water vapor inhalation and salt water gargling thrice a day for five days. Avoid cool drinks and freeze water, avoid smoking and caffeine drinks. Use tablet Montelukast and Levocetirizine once a day for five days. If symptoms are not improved, please consult your physician. He will examine and treat you accordingly. Take care. |
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Hello doctor, I have a cold for more than one month. And have a swollen nose. What are the remedies to get relief? [/INST] Hello. It may be due to viral infection or bacterial infection or allergy. Use water vapor inhalation and salt water gargling thrice a day for five days. Avoid cool drinks and freeze water, avoid smoking and caffeine drinks. Use tablet Montelukast and Levocetirizine once a day for five days. If symptoms are not improved, please consult your physician. He will examine and treat you accordingly. Take care. |
Q. How do I increase my breast size? | Hello doctor, I am 22 years old. I have very small breast and I am not comfortable about it. Everyone keeps joking about it. Is there any medicine to increase my breast size? Please suggest some solution. Thank you. | Hi. To be very honest, to make you happy, I can tell you oils which claim to increase the breast size but all are ineffective. Try to understand that the breast is made up of muscles and fatty tissue. So, how can any oil or cream increase the fat over the breast!! Think. To increase the breast size you need to eat healthily and increase protein in the diet. The only thing that can help you out is a protein-rich diet and chest and breast muscle weight training. You can join a gym, learn and practice breast muscle weight training. This is the thing that is going to help you the most. Idiopathic or constitutional. |
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Hello doctor, I am 22 years old. I have very small breast and I am not comfortable about it. Everyone keeps joking about it. Is there any medicine to increase my breast size? Please suggest some solution. Thank you. [/INST] Hi. To be very honest, to make you happy, I can tell you oils which claim to increase the breast size but all are ineffective. Try to understand that the breast is made up of muscles and fatty tissue. So, how can any oil or cream increase the fat over the breast!! Think. To increase the breast size you need to eat healthily and increase protein in the diet. The only thing that can help you out is a protein-rich diet and chest and breast muscle weight training. You can join a gym, learn and practice breast muscle weight training. This is the thing that is going to help you the most. Idiopathic or constitutional. |
Q. What precaution should I take for 14 days water only fasting? | Hi doctor, I am going to undertake a water only fast for 14 days. Which vitamins and electrolyte should I take and in what dose? Just heard of refeeding syndrome. Any other precautions? | Hi. It is not clear why you are undertaking water (only) fast for so long as 14 days. In case, you have decided to, I would advise you to do it under the expert supervision of an ayurveda or naturopathy physician who can monitor you closely. While fasting has obvious health benefits, prolonged fasting exceeding a week can have serious ramifications on one's health unless carried out under expert supervision. It is always safer and advisable to have shorter fasts of two to three days maximum, in regular intervals, than resorting to a long duration fast in a single go. Refeeding syndrome obviously is a potential threat with clinical complications because of impaired metabolism owing to severe vitamins and electrolyte imbalance. This can be fatal too. Precautions, that one must take in addition to the ones highlighted above, are as follows: |
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Hi doctor, I am going to undertake a water only fast for 14 days. Which vitamins and electrolyte should I take and in what dose? Just heard of refeeding syndrome. Any other precautions? [/INST] Hi. It is not clear why you are undertaking water (only) fast for so long as 14 days. In case, you have decided to, I would advise you to do it under the expert supervision of an ayurveda or naturopathy physician who can monitor you closely. While fasting has obvious health benefits, prolonged fasting exceeding a week can have serious ramifications on one's health unless carried out under expert supervision. It is always safer and advisable to have shorter fasts of two to three days maximum, in regular intervals, than resorting to a long duration fast in a single go. Refeeding syndrome obviously is a potential threat with clinical complications because of impaired metabolism owing to severe vitamins and electrolyte imbalance. This can be fatal too. Precautions, that one must take in addition to the ones highlighted above, are as follows: |
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. Can I terminate my pregnancy if result comes positive for Down's syndrome? | Hi doctor, I am in my late 6th month pregnancy. Recently I went for a scan named targeted imaging for fetal anomalies (TIFFA). All the reports were normal except hypoplastic nasal bone and higher normal values of amniotic fluid. I am approaching you for second consultation now. My questions are, what if we go for genetic amniocentesis and results were positive for Down's syndrome? Can I terminate the pregnancy in my 28th week of pregnancy? How much safe it is to go for amniocentesis test? Is there any alternate test to get better results? I decided not to have a baby who is mentally retarded. Please suggest me your valuable advice. | Hi. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. We can better comment on the outcome after getting the results of the amniocentesis. Even if Down's syndrome, people usually go for keeping the fetus alive and they go for completion of pregnancy to the full term. 2. You may terminate anytime depending on where you opt in for this termination. I mean you need to have expert hands for that. 3. Amniocentesis is very widely done test all over the world and as for every diagnostic invasive procedure it has its own safety profile. 4. Risk of complications is always there as it is associated with invasive procedure. Again I want to add that if you opt in for the expert hands and a seasoned professional obstetricians and gynecologists and interventional radiologist then there is no to low risk for the baby and the mother. 5. Amniocentesis and karyotyping to rule out for genetic disorders that involve chromosomal anomalies is the best test universally. No other choice, as this is what we need to know next and this is the specific test available which may guide us about that. 6. It is your right to decide and it is solely you who can decide about your body as to what is better for you. Physician can only guide you about the procedures and the final decision is solely your own as to what should be done. |
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Hi doctor, I am in my late 6th month pregnancy. Recently I went for a scan named targeted imaging for fetal anomalies (TIFFA). All the reports were normal except hypoplastic nasal bone and higher normal values of amniotic fluid. I am approaching you for second consultation now. My questions are, what if we go for genetic amniocentesis and results were positive for Down's syndrome? Can I terminate the pregnancy in my 28th week of pregnancy? How much safe it is to go for amniocentesis test? Is there any alternate test to get better results? I decided not to have a baby who is mentally retarded. Please suggest me your valuable advice. [/INST] Hi. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. We can better comment on the outcome after getting the results of the amniocentesis. Even if Down's syndrome, people usually go for keeping the fetus alive and they go for completion of pregnancy to the full term. 2. You may terminate anytime depending on where you opt in for this termination. I mean you need to have expert hands for that. 3. Amniocentesis is very widely done test all over the world and as for every diagnostic invasive procedure it has its own safety profile. 4. Risk of complications is always there as it is associated with invasive procedure. Again I want to add that if you opt in for the expert hands and a seasoned professional obstetricians and gynecologists and interventional radiologist then there is no to low risk for the baby and the mother. 5. Amniocentesis and karyotyping to rule out for genetic disorders that involve chromosomal anomalies is the best test universally. No other choice, as this is what we need to know next and this is the specific test available which may guide us about that. 6. It is your right to decide and it is solely you who can decide about your body as to what is better for you. Physician can only guide you about the procedures and the final decision is solely your own as to what should be done. |
Q. I have itchy red rashes that wrinkled after applying moisturizer. Please help. | Hi doctor, I am having a problem with dry skin and rashes. I have a history of atopic eczema on the neck for which I am applying Flutivate cream. 4 weeks back some red rashes started coming up with itching. I thought it is because of dry skin, so I applied coconut oil and moisturizer. The redness has gone, but the skin is wrinkled. On scratching sometimes blood is coming up. Currently, I am taking Losar 50 mg, Nexito plus and Thyronorm tablets. I am attaching the pictures for your reference. Kindly help. | Hi. Kindly send me the photographs of your face with a closed eye. Any other medication history, two to four weeks before rash? |
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Hi doctor, I am having a problem with dry skin and rashes. I have a history of atopic eczema on the neck for which I am applying Flutivate cream. 4 weeks back some red rashes started coming up with itching. I thought it is because of dry skin, so I applied coconut oil and moisturizer. The redness has gone, but the skin is wrinkled. On scratching sometimes blood is coming up. Currently, I am taking Losar 50 mg, Nexito plus and Thyronorm tablets. I am attaching the pictures for your reference. Kindly help. [/INST] Hi. Kindly send me the photographs of your face with a closed eye. Any other medication history, two to four weeks before rash? |
Q. Suffering from dust allergy and coughing green mucus. Does it mean infection? | Hi doctor, I have been suffering from dust allergies since childhood and use Foracot 200 and Montair 10 in case I have an episode. From 3 to 4 days, I am having an episode but it is not getting better. Also, I am coughing green mucus (seems like small dots). Does it mean that I have an infection? Please advice. | Hello. The green expectoration raises suspicion for pseudomonas infection of the lung. You have to rule out acute bronchitis infection by chest X-ray and spirometry. If bronchoconstriction is present then nebulization of bronchodilator drug like Levosalbutamol can be prescribed. If you have long term history of frequent attack of allergic bronchitis then maintenance bronchodilator inhaler like Foracort on long term basis might be prescribed. I suggest you consult a pulmonologist for detailed respiratory evaluation. |
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Hi doctor, I have been suffering from dust allergies since childhood and use Foracot 200 and Montair 10 in case I have an episode. From 3 to 4 days, I am having an episode but it is not getting better. Also, I am coughing green mucus (seems like small dots). Does it mean that I have an infection? Please advice. [/INST] Hello. The green expectoration raises suspicion for pseudomonas infection of the lung. You have to rule out acute bronchitis infection by chest X-ray and spirometry. If bronchoconstriction is present then nebulization of bronchodilator drug like Levosalbutamol can be prescribed. If you have long term history of frequent attack of allergic bronchitis then maintenance bronchodilator inhaler like Foracort on long term basis might be prescribed. I suggest you consult a pulmonologist for detailed respiratory evaluation. |
Q. What can be done for midgut malrotation in a newborn? | Hello doctor, My 24 days newborn son is suffering from midgut malrotation. Is this a problem? | Hi. Abnormal relationship of the vessels can cause intestinal obstruction or volvulus. It may be asymptomatic as well. If it is symptomatic in the form of pain that is related to malrotation, then this baby may need corrective surgery. You should show to a pediatric surgeon. |
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Hello doctor, My 24 days newborn son is suffering from midgut malrotation. Is this a problem? [/INST] Hi. Abnormal relationship of the vessels can cause intestinal obstruction or volvulus. It may be asymptomatic as well. If it is symptomatic in the form of pain that is related to malrotation, then this baby may need corrective surgery. You should show to a pediatric surgeon. |
Q. Is there any way to treat dry eyes with burning sensation? | Hello doctor, What can be happening to my eyes? I was diagnosed with dry eyes. But even with mist, night gel, lid wipes, eye vitamins, drops, my eyes keep closing from the burning and discomfort like grit. No red eye or itching. Current medication: Parkinson Sinemet, Neupro patch, Equip, Doxycycline 100 mg. | Hello. Dry eyes which is this severe and resistant to treatment can be caused due to a number of factors. Doxycycline is usually a drug we reserve for extreme cases and it takes a few weeks before it can start to act. Firstly, the same mechanisms causing parkinsonism may be harming your lacrimal gland. The drugs used to treat parkinsonism are also known to cause dry eye. There could also be immunological causes for your parkinsonism, the same causative factors could also be causing dry eye. Secondly, you could be having a long-standing infection on your eyelids and eyelashes, this usually causes an itchy sensation making you rub your eyes and is mostly worse during the early morning. Here the infection causes the tear glands in your eyelids to get blocked and all their tear secretions are pent up within the eyelids. Although there is not much more to do with parkinsonism and its treatment, eyelash infection is still a treatable disease. For this: 1. Wash your eyelids with warm water or give hot fomentation for around 10 minutes every day. 2. Massage your eyelids in a circular pattern after hot fomentation so that all the pent up secretions get released. 3. Avoid dusty, windy, sunny environments, use sunglasses while going out. 4. Consciously make an effort to blink more, this activates your lacrimal pump and also forces more secretions out of your eyelids. |
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Hello doctor, What can be happening to my eyes? I was diagnosed with dry eyes. But even with mist, night gel, lid wipes, eye vitamins, drops, my eyes keep closing from the burning and discomfort like grit. No red eye or itching. Current medication: Parkinson Sinemet, Neupro patch, Equip, Doxycycline 100 mg. [/INST] Hello. Dry eyes which is this severe and resistant to treatment can be caused due to a number of factors. Doxycycline is usually a drug we reserve for extreme cases and it takes a few weeks before it can start to act. Firstly, the same mechanisms causing parkinsonism may be harming your lacrimal gland. The drugs used to treat parkinsonism are also known to cause dry eye. There could also be immunological causes for your parkinsonism, the same causative factors could also be causing dry eye. Secondly, you could be having a long-standing infection on your eyelids and eyelashes, this usually causes an itchy sensation making you rub your eyes and is mostly worse during the early morning. Here the infection causes the tear glands in your eyelids to get blocked and all their tear secretions are pent up within the eyelids. Although there is not much more to do with parkinsonism and its treatment, eyelash infection is still a treatable disease. For this: 1. Wash your eyelids with warm water or give hot fomentation for around 10 minutes every day. 2. Massage your eyelids in a circular pattern after hot fomentation so that all the pent up secretions get released. 3. Avoid dusty, windy, sunny environments, use sunglasses while going out. 4. Consciously make an effort to blink more, this activates your lacrimal pump and also forces more secretions out of your eyelids. |
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. What are the ways to control hair fall? | Hello doctor, I started losing hair a year ago. Probably after starting my job. Mainly hairs on my temples and side hairs on the front part of my head. I was using Nutrafol tablets and have used it for about four months now and have not seen any results. Please help. | Hi. You are suffering from androgenic alopecia. Use Minoxidil 5% lotion 1 ml twice daily and tablet Finasteride 1 mg once daily. |
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Hello doctor, I started losing hair a year ago. Probably after starting my job. Mainly hairs on my temples and side hairs on the front part of my head. I was using Nutrafol tablets and have used it for about four months now and have not seen any results. Please help. [/INST] Hi. You are suffering from androgenic alopecia. Use Minoxidil 5% lotion 1 ml twice daily and tablet Finasteride 1 mg once daily. |
Q. What is causing three seizures in a day after delivery? | Hello doctor, I am a 24-year-old female. I am looking for some help. I feel no doctor understands what is wrong with me. I have had epilepsy since around puberty around the age of 12 when I got my period. I had a lot of seizures until I was finally controlled on Tegratol 200 mg. Throughout my teenage years, they decreased. When I married and got pregnant, my doctor lowered my dose to one pill 200 mg only at night. This was because I had no seizures for at least six months. Then I had no seizures for five years. Now I am 24, suddenly I had three seizures in one day. I was taken to the hospital and given a Magnesium injection. This was two months after giving birth and not getting periods back due to breastfeeding. I made myself sick fearing to eat anything or stress myself as I never knew what triggered it. I visited a neurologist, he said my dose is too low. He said to take 200 mg at night and 300 mg at night because I mainly get seizures when I am awake. Anyways through all of this, I get symptoms of seizures throughout the afternoon and night and when I wake up. So I get a lot of auras but no seizures. I have had this problem since I have had epilepsy. How would I get rid of these auras? My doctor seems to be confused and says it is just anxiety but I know what I am feeling. And it is the same feeling before my seizures (electric shock feeling in my right thumb). He wanted to put me on Xanax. Do I need this much medication? When I used to have seizures I would have only one in a day but after having three in one day, I got worried. I have had multiple ECG and MRI and they never found anything. Please, if you can help me. I am sick of living life in fear. What would you advise me to do? | Hello. I read carefully your question and would explain that the aura that you explain (electric shock feeling in the thumb) are not typical of epilepsy. So, considering the fact that you have been on 200 mg of Tegretol (which is a really non-effective dose) with no seizures, I do not think that these auras are related to the seizures. Besides all your repeated EEG are normal (which would not result in case of frequent seizures). They seem to be just anxiety, especially after giving birth (depression and anxiety are quite common after giving birth). For this reason, I agree with your doctor on the recommendation of trying Alprazolam. It is fine to increase the Tegretol dose to 600 mg daily. It can help against anxiety too. I would also recommend checking Tegretol (Carbamazepine) plasma levels in order to make the proper adjustments to the dose based on its plasma levels. If Alprazolam helps, I would recommend adding low dose Sertraline or Fluvoxamine to your therapy. |
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Hello doctor, I am a 24-year-old female. I am looking for some help. I feel no doctor understands what is wrong with me. I have had epilepsy since around puberty around the age of 12 when I got my period. I had a lot of seizures until I was finally controlled on Tegratol 200 mg. Throughout my teenage years, they decreased. When I married and got pregnant, my doctor lowered my dose to one pill 200 mg only at night. This was because I had no seizures for at least six months. Then I had no seizures for five years. Now I am 24, suddenly I had three seizures in one day. I was taken to the hospital and given a Magnesium injection. This was two months after giving birth and not getting periods back due to breastfeeding. I made myself sick fearing to eat anything or stress myself as I never knew what triggered it. I visited a neurologist, he said my dose is too low. He said to take 200 mg at night and 300 mg at night because I mainly get seizures when I am awake. Anyways through all of this, I get symptoms of seizures throughout the afternoon and night and when I wake up. So I get a lot of auras but no seizures. I have had this problem since I have had epilepsy. How would I get rid of these auras? My doctor seems to be confused and says it is just anxiety but I know what I am feeling. And it is the same feeling before my seizures (electric shock feeling in my right thumb). He wanted to put me on Xanax. Do I need this much medication? When I used to have seizures I would have only one in a day but after having three in one day, I got worried. I have had multiple ECG and MRI and they never found anything. Please, if you can help me. I am sick of living life in fear. What would you advise me to do? [/INST] Hello. I read carefully your question and would explain that the aura that you explain (electric shock feeling in the thumb) are not typical of epilepsy. So, considering the fact that you have been on 200 mg of Tegretol (which is a really non-effective dose) with no seizures, I do not think that these auras are related to the seizures. Besides all your repeated EEG are normal (which would not result in case of frequent seizures). They seem to be just anxiety, especially after giving birth (depression and anxiety are quite common after giving birth). For this reason, I agree with your doctor on the recommendation of trying Alprazolam. It is fine to increase the Tegretol dose to 600 mg daily. It can help against anxiety too. I would also recommend checking Tegretol (Carbamazepine) plasma levels in order to make the proper adjustments to the dose based on its plasma levels. If Alprazolam helps, I would recommend adding low dose Sertraline or Fluvoxamine to your therapy. |
Q. I am 16 weeks pregnant with low lying placenta. Can I travel for work? | Hi doctor,I am 16 weeks pregnant and 4.3 internal OS closed but diagnosed with a low lying placenta. Can I travel on a two-wheeler? Do the household work and go for a job? Please suggest me. Can I fly on a plane? | Hi. It would be better if you would send me a detailed history and scan report. The placenta is still in developing stage that will grow and might change its position. For now, till it is low lying if within 2 cm of an internal OS then better to have rest and precautions. Avoid taking risky two-wheeler ride, over-exertion, weight lifting, stairs, sex or any other bleeding stimulating factor. Recheck placental location after a month and discuss with your obstetrician. Have regular antenatal follow-ups and scans. Have complete treatment of any health issue you have. Have a balanced diet. Report symptoms like spotting and bleeding immediately to treating obstetrician. Make sure your blood group is already checked. If negative, better to have the husband's blood group also checked. Better send scan report to have particular guidance. |
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Hi doctor,I am 16 weeks pregnant and 4.3 internal OS closed but diagnosed with a low lying placenta. Can I travel on a two-wheeler? Do the household work and go for a job? Please suggest me. Can I fly on a plane? [/INST] Hi. It would be better if you would send me a detailed history and scan report. The placenta is still in developing stage that will grow and might change its position. For now, till it is low lying if within 2 cm of an internal OS then better to have rest and precautions. Avoid taking risky two-wheeler ride, over-exertion, weight lifting, stairs, sex or any other bleeding stimulating factor. Recheck placental location after a month and discuss with your obstetrician. Have regular antenatal follow-ups and scans. Have complete treatment of any health issue you have. Have a balanced diet. Report symptoms like spotting and bleeding immediately to treating obstetrician. Make sure your blood group is already checked. If negative, better to have the husband's blood group also checked. Better send scan report to have particular guidance. |
Q. How can painful, red and swollen penis head be cured? | Hello doctor, I am having some pain on the head of my penis. Coupled with this is the fact that the left side of the head of the penis is red and inflamed. It is as if there is a small but extremely uncomfortable moving sensation within that area. I can actually feel the head of my penis acutely nowadays. I also feel a stinging sensation along the red inflamed glans of my penis. Occasionally, I feel a slight, stinging sensation on my scrotal sac and feel the need to scratch at that area. Recently, I have also been experiencing tiredness during the day when I am supposed to be working. I abstain from sex too. I am male, 25, and on no medications currently. | Hello. The lesions look like balanitis or rash due to infection. The most common cause can be skin irritants or allergy. Check for blood sugar, avoid allergens like deodorant or new soap or medicine. Use Candid B gel locally for one week. If symptoms are not improved, please consult your dermatologist or physician. He will examine and treat you accordingly. Take care. |
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Hello doctor, I am having some pain on the head of my penis. Coupled with this is the fact that the left side of the head of the penis is red and inflamed. It is as if there is a small but extremely uncomfortable moving sensation within that area. I can actually feel the head of my penis acutely nowadays. I also feel a stinging sensation along the red inflamed glans of my penis. Occasionally, I feel a slight, stinging sensation on my scrotal sac and feel the need to scratch at that area. Recently, I have also been experiencing tiredness during the day when I am supposed to be working. I abstain from sex too. I am male, 25, and on no medications currently. [/INST] Hello. The lesions look like balanitis or rash due to infection. The most common cause can be skin irritants or allergy. Check for blood sugar, avoid allergens like deodorant or new soap or medicine. Use Candid B gel locally for one week. If symptoms are not improved, please consult your dermatologist or physician. He will examine and treat you accordingly. Take care. |
Q. Does a pancreatic growth with nephrotic syndrome indicate malignancy? | Hello doctor, I am super scared. I am 30 years old and have been in the hospital for nephrotic syndrome which was discovered to be membranous nephropathy. They tested my blood for many conditions which could be a secondary cause including hepatitis and autoimmune and nothing came up. Now, they are searching my body for malignancies. I am terrified that an MRI showed a growth on my pancreas. I have no symptoms of pancreatic cancer. No jaundice and no pain. However, a paternal great grandmother died of pancreatic cancer in her 60s. Please look over these notes from my chart. Worse case scenario, if the biopsy finds a malignancy, in your opinion is this something that can be operated on? Does it appear to have been caught early? I am terrified. I am an only child for my mother and I do not want to leave my mom. | Hi. There can be many idiopathic causes of a nephrotic syndrome which respond good to medical management. As far as pancreatic mass is concerned, there are high chances for your mass to be benign lesions. So there is nothing to worry. Follow proper instructions for nephrotic syndrome. There is nothing seeming to be alarming. |
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Hello doctor, I am super scared. I am 30 years old and have been in the hospital for nephrotic syndrome which was discovered to be membranous nephropathy. They tested my blood for many conditions which could be a secondary cause including hepatitis and autoimmune and nothing came up. Now, they are searching my body for malignancies. I am terrified that an MRI showed a growth on my pancreas. I have no symptoms of pancreatic cancer. No jaundice and no pain. However, a paternal great grandmother died of pancreatic cancer in her 60s. Please look over these notes from my chart. Worse case scenario, if the biopsy finds a malignancy, in your opinion is this something that can be operated on? Does it appear to have been caught early? I am terrified. I am an only child for my mother and I do not want to leave my mom. [/INST] Hi. There can be many idiopathic causes of a nephrotic syndrome which respond good to medical management. As far as pancreatic mass is concerned, there are high chances for your mass to be benign lesions. So there is nothing to worry. Follow proper instructions for nephrotic syndrome. There is nothing seeming to be alarming. |
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. I masturbate only by rubbing the tip of the penis. Is it a wrong way? | Hi doctor, During masturbation I just rub the tip of the penis and not the entire penis. Is it a wrong way of doing? I do not get excited during sex and unable to ejaculate. Only, rubbing the tip of the penis gives me excitement. Also, two weeks ago, I have undergone circumcision as my foreskin did not retract. Before circumcision too, I have the same problem. Please help. | Hi. For further doubts consult a sexologist online --> |
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Hi doctor, During masturbation I just rub the tip of the penis and not the entire penis. Is it a wrong way of doing? I do not get excited during sex and unable to ejaculate. Only, rubbing the tip of the penis gives me excitement. Also, two weeks ago, I have undergone circumcision as my foreskin did not retract. Before circumcision too, I have the same problem. Please help. [/INST] Hi. For further doubts consult a sexologist online --> |
Q. I masturbate only by rubbing the tip of the penis. Is it a wrong way? | Hi doctor, During masturbation I just rub the tip of the penis and not the entire penis. Is it a wrong way of doing? I do not get excited during sex and unable to ejaculate. Only, rubbing the tip of the penis gives me excitement. Also, two weeks ago, I have undergone circumcision as my foreskin did not retract. Before circumcision too, I have the same problem. Please help. | Hi. For further doubts consult a sexologist online --> |
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Hi doctor, During masturbation I just rub the tip of the penis and not the entire penis. Is it a wrong way of doing? I do not get excited during sex and unable to ejaculate. Only, rubbing the tip of the penis gives me excitement. Also, two weeks ago, I have undergone circumcision as my foreskin did not retract. Before circumcision too, I have the same problem. Please help. [/INST] Hi. For further doubts consult a sexologist online --> |
Q. What are the chances of getting internal bleeding with Excedrin and Citalopram? | Hello doctor, I am 31 years old, female and I am currently taking Citalopram 20 mg daily and take Excedrin periodically usually around the cycle when my HAS start but in the last four weeks, I have only not taken Excedrin for 10 days. Some days I only take one tablet, but never more than two tablets in a 24 hour period. Is this safe and fine to do? I was just wondering because someone told me that the Excedrin with Citalopram could cause internal bleeding and I never knew that and just want to know if that is correct or not? Current medications: Citalopram 20 mg, Excedrin as needed, Vitamin B12 1000 mcg daily, prenatal Vitamin, Proair inhaler as needed. | Hello. I understand your concern and agree with you on the fact that both Citalopram and Excedrin increase the risk of bleeding. But the main problem is that taking Excedrin so frequently may lead to drug-induced daily headaches. From the other hand, Citalopram does not seem to be really effective in preventing headaches. For this reason, I would recommend discussing with your doctor on the possibility of switching to another medication for the prevention of headaches. In this regard, I would recommend switching to low dose Amitriptyline. I would like to know more about the description of your headaches in order to be able to suggest more treatment options. |
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Hello doctor, I am 31 years old, female and I am currently taking Citalopram 20 mg daily and take Excedrin periodically usually around the cycle when my HAS start but in the last four weeks, I have only not taken Excedrin for 10 days. Some days I only take one tablet, but never more than two tablets in a 24 hour period. Is this safe and fine to do? I was just wondering because someone told me that the Excedrin with Citalopram could cause internal bleeding and I never knew that and just want to know if that is correct or not? Current medications: Citalopram 20 mg, Excedrin as needed, Vitamin B12 1000 mcg daily, prenatal Vitamin, Proair inhaler as needed. [/INST] Hello. I understand your concern and agree with you on the fact that both Citalopram and Excedrin increase the risk of bleeding. But the main problem is that taking Excedrin so frequently may lead to drug-induced daily headaches. From the other hand, Citalopram does not seem to be really effective in preventing headaches. For this reason, I would recommend discussing with your doctor on the possibility of switching to another medication for the prevention of headaches. In this regard, I would recommend switching to low dose Amitriptyline. I would like to know more about the description of your headaches in order to be able to suggest more treatment options. |
Q. What is the treatment for migraine with nausea and vomiting? | Hello doctor, I have had a migraine for seven days. It is so severe that I cannot stand light or noise. I have been unable to sleep. I have been nauseated and vomiting. I cannot handle anything. I am a female. I am 35 years old, 5'4" in and weigh 260 lbs. | Hello. Medication right now you are using is more than effective. But medication like Tryptons (Sumatriptan) is most effective. Metoprolol, Propranolol, Gabapentin, Pregabalin are more effective medication to prevent recurrence. You have to reduce weight which may useful to reduce the attacks. Regular exercise and yoga may be useful. If symptoms are not improved, please consult your physician. He will examine and treat you accordingly. Take care. |
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Hello doctor, I have had a migraine for seven days. It is so severe that I cannot stand light or noise. I have been unable to sleep. I have been nauseated and vomiting. I cannot handle anything. I am a female. I am 35 years old, 5'4" in and weigh 260 lbs. [/INST] Hello. Medication right now you are using is more than effective. But medication like Tryptons (Sumatriptan) is most effective. Metoprolol, Propranolol, Gabapentin, Pregabalin are more effective medication to prevent recurrence. You have to reduce weight which may useful to reduce the attacks. Regular exercise and yoga may be useful. If symptoms are not improved, please consult your physician. He will examine and treat you accordingly. Take care. |
Q. I would like to know the safety of Adderall for ADHD during pregnancy? | Hi doctor, I found out that I am 4 to 5 weeks pregnant. I am looking for some information about the safety of Adderall during pregnancy. Currently, I am taking Adderall XR 15 mg, Celexa 20 mg, and Lamictal 100 15 mg per day. I have a history associated with depression, anxiety and ADHD (attention deficit hyperactivity disorder). Unfortunately, I am one of those who risk losing my job and going into a bad depression if I try to get off. There is really not much data of risks on therapeutic levels, only abuse. I am seeing my doctor (OB) next week but would really like a pharmacologist opinion. Thank you. | Hi. Tablet Adderall (combination of Dextroamphetamine and Amphetamine) affects a grown persons heart rate but you are already taking in a very low dose of 15 mg per day and usually it is prescribed in a dosage of 20-28 mg per day. Tablet Celexa (Citalopram) falls under "category C" which means these drugs are harmful to animal fetus but there are insufficient studies to prove there harmful effects on the human fetus. I would suggest you continue with your tablet Adderall 15mg per day, tablet Celexa 20 mg a day and tablet Lamotrigine (Lamictal) 100 mg which falls under "category c" in normal preparation and in "category D " in extended-release preparations. Just try half tablets of each drug for three times in two days in that way you will reduce 1/4 dosage of the drug. Be relaxed and cool in choosing any of the above options because that will affect your fetus more than any of the drug. Congrats on conceiving. Be a confident mother. Take half tablets of each drug twice a day on day one and half tablets of each drug once a day and then repeat until your next appointment. |
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Hi doctor, I found out that I am 4 to 5 weeks pregnant. I am looking for some information about the safety of Adderall during pregnancy. Currently, I am taking Adderall XR 15 mg, Celexa 20 mg, and Lamictal 100 15 mg per day. I have a history associated with depression, anxiety and ADHD (attention deficit hyperactivity disorder). Unfortunately, I am one of those who risk losing my job and going into a bad depression if I try to get off. There is really not much data of risks on therapeutic levels, only abuse. I am seeing my doctor (OB) next week but would really like a pharmacologist opinion. Thank you. [/INST] Hi. Tablet Adderall (combination of Dextroamphetamine and Amphetamine) affects a grown persons heart rate but you are already taking in a very low dose of 15 mg per day and usually it is prescribed in a dosage of 20-28 mg per day. Tablet Celexa (Citalopram) falls under "category C" which means these drugs are harmful to animal fetus but there are insufficient studies to prove there harmful effects on the human fetus. I would suggest you continue with your tablet Adderall 15mg per day, tablet Celexa 20 mg a day and tablet Lamotrigine (Lamictal) 100 mg which falls under "category c" in normal preparation and in "category D " in extended-release preparations. Just try half tablets of each drug for three times in two days in that way you will reduce 1/4 dosage of the drug. Be relaxed and cool in choosing any of the above options because that will affect your fetus more than any of the drug. Congrats on conceiving. Be a confident mother. Take half tablets of each drug twice a day on day one and half tablets of each drug once a day and then repeat until your next appointment. |
Q. What are the ways to manage the symptoms of bipolar disorder? | Hello doctor, I have bipolar 1. Rarely manic, depressed 2 to 3 times a year. I have felt good since last four months. This afternoon I suddenly got very depressed, hopeless, ideation. I also have racing thoughts, cannot sit still, very irritable, heart racing and cannot stop crying. I have never felt like this. The doctor is not available and the suicide hotline was no help, she did not know anything about bipolar. I take Latuda, Wellbutrin, Seroquel. Ativan and Atarax for anxiety. I was fine 2 to 3 hours ago. Now every time my son asks me a question I feel like screaming, so I am hiding in my room. I do not want to scare him. I do not know what to do. I have never felt like this, having so many thoughts so suddenly and without warning. | Hi. These symptoms are probably due to drugs side-effects called akathisia which includes almost all the symptoms you mentioned. This can occur without any warning and also change in any drug dose or schedule. Take Ativan one tablet (1 or 2 mg) now and can be repeated after one hour if symptoms persist. Propranolol is also helpful but you cannot get it without a prescription. If you have fever also then you need to rush to the emergency room. |
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Hello doctor, I have bipolar 1. Rarely manic, depressed 2 to 3 times a year. I have felt good since last four months. This afternoon I suddenly got very depressed, hopeless, ideation. I also have racing thoughts, cannot sit still, very irritable, heart racing and cannot stop crying. I have never felt like this. The doctor is not available and the suicide hotline was no help, she did not know anything about bipolar. I take Latuda, Wellbutrin, Seroquel. Ativan and Atarax for anxiety. I was fine 2 to 3 hours ago. Now every time my son asks me a question I feel like screaming, so I am hiding in my room. I do not want to scare him. I do not know what to do. I have never felt like this, having so many thoughts so suddenly and without warning. [/INST] Hi. These symptoms are probably due to drugs side-effects called akathisia which includes almost all the symptoms you mentioned. This can occur without any warning and also change in any drug dose or schedule. Take Ativan one tablet (1 or 2 mg) now and can be repeated after one hour if symptoms persist. Propranolol is also helpful but you cannot get it without a prescription. If you have fever also then you need to rush to the emergency room. |
Q. Does a flat brown spot with flaky edges indicate melanoma? | Hi doctor, A few days back, a brown spot appeared halfway on my thigh. By the same night, it grew and it was black. In less than 24 hours. Small brown spot turned black and grew in just a few hours. It is flat. I am writing this a week later. The edges are flaky now. It has a slightly rough texture but the edges are peeling in not picking it. Do you think it could be melanoma? I am brown in complexion but had an aunt who died of skin cancer. | Hello. The bigger brown patch is cafe-au-lait macule and the small one is probably an atypical nevus (attachment removed to protect patient identity). That is not melanoma clinically to me. Melanoma is very rare at a young age like in your case and obviously very rare in brown skin color. You are doing good that you are doing skin biopsy for tissue diagnosis so that no confusion is left but it is less likely to be melanoma. |
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Hi doctor, A few days back, a brown spot appeared halfway on my thigh. By the same night, it grew and it was black. In less than 24 hours. Small brown spot turned black and grew in just a few hours. It is flat. I am writing this a week later. The edges are flaky now. It has a slightly rough texture but the edges are peeling in not picking it. Do you think it could be melanoma? I am brown in complexion but had an aunt who died of skin cancer. [/INST] Hello. The bigger brown patch is cafe-au-lait macule and the small one is probably an atypical nevus (attachment removed to protect patient identity). That is not melanoma clinically to me. Melanoma is very rare at a young age like in your case and obviously very rare in brown skin color. You are doing good that you are doing skin biopsy for tissue diagnosis so that no confusion is left but it is less likely to be melanoma. |
Q. What are the ways to increase iron absorption? | Hello doctor, I am a 41-year-old woman with low iron (just above being clinically anemic). I have always eaten lots of wild red meat (moose, bison, caribou, dall sheep) and I do not seem to be absorbing enough iron. I have been taking 300 mg elemental iron supplement per day for seven months with minimal improvement. I have cut back my dairy intake and started taking 150 mg Iron with 1000 mg Vitamin C with no noticeable change. I had a minera IUD put in six months back and the spotting finally stopped, but I still do not feel better. If I miss taking Iron for a day, I am dragging the next day and the brain fog comes back. I have restless legs, broken ridged nails and my hair is falling out. Is there other ways I can increase absorption? Other options for increasing my iron? | Hello. You have taken treatment for iron deficiency for seven months. It is enough time to raise your hemoglobin level and iron level. So now you have to check your hemoglobin level, serum ferritin level and TIBC level to rule out iron deficiency anemia. If these values are altered and iron deficiency anemia present than you should consider iron deficiency anemia as a cause for the brittle and broken nail. The different causes for iron deficiency anemia include chronic blood loss, impaired gastric absorption for which endoscopy is done to look for any ulcer if present, parasite infestation for which stool routine micro examination is done. As per my opinion, you need to consult the nearby physician for your detailed physical examination. For primary workup, you can investigate with an iron profile, routine CBC, serum TSH estimation, serum ANA estimation, and micronutrients estimation. According to the cause, specific treatment is given. Do not try self-treatment with Iron tablets. |
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Hello doctor, I am a 41-year-old woman with low iron (just above being clinically anemic). I have always eaten lots of wild red meat (moose, bison, caribou, dall sheep) and I do not seem to be absorbing enough iron. I have been taking 300 mg elemental iron supplement per day for seven months with minimal improvement. I have cut back my dairy intake and started taking 150 mg Iron with 1000 mg Vitamin C with no noticeable change. I had a minera IUD put in six months back and the spotting finally stopped, but I still do not feel better. If I miss taking Iron for a day, I am dragging the next day and the brain fog comes back. I have restless legs, broken ridged nails and my hair is falling out. Is there other ways I can increase absorption? Other options for increasing my iron? [/INST] Hello. You have taken treatment for iron deficiency for seven months. It is enough time to raise your hemoglobin level and iron level. So now you have to check your hemoglobin level, serum ferritin level and TIBC level to rule out iron deficiency anemia. If these values are altered and iron deficiency anemia present than you should consider iron deficiency anemia as a cause for the brittle and broken nail. The different causes for iron deficiency anemia include chronic blood loss, impaired gastric absorption for which endoscopy is done to look for any ulcer if present, parasite infestation for which stool routine micro examination is done. As per my opinion, you need to consult the nearby physician for your detailed physical examination. For primary workup, you can investigate with an iron profile, routine CBC, serum TSH estimation, serum ANA estimation, and micronutrients estimation. According to the cause, specific treatment is given. Do not try self-treatment with Iron tablets. |
Q. Why is there a sinus tract in abdomen after cesarean? | Hello doctor,I had a cesarean 4.5 years back, after which I developed a sinus tract in the left lower abdominal wall (which was stated to be tubercular (though there was no discharge). Took ATT twice but when repeated USG was conducted, it stated the problem as panniculitis. An MRI revealed adhesions and b/l sacroiliitis. Saaz 500 mg and Pregabalin was given, but not availed much relief. I had a history of bronchial asthma for the past eight years and somewhere I felt Saaz did not suit me and increases my asthma problem. What should I do? If I do not take Saaz it increases my back problem a lot and overall tiredness and if I take I feel breathless.Got a recent ultrasound done. Can you please check and see if TB is still persisting or is it panniculitis? Completely tired of this diagnostic dilemma. Please help. I will be grateful. I am attaching all my reports of the past five years. I have bronchial asthma since last eight years. Viral keratitis in right eye post eye lasik surgery. LSCS four years back. Herpes zoster right arm three years back. I have dry eyes for which I am taking Systane Ultra, Flomax ointment and sometimes Cycloiimune 0.5 drops. For asthma, Budamate inhaler and Alerfix total. Please guide. | Hi. I will try to help you as much as possible. A few questions first: 1. Was there any tissue biopsy done for the abdomen wall or the panniculitis lesion? If yes, please share its details. 2. Did you have symptoms of low backache and early morning stiffness, and pain in any other joints? 3. Did you have any family history of arthritis? 4. Do you take anti-inflammatory medicines in addition to Saaz for pain? Now coming to your queries: USG and MRI reports (attachment removed to protect patient identity) are suggestive of abdomen wall panniculitis, which is a chronic inflammatory condition and is mostly caused by some autoimmune process. In your case, the associated sacroiliitis may point towards the presence of spondyloarthropathy. Tuberculosis is unlikely, as it would have resolved after ATT. Bronchial asthma diagnosis needs to be worked up in order to rule out other autoimmune associations like ILD. I would like to suggest the following, if not already done: 1. HLA B27, RF, and anti-CCP. 2. ANA by immunofluorescence. 3. ENA profile. 4. ANCA (MPO and PR3 by ELISA). 5. ESR (WG) and CRP. 6. Pulmonary function tests, and X-ray chest. 7. Tissue biopsy from the abdomen and its histopathology examination. If you are finding it difficult to tolerate Saaz (Sulfasalazine), then, other drugs like Methotrexate (MTX) may be tried, but only after ruling out the possibility of ILD. MTX would also be helpful in panniculitis. for more severe pain, NSAIDs or low dose Corticosteroids may be added for short term. But it is important to establish a final definitive or most probable diagnosis. |
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Hello doctor,I had a cesarean 4.5 years back, after which I developed a sinus tract in the left lower abdominal wall (which was stated to be tubercular (though there was no discharge). Took ATT twice but when repeated USG was conducted, it stated the problem as panniculitis. An MRI revealed adhesions and b/l sacroiliitis. Saaz 500 mg and Pregabalin was given, but not availed much relief. I had a history of bronchial asthma for the past eight years and somewhere I felt Saaz did not suit me and increases my asthma problem. What should I do? If I do not take Saaz it increases my back problem a lot and overall tiredness and if I take I feel breathless.Got a recent ultrasound done. Can you please check and see if TB is still persisting or is it panniculitis? Completely tired of this diagnostic dilemma. Please help. I will be grateful. I am attaching all my reports of the past five years. I have bronchial asthma since last eight years. Viral keratitis in right eye post eye lasik surgery. LSCS four years back. Herpes zoster right arm three years back. I have dry eyes for which I am taking Systane Ultra, Flomax ointment and sometimes Cycloiimune 0.5 drops. For asthma, Budamate inhaler and Alerfix total. Please guide. [/INST] Hi. I will try to help you as much as possible. A few questions first: 1. Was there any tissue biopsy done for the abdomen wall or the panniculitis lesion? If yes, please share its details. 2. Did you have symptoms of low backache and early morning stiffness, and pain in any other joints? 3. Did you have any family history of arthritis? 4. Do you take anti-inflammatory medicines in addition to Saaz for pain? Now coming to your queries: USG and MRI reports (attachment removed to protect patient identity) are suggestive of abdomen wall panniculitis, which is a chronic inflammatory condition and is mostly caused by some autoimmune process. In your case, the associated sacroiliitis may point towards the presence of spondyloarthropathy. Tuberculosis is unlikely, as it would have resolved after ATT. Bronchial asthma diagnosis needs to be worked up in order to rule out other autoimmune associations like ILD. I would like to suggest the following, if not already done: 1. HLA B27, RF, and anti-CCP. 2. ANA by immunofluorescence. 3. ENA profile. 4. ANCA (MPO and PR3 by ELISA). 5. ESR (WG) and CRP. 6. Pulmonary function tests, and X-ray chest. 7. Tissue biopsy from the abdomen and its histopathology examination. If you are finding it difficult to tolerate Saaz (Sulfasalazine), then, other drugs like Methotrexate (MTX) may be tried, but only after ruling out the possibility of ILD. MTX would also be helpful in panniculitis. for more severe pain, NSAIDs or low dose Corticosteroids may be added for short term. But it is important to establish a final definitive or most probable diagnosis. |
Q. What causes cold sores and rashes on the lining of my lips during periods? | Hello doctor, Just wanted to know that from last two times, whenever I get my periods I get this cold sores and rashes like allergy happens on the linings of my lips. The last period date was 17th of the last month and I got this allergy and cold sores like blisters all over my lips and lining of my lips and get normal after, almost 10 days. And this time also I got my period on 17th of this month and the very first I developed this blisters on my lips more like rashes. Presently, it is still there. I wonder why this is happening from the last two times. It never happened earlier. Please advise. | Hello. The allergic rashes if they are occurring specifically during menses and the only line the vaginal lips then the cause is unlikely to be menses per se but rather the material of the sanitary pads that you are using from day one. If you have changed the brand of the sanitary pad lately then please revert back to the earlier one and in the meantime, you may apply ointment Candid-B locally over the labia minora and majora over the rashes thrice a day and try to keep the local area dry as much as possible. Also change pads every 3 to 4 hours, again depending on the bleeding. If possible please share the picture of the lesions to rule out allergy from herpetic eruptions. |
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Hello doctor, Just wanted to know that from last two times, whenever I get my periods I get this cold sores and rashes like allergy happens on the linings of my lips. The last period date was 17th of the last month and I got this allergy and cold sores like blisters all over my lips and lining of my lips and get normal after, almost 10 days. And this time also I got my period on 17th of this month and the very first I developed this blisters on my lips more like rashes. Presently, it is still there. I wonder why this is happening from the last two times. It never happened earlier. Please advise. [/INST] Hello. The allergic rashes if they are occurring specifically during menses and the only line the vaginal lips then the cause is unlikely to be menses per se but rather the material of the sanitary pads that you are using from day one. If you have changed the brand of the sanitary pad lately then please revert back to the earlier one and in the meantime, you may apply ointment Candid-B locally over the labia minora and majora over the rashes thrice a day and try to keep the local area dry as much as possible. Also change pads every 3 to 4 hours, again depending on the bleeding. If possible please share the picture of the lesions to rule out allergy from herpetic eruptions. |
Q. What are the chances of getting infection during wound healing in a diabetic? | Hello doctor, I fell about a month ago on my knees pretty hard in a gravel parking lot. I am a diabetic. I am just concerned about infection. Can I send you pictures or how does this work? | Hello. As per pictures (attachment removed to protect patient identity), I noticed the fall was really bad. The wound seems infected. Taking into account your personal history of diabetes, it might take longer for the wound to heal. First, take good care of the wound. Wash with antiseptic soap or if you cannot find just use the soap as usual with warm water. Try to clean well to remove the hard parts. But do it gently. Might need more seances to get fully removed not at first time. Rinse well, pat dry well. Apply Betadine you find over-the-counter. Then apply triple antibiotic ointment two times a day for one week. Raise your leg. Apply cold compresses during the day away from the antibiotic ointment. If still, no improvement should consult with your caring doctor as might need prescription medicines. |
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Hello doctor, I fell about a month ago on my knees pretty hard in a gravel parking lot. I am a diabetic. I am just concerned about infection. Can I send you pictures or how does this work? [/INST] Hello. As per pictures (attachment removed to protect patient identity), I noticed the fall was really bad. The wound seems infected. Taking into account your personal history of diabetes, it might take longer for the wound to heal. First, take good care of the wound. Wash with antiseptic soap or if you cannot find just use the soap as usual with warm water. Try to clean well to remove the hard parts. But do it gently. Might need more seances to get fully removed not at first time. Rinse well, pat dry well. Apply Betadine you find over-the-counter. Then apply triple antibiotic ointment two times a day for one week. Raise your leg. Apply cold compresses during the day away from the antibiotic ointment. If still, no improvement should consult with your caring doctor as might need prescription medicines. |
Q. How can otosclerosis be treated? | Hello doctor, I was diagnosed with otosclerosis of left ear at age 42. Thirty years later, I am now 72 and wonder if the condition has likely progressed and/or if surgical correction is still possible or advisable. I have good hearing in my right ear. I recently had a wax impaction in the right significantly reducing hearing and it got me thinking perhaps I should have had the surgery. | Hello. Otosclerosis often causes mixed hearing loss and can cause a maximum hearing loss of 60 to 70 db hearing loss which can be serviced to a good degree by doing stapedotomy. However, aging often causes presbyacusis that is an age-induced hearing loss which is neural and not salvageable by surgery. Since stapedotomy is a procedure done under local anesthesia, it may be still considered. However, it is possible if there is no significant SNHL (sensorineural hearing loss). |
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Hello doctor, I was diagnosed with otosclerosis of left ear at age 42. Thirty years later, I am now 72 and wonder if the condition has likely progressed and/or if surgical correction is still possible or advisable. I have good hearing in my right ear. I recently had a wax impaction in the right significantly reducing hearing and it got me thinking perhaps I should have had the surgery. [/INST] Hello. Otosclerosis often causes mixed hearing loss and can cause a maximum hearing loss of 60 to 70 db hearing loss which can be serviced to a good degree by doing stapedotomy. However, aging often causes presbyacusis that is an age-induced hearing loss which is neural and not salvageable by surgery. Since stapedotomy is a procedure done under local anesthesia, it may be still considered. However, it is possible if there is no significant SNHL (sensorineural hearing loss). |
Q. I have irritation type of headache due to prolonged lying in quarantine period. Please help. | Hello doctor, I have a headache in my upper part of the head. I do not know if it is connected with my neck because I had stiff neck due to my sleeping position. Well I lay down to bed most of the time due to quarantine and after I had that stiff neck I had this. It is not actually a headache, I guess it is like irritation in my upper head. I do not know if it should be treated with a pain reliever. As it is not that severe I did not take it. | Hi, Welcome to iclinq.com. I understand your concern. I need to know more about your headache. How and when does it start? Is it unilateral or both sides? Is it intermittent or continuous or any diurnal variation? Any aggravating or relieving factors? Light or noise sensitivity? Does it associate with nausea, vomiting, or blurring of vision? Did you have a history of migraines or asthma? Any history of fever or sinusitis? You should always note the red flags of headache such as sudden onset of headache, the onset of headache after 50 years of age, increased frequency or severity of headache, new onset of headache with an underlying medical condition, headache with concomitant systemic illness (fever and weight loss), focal neurologic signs or symptoms, blurring of vision. In that case, you need urgent evaluation. If they are absent, you need not be worried. Some times neck muscle tension stiffness may lead to headaches, as in your case. Simple Paracetamol or muscle relaxant will be useful. Adjust your sleeping position, try not to use high pillows. Another most common cause of headache is migraine. Simple Paracetamol at the onset of the headache will be helpful. Also, avoid triggers that lead to a headache. You should have adequate sleep, avoid stress, and take meals on time. I hope this helps. |
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Hello doctor, I have a headache in my upper part of the head. I do not know if it is connected with my neck because I had stiff neck due to my sleeping position. Well I lay down to bed most of the time due to quarantine and after I had that stiff neck I had this. It is not actually a headache, I guess it is like irritation in my upper head. I do not know if it should be treated with a pain reliever. As it is not that severe I did not take it. [/INST] Hi, Welcome to iclinq.com. I understand your concern. I need to know more about your headache. How and when does it start? Is it unilateral or both sides? Is it intermittent or continuous or any diurnal variation? Any aggravating or relieving factors? Light or noise sensitivity? Does it associate with nausea, vomiting, or blurring of vision? Did you have a history of migraines or asthma? Any history of fever or sinusitis? You should always note the red flags of headache such as sudden onset of headache, the onset of headache after 50 years of age, increased frequency or severity of headache, new onset of headache with an underlying medical condition, headache with concomitant systemic illness (fever and weight loss), focal neurologic signs or symptoms, blurring of vision. In that case, you need urgent evaluation. If they are absent, you need not be worried. Some times neck muscle tension stiffness may lead to headaches, as in your case. Simple Paracetamol or muscle relaxant will be useful. Adjust your sleeping position, try not to use high pillows. Another most common cause of headache is migraine. Simple Paracetamol at the onset of the headache will be helpful. Also, avoid triggers that lead to a headache. You should have adequate sleep, avoid stress, and take meals on time. 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. Is it normal for a newborn to have constant hiccups soon after burping? | Hello doctor, I would like to ask that what causes constant hiccups soon after burping my son is just 3 weeks old and he constantly has hiccups soon after meals and he swallows too much air during feeding. What should I do to help stop them? Secondly, he throws his head and trunk back a lot and his chest is always pushed is it normal? | Hello. Congratulations for the baby. Well, I got your concern. It may be due to GERD (gastro-esophageal reflux disease). Do as I say. Do proper burping after each feeds, minimum 10 minutes. Make him sleep in somewhat high head position 10 to 20 degrees maximum. Watch for his weight gain. If he is not gaining weight then consult a pediatrician. Many time these things can be controlled with simple measure only. In some cases, we need to give Lanzoprazole but for now, let us wait and watch. |
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Hello doctor, I would like to ask that what causes constant hiccups soon after burping my son is just 3 weeks old and he constantly has hiccups soon after meals and he swallows too much air during feeding. What should I do to help stop them? Secondly, he throws his head and trunk back a lot and his chest is always pushed is it normal? [/INST] Hello. Congratulations for the baby. Well, I got your concern. It may be due to GERD (gastro-esophageal reflux disease). Do as I say. Do proper burping after each feeds, minimum 10 minutes. Make him sleep in somewhat high head position 10 to 20 degrees maximum. Watch for his weight gain. If he is not gaining weight then consult a pediatrician. Many time these things can be controlled with simple measure only. In some cases, we need to give Lanzoprazole but for now, let us wait and watch. |
Q. Can shoulder joint pain indicate the recurrence of Still's disease? | Hello doctor, I am 48 years old, male. Two years back I was diagnosed for Stills disease and treated with steroids. Then it was under control. Now for the last four months, I am having severe shoulder joint pain restricting my left-hand movements MRI done shows mild arthritis, frozen shoulder, etc. No medicines are taken, only some exercises prescribed by physio are being done. I am afraid whether there will be a recurrence of Stills disease and I am scared. Please suggest some remedy. | Hello. Do not worry, Still's disease is only on clinical diagnosis present like intermittent fever, arthritis, and rash (not itching). Usually, there is no confirmatory test for this. Depending upon joint pain long lasting more than six weeks, with rash, pleurisy and body pains, etc. Before confirming it is one more episode of Still's flare-up. You may evaluate for rheumatoid arthritis, Gout, hypothyroidism, and frozen shoulder. So get it done ESR, CRP, Ra factor, ANA and hemoglobin status. Use tablet Naprosyn twice a day for five days. Use tablet Pantoprazole before breakfast for one week. If symptoms not improved please review with above reports or consult your physician he will examine and treat you accordingly. Take care. |
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Hello doctor, I am 48 years old, male. Two years back I was diagnosed for Stills disease and treated with steroids. Then it was under control. Now for the last four months, I am having severe shoulder joint pain restricting my left-hand movements MRI done shows mild arthritis, frozen shoulder, etc. No medicines are taken, only some exercises prescribed by physio are being done. I am afraid whether there will be a recurrence of Stills disease and I am scared. Please suggest some remedy. [/INST] Hello. Do not worry, Still's disease is only on clinical diagnosis present like intermittent fever, arthritis, and rash (not itching). Usually, there is no confirmatory test for this. Depending upon joint pain long lasting more than six weeks, with rash, pleurisy and body pains, etc. Before confirming it is one more episode of Still's flare-up. You may evaluate for rheumatoid arthritis, Gout, hypothyroidism, and frozen shoulder. So get it done ESR, CRP, Ra factor, ANA and hemoglobin status. Use tablet Naprosyn twice a day for five days. Use tablet Pantoprazole before breakfast for one week. If symptoms not improved please review with above reports or consult your physician he will examine and treat you accordingly. Take care. |
Q. What does my TMT test for chest pain indicate? | Hello doctor,I was feeling pain in the chest sometimes so I wanted to confirm what it is. My 2D echo said to be fine. Here I am keeping findings from TMT exercise time: 6:04 minutes. Max HR attained: 148 bpm 77 % Of max predictable HR 191, max BP: 140/90, workload attended: 7.2 (fair effort tolerance). Significant ST segment changes noted during excercise or recovery. Angina, arrhythmia, S3, murmur. Final impression: Test is positive for the exercise inducible ischemia. | Hello. Could you please attach the whole TMT tracings? The final impression of the TMT says it is positive, which means your chest pain is due to blockages in the heart (attachment removed to protect patient identity). Echo shows abnormalities in later stages and severe disease only. But, considering your age and pain only sometimes, the probability of disease is usually low. Patients with cardiac pain get consistent pain on exertion and relieve with rest. So, considering both these factors, I would like to review the tracing and confirm ECG changes. And assuming this final report to be true, you will need angiography to confirm and see the extent of blockages. Another option is you may undergo CT coronary angiography to confirm or rule out TMT findings. So, firstly, TMT should be reviewed once and you should undergo further tests to confirm the findings. |
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Hello doctor,I was feeling pain in the chest sometimes so I wanted to confirm what it is. My 2D echo said to be fine. Here I am keeping findings from TMT exercise time: 6:04 minutes. Max HR attained: 148 bpm 77 % Of max predictable HR 191, max BP: 140/90, workload attended: 7.2 (fair effort tolerance). Significant ST segment changes noted during excercise or recovery. Angina, arrhythmia, S3, murmur. Final impression: Test is positive for the exercise inducible ischemia. [/INST] Hello. Could you please attach the whole TMT tracings? The final impression of the TMT says it is positive, which means your chest pain is due to blockages in the heart (attachment removed to protect patient identity). Echo shows abnormalities in later stages and severe disease only. But, considering your age and pain only sometimes, the probability of disease is usually low. Patients with cardiac pain get consistent pain on exertion and relieve with rest. So, considering both these factors, I would like to review the tracing and confirm ECG changes. And assuming this final report to be true, you will need angiography to confirm and see the extent of blockages. Another option is you may undergo CT coronary angiography to confirm or rule out TMT findings. So, firstly, TMT should be reviewed once and you should undergo further tests to confirm the findings. |
Q. Why people drink more water in chronic mercury poisoning? | Hi doctor, In the case of chronic mercury poisoning, is there an increased consumption of water? The same question, for chronic fluoride poisoning. Please guide. | Hi. In chronic mercury poisoning, it binds and stops the functions of SH (sulfhydryl-containing enzymes). It also gets deposited and causes cellular toxicity. If the toxic pathology happens in the gastrointestinal tract (GIT), then the patient feels burning inflammatory sensation in the GIT. In order to cool it, he consumes more water. This concept is mentioned in Indian Traditional Siddha Literature. But, no modern study is available on this concept. It also says that even a person become psychotic. In chronic fluoride poisoning, there are no such symptoms as the fluoride target calcium sites like teeth and bones. It also has other effects in internal organs. Many geographical areas are contaminated or rich in mercury and fluoride. The groundwater (or drinking water) is rich in mercury or fluoride. The same water is used for agriculture. Thus, people tend to consume mercury and fluoride through drinking water and vegetables. Fish (from mercury-contaminated sea) consumption also leads to mercury poisoning on a chronic basis. |
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Hi doctor, In the case of chronic mercury poisoning, is there an increased consumption of water? The same question, for chronic fluoride poisoning. Please guide. [/INST] Hi. In chronic mercury poisoning, it binds and stops the functions of SH (sulfhydryl-containing enzymes). It also gets deposited and causes cellular toxicity. If the toxic pathology happens in the gastrointestinal tract (GIT), then the patient feels burning inflammatory sensation in the GIT. In order to cool it, he consumes more water. This concept is mentioned in Indian Traditional Siddha Literature. But, no modern study is available on this concept. It also says that even a person become psychotic. In chronic fluoride poisoning, there are no such symptoms as the fluoride target calcium sites like teeth and bones. It also has other effects in internal organs. Many geographical areas are contaminated or rich in mercury and fluoride. The groundwater (or drinking water) is rich in mercury or fluoride. The same water is used for agriculture. Thus, people tend to consume mercury and fluoride through drinking water and vegetables. Fish (from mercury-contaminated sea) consumption also leads to mercury poisoning on a chronic basis. |
Q. How to decrease bedwetting in a 9 year old child? | Hi doctor, My 9 year old son has a problem with bedwetting. He does it around two to three times a week. Kindly suggest some treatment. My 5 year old daughter is suffering from cold, cough and stomach pain sometimes. Please suggest a few medications for her. Thank you in advance. | Hi. For son, For daughter, Idiopathic. Parasitic infestation. Presence of worms in her stomach. Bio-combination (biochemic combination) 6, 2 tablets thrice a day. Avoid giving farinaceous food. |
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Hi doctor, My 9 year old son has a problem with bedwetting. He does it around two to three times a week. Kindly suggest some treatment. My 5 year old daughter is suffering from cold, cough and stomach pain sometimes. Please suggest a few medications for her. Thank you in advance. [/INST] Hi. For son, For daughter, Idiopathic. Parasitic infestation. Presence of worms in her stomach. Bio-combination (biochemic combination) 6, 2 tablets thrice a day. Avoid giving farinaceous food. |
Q. I get excruciating pain while walking due to an injury. Please help. | Hello doctor, I hurt myself two days ago and it seemed to be getting better. But today it is worse than when it started. Most of the pain is in the right side area. Today, I cannot walk due to excruciating pain. The only relief is laying flat on my back or standing at the foot of the bed and bent over with my face on the mattress. As said, I was doing better the past two days but yesterday I laid flat down on the bed while my husband rubs my legs and I was propped up on my forearms and I am wondering if that did not make things worse. I felt pretty good when getting out of the bed and during the shower and then the pain started to come back and quickly accelerated to not being able to even sit in a chair due to excruciating pain. Again, as long as I am lying flat I do not feel it at all but if I try to move side to side I feel excruciating pain. | Hi. I can understand the pain you are suffering from. It is nothing but low back pain radiated to the leg. Due to constant stress and improper posture you get this. Taking rest and doing simple exercises will help reduce pain and also you can take Advil (Ibuprofen) for quick relief. An MRI (magnetic resonance imaging) of LS (lumbar spine) would help to know better what exactly the problem is. Here are some exercises you need to do slowly without any pressure. 1. Low back stretch. 2. Straight leg raising. 3. Piriformis stretch. 4. Bridge. 5. Leg sliding. 5. Waist lifting. 6. Deep abdominal strengthening. These exercises will not only reduce pain but also gives strength to the muscles. Apply heat pad thrice a day. Follow up with MRI reports. Stress, improper posture. MRI lumbar spine. Exercises. Advil tablet. With MRI reports. |
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Hello doctor, I hurt myself two days ago and it seemed to be getting better. But today it is worse than when it started. Most of the pain is in the right side area. Today, I cannot walk due to excruciating pain. The only relief is laying flat on my back or standing at the foot of the bed and bent over with my face on the mattress. As said, I was doing better the past two days but yesterday I laid flat down on the bed while my husband rubs my legs and I was propped up on my forearms and I am wondering if that did not make things worse. I felt pretty good when getting out of the bed and during the shower and then the pain started to come back and quickly accelerated to not being able to even sit in a chair due to excruciating pain. Again, as long as I am lying flat I do not feel it at all but if I try to move side to side I feel excruciating pain. [/INST] Hi. I can understand the pain you are suffering from. It is nothing but low back pain radiated to the leg. Due to constant stress and improper posture you get this. Taking rest and doing simple exercises will help reduce pain and also you can take Advil (Ibuprofen) for quick relief. An MRI (magnetic resonance imaging) of LS (lumbar spine) would help to know better what exactly the problem is. Here are some exercises you need to do slowly without any pressure. 1. Low back stretch. 2. Straight leg raising. 3. Piriformis stretch. 4. Bridge. 5. Leg sliding. 5. Waist lifting. 6. Deep abdominal strengthening. These exercises will not only reduce pain but also gives strength to the muscles. Apply heat pad thrice a day. Follow up with MRI reports. Stress, improper posture. MRI lumbar spine. Exercises. Advil tablet. With MRI reports. |
Q. Please let me know, is there any health issue in my routine health checkup. | Hello doctor, I have no issues as such but not feeling fit. I am more concerned about my health. I would like to know whether my routine checkup results are alright or not. I have no symptoms of any kind. I have taken ayurveda treatment for SGPT, SGOT, and high protein. I am attaching my reports for your reference. Please check them and guide me accordingly. Thank you. | Hello. I went through your reports (attachment removed to protect patient identity) and came across a few significant values. Elevated uric acid can increase the risk of kidney stones and joint pains. I would suggest you have plenty of water and avoid having non-vegetarian. Your blood cholesterol is not under control, and increased levels of hsCRP (high-sensitivity C-reactive protein) indicates the risk of heart attack and stroke. Maintain your blood cholesterol in the normal range. Elevated LDH (lactate dehydrogenase) can be observed in many conditions. Liver injury is one of them. Your reports show that in the past you have taken ayurveda treatment for elevated levels of SGOT (serum glutamic oxaloacetic transaminase) or AST (aspartate aminotransferase) and SGPT (serum glutamic pyruvic transaminase) or ALT (alanine aminotransferase). Hence, the rise of LDH is due to mild persisting liver injury. Low exposure to sunlight has led to low vitamin D. I would recommend you to start taking vitamin D supplements such as Cholecalciferol 60000 units weekly once for eight weeks and try to increase your exposure to sunlight. |
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Hello doctor, I have no issues as such but not feeling fit. I am more concerned about my health. I would like to know whether my routine checkup results are alright or not. I have no symptoms of any kind. I have taken ayurveda treatment for SGPT, SGOT, and high protein. I am attaching my reports for your reference. Please check them and guide me accordingly. Thank you. [/INST] Hello. I went through your reports (attachment removed to protect patient identity) and came across a few significant values. Elevated uric acid can increase the risk of kidney stones and joint pains. I would suggest you have plenty of water and avoid having non-vegetarian. Your blood cholesterol is not under control, and increased levels of hsCRP (high-sensitivity C-reactive protein) indicates the risk of heart attack and stroke. Maintain your blood cholesterol in the normal range. Elevated LDH (lactate dehydrogenase) can be observed in many conditions. Liver injury is one of them. Your reports show that in the past you have taken ayurveda treatment for elevated levels of SGOT (serum glutamic oxaloacetic transaminase) or AST (aspartate aminotransferase) and SGPT (serum glutamic pyruvic transaminase) or ALT (alanine aminotransferase). Hence, the rise of LDH is due to mild persisting liver injury. Low exposure to sunlight has led to low vitamin D. I would recommend you to start taking vitamin D supplements such as Cholecalciferol 60000 units weekly once for eight weeks and try to increase your exposure to sunlight. |
Q. Is there a way to effectively reduce elevated cortisol? | Hi doctor, I am a 25 year old female. Is there any way to effectively reduce elevated cortisol and aldosterone? But, it is not Cushing's. I just have too high cortisol for the last few years and weight loss problem. | Hi. There are medicines for that, but it would be a temporary solution. We need to find the cause of elevated cortisol and aldosterone. In that regard, kindly upload the tests reports. Also, let me know, are you on any birth control pills? |
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Hi doctor, I am a 25 year old female. Is there any way to effectively reduce elevated cortisol and aldosterone? But, it is not Cushing's. I just have too high cortisol for the last few years and weight loss problem. [/INST] Hi. There are medicines for that, but it would be a temporary solution. We need to find the cause of elevated cortisol and aldosterone. In that regard, kindly upload the tests reports. Also, let me know, are you on any birth control pills? |
Q. How can eosinophilia be treated ? | Hello doctor, My eosinophils are increased to 7. It is very difficult to breathe. An effective treatment to eosinophilia may be communicated. | Hi. High eosinophils are found in conditions with allergic reactions. I would recommend you to please see your doctor and if your chest is congested, they would help you with antibiotics, short steroids, anti-allergic, and nebulizer. If you are asymptomatic with just mild cough, a short course of two weeks with antiallergics like a combination of Levocetirizine and Montelukast works wonders. |
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Hello doctor, My eosinophils are increased to 7. It is very difficult to breathe. An effective treatment to eosinophilia may be communicated. [/INST] Hi. High eosinophils are found in conditions with allergic reactions. I would recommend you to please see your doctor and if your chest is congested, they would help you with antibiotics, short steroids, anti-allergic, and nebulizer. If you are asymptomatic with just mild cough, a short course of two weeks with antiallergics like a combination of Levocetirizine and Montelukast works wonders. |
Q. What are the symptoms of Zoon's balanitis? | Hello doctor, I have a severe infection on my penis head which I suspect (also confirmed by a doctor) to be Zoons balanitis. The infection has been for a year now. I am circumcised and this infection has been recurring for the past six years in the same area. The infection has eaten off whole skin on my penis head and also blocked my urinary opeing. It is so painful and burns when I pee. I have been applying a Fucibet cream for seven days now and also taking antibiotics prescribed by a Dermatologist but no improvement. I do not know what to do. I have been to various doctors including Urologists. They have done biopsy and results came back negative on cancer cells. I have tested positive for herpes and MRSA. Please help. | Hello. Can you send a picture of your lesion for proper diagnosis and treatment? Please avoid application of steroids over the area. It is good that you are circumcised. |
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Hello doctor, I have a severe infection on my penis head which I suspect (also confirmed by a doctor) to be Zoons balanitis. The infection has been for a year now. I am circumcised and this infection has been recurring for the past six years in the same area. The infection has eaten off whole skin on my penis head and also blocked my urinary opeing. It is so painful and burns when I pee. I have been applying a Fucibet cream for seven days now and also taking antibiotics prescribed by a Dermatologist but no improvement. I do not know what to do. I have been to various doctors including Urologists. They have done biopsy and results came back negative on cancer cells. I have tested positive for herpes and MRSA. Please help. [/INST] Hello. Can you send a picture of your lesion for proper diagnosis and treatment? Please avoid application of steroids over the area. It is good that you are circumcised. |
Q. What causes blocked nose with hoarse voice? | Hello doctor, My family doctor referred me to an ENT to investigate a persistent sinus discharge problem that seemed to be causing voice hoarseness, likely from mucus building up in my throat. I thought the hoarseness might be a side effect of the Tamsulosin I take each day for BPH, but he did not think so. During the exam by the ENT, he found that my nostrils were almost completely blocked. Although I had not complained of problems breathing through my nose, so air could get through, his scope with the light and camera on the end could only be inserted part way through either nostril. As a result, I am being scheduled for (endoscopic?) surgery to reconstruct the separation between my nostrils and clear the airways through my nose. Apparently, it will take about 30 minutes and will not leave scars or require any packing or lengthy recovery time (just a few days). The ENT thinks that will clear up the nasal discharge and ultimately solve the hoarseness. Does this sound reasonable? | Hi. Have you had any complaints with nose before? Has a CT scan been done to check for sinus inflammation or pathology? How much is the nasal airway compromise? Has he given you any sprays? Has he ruled out allergy? |
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Hello doctor, My family doctor referred me to an ENT to investigate a persistent sinus discharge problem that seemed to be causing voice hoarseness, likely from mucus building up in my throat. I thought the hoarseness might be a side effect of the Tamsulosin I take each day for BPH, but he did not think so. During the exam by the ENT, he found that my nostrils were almost completely blocked. Although I had not complained of problems breathing through my nose, so air could get through, his scope with the light and camera on the end could only be inserted part way through either nostril. As a result, I am being scheduled for (endoscopic?) surgery to reconstruct the separation between my nostrils and clear the airways through my nose. Apparently, it will take about 30 minutes and will not leave scars or require any packing or lengthy recovery time (just a few days). The ENT thinks that will clear up the nasal discharge and ultimately solve the hoarseness. Does this sound reasonable? [/INST] Hi. Have you had any complaints with nose before? Has a CT scan been done to check for sinus inflammation or pathology? How much is the nasal airway compromise? Has he given you any sprays? Has he ruled out allergy? |
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 --> |
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