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Q. How can large tooth cavity be treated? | Hello doctor, I am going to the dentist soon and I know I have a cavity and I think it is pretty big- it is easily noticeable. And I am just nervous because it is probably obvious that I do not brush- the bristles are always a really weird texture for me and I just do not want anyone to be mad at me because I have known about it for a while now (I feel bad for saying this, but I think it has been around six months) and never mentioned it to anyone because I am little scared of going to the dentist. I do not like anyone feeling around in my mouth and knowing about this cavity is making me even more nervous for going there today. I have had teeth pulled in the past and I hate everything about it, but I am not sure they could just fill in this cavity. | Hello. As a human we all carry some kinds of secrets or fear back in our head. I felt glad as you have the courage to admit that, most people cannot. So be proud of that. I think you need a scaling too, as you have not brushed for a long time its leads to swollen gingiva that might be the reason of uncomfortable using a brush. As you have caries and sensitivity associated, you might not necessarily need an extraction. If the caries has progressed alot, root canal can be done to save your tooth. Betadine Mouthwash, Gargle in lukewarm water 2-3 times a day. Do not worry, use it, if any foul breath that will be covered and your secret will be safe. As you feel uncomfortable using a brush, you can brush using your finger and toothpaste. That way your mouth will also be clean and issue with bristle will also be resolved. You can also take capsule Sporidex 500 mg one apsule BD for 5 days, tablet Zerodol SP 1 tablet BD for 5 days, capsule Pan D one capsule BD before meal for 5 days. You will be needing a scaling to remove any tartar. Once done you can start practising brushing using a soft bristle brush (even a baby brush will do for a start). I am confident you will succeed. But you have to start the habit and you will get used to it, trust me. You can train and motivate yourself by rewarding a candy or anything special. By that way you can overcome your fear and gain comfidence. I am glad that I could be someone whom you can share a secret. I wish you good luck. You can trust me and ask if any further query. I will be happy to help further. Hope your treatment goes fine. Do as I asked you to do. You are brave, you will be fine. I am confident about that. |
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Hello doctor, I am going to the dentist soon and I know I have a cavity and I think it is pretty big- it is easily noticeable. And I am just nervous because it is probably obvious that I do not brush- the bristles are always a really weird texture for me and I just do not want anyone to be mad at me because I have known about it for a while now (I feel bad for saying this, but I think it has been around six months) and never mentioned it to anyone because I am little scared of going to the dentist. I do not like anyone feeling around in my mouth and knowing about this cavity is making me even more nervous for going there today. I have had teeth pulled in the past and I hate everything about it, but I am not sure they could just fill in this cavity. [/INST] Hello. As a human we all carry some kinds of secrets or fear back in our head. I felt glad as you have the courage to admit that, most people cannot. So be proud of that. I think you need a scaling too, as you have not brushed for a long time its leads to swollen gingiva that might be the reason of uncomfortable using a brush. As you have caries and sensitivity associated, you might not necessarily need an extraction. If the caries has progressed alot, root canal can be done to save your tooth. Betadine Mouthwash, Gargle in lukewarm water 2-3 times a day. Do not worry, use it, if any foul breath that will be covered and your secret will be safe. As you feel uncomfortable using a brush, you can brush using your finger and toothpaste. That way your mouth will also be clean and issue with bristle will also be resolved. You can also take capsule Sporidex 500 mg one apsule BD for 5 days, tablet Zerodol SP 1 tablet BD for 5 days, capsule Pan D one capsule BD before meal for 5 days. You will be needing a scaling to remove any tartar. Once done you can start practising brushing using a soft bristle brush (even a baby brush will do for a start). I am confident you will succeed. But you have to start the habit and you will get used to it, trust me. You can train and motivate yourself by rewarding a candy or anything special. By that way you can overcome your fear and gain comfidence. I am glad that I could be someone whom you can share a secret. I wish you good luck. You can trust me and ask if any further query. I will be happy to help further. Hope your treatment goes fine. Do as I asked you to do. You are brave, you will be fine. I am confident about that. |
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. Does anxiety cause hand tremor and shoulder pain? | Hi doctor, I am a 24 year old female. I got married a year ago. I am an audiologist. I am having pain in my shoulder, hand, neck and back more in the left side of the body. Sometimes, I feel tremor in my fingers and hand and pain throughout the nerves of hand. I have these symptoms for almost 8 months now. I used to get fever at night. I consulted a physician and he prescribed me some antibiotics and multivitamin tablets. He asked me to get a Vitamin B12 test. My vitamin B12 was 173 and vitamin D was 4.7. He suggested me to go for vitamin B12 injections. After taking injections for two days the pain became severe and my normal activity got affected. So, I stopped the injections. Then, I consulted a neurologist and he prescribed me Meganeuron and Uprise D3. I am taking that for more than a month now and I do not feel any change in pain. In fact back pain got severe now. When I hold something in hand, I feel the pain radiates from the shoulder to hand followed by nerves of hand and then throughout fingers. For past two weeks, I am having pain in my heels while walking, which is more in morning. Due to these pain, I am unable to concentrate on work and sleep. So, last week I consulted another neurologist and he gave me Rexipra and advised me to continue it for 3 months. When I got to know that it is for depression and anxiety, I did not take that. After taking B12 injections I repeated all blood tests and now my vitamin B12 level is 360. Please find the attachment and give a solution. | Hi. I have reviewed the attached reports (attachment removed to protect patient identity). I would here by say that you may not believe vitamin B12 and vitamin D deficiency are very common in some races and we always misdiagnose these symptoms. Your symptoms are due to anxiety and not due to Vitamin B12 and D. Moreover you have taken the treatment with no relief. Share my opinion with your doctor. I would recommend in such case SSRI (Serotonin selective reuptake inhibitor) like Escitalopram with a beta blocker like Propranolol if your chest condition, pulse rate and blood pressure permits. |
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Hi doctor, I am a 24 year old female. I got married a year ago. I am an audiologist. I am having pain in my shoulder, hand, neck and back more in the left side of the body. Sometimes, I feel tremor in my fingers and hand and pain throughout the nerves of hand. I have these symptoms for almost 8 months now. I used to get fever at night. I consulted a physician and he prescribed me some antibiotics and multivitamin tablets. He asked me to get a Vitamin B12 test. My vitamin B12 was 173 and vitamin D was 4.7. He suggested me to go for vitamin B12 injections. After taking injections for two days the pain became severe and my normal activity got affected. So, I stopped the injections. Then, I consulted a neurologist and he prescribed me Meganeuron and Uprise D3. I am taking that for more than a month now and I do not feel any change in pain. In fact back pain got severe now. When I hold something in hand, I feel the pain radiates from the shoulder to hand followed by nerves of hand and then throughout fingers. For past two weeks, I am having pain in my heels while walking, which is more in morning. Due to these pain, I am unable to concentrate on work and sleep. So, last week I consulted another neurologist and he gave me Rexipra and advised me to continue it for 3 months. When I got to know that it is for depression and anxiety, I did not take that. After taking B12 injections I repeated all blood tests and now my vitamin B12 level is 360. Please find the attachment and give a solution. [/INST] Hi. I have reviewed the attached reports (attachment removed to protect patient identity). I would here by say that you may not believe vitamin B12 and vitamin D deficiency are very common in some races and we always misdiagnose these symptoms. Your symptoms are due to anxiety and not due to Vitamin B12 and D. Moreover you have taken the treatment with no relief. Share my opinion with your doctor. I would recommend in such case SSRI (Serotonin selective reuptake inhibitor) like Escitalopram with a beta blocker like Propranolol if your chest condition, pulse rate and blood pressure permits. |
Q. What can cause radiating stomach pain? | Hello doctor, I have been suffering from sudden attack of pain in stomach for the past four years. The pain crosses backside too for a few seconds, at intervals of days, weeks or months. I have consulted many doctors, taken lots of medication, but nothing has worked. All my tests came normal. Kindly help me find some solution to this. | Hi. According to my knowledge, abdomen pain that radiates to back needs to be evaluated for gall bladder as well as for problems in regard to pancreatitis. If your ultrasound scan performed previously showed the results are normal then I would suggest you get a CT scan of abdomen done. If your CT scan reports are also normal, then the pain in the abdomen can be a cause of irritable bowel syndrome (IBS). I would recommend you to follow the below treatment plan for IBS. |
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Hello doctor, I have been suffering from sudden attack of pain in stomach for the past four years. The pain crosses backside too for a few seconds, at intervals of days, weeks or months. I have consulted many doctors, taken lots of medication, but nothing has worked. All my tests came normal. Kindly help me find some solution to this. [/INST] Hi. According to my knowledge, abdomen pain that radiates to back needs to be evaluated for gall bladder as well as for problems in regard to pancreatitis. If your ultrasound scan performed previously showed the results are normal then I would suggest you get a CT scan of abdomen done. If your CT scan reports are also normal, then the pain in the abdomen can be a cause of irritable bowel syndrome (IBS). I would recommend you to follow the below treatment plan for IBS. |
Q. Is bariatric surgery advisable for the second time? | Hi doctor, I am 41 years old. I am suffering from hypothyroidism and for which I am taking Thyroxine 175 mcg daily. My height is 5'10" and my current weight is 127 kg. Two years ago, I had sleeve gastrectomy and lost only 20 kg. The surgeon now advised me to get gastric bypass surgery. But I am not comfortable with that. I have attached my recent testosterone report. I feel as if I have low testosterone. How to increase my testosterone levels? I have a history of nasopharynx non-Hodgkin's lymphoma and it got treated successfully by radiation. | Hi. I went through your query and the reports (attachment removed to protect identity). Your testosterone level is normal. Though on the lower side of the normal range, there is nothing needs to be done to increase testosterone. There are medications to increase testosterone levels but it is not needed in your case. You can try some natural methods like doing aerobic exercise, eating more of citrus fruits, eating more of onion and garlic and also wear loose undergarments. While going through your reports, I noticed that your insulin levels and C-peptide levels are elevated. This suggests that you are having insulin resistance which may lead to diabetes in the future. So, kindly start doing aerobic exercise which will reduce insulin resistance. |
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Hi doctor, I am 41 years old. I am suffering from hypothyroidism and for which I am taking Thyroxine 175 mcg daily. My height is 5'10" and my current weight is 127 kg. Two years ago, I had sleeve gastrectomy and lost only 20 kg. The surgeon now advised me to get gastric bypass surgery. But I am not comfortable with that. I have attached my recent testosterone report. I feel as if I have low testosterone. How to increase my testosterone levels? I have a history of nasopharynx non-Hodgkin's lymphoma and it got treated successfully by radiation. [/INST] Hi. I went through your query and the reports (attachment removed to protect identity). Your testosterone level is normal. Though on the lower side of the normal range, there is nothing needs to be done to increase testosterone. There are medications to increase testosterone levels but it is not needed in your case. You can try some natural methods like doing aerobic exercise, eating more of citrus fruits, eating more of onion and garlic and also wear loose undergarments. While going through your reports, I noticed that your insulin levels and C-peptide levels are elevated. This suggests that you are having insulin resistance which may lead to diabetes in the future. So, kindly start doing aerobic exercise which will reduce insulin resistance. |
Q. Is Mitomycin C necessary for urinary bladder cancer? | Hi doctor, My elder brother has undergone removal of low grade papillary carcinoma of urinary bladder without any local lymphatic involvement. He was advised to take Mitomycin C after six weeks of surgical intervention TURBT. Is it necessary to go for the drug? Is it prophylactic or therapeutic? I need your valuable opinion at the earliest. | Hi. Superficial bladder cancer or nonmuscle invasive bladder cancer includes carcinoma in situ (CIS or Tis), Ta tumors, and T1 tumors. These are all cancers that have been found very early in their development. The cancer cells are only in the lining of the innermost layer of the bladder. These type of tumors have more than five-year survival rate, but the recurrence is an issue. Multiple trials have shown intravesical instillation of BCG (Bacillus Calmette-Guerin) or Mitomycin C (MMC). This has shown progression in 7.67% of the BCG subjects and 9.44% of MMC subjects. I would suggest you go for it. I have seen patients surviving for two decades after such therapy. |
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Hi doctor, My elder brother has undergone removal of low grade papillary carcinoma of urinary bladder without any local lymphatic involvement. He was advised to take Mitomycin C after six weeks of surgical intervention TURBT. Is it necessary to go for the drug? Is it prophylactic or therapeutic? I need your valuable opinion at the earliest. [/INST] Hi. Superficial bladder cancer or nonmuscle invasive bladder cancer includes carcinoma in situ (CIS or Tis), Ta tumors, and T1 tumors. These are all cancers that have been found very early in their development. The cancer cells are only in the lining of the innermost layer of the bladder. These type of tumors have more than five-year survival rate, but the recurrence is an issue. Multiple trials have shown intravesical instillation of BCG (Bacillus Calmette-Guerin) or Mitomycin C (MMC). This has shown progression in 7.67% of the BCG subjects and 9.44% of MMC subjects. I would suggest you go for it. I have seen patients surviving for two decades after such therapy. |
Q. What is the reason for increase in resting heart rate? | Hi doctor, I am 25 years old. My resting heart rate is above 100. What is the reason? | Hi. I have worked through your query and understand your health issues. I assure you not worry as you have consulted the appropriate expert physician who will take care of all of your medical concerns. The reasons for tachycardia are as follows. If you have any other symptoms like shortness of breath, dizziness, weakness, fainting, etc., then consult a cardiologist for proper physical evaluation and treatment if needed. He may also prescribe some medicine to control heartbeat and blood pressure. Also, there are ways to treat tachycardia with home remedies. |
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Hi doctor, I am 25 years old. My resting heart rate is above 100. What is the reason? [/INST] Hi. I have worked through your query and understand your health issues. I assure you not worry as you have consulted the appropriate expert physician who will take care of all of your medical concerns. The reasons for tachycardia are as follows. If you have any other symptoms like shortness of breath, dizziness, weakness, fainting, etc., then consult a cardiologist for proper physical evaluation and treatment if needed. He may also prescribe some medicine to control heartbeat and blood pressure. Also, there are ways to treat tachycardia with home remedies. |
Q. Will neurectomy cause any pain or side-effects? | Hello doctor, I am having an inguinal mesh removal and triple neurectomy 20 days later. What type of pain and side effects should I expect from the neurectomy? | Hello. I understand your concern and would explain that this type of neurectomy is usually used to treat chronic resistant pain in the groin area (inguinal region) due to inguinal herniation. So, it is supposed that your situation will improve, and you will experience only local pain due to the surgery and soft tissues inflammation. This type of pain will usually disappear in a couple of weeks, after healing. Acetaminophen and Ibuprofen can help improve pain. If neurectomy is not successful, persistent pain like heaviness or dull pain may persist. In such a case, Gabapentin or Pregabalin would help against the pain. |
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Hello doctor, I am having an inguinal mesh removal and triple neurectomy 20 days later. What type of pain and side effects should I expect from the neurectomy? [/INST] Hello. I understand your concern and would explain that this type of neurectomy is usually used to treat chronic resistant pain in the groin area (inguinal region) due to inguinal herniation. So, it is supposed that your situation will improve, and you will experience only local pain due to the surgery and soft tissues inflammation. This type of pain will usually disappear in a couple of weeks, after healing. Acetaminophen and Ibuprofen can help improve pain. If neurectomy is not successful, persistent pain like heaviness or dull pain may persist. In such a case, Gabapentin or Pregabalin would help against the pain. |
Q. I have long-sightedness. Will lasik cure it? | Hello doctor,I wanted to ask you about long-sightedness. | Hello. I have gone through your attachment (attachment removed to protect patient identity), you have myopic astigmatism in both with the left eye having high astigmatism. If you have any doubts about this prescription then please be more specific about it, I will do my best to help you. |
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Hello doctor,I wanted to ask you about long-sightedness. [/INST] Hello. I have gone through your attachment (attachment removed to protect patient identity), you have myopic astigmatism in both with the left eye having high astigmatism. If you have any doubts about this prescription then please be more specific about it, I will do my best to help you. |
Q. Will taking medication cure adult ADHD? | Hello doctor, I am just curious here. I fully believe I have adult ADHD, and being that I was diagnosed at 11 with it, would this help my case for medication with a psych? | Hi. Both adult and childhood ADHD needs to be treated with medicines. Three medicines are the first line drugs used to treat ADHD namely Methamphetamine (Adderal), Methylphenidate (Concerta) and Atomoxetine (Strattera). The former two drugs are more effective in treating hyperactivity symptoms while the third is more effective in impulsivity symptoms of ADHD. Another drug which has been used with great success in the past is an alpha-2 agonist called Clonidine. It is also used in treating hypertension and urinary retention. |
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Hello doctor, I am just curious here. I fully believe I have adult ADHD, and being that I was diagnosed at 11 with it, would this help my case for medication with a psych? [/INST] Hi. Both adult and childhood ADHD needs to be treated with medicines. Three medicines are the first line drugs used to treat ADHD namely Methamphetamine (Adderal), Methylphenidate (Concerta) and Atomoxetine (Strattera). The former two drugs are more effective in treating hyperactivity symptoms while the third is more effective in impulsivity symptoms of ADHD. Another drug which has been used with great success in the past is an alpha-2 agonist called Clonidine. It is also used in treating hypertension and urinary retention. |
Q. What are the ways to treat patch due to hair loss? | Hi doctor, I have been experiencing a patch of hair loss and it is getting bigger. I had two but the one is gone now. I am very proud of my hair and this makes me emotional. | Hi. This is alopecia areata, and the patch on your backside of the scalp is ophiasis, a subtype of alopecia areata. It is thought to be an autoimmune disease in which hair loss is in the form of patches but comes back itself as you have told. Meanwhile, you can apply topical steroids over it like Fluticasone propionate ointment or lotion. Another option is a mixture of topical Canthradine plus topical Capsicum and Methylated spirit in equal proportion and apply for five minutes twice per week as they have an irritant effect. Topical steroids will be beneficial for you. Follow up at one month. Alopecia areata. Apply Fluticasone propionate ointment or lotion over the area, take Multivitamins. |
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Hi doctor, I have been experiencing a patch of hair loss and it is getting bigger. I had two but the one is gone now. I am very proud of my hair and this makes me emotional. [/INST] Hi. This is alopecia areata, and the patch on your backside of the scalp is ophiasis, a subtype of alopecia areata. It is thought to be an autoimmune disease in which hair loss is in the form of patches but comes back itself as you have told. Meanwhile, you can apply topical steroids over it like Fluticasone propionate ointment or lotion. Another option is a mixture of topical Canthradine plus topical Capsicum and Methylated spirit in equal proportion and apply for five minutes twice per week as they have an irritant effect. Topical steroids will be beneficial for you. Follow up at one month. Alopecia areata. Apply Fluticasone propionate ointment or lotion over the area, take Multivitamins. |
Q. Is it advisable to use Silver nitrate to cure granulation with pharyngitis? | Hello doctor, My ENT doctor told me that I am having granulation with pharyngitis. He applied silver nitrate. Will I be fine? | Hi. The condition you specified might be granular pharyngitis. If it is a recurrent condition you can be treated with Silver Nitrate to remove those granulations. There is no problem in the above-mentioned treatment. Apart from antacids, I suggest you take antibiotics and mouth gargles. If possible, provide me a picture of your throat by taking a picture in the mirror (if possible). |
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Hello doctor, My ENT doctor told me that I am having granulation with pharyngitis. He applied silver nitrate. Will I be fine? [/INST] Hi. The condition you specified might be granular pharyngitis. If it is a recurrent condition you can be treated with Silver Nitrate to remove those granulations. There is no problem in the above-mentioned treatment. Apart from antacids, I suggest you take antibiotics and mouth gargles. If possible, provide me a picture of your throat by taking a picture in the mirror (if possible). |
Q. Is mole with large circular area a suspicious one? | Hi doctor, Today I noticed two moles on my back with large dark circles around them. I have attached the photos of one affected area only. I have always had these moles, but have never seen these dark circles until today. I have had biopsies of moles from my back before and they were not cancerous. However, in the past, my dermatologist and a plastic surgeon removed a pre-cancerous mole removed from my right calf and a suspicious mole from my right bicep. My mother had a melanoma removed. I am also recovering from a case of shingles on my face. Could my immune system have been weakened from fighting off whatever is going on with these moles? Please explain. | Hi. For further doubts consult a dermatologist online --> |
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Hi doctor, Today I noticed two moles on my back with large dark circles around them. I have attached the photos of one affected area only. I have always had these moles, but have never seen these dark circles until today. I have had biopsies of moles from my back before and they were not cancerous. However, in the past, my dermatologist and a plastic surgeon removed a pre-cancerous mole removed from my right calf and a suspicious mole from my right bicep. My mother had a melanoma removed. I am also recovering from a case of shingles on my face. Could my immune system have been weakened from fighting off whatever is going on with these moles? Please explain. [/INST] Hi. For further doubts consult a dermatologist online --> |
Q. How long should my husband and I wait to try for a baby if we did cocaine? | Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. | Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> |
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Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. [/INST] Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> |
Q. Can Yasmin birth control pill be used as an emergency contraceptive pill? | Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? | Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> |
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Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? [/INST] Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> |
Q. Please explain the poisonous effect of phenol ingestion. | Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. | Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> |
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Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. [/INST] Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> |
Q. For how long should I take Kalachikai powder to overcome PCOD problem? | Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? | Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> |
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Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? [/INST] Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> |
Q. Why do periods get delayed after first time sex? | Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? | Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> |
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Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? [/INST] Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> |
Q. What is the treatment for chronic belching? | Hello doctor, I am a 38-year old male. 6’0" 230 pounds. I have had chronic belching for about a month. This is from the time I wake up until the time I go to bed. Symptoms decrease when lying flat or sitting still. I belch every time I stand up or sit down. It is almost like a hiccup burp. No other symptoms at all. I have been diagnosed with general anxiety but no other medical issues. I have also been taking Nexium for a few weeks. | Hello. I have gone through your query in detail. I would like a few more details about your belching. Do you have reflux symptoms (sour after taste, recently consumed food coming back to the throat on belching, or heartburn) or any vomiting? How are you opening your bowels? Have had an endoscopy (EGD)? Is it usually that you have a feeling that you need to belch to ease the discomfort in your tummy? Belching is usually a behavioral issue, and can be controlled by behavioral training. The above-mentioned details would help in guiding you about managing your symptoms. |
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Hello doctor, I am a 38-year old male. 6’0" 230 pounds. I have had chronic belching for about a month. This is from the time I wake up until the time I go to bed. Symptoms decrease when lying flat or sitting still. I belch every time I stand up or sit down. It is almost like a hiccup burp. No other symptoms at all. I have been diagnosed with general anxiety but no other medical issues. I have also been taking Nexium for a few weeks. [/INST] Hello. I have gone through your query in detail. I would like a few more details about your belching. Do you have reflux symptoms (sour after taste, recently consumed food coming back to the throat on belching, or heartburn) or any vomiting? How are you opening your bowels? Have had an endoscopy (EGD)? Is it usually that you have a feeling that you need to belch to ease the discomfort in your tummy? Belching is usually a behavioral issue, and can be controlled by behavioral training. The above-mentioned details would help in guiding you about managing your symptoms. |
Q. Can myelopathy associated with Hashimoto's be treated? | Hello doctor, I am a 59-year-old female who was diagnosed five years back with the rare I have not had an MRI scan or seen by a neurologist for a follow-up. Since I was diagnosed, I have not been given a prognosis of myelopathy associated with Hashimoto’s. I was paralyzed from the chest down before diagnosis. I was put on a course of three months Steriods and then 125 mg Azathioprine which was in last year and increased to 150 mg currently. I get three hours of physio a week and three monthly blood tests, full blood count, TPO, and TSH. In your opinion what would be the expected neurological care for this condition, and the absolute minimum acceptable standard of care? Is an annual MRI necessary? Should a specialist be able to provide a prognosis on my condition? Any other advice you consider helpful to me. | Hi. I am sorry to hear about your illness. You are likely suffering from Hashimoto's myelopathy based on your description. It is rare condition and only a handful of cases have been described worldwide. It is known to be very steroid responsive and there should be a remarkable improvement with steroids injections. If you had no response to the injections, I wonder about other diagnoses as well, given you have a history of cervical disc bulge causing weakness. The best way I can come to a better answer is by looking at the MRI images of the spine and brain, report of CSF studies with CSF level of anti-thyroglobulin and anti-microsomal antibodies. If we are seeing damage in the cord and the muscle power testing is weak with atrophy of muscles, for the past three years, then the recovery will be guarded. I will strongly advise, rehabilitation with PT, OT and botulinum toxin injections or spinal cord pump installation if significant spasticity is there in both legs. |
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Hello doctor, I am a 59-year-old female who was diagnosed five years back with the rare I have not had an MRI scan or seen by a neurologist for a follow-up. Since I was diagnosed, I have not been given a prognosis of myelopathy associated with Hashimoto’s. I was paralyzed from the chest down before diagnosis. I was put on a course of three months Steriods and then 125 mg Azathioprine which was in last year and increased to 150 mg currently. I get three hours of physio a week and three monthly blood tests, full blood count, TPO, and TSH. In your opinion what would be the expected neurological care for this condition, and the absolute minimum acceptable standard of care? Is an annual MRI necessary? Should a specialist be able to provide a prognosis on my condition? Any other advice you consider helpful to me. [/INST] Hi. I am sorry to hear about your illness. You are likely suffering from Hashimoto's myelopathy based on your description. It is rare condition and only a handful of cases have been described worldwide. It is known to be very steroid responsive and there should be a remarkable improvement with steroids injections. If you had no response to the injections, I wonder about other diagnoses as well, given you have a history of cervical disc bulge causing weakness. The best way I can come to a better answer is by looking at the MRI images of the spine and brain, report of CSF studies with CSF level of anti-thyroglobulin and anti-microsomal antibodies. If we are seeing damage in the cord and the muscle power testing is weak with atrophy of muscles, for the past three years, then the recovery will be guarded. I will strongly advise, rehabilitation with PT, OT and botulinum toxin injections or spinal cord pump installation if significant spasticity is there in both legs. |
Q. What does consistent twitching in lower eyelid indicate? | Hello doctor, I have consistent twitching in the bottom lid of my left eye. It has been ongoing for about for two weeks tomorrow. | Hello. This eyelid twitching can be caused by a number of different problems. In case you have only the eyelid twitch and have no other problems in your eye or other bodily diseases, we label such cases as essential blepharospasm. To reduce this, I suggest you do the following. Avoid tea or coffee completely for a few days. Get around eight hours of sleep at night. In case you have any burning sensation or itching or irritation use an over-the-counter lubricant eyedrop containing Carboxymethylcellulose acetate 0.5 percent 6 to 8 times a day. In case you have any other symptoms with the twitching or have already tried doing the things I just mentioned, please let me know. I would appreciate if you could share your doctor's records, relevant test results with me, I will do my best to help. |
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Hello doctor, I have consistent twitching in the bottom lid of my left eye. It has been ongoing for about for two weeks tomorrow. [/INST] Hello. This eyelid twitching can be caused by a number of different problems. In case you have only the eyelid twitch and have no other problems in your eye or other bodily diseases, we label such cases as essential blepharospasm. To reduce this, I suggest you do the following. Avoid tea or coffee completely for a few days. Get around eight hours of sleep at night. In case you have any burning sensation or itching or irritation use an over-the-counter lubricant eyedrop containing Carboxymethylcellulose acetate 0.5 percent 6 to 8 times a day. In case you have any other symptoms with the twitching or have already tried doing the things I just mentioned, please let me know. I would appreciate if you could share your doctor's records, relevant test results with me, I will do my best to help. |
Q. Will having sex twice lead to fraternal twins? | Hello doctor, Fraternal twins are when two eggs have been released and both get fertilized by two different sperms. Does this mean the woman had sex twice to fertilize the second egg or one sperm fertilized both of them? | Hi. Actually, twins are babies produced by single same pregnancy can be monozygotic (identical) or dizygotic (fraternal). Monozygotic develop from one zygote which splits in an early stage of development and form two embryos. Dizygotic (fraternal) twins mean each twin develop at the same time from a separate egg and each egg is fertilized by its own sperm at the same time. It means woman had sex once only and at time fertilization two eggs fertilized by two sperms. In a few milliliters of semen, millions of sperms are there. So two sperms used to fertilized two eggs. |
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Hello doctor, Fraternal twins are when two eggs have been released and both get fertilized by two different sperms. Does this mean the woman had sex twice to fertilize the second egg or one sperm fertilized both of them? [/INST] Hi. Actually, twins are babies produced by single same pregnancy can be monozygotic (identical) or dizygotic (fraternal). Monozygotic develop from one zygote which splits in an early stage of development and form two embryos. Dizygotic (fraternal) twins mean each twin develop at the same time from a separate egg and each egg is fertilized by its own sperm at the same time. It means woman had sex once only and at time fertilization two eggs fertilized by two sperms. In a few milliliters of semen, millions of sperms are there. So two sperms used to fertilized two eggs. |
Q. How can I improve my erection? | Hello doctor, How are you doing? I hope you are good. My age is 29, from the last 8 to 9 days, I did not have a proper erection. This did not happen with me earlier. I am a bit worried because of this issue, also I am sleeping at 4 O'clock in the morning and waking up at 9 O'clock in the morning. Please let me know if this is a major issue or I should make changes in my lifestyle or on food intake. | Hi. The cause of poor erection is due to poor blood to penile vasculature. The main cause is that a young person like you is psychological in nature like anxiety or tension due to poor communication between the partner or due to depression, fatigue, stress. The medical conditions such as thyroid dysfunction or diabetes, hypertension, etc., can also cause this. So first get these things checked that you have these medical illnesses or not. If you have any medical illness, then get them treated. Take a healthy diet and include fruit. Anything that is bad for the heart is also bad for the penis. Maintain a healthy weight. Do regular exercise. Avoid any substance use. Stop alcohol or tobacco, you can use the Mediterranean diet. If using any medicine, then check it with your doctor. Manage your stress effectively. Take adequate sleep, six to eight hours of sleep daily and maintain good sleep hygiene. Probably these things will help you. Erectile dysfunction is an issue of concern but first, try these things and get yourself evaluated and meanwhile try the above-mentioned tips. If these things do not help you then consult with your Psychiatrist in person for further evaluation. |
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Hello doctor, How are you doing? I hope you are good. My age is 29, from the last 8 to 9 days, I did not have a proper erection. This did not happen with me earlier. I am a bit worried because of this issue, also I am sleeping at 4 O'clock in the morning and waking up at 9 O'clock in the morning. Please let me know if this is a major issue or I should make changes in my lifestyle or on food intake. [/INST] Hi. The cause of poor erection is due to poor blood to penile vasculature. The main cause is that a young person like you is psychological in nature like anxiety or tension due to poor communication between the partner or due to depression, fatigue, stress. The medical conditions such as thyroid dysfunction or diabetes, hypertension, etc., can also cause this. So first get these things checked that you have these medical illnesses or not. If you have any medical illness, then get them treated. Take a healthy diet and include fruit. Anything that is bad for the heart is also bad for the penis. Maintain a healthy weight. Do regular exercise. Avoid any substance use. Stop alcohol or tobacco, you can use the Mediterranean diet. If using any medicine, then check it with your doctor. Manage your stress effectively. Take adequate sleep, six to eight hours of sleep daily and maintain good sleep hygiene. Probably these things will help you. Erectile dysfunction is an issue of concern but first, try these things and get yourself evaluated and meanwhile try the above-mentioned tips. If these things do not help you then consult with your Psychiatrist in person for further evaluation. |
Q. What treatment would you suggest seeing this MRI? | Hi doctor, This is in regard to my mother. She is 51 years old. Her weight is 112 kg. She has severe pain in the lumbar spine till her bottom and not the legs. She had done an MRI of her spine earlier and got detected with slipped discs. Recently, she did another MRI of her brain and whole screening of spine. I want you to explain the conclusion of the brain MRI. The report was round to oval T2 hyperintense foci in bilateral deep peritrigonal and right frontal white matter. Please explain in detail and also please tell me what treatment would it require. Also, she has slipped discs, frozen shoulder and muscle knots. Please tell a solution for muscle knots. Due to frozen shoulder, she cannot lift her right hand. She had injections, but did not get relief. From a while back, she is showing forgetfulness, no balance and cannot lead a normal life at all. I am sending the copies of the MRI and also attached her current medication list. I will be awaiting your reply. Thank you. | Hello. I had gone through all the data posted (attachment removed to protect patient identity). I would like to keep my answer as simple as possible so that you can understand easily. For further information consult an internal medicine physician online --> |
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Hi doctor, This is in regard to my mother. She is 51 years old. Her weight is 112 kg. She has severe pain in the lumbar spine till her bottom and not the legs. She had done an MRI of her spine earlier and got detected with slipped discs. Recently, she did another MRI of her brain and whole screening of spine. I want you to explain the conclusion of the brain MRI. The report was round to oval T2 hyperintense foci in bilateral deep peritrigonal and right frontal white matter. Please explain in detail and also please tell me what treatment would it require. Also, she has slipped discs, frozen shoulder and muscle knots. Please tell a solution for muscle knots. Due to frozen shoulder, she cannot lift her right hand. She had injections, but did not get relief. From a while back, she is showing forgetfulness, no balance and cannot lead a normal life at all. I am sending the copies of the MRI and also attached her current medication list. I will be awaiting your reply. Thank you. [/INST] Hello. I had gone through all the data posted (attachment removed to protect patient identity). I would like to keep my answer as simple as possible so that you can understand easily. For further information consult an internal medicine physician online --> |
Q. Can Addison's disease be passed on to next generations? | Hello doctor,Is Addison’s disease hereditary? My mother died from complications relating to Addison’s disease and over the last year or so I have been developing symptoms that could be consistent with it (hyperpigmentation, abdominal pain, dizziness). | Hello, Welcome to iclinq.com. Addison's disease (primary adrenal insufficiency) can be due to many causes. It is like when your adrenal glands are not producing the hormones they usually produce. While in the past, infections (particularly tuberculosis) were the most common cause for the destruction of adrenals, but now the most common cause worldwide is autoimmune destruction of the adrenals. As with other autoimmune diseases, there can be a hereditary component and associated with other autoimmune diseases. Weight loss, fatigue, postural hypotension (feeling dizzy when upright) and hyperpigmentation are the initial symptoms. Among those, you have a few. You should definitely get yourself screened for it, by undertaking a cosyntropin stimulation test. And if that is positive, you should get your plasma renin activity checked, along with serum aldosterone concentration. Also serum ACTH levels. Increased basal serum ACTH concentration, high renin, and low aldosterone will help in making the diagnosis. |
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Hello doctor,Is Addison’s disease hereditary? My mother died from complications relating to Addison’s disease and over the last year or so I have been developing symptoms that could be consistent with it (hyperpigmentation, abdominal pain, dizziness). [/INST] Hello, Welcome to iclinq.com. Addison's disease (primary adrenal insufficiency) can be due to many causes. It is like when your adrenal glands are not producing the hormones they usually produce. While in the past, infections (particularly tuberculosis) were the most common cause for the destruction of adrenals, but now the most common cause worldwide is autoimmune destruction of the adrenals. As with other autoimmune diseases, there can be a hereditary component and associated with other autoimmune diseases. Weight loss, fatigue, postural hypotension (feeling dizzy when upright) and hyperpigmentation are the initial symptoms. Among those, you have a few. You should definitely get yourself screened for it, by undertaking a cosyntropin stimulation test. And if that is positive, you should get your plasma renin activity checked, along with serum aldosterone concentration. Also serum ACTH levels. Increased basal serum ACTH concentration, high renin, and low aldosterone will help in making the diagnosis. |
Q. Will taking Unwanted 72 within four hours of sex prevent pregnancy? | Hello doctor, I had unprotected sex with my wife. After that she took Unwanted 72 within four hours. After 10 days, she bled but not heavy. It was a few spotting which was brown in color up to four days. After 12 days of sex, she took a pregnancy test. It was negative. Then please tell me if there is a chance of pregnancy or not. | Hello. Unwanted 72 is quite effective in preventing against the pregnancy and she had spotting after taking it so probably she did not get pregnant in this cycle. Please mention her cycle length and the day of the cycle you had unprotected sex on. |
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Hello doctor, I had unprotected sex with my wife. After that she took Unwanted 72 within four hours. After 10 days, she bled but not heavy. It was a few spotting which was brown in color up to four days. After 12 days of sex, she took a pregnancy test. It was negative. Then please tell me if there is a chance of pregnancy or not. [/INST] Hello. Unwanted 72 is quite effective in preventing against the pregnancy and she had spotting after taking it so probably she did not get pregnant in this cycle. Please mention her cycle length and the day of the cycle you had unprotected sex on. |
Q. Will taking laxatives help in relieving constipation? | Hello doctor, I am a 29-year-old male. I have been experiencing something like constipation for the past one week. I have had no abdominal pain, but I feel like I need to go to the bathroom. I have a bowel movement in the morning, but I feel constipated the rest of the day. I took some stool softeners a couple of days which helped, but I am still experiencing the need to evacuate my bowels. Also, I am passing some gas, but it is coming in little blips. Should I take a laxative or could it be like hemorrhoids or something? | Hello. I have read your complaints and what I feel is you might have irritable bowel syndrome (IBS) but before I could make this diagnosis, I need to know, do you have abdominal pain along with your constipation part? Do you feel relieved after defecation, by relief I specifically mean relief in the pain? Does this constipation sort of thing keep on recurring along with some episodes of diarrhea? Did you ever have complaints of blood or mucus in stools? If the answer to the first three questions is yes and a no to the fourth one, then it is more likely to be in favor of IBS. The cause of IBS is not known, but this I related to some sort of stress at work, studies, etc. You could try laxatives and modify your food in terms of food low in FODMAP. FODMAP is an acronym for fermentable oligo, di, monosaccharides, and polyols. You should avoid high FODMAP diet. |
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Hello doctor, I am a 29-year-old male. I have been experiencing something like constipation for the past one week. I have had no abdominal pain, but I feel like I need to go to the bathroom. I have a bowel movement in the morning, but I feel constipated the rest of the day. I took some stool softeners a couple of days which helped, but I am still experiencing the need to evacuate my bowels. Also, I am passing some gas, but it is coming in little blips. Should I take a laxative or could it be like hemorrhoids or something? [/INST] Hello. I have read your complaints and what I feel is you might have irritable bowel syndrome (IBS) but before I could make this diagnosis, I need to know, do you have abdominal pain along with your constipation part? Do you feel relieved after defecation, by relief I specifically mean relief in the pain? Does this constipation sort of thing keep on recurring along with some episodes of diarrhea? Did you ever have complaints of blood or mucus in stools? If the answer to the first three questions is yes and a no to the fourth one, then it is more likely to be in favor of IBS. The cause of IBS is not known, but this I related to some sort of stress at work, studies, etc. You could try laxatives and modify your food in terms of food low in FODMAP. FODMAP is an acronym for fermentable oligo, di, monosaccharides, and polyols. You should avoid high FODMAP diet. |
Q. Is it advisable to take Toprol 25 for tachycardia? | Hello doctor, I went to a cardiologist and he found me with tachycardia. But he never says where he found that. Reality is I have tachycardia every day mostly 11 to 4 PM. He gave a medication Toprol 25. But I fear the side effect and that I am having asthma. I have my studies done if you want to check it. | Hi. Please send me your ECG and other test reports so that I may guide you better. If you are asthmatic and have tachycardia, Nebivolol is better than Metoprolol, yet I want to check your reports to devise a proper plan for your treatment. |
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Hello doctor, I went to a cardiologist and he found me with tachycardia. But he never says where he found that. Reality is I have tachycardia every day mostly 11 to 4 PM. He gave a medication Toprol 25. But I fear the side effect and that I am having asthma. I have my studies done if you want to check it. [/INST] Hi. Please send me your ECG and other test reports so that I may guide you better. If you are asthmatic and have tachycardia, Nebivolol is better than Metoprolol, yet I want to check your reports to devise a proper plan for your treatment. |
Q. What can be done to treat memory and concentration issues with sensation loss? | Hello doctor, I was in the hospital and thought I may have had a small stroke. But I did not. The MRI showed some white tissue changes. Since I got out three weeks ago I have had problems with dull senses and memory and concentration issues. It is causing a lot of anxiety. In the evenings I do seem to feel better. But it seems like my nerves are not properly responding to the sensations they are feeling. I am really worried. Is this temporary or should I be doing something? I have been in the emergency room twice in the three weeks. | Hello. I understand your concern and would explain that your symptoms do not seem to be related to a stroke. Low blood perfusion to the brain could mimic this clinical situation. Anxiety too. White matter changes could be related to different possible causes: chronic arterial hypertension, vasculitis, migraines, etc. Coming to this point, I would recommend performing further tests to investigate for possible causes like inflammation tests (complete blood count PCR, ESR), thyroid hormone levels for thyroid dysfunction, a Doppler ultrasound of the carotid arteries to investigate for possible narrowing, an ECG Holter monitoring in order to investigate for possible cardiac arrhythmia. In the meantime, I would recommend taking Piracetam, Ginkgo supplements, and baby Aspirin daily. |
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Hello doctor, I was in the hospital and thought I may have had a small stroke. But I did not. The MRI showed some white tissue changes. Since I got out three weeks ago I have had problems with dull senses and memory and concentration issues. It is causing a lot of anxiety. In the evenings I do seem to feel better. But it seems like my nerves are not properly responding to the sensations they are feeling. I am really worried. Is this temporary or should I be doing something? I have been in the emergency room twice in the three weeks. [/INST] Hello. I understand your concern and would explain that your symptoms do not seem to be related to a stroke. Low blood perfusion to the brain could mimic this clinical situation. Anxiety too. White matter changes could be related to different possible causes: chronic arterial hypertension, vasculitis, migraines, etc. Coming to this point, I would recommend performing further tests to investigate for possible causes like inflammation tests (complete blood count PCR, ESR), thyroid hormone levels for thyroid dysfunction, a Doppler ultrasound of the carotid arteries to investigate for possible narrowing, an ECG Holter monitoring in order to investigate for possible cardiac arrhythmia. In the meantime, I would recommend taking Piracetam, Ginkgo supplements, and baby Aspirin daily. |
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. How to treat acute diarrhea and vomiting? | Hello doctor, My son is 21 months old. He is suffering from very acute diarrhea. That is four to five times in an hour and frequent vomiting, four times a day from the last four days. We consulted a local doctor. He advised the attached prescription and stool test. As per him it is due to severe bacterial infection in the stomach, which is resulting in diarrhea. My son is not suffering with dehydration and his fluid intake is sufficient. He himself is asking for food, but due to frequent motions, he is weak and the rashes makes him irritated. Please give your suggestions. We are worried as it seems that medicines are not healing it in a faster way. He got only 5% relief in three days. Doctor said that it will take three to four days to become normal and stool test is also fine. | Hello. I understand your concern for your child. I have seen the attached documents (attachment removed to protect patient identity). Acute diarrhea. 1. Give him ORS with each loose stool or whatever amount child takes. Prepare by adding a whole sachet in 1 liter water. 2. Syrup Zinc 5 mL for 14 days. Consult your specialist doctor, discuss with him or her and take the medicine with consent. Revert back with the answers to the above questions to a paediatrician online.---> |
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Hello doctor, My son is 21 months old. He is suffering from very acute diarrhea. That is four to five times in an hour and frequent vomiting, four times a day from the last four days. We consulted a local doctor. He advised the attached prescription and stool test. As per him it is due to severe bacterial infection in the stomach, which is resulting in diarrhea. My son is not suffering with dehydration and his fluid intake is sufficient. He himself is asking for food, but due to frequent motions, he is weak and the rashes makes him irritated. Please give your suggestions. We are worried as it seems that medicines are not healing it in a faster way. He got only 5% relief in three days. Doctor said that it will take three to four days to become normal and stool test is also fine. [/INST] Hello. I understand your concern for your child. I have seen the attached documents (attachment removed to protect patient identity). Acute diarrhea. 1. Give him ORS with each loose stool or whatever amount child takes. Prepare by adding a whole sachet in 1 liter water. 2. Syrup Zinc 5 mL for 14 days. Consult your specialist doctor, discuss with him or her and take the medicine with consent. Revert back with the answers to the above questions to a paediatrician online.---> |
Q. Is it normal for the eyes to blink when I move my jaws? | Hi doctor,My right eye automatically starts to blink whenever I used to eat something or do movements from my mouth. I checked with a doctor a few years back, they did not give me any sort of appropriate results for that. My parents also checked with some doctor in childhood and never got any result for that. How it can be possible that there is no solution for that as everything is possible in this world. Many times I feel bad and embarassed when people noticed my defected eye. Kindly solved my query. | Hello. The condition that you are describing here closely resembles a condition called Marcus gunn jaw winking. This causes a drooping of the affected eyelid with such movements of the eyelids on jaw movements. The cause for such movements is due to various factors, the nerve which supplies the facial muscles erroneous supplies the eyelid muscles, while in normal situations these are distinct and do not supply both these muscles together. The treatment for such a condition is surgical and would need the expertise of an oculoplastic surgeon. This would be available in most eye hospitals. Although, the success rates are variable and you may need more than one surgery in the long run. |
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Hi doctor,My right eye automatically starts to blink whenever I used to eat something or do movements from my mouth. I checked with a doctor a few years back, they did not give me any sort of appropriate results for that. My parents also checked with some doctor in childhood and never got any result for that. How it can be possible that there is no solution for that as everything is possible in this world. Many times I feel bad and embarassed when people noticed my defected eye. Kindly solved my query. [/INST] Hello. The condition that you are describing here closely resembles a condition called Marcus gunn jaw winking. This causes a drooping of the affected eyelid with such movements of the eyelids on jaw movements. The cause for such movements is due to various factors, the nerve which supplies the facial muscles erroneous supplies the eyelid muscles, while in normal situations these are distinct and do not supply both these muscles together. The treatment for such a condition is surgical and would need the expertise of an oculoplastic surgeon. This would be available in most eye hospitals. Although, the success rates are variable and you may need more than one surgery in the long run. |
Q. I have twitching in the upper left chest. Is it a matter of concern? | Hi doctor, I have an unusual strange feeling system. There is a twitch or spasm in the upper left chest where the heart is. It has been twitching constantly on and off all day. I have not been sleeping well for the last 3 to 4 days and I am on Adderall 20 mg XR and 2 x 30 mg IR daily. I am sure the lack of sleep and the Aderall are the cause. Is there any reason for concern? It is annoying but there is no chest pain or angina. As of my last heart checkup about six months ago, I have a healthy heart. 34 years old and active but this fluttering or spasm thing is annoying and just want to make sure it is not the coronary artery or something like that. | Hello. I passed carefully through your concern and would explain that your symptoms do not seem to be related to cardiac ischemia. These muscle twitching may be caused by possibile water and electrolytes imbalances. This, in turn, is favored also by Adderall (Amphetamine) intake. I recommend checking your blood electrolytes level together with acid-base disorders. Trying some physical procedures, like warm massage over the affected area, in addition to any anti-inflammatory drug could be of value like Naproxen. Also, checking your ECG would be necessary for excluding any arrhythmic events or any feature that would indicate any hydro-electrolytic imbalances that may trigger the above symptoms. Sleeping not-well is an important contributor for generating muscle twitching and other issues. You should be careful with the drug intake and periodically check ECG and blood parameters to timely prevent further homeostatic abnormalities. You should discuss with your attending doctor on the above-mentioned issues. |
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Hi doctor, I have an unusual strange feeling system. There is a twitch or spasm in the upper left chest where the heart is. It has been twitching constantly on and off all day. I have not been sleeping well for the last 3 to 4 days and I am on Adderall 20 mg XR and 2 x 30 mg IR daily. I am sure the lack of sleep and the Aderall are the cause. Is there any reason for concern? It is annoying but there is no chest pain or angina. As of my last heart checkup about six months ago, I have a healthy heart. 34 years old and active but this fluttering or spasm thing is annoying and just want to make sure it is not the coronary artery or something like that. [/INST] Hello. I passed carefully through your concern and would explain that your symptoms do not seem to be related to cardiac ischemia. These muscle twitching may be caused by possibile water and electrolytes imbalances. This, in turn, is favored also by Adderall (Amphetamine) intake. I recommend checking your blood electrolytes level together with acid-base disorders. Trying some physical procedures, like warm massage over the affected area, in addition to any anti-inflammatory drug could be of value like Naproxen. Also, checking your ECG would be necessary for excluding any arrhythmic events or any feature that would indicate any hydro-electrolytic imbalances that may trigger the above symptoms. Sleeping not-well is an important contributor for generating muscle twitching and other issues. You should be careful with the drug intake and periodically check ECG and blood parameters to timely prevent further homeostatic abnormalities. You should discuss with your attending doctor on the above-mentioned issues. |
Q. How can I delay my periods? | Hello doctor, I want to delay menstruation. Please advice. | Hi. You can have hormonal medications to delay the periods. For better results, start 5 to 7 days in advance of a particular date. Have tablet Primolute N (10 mg twice daily) and continue till three days before you want to have periods. After stopping medications, you can have withdrawal bleed within latest two weeks and earliest 3 to 4 days. You can have heavy prolonged bleeding after stopping medications, it depends on your body how it reacts. Later, for some time periods will be disturbed and then gradually will be regular. Have a balanced diet, weight, and BMI. A complete treatment of any health issue you have will be helpful. Tablet Primolute N to start 5 to 7 days in advance 5 to 10 mg twice daily till 3 to 4 days before you want to have periods. Can have COCP afterward to regulate periods. |
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Hello doctor, I want to delay menstruation. Please advice. [/INST] Hi. You can have hormonal medications to delay the periods. For better results, start 5 to 7 days in advance of a particular date. Have tablet Primolute N (10 mg twice daily) and continue till three days before you want to have periods. After stopping medications, you can have withdrawal bleed within latest two weeks and earliest 3 to 4 days. You can have heavy prolonged bleeding after stopping medications, it depends on your body how it reacts. Later, for some time periods will be disturbed and then gradually will be regular. Have a balanced diet, weight, and BMI. A complete treatment of any health issue you have will be helpful. Tablet Primolute N to start 5 to 7 days in advance 5 to 10 mg twice daily till 3 to 4 days before you want to have periods. Can have COCP afterward to regulate periods. |
Q. What is the treatment done for ocular rosacea, blepharitis, and MGD? | Hi doctor, I am a 22-year-old girl. I have had eye problems for around nine months and have seen several eye doctors and ophthalmologists who all have told me different things and tried a lot of different treatments that have not worked. I am a contact lens wearer with extremely bad eyesight and first had eye problems eight months back. It started after a plane ride and assumed it was an eye infection from being on a dirty plane and touching my eyes. My eyes were stinging and crying and red and I could not bear to put contacts in. Nine months later I am still having this problem. I was first treated with antibacterial drops by a normal doctor then referred to an eye doctor when this did not fix it. The eye doctors diagnosed me with ocular rosacea, blepharitis, and MGD. I have rosacea on my face too. I have done eye compresses, gotten a liposcan (meibomian glands were not clogged enough to need lipoflow), I have punctal plugs in both eyes and I took Doxycycline for over three months which did nothing but destroy my digestion. I have been prescribed Restasis and Lotemax which I use multiple times a day. I use lid scrubs and a tea tree oil eye and face cleanser. But my symptoms are still severe, I have extremely dry eyes, my eyes are bloodshot 24/7. I have red lower lid margins and cannot bear to wear contacts which is extremely upsetting because I am an athlete and this is really impacting my athletic ability and quality of life. I just really hope someone has an answer and treatment that will work. | Hi. I can imagine the situation you are going through. MGD (meibomian gland dysfunction) with dry eyes related to rosacea is a disturbing problem. Your doctor is treating it very well but in spite of all, you are still having problems. You have done warm compresses, taken oral and topical antibiotics and steroid drops too with artificial tears and punctal plugs. Most of the people respond to this therapy. A contact lens is not advised in cases with severe dry eyes and MGD (but as you told you are an athlete and glasses are not suitable for you). And you are not an ideal case for refractive surgery too with such condition. So considering all these factors I would suggest that discontinue contact lens for some time or minimize duration as much as you can (better to discontinue) until your eyes get better. Secondly, clean your lid margins regularly with wet cotton or baby shampoo to remove crusts (if any). You are already using steroid drops (Lotemax) but I would advise you to use eye ointment at night like Blephamide (has steroid) or plain antibiotic ointments like Fusithalmic (Fusic acid) or Tobramycin. Apply this ointment at lid margins, eyelash roots at night after properly cleansing eyelids (as it is a disease of lid margins). Topical drops have limited effect on lid margins diseases but topical drops are necessary for conjunctival redness. So continue Lotemax (I hope your doctor is monitoring intraocular pressure IOP as steroid drops can cause secondary glaucoma) and Restasis (Cyclosporine). Restasis can be used as many times as you feel the need. As they are preservative free and have no side effects. Punctal plugs are good. So, in short, continue all the medication you are using. Discontinue contact lenses for some time. Continue warm compresses. Try Blephamide ointment (if IOP is normal) or some antibiotic eye ointment. Keep follow up to your doctor they are doing a great job. |
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Hi doctor, I am a 22-year-old girl. I have had eye problems for around nine months and have seen several eye doctors and ophthalmologists who all have told me different things and tried a lot of different treatments that have not worked. I am a contact lens wearer with extremely bad eyesight and first had eye problems eight months back. It started after a plane ride and assumed it was an eye infection from being on a dirty plane and touching my eyes. My eyes were stinging and crying and red and I could not bear to put contacts in. Nine months later I am still having this problem. I was first treated with antibacterial drops by a normal doctor then referred to an eye doctor when this did not fix it. The eye doctors diagnosed me with ocular rosacea, blepharitis, and MGD. I have rosacea on my face too. I have done eye compresses, gotten a liposcan (meibomian glands were not clogged enough to need lipoflow), I have punctal plugs in both eyes and I took Doxycycline for over three months which did nothing but destroy my digestion. I have been prescribed Restasis and Lotemax which I use multiple times a day. I use lid scrubs and a tea tree oil eye and face cleanser. But my symptoms are still severe, I have extremely dry eyes, my eyes are bloodshot 24/7. I have red lower lid margins and cannot bear to wear contacts which is extremely upsetting because I am an athlete and this is really impacting my athletic ability and quality of life. I just really hope someone has an answer and treatment that will work. [/INST] Hi. I can imagine the situation you are going through. MGD (meibomian gland dysfunction) with dry eyes related to rosacea is a disturbing problem. Your doctor is treating it very well but in spite of all, you are still having problems. You have done warm compresses, taken oral and topical antibiotics and steroid drops too with artificial tears and punctal plugs. Most of the people respond to this therapy. A contact lens is not advised in cases with severe dry eyes and MGD (but as you told you are an athlete and glasses are not suitable for you). And you are not an ideal case for refractive surgery too with such condition. So considering all these factors I would suggest that discontinue contact lens for some time or minimize duration as much as you can (better to discontinue) until your eyes get better. Secondly, clean your lid margins regularly with wet cotton or baby shampoo to remove crusts (if any). You are already using steroid drops (Lotemax) but I would advise you to use eye ointment at night like Blephamide (has steroid) or plain antibiotic ointments like Fusithalmic (Fusic acid) or Tobramycin. Apply this ointment at lid margins, eyelash roots at night after properly cleansing eyelids (as it is a disease of lid margins). Topical drops have limited effect on lid margins diseases but topical drops are necessary for conjunctival redness. So continue Lotemax (I hope your doctor is monitoring intraocular pressure IOP as steroid drops can cause secondary glaucoma) and Restasis (Cyclosporine). Restasis can be used as many times as you feel the need. As they are preservative free and have no side effects. Punctal plugs are good. So, in short, continue all the medication you are using. Discontinue contact lenses for some time. Continue warm compresses. Try Blephamide ointment (if IOP is normal) or some antibiotic eye ointment. Keep follow up to your doctor they are doing a great job. |
Q. Is it necessary to use water during cavity preparation? | Hello doctor, I had a root canal today. When the doctor (a root canal specialist) made the hole into my silver filling, he did not use water. I thought dentist were supposed to use water when they take out a silver filling. Should he have done that? | Hi. Yes, water is used usually to open the chamber of the tooth at first visit of root canal treatment. Somehow, maybe he has put water pressure so low that you did not get to notice or maybe suction would be done on spot by the assistant, so you did not get to spit. If no water is used still chamber gets opened up but some friction heat is produced that causes damage to the handpiece or drill and burs used by the dentist. Tooth gets a bit brittle but it is not much harmful. Hopefully, next visits will go smoothly. |
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Hello doctor, I had a root canal today. When the doctor (a root canal specialist) made the hole into my silver filling, he did not use water. I thought dentist were supposed to use water when they take out a silver filling. Should he have done that? [/INST] Hi. Yes, water is used usually to open the chamber of the tooth at first visit of root canal treatment. Somehow, maybe he has put water pressure so low that you did not get to notice or maybe suction would be done on spot by the assistant, so you did not get to spit. If no water is used still chamber gets opened up but some friction heat is produced that causes damage to the handpiece or drill and burs used by the dentist. Tooth gets a bit brittle but it is not much harmful. Hopefully, next visits will go smoothly. |
Q. Which medicine can be used to quit smoking? | Hello doctor, I want to leave cigarette smoking. So, please help me and give a solution. Is there any ayurvedic medicine available then please tell me. | Hi. There is no short cut to quit smoking. There are two methods you can try. The natural method. You decrease the number of cigarettes by 20 % each week till you reach to a point where you smoke only 4 to 5 cigarettes per day. Then reduce it by one each week. the other method is to substitute cigarettes with Nicotine chewing gums. These chewing gums are to be cheeked in the mouth like Khaini or Zarda. Along with it, start taking tablet Bupron XL 150. It will help in reducing the withdrawal effects of Nicotine. |
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Hello doctor, I want to leave cigarette smoking. So, please help me and give a solution. Is there any ayurvedic medicine available then please tell me. [/INST] Hi. There is no short cut to quit smoking. There are two methods you can try. The natural method. You decrease the number of cigarettes by 20 % each week till you reach to a point where you smoke only 4 to 5 cigarettes per day. Then reduce it by one each week. the other method is to substitute cigarettes with Nicotine chewing gums. These chewing gums are to be cheeked in the mouth like Khaini or Zarda. Along with it, start taking tablet Bupron XL 150. It will help in reducing the withdrawal effects of Nicotine. |
Q. Can a diabetic patient consume barnyard millet? | Hello doctor, Is barnyard millet good for a diabetic patient? My mother has fibroids in the uterus of 18 cm, does it impact the rise in diabetes in any case? Her current diabetes is 340 fasting. Please guide. | Hello. Samak rice (barnyard millet) is good for everyone, more so for a diabetic person as it provides a good deal of fibers, multiple nutrients, and enough calories too. Instead of regular rice, this can be substituted. The presence of fibroids in the uterus has no direct impact on either precipitating or increasing diabetes. Fibroids can cause problems related to the uterus itself. If there are many and fairly big ones, better to get a hysterectomy (removal of the uterus) done. The best judge for this is your gynecologist who can assess the situation better. Follow that advice. As regards blood glucose control, ideally fasting glucose should be less than 100 mg or closer to 100 mg, PP 150 to 170 mg and HbA1c % less than 6.8 %. Maintaining good glucose control prevents the possibility of developing long term complications related to diabetes. |
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Hello doctor, Is barnyard millet good for a diabetic patient? My mother has fibroids in the uterus of 18 cm, does it impact the rise in diabetes in any case? Her current diabetes is 340 fasting. Please guide. [/INST] Hello. Samak rice (barnyard millet) is good for everyone, more so for a diabetic person as it provides a good deal of fibers, multiple nutrients, and enough calories too. Instead of regular rice, this can be substituted. The presence of fibroids in the uterus has no direct impact on either precipitating or increasing diabetes. Fibroids can cause problems related to the uterus itself. If there are many and fairly big ones, better to get a hysterectomy (removal of the uterus) done. The best judge for this is your gynecologist who can assess the situation better. Follow that advice. As regards blood glucose control, ideally fasting glucose should be less than 100 mg or closer to 100 mg, PP 150 to 170 mg and HbA1c % less than 6.8 %. Maintaining good glucose control prevents the possibility of developing long term complications related to diabetes. |
Q. Is it normal to have high RBC and hemoglobin counts with low glycated hemoglobin? | Hello doctor, I am 53 years old, 183 lbs, 5'4". For years, I ran a high white blood count and the oncologist said nothing can be done about that. We need to now watch red blood count and RBC distribution and watch my spleen. Now approximately nine years later, for the last four years, I am seeing red blood count high, hemoglobin high, hematocrit high, monocytes high, red cell distribution worth high, mean corpuscular hemoglobin content low, glycated hemoglobin high. I am very concerned. | Hello. I have reviewed your query and below is my opinion. Your attached reports are suggestive of high RBC, hemoglobin, and HCT as per provided reference range in a laboratory report. So it is suggestive of polycythemia. It can be primary or secondary. Primary polycythemia seems very less likely here as total WBC count and platelet count is within range. Primary polycythemia is a myeloproliferative neoplasm. Although the possibility is very less you can rule it out by JAK2 mutation test and exon 12 study by a molecular test. For secondary polycythemia, rule out cardiac and respiratory causes by EKG and chest X-ray investigation. Your glycated hemoglobin is slightly high (attachment removed to protect patient identity) which is suggestive of a prediabetic stage. So take less sweets and fatty meals. Regular exercises are also beneficial. Repeat sugar testing with fasting and postprandial blood glucose estimation. Your vitamin D level is low for which Cholecalciferol sachet 60000 IU once a week for eight weeks can be prescribed. The slight high monocyte could be due to cytomegalovirus infection. For that virus only symptomatic management can be done. There is no specific medical treatment for that. Your CBC result is not alarming but needs to be monitored. If you are a smoker, then it can also lead to such a finding. Your ANA is positive which can be falsely positive in infection. So repeat it after few days and clinical correlation is needed for that. I suggest you consult near by hematologist for detailed examination and discuss all these. |
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Hello doctor, I am 53 years old, 183 lbs, 5'4". For years, I ran a high white blood count and the oncologist said nothing can be done about that. We need to now watch red blood count and RBC distribution and watch my spleen. Now approximately nine years later, for the last four years, I am seeing red blood count high, hemoglobin high, hematocrit high, monocytes high, red cell distribution worth high, mean corpuscular hemoglobin content low, glycated hemoglobin high. I am very concerned. [/INST] Hello. I have reviewed your query and below is my opinion. Your attached reports are suggestive of high RBC, hemoglobin, and HCT as per provided reference range in a laboratory report. So it is suggestive of polycythemia. It can be primary or secondary. Primary polycythemia seems very less likely here as total WBC count and platelet count is within range. Primary polycythemia is a myeloproliferative neoplasm. Although the possibility is very less you can rule it out by JAK2 mutation test and exon 12 study by a molecular test. For secondary polycythemia, rule out cardiac and respiratory causes by EKG and chest X-ray investigation. Your glycated hemoglobin is slightly high (attachment removed to protect patient identity) which is suggestive of a prediabetic stage. So take less sweets and fatty meals. Regular exercises are also beneficial. Repeat sugar testing with fasting and postprandial blood glucose estimation. Your vitamin D level is low for which Cholecalciferol sachet 60000 IU once a week for eight weeks can be prescribed. The slight high monocyte could be due to cytomegalovirus infection. For that virus only symptomatic management can be done. There is no specific medical treatment for that. Your CBC result is not alarming but needs to be monitored. If you are a smoker, then it can also lead to such a finding. Your ANA is positive which can be falsely positive in infection. So repeat it after few days and clinical correlation is needed for that. I suggest you consult near by hematologist for detailed examination and discuss all these. |
Q. Other than veneer, is there any solution to treat brown stains on teeth? | Hello doctor, I went to the dentist. I have dark brown stains on my teeth. He said it is from drinking fizzy drink and the only way to fix it is veneers. Is this true? | Hi. Yes, these are now internal stains that cannot be simply removed through scaling. One of the causes for these kinds of stains is fizzy drinks, others may include taking Iron supplements for long, or may be due to the use of extra fluoride in water during childhood like the use of salty water in some part of your age, use of alcohol, smoking or tobacco. All these may lead to these internal stains. Treatment options for these are composite veneers like economical or veneers of zirconia which are expensive but very good in aesthetics. No need for capping is there as staining is just around gums area (attachment removed to protect patient identity). Feel free to ask if you have any further questions regarding it. Stay happy and blessed. Take care. |
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Hello doctor, I went to the dentist. I have dark brown stains on my teeth. He said it is from drinking fizzy drink and the only way to fix it is veneers. Is this true? [/INST] Hi. Yes, these are now internal stains that cannot be simply removed through scaling. One of the causes for these kinds of stains is fizzy drinks, others may include taking Iron supplements for long, or may be due to the use of extra fluoride in water during childhood like the use of salty water in some part of your age, use of alcohol, smoking or tobacco. All these may lead to these internal stains. Treatment options for these are composite veneers like economical or veneers of zirconia which are expensive but very good in aesthetics. No need for capping is there as staining is just around gums area (attachment removed to protect patient identity). Feel free to ask if you have any further questions regarding it. Stay happy and blessed. Take care. |
Q. What is causing a flash while seeing side to side? | Hello doctor, I have an odd thing happening in my left eye. I see a flash of light when I look right to left in the left side of my eye. It is a curve from top to bottom. It happens in daylight, nighttime, and even in the dark with my eyes closed. I move my pupil left to right and see a bright arc of light. I cannot make it stay there, it just flashes as I move my eye balls left to right. Any ideas? | Hello. This occurrence of flashes of light can be due to various causes. The first and the most probable cause could be posterior vitreous detachment, this is a benign condition not requiring any treatment. Here, you may experience some floaters but no reduction in vision or nonseeing areas in your visual field. The most important to rule out here would be the second condition, retinal detachment. Here, although you do experience floaters just like in posterior vitreous detachment, the floaters are more numerous and keep increasing with time. You will also have a reduction in vision with nonseeing areas in your visual field. This often needs to be treated surgically. I recommend you to visit an ophthalmologist. In case there is no reduction of vision or increase in floaters, I would not say that it is not urgent. |
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Hello doctor, I have an odd thing happening in my left eye. I see a flash of light when I look right to left in the left side of my eye. It is a curve from top to bottom. It happens in daylight, nighttime, and even in the dark with my eyes closed. I move my pupil left to right and see a bright arc of light. I cannot make it stay there, it just flashes as I move my eye balls left to right. Any ideas? [/INST] Hello. This occurrence of flashes of light can be due to various causes. The first and the most probable cause could be posterior vitreous detachment, this is a benign condition not requiring any treatment. Here, you may experience some floaters but no reduction in vision or nonseeing areas in your visual field. The most important to rule out here would be the second condition, retinal detachment. Here, although you do experience floaters just like in posterior vitreous detachment, the floaters are more numerous and keep increasing with time. You will also have a reduction in vision with nonseeing areas in your visual field. This often needs to be treated surgically. I recommend you to visit an ophthalmologist. In case there is no reduction of vision or increase in floaters, I would not say that it is not urgent. |
Q. What can cause bloody diarrhea and vomiting? | Hi doctor, From yesterday, I am suffering from loose motions and vomiting. I do not feel fever, but, whatever I eat, I feel it is in my throat. I feel vomiting sensation. I feel very weak, drowsy and not able to do my normal work. Also, felt left side shoulder and chest discomfort. My age is 31 and I do not have any bad habits. I have high triglycerides around 345 and other lipid levels are normal. For the past two years, my triglycerides are in this range only. I have taken Pantop 40 mg, some tablets for stopping motion and Nicip pain killer for left side chest and shoulder pain. I feel tightness also, but doctors confirmed it is not a heart problem, Three days back, I ate sweets and since then I feel very discomfort. Four months back, I have undergone ECG, TMT and other tests which showed all normal. Kindly do the needful. Thank you. | Hi. We are here to help you. For further doubts consult an internal medicine physician online --> |
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Hi doctor, From yesterday, I am suffering from loose motions and vomiting. I do not feel fever, but, whatever I eat, I feel it is in my throat. I feel vomiting sensation. I feel very weak, drowsy and not able to do my normal work. Also, felt left side shoulder and chest discomfort. My age is 31 and I do not have any bad habits. I have high triglycerides around 345 and other lipid levels are normal. For the past two years, my triglycerides are in this range only. I have taken Pantop 40 mg, some tablets for stopping motion and Nicip pain killer for left side chest and shoulder pain. I feel tightness also, but doctors confirmed it is not a heart problem, Three days back, I ate sweets and since then I feel very discomfort. Four months back, I have undergone ECG, TMT and other tests which showed all normal. Kindly do the needful. Thank you. [/INST] Hi. We are here to help you. For further doubts consult an internal medicine physician 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. My partner is ignoring me. What should I do? | Hello doctor, What to do now? I was in love with a girl for five years when I was doing my college and then I told my parents and they did not agree. She also loved me back. In her home also they will not accept. Now both of us are not talking for the past one and half years. I am working now and she is studying now. I used to meet and send her texts when I got leave and miss her. Now she does not want to talk to me. This time I asked her if she is free to meet me. She told she is busy. Now, is she really over me or just protecting me? What should I do to get over her? Sometimes, I feel like everything is over between me and her but then suddenly I miss her a lot. Is this how it is going to be always? | Hi. The best answer is to ask yourself whether you wish to and looking forward to marrying her or not? If not, you need to move on. A girl, unlike man, cannot call and text you just for the sake of pleasing you. Girls are always under the radar of their family and society. They need 110 percent assurance from you. They just cannot be your time pass. In your case, it is difficult for you to persuade your and her family but not impossible. If you really love each other you may have a fighting chance. During the last one and a half year of non-communication, she has probably decided to move on with her life as she got no real assurance from you. So call her, and try to meet her if you really are interested in marrying her. Or else, let her be a part of your good memories and move on. |
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Hello doctor, What to do now? I was in love with a girl for five years when I was doing my college and then I told my parents and they did not agree. She also loved me back. In her home also they will not accept. Now both of us are not talking for the past one and half years. I am working now and she is studying now. I used to meet and send her texts when I got leave and miss her. Now she does not want to talk to me. This time I asked her if she is free to meet me. She told she is busy. Now, is she really over me or just protecting me? What should I do to get over her? Sometimes, I feel like everything is over between me and her but then suddenly I miss her a lot. Is this how it is going to be always? [/INST] Hi. The best answer is to ask yourself whether you wish to and looking forward to marrying her or not? If not, you need to move on. A girl, unlike man, cannot call and text you just for the sake of pleasing you. Girls are always under the radar of their family and society. They need 110 percent assurance from you. They just cannot be your time pass. In your case, it is difficult for you to persuade your and her family but not impossible. If you really love each other you may have a fighting chance. During the last one and a half year of non-communication, she has probably decided to move on with her life as she got no real assurance from you. So call her, and try to meet her if you really are interested in marrying her. Or else, let her be a part of your good memories and move on. |
Q. Which is the best way to abort pregnancy after C-section? | Hello doctor,I am in trouble. I have two kids, one 2 and a half years old, another 1-year-old. Both are C-section babies. Now, I have missed my periods by ten days and get to know that I am pregnant. Kindly help me and guide me on how can I abort the child. | Hi. Termination of pregnancy can be done either with tablets or surgical method like D and C (dilatation and curettage). The first one seems easier, but as you have a history of two previous cesareans, I would suggest you choose the later. MTP (medical termination of pregnancy) with tablets may lead to incomplete abortion and torrential bleeding in some cases (chances are higher in previous cesarean cases due to retained products of conception-RPOC). D and C on another hand is a foolproof method without chances of RPOC and severe bleeding, additionally being painless (thanks to anesthesia). Instead, you can get a MIRENA or Copper-T inserted or tubectomy done in the same sitting preventing any further unwanted pregnancies. It is to be done under strict medical supervision, so please visit a gynecologist for the same. |
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Hello doctor,I am in trouble. I have two kids, one 2 and a half years old, another 1-year-old. Both are C-section babies. Now, I have missed my periods by ten days and get to know that I am pregnant. Kindly help me and guide me on how can I abort the child. [/INST] Hi. Termination of pregnancy can be done either with tablets or surgical method like D and C (dilatation and curettage). The first one seems easier, but as you have a history of two previous cesareans, I would suggest you choose the later. MTP (medical termination of pregnancy) with tablets may lead to incomplete abortion and torrential bleeding in some cases (chances are higher in previous cesarean cases due to retained products of conception-RPOC). D and C on another hand is a foolproof method without chances of RPOC and severe bleeding, additionally being painless (thanks to anesthesia). Instead, you can get a MIRENA or Copper-T inserted or tubectomy done in the same sitting preventing any further unwanted pregnancies. It is to be done under strict medical supervision, so please visit a gynecologist for the same. |
Q. Is it advisable to do weight training after laser eye surgery? | Hello doctor,I have been doing weight training for six months but recently my eye specialist told me to not lift heavy weights because I had laser treatment for retinal holes three years ago. So, should I stop weight training completely or should I drop the weights? Currently, I am doing deadlifts at 20 kg and bench press at 10 kg. So what should be the maximum safe limit to protect retina? | Hi. There is no limit of weight lifting as such. But usually heavy weight lifting or strenuous exercise is banned if there are untreated breaks. If breaks are secured with a sufficient laser that usually takes 1 to 2 weeks for maximum effect. But there is always a risk of new retinal break formation that is caused by vitreous detachment. If vitreous is detached completely and there is no break, you can workout freely. There is no sharp line of weight. These are just protective measures and varies from patient to patient. That does not stop you from living life. Continue exercise but do not stretch urself too much and protect your eyes from any trauma or injury. |
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Hello doctor,I have been doing weight training for six months but recently my eye specialist told me to not lift heavy weights because I had laser treatment for retinal holes three years ago. So, should I stop weight training completely or should I drop the weights? Currently, I am doing deadlifts at 20 kg and bench press at 10 kg. So what should be the maximum safe limit to protect retina? [/INST] Hi. There is no limit of weight lifting as such. But usually heavy weight lifting or strenuous exercise is banned if there are untreated breaks. If breaks are secured with a sufficient laser that usually takes 1 to 2 weeks for maximum effect. But there is always a risk of new retinal break formation that is caused by vitreous detachment. If vitreous is detached completely and there is no break, you can workout freely. There is no sharp line of weight. These are just protective measures and varies from patient to patient. That does not stop you from living life. Continue exercise but do not stretch urself too much and protect your eyes from any trauma or injury. |
Q. I have decreased level of vitamin B12 with tingling and numbness. Kindly advise. | Hello doctor, I have a platelet count of 55 and vitamin B12 is 176. There are tingling and some numbness in feet for about a month now. Is this a dangerous level and what could be the cause? | Hello. Your B12 is low and you should take Vitamin B12 1000 mcg daily orally for six weeks and test the level again. I see it was less on repeat but not sure how much was it spaced out and how much you took orally? Since it did not improve with oral replacement, you would need IM treatment and if I am your doctor I would also check you for vitamin D3 and iron deficiency. There could be a couple of things here including poor oral intake or poor oral absorption by the stomach or the gut. |
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Hello doctor, I have a platelet count of 55 and vitamin B12 is 176. There are tingling and some numbness in feet for about a month now. Is this a dangerous level and what could be the cause? [/INST] Hello. Your B12 is low and you should take Vitamin B12 1000 mcg daily orally for six weeks and test the level again. I see it was less on repeat but not sure how much was it spaced out and how much you took orally? Since it did not improve with oral replacement, you would need IM treatment and if I am your doctor I would also check you for vitamin D3 and iron deficiency. There could be a couple of things here including poor oral intake or poor oral absorption by the stomach or the gut. |
Q. Will taking two emergency pills within a week cause delay in periods? | Hi doctor, I had unprotected intercourse with my fiance and he ejaculated inside me 20 days back and within 24 hours I took a pill. After a week, we again had unprotected intercourse and he ejaculated inside me and again I took a pill within 24 hours. I have not got my periods yet. Could you suggest what to do? | Hello. Unwanted 72 has a side effect of messing up periods and since you have taken it twice so probably your periods are delayed due to this reason. I would suggest doing a pregnancy test to be sure and if you vomited the next day, then it had not affected the efficacy of the pill, and your symptoms may be due to anxiety or stress due to delayed periods. |
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Hi doctor, I had unprotected intercourse with my fiance and he ejaculated inside me 20 days back and within 24 hours I took a pill. After a week, we again had unprotected intercourse and he ejaculated inside me and again I took a pill within 24 hours. I have not got my periods yet. Could you suggest what to do? [/INST] Hello. Unwanted 72 has a side effect of messing up periods and since you have taken it twice so probably your periods are delayed due to this reason. I would suggest doing a pregnancy test to be sure and if you vomited the next day, then it had not affected the efficacy of the pill, and your symptoms may be due to anxiety or stress due to delayed periods. |
Q. Is possessiveness a disease? | Hi doctor, I am too much possessive to all the one who I love. Because of that, I stressed a lot. Is possessiveness a disease? Please help me. Do I need any treatment for this? Thank you. | Hi. For further information consult a psychiatrist online --> |
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Hi doctor, I am too much possessive to all the one who I love. Because of that, I stressed a lot. Is possessiveness a disease? Please help me. Do I need any treatment for this? Thank you. [/INST] Hi. For further information consult a psychiatrist online --> |
Q. Is there any medication available to treat double vision? | Hello doctor, I am afraid I have developed double vision. What medicines should I take? | Hi. Double is caused due to paralysis of an extraocular muscle. These muscles are supplied by nerves. Hypertension and diabetes are the most common causes of nerve palsy and muscle paralysis due to which both eyes are misaligned and eye movements are affected. So you need to consult and you might need to consult a physician or neurologist. Control your blood pressure and diabetes. Muscle actions usually become normal in 3 to 6 months. So consult your physician or neurologist and eye specialist. |
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Hello doctor, I am afraid I have developed double vision. What medicines should I take? [/INST] Hi. Double is caused due to paralysis of an extraocular muscle. These muscles are supplied by nerves. Hypertension and diabetes are the most common causes of nerve palsy and muscle paralysis due to which both eyes are misaligned and eye movements are affected. So you need to consult and you might need to consult a physician or neurologist. Control your blood pressure and diabetes. Muscle actions usually become normal in 3 to 6 months. So consult your physician or neurologist and eye specialist. |
Q. Can ringworm infection cause blisters on fingers? | Hello doctor, I hope you are doing well. A blister kind of wound as appeared on one of my fingers in my left hand. I am sure I did not hurt myself on that finger. It is not itching and painful but it is healing now. The wound is circular in shape. I am taking the attached medications for IBS at the moment. Could you please review this and advise? Is it related to ringworm? Or is it side effects of the IBS medication? Similar kind of wound appeared two months back also but it was in my right hand. Would like to know why this wound has appeared? Please advise. | Hi, Welcome to iclinq.com. This is not a fungal infection, looks to be a bacterial infection. The wound has started healing due to antibiotics you are on. It is difficult to comment on the exact cause of lesion. Topically, you may consider the application of Fusidic acid 2 % cream twice daily. |
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Hello doctor, I hope you are doing well. A blister kind of wound as appeared on one of my fingers in my left hand. I am sure I did not hurt myself on that finger. It is not itching and painful but it is healing now. The wound is circular in shape. I am taking the attached medications for IBS at the moment. Could you please review this and advise? Is it related to ringworm? Or is it side effects of the IBS medication? Similar kind of wound appeared two months back also but it was in my right hand. Would like to know why this wound has appeared? Please advise. [/INST] Hi, Welcome to iclinq.com. This is not a fungal infection, looks to be a bacterial infection. The wound has started healing due to antibiotics you are on. It is difficult to comment on the exact cause of lesion. Topically, you may consider the application of Fusidic acid 2 % cream twice daily. |
Q. My lymph nodes are painful and swollen after atlas adjustment. Please help. | Hello doctor, Three days ago, I had my atlas adjusted and now for two days, the lymph nodes (cervical lymph nodes) in my neck have been extremely painful and swollen for the last two days. I have no fever or other symptoms. Should I be concerned? I had my atlas which was supposedly two degrees off by an atlas orthogonal chiropractor. I originally went in because of my knee and wrist pain then before I knew it, I was having my atlas adjusted by a machine. My last few days I have been miserable and feeling awful. Exhausted, my lymph nodes are so painful on the sides of my neck I have been in bed all day. I just feel this might be related but I do not know. | Hello. What I see there might be some changes in the muscles which may have led to compression over the lymph nodes? Few basic things to ask before I proceed. Are you having pain in the neck? Is the pain sharp shooting or dull aching? Are you feeling any kind of muscle tightness near the neck? Any signs of swelling? The pain in the knee and wrist can be of different pathology and need a different approach. Coming back to the history, the swelling in lymph node if you suspect then you need a physician approach than the chiropractor. We need to check out why the lymph nodes got swollen. Is it due to any pathology or due to some external factors. Usually, this area does not allow lymph nodes to get swollen sooner until there is some pathology and it is always good on our side to take care of our body in proper guidelines. Hope you take this matter to a physician first rather than a chiropractor. As per my practice of 12 years I never recommend cases with lymph node issue to chiropractor as the job is different. Degenerative disc disease. MRI cervical spine. Trapezitis. Neck pain. Ice pack and rest. |
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Hello doctor, Three days ago, I had my atlas adjusted and now for two days, the lymph nodes (cervical lymph nodes) in my neck have been extremely painful and swollen for the last two days. I have no fever or other symptoms. Should I be concerned? I had my atlas which was supposedly two degrees off by an atlas orthogonal chiropractor. I originally went in because of my knee and wrist pain then before I knew it, I was having my atlas adjusted by a machine. My last few days I have been miserable and feeling awful. Exhausted, my lymph nodes are so painful on the sides of my neck I have been in bed all day. I just feel this might be related but I do not know. [/INST] Hello. What I see there might be some changes in the muscles which may have led to compression over the lymph nodes? Few basic things to ask before I proceed. Are you having pain in the neck? Is the pain sharp shooting or dull aching? Are you feeling any kind of muscle tightness near the neck? Any signs of swelling? The pain in the knee and wrist can be of different pathology and need a different approach. Coming back to the history, the swelling in lymph node if you suspect then you need a physician approach than the chiropractor. We need to check out why the lymph nodes got swollen. Is it due to any pathology or due to some external factors. Usually, this area does not allow lymph nodes to get swollen sooner until there is some pathology and it is always good on our side to take care of our body in proper guidelines. Hope you take this matter to a physician first rather than a chiropractor. As per my practice of 12 years I never recommend cases with lymph node issue to chiropractor as the job is different. Degenerative disc disease. MRI cervical spine. Trapezitis. Neck pain. Ice pack and rest. |
Q. Can blushing while getting too much attention be due to mental illness? | Hello doctor, I am 18 years old and I have been having big problems with making friends since I was 7. I go to school and I do not talk at all (only if someone or teacher asks me something). I just cannot find any topics to talk to people and the worst is that I do not know what should I say back when I somehow succeed in starting the conversation. Besides all my life I feel like I am the one that jumps around people and tries to talk to them and they just do not care so I quickly give up and end up alone. And my house is so stressful too, it is so loud because my parents scream so much and I spend most of the time locked in my room because when I hear them screaming it feels so stressful (all this stress is like sitting on my back and I cannot make it stop). Is it even possible for me to make friends? It has been half a year since school started and everyone is occupied by their friends. How can I stop blushing when I am given too much attention? Is it possible that I have some kind of mental illness or maybe autism? | Hello. First of all, this is not a serious mental issue. Just remain relaxed. You have social anxiety most likely and this anxiety is resulting in symptoms like blushing when you are getting attention, difficulty in making friends, etc. This is social anxiety and a lot of individuals of your age develop. So do not think that you have any abnormality. Just continue to make your efforts to make friends and you will gain confidence with time. No need to get worried. |
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Hello doctor, I am 18 years old and I have been having big problems with making friends since I was 7. I go to school and I do not talk at all (only if someone or teacher asks me something). I just cannot find any topics to talk to people and the worst is that I do not know what should I say back when I somehow succeed in starting the conversation. Besides all my life I feel like I am the one that jumps around people and tries to talk to them and they just do not care so I quickly give up and end up alone. And my house is so stressful too, it is so loud because my parents scream so much and I spend most of the time locked in my room because when I hear them screaming it feels so stressful (all this stress is like sitting on my back and I cannot make it stop). Is it even possible for me to make friends? It has been half a year since school started and everyone is occupied by their friends. How can I stop blushing when I am given too much attention? Is it possible that I have some kind of mental illness or maybe autism? [/INST] Hello. First of all, this is not a serious mental issue. Just remain relaxed. You have social anxiety most likely and this anxiety is resulting in symptoms like blushing when you are getting attention, difficulty in making friends, etc. This is social anxiety and a lot of individuals of your age develop. So do not think that you have any abnormality. Just continue to make your efforts to make friends and you will gain confidence with time. No need to get worried. |
Q. What can be done to get an erection while having sex? | Hello doctor, Whenever I am thinking about sex or masturbating, I easily get a boner and it takes me a while to ejaculate, but when I am actually having sex it takes forever to get a boner. Then I ejaculate immediately. I do not know what it is or how to fix it. | Hi. The sexual act is mediated by mind. It has many phases like desire, excitement (erection), ejaculation and resolution. It can get affected due to various reasons like fear or phobia in the brain. If you have conflicts with your partner, if there is some performance stress or any other stress, sometimes conditions occur like you develop a fear associated with certain things. This fear work as an inhibitory factor. I would recommend you to have some therapy sessions in order to find out the cause in your case, after that, an intervention can be started. |
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Hello doctor, Whenever I am thinking about sex or masturbating, I easily get a boner and it takes me a while to ejaculate, but when I am actually having sex it takes forever to get a boner. Then I ejaculate immediately. I do not know what it is or how to fix it. [/INST] Hi. The sexual act is mediated by mind. It has many phases like desire, excitement (erection), ejaculation and resolution. It can get affected due to various reasons like fear or phobia in the brain. If you have conflicts with your partner, if there is some performance stress or any other stress, sometimes conditions occur like you develop a fear associated with certain things. This fear work as an inhibitory factor. I would recommend you to have some therapy sessions in order to find out the cause in your case, after that, an intervention can be started. |
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 safe to take Prozac during pregnancy? | Hi doctor, I am on Prozac treatment for two months now for depression and anxiety. I am on the minimum dose (half a pill a day) and I am doing very well to this treatment. However, I just found out I am pregnant. My gynecologist says that I should stop Prozac immediately, but my psychiatrist says keep taking them, as it is a very low dose and it will not harm the baby. My anxiety and panic attacks were quite bad before. Now I am much more relaxed and I am just feeling like a normal person again. What should I do? Should I continue the treatment? Is it safe for the baby? Please help. | Hi. Congratulations on your good news and I went through your query. For further doubts consult a childbirth educator online --> |
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Hi doctor, I am on Prozac treatment for two months now for depression and anxiety. I am on the minimum dose (half a pill a day) and I am doing very well to this treatment. However, I just found out I am pregnant. My gynecologist says that I should stop Prozac immediately, but my psychiatrist says keep taking them, as it is a very low dose and it will not harm the baby. My anxiety and panic attacks were quite bad before. Now I am much more relaxed and I am just feeling like a normal person again. What should I do? Should I continue the treatment? Is it safe for the baby? Please help. [/INST] Hi. Congratulations on your good news and I went through your query. For further doubts consult a childbirth educator online --> |
Q. Can pulling out a molar tooth bring a change in facial features? | Hello doctor,I have an infected root canal. It is a molar and it is next to an implant. I really want to pull it due to money. But I cannot afford an implant and I am concerned about facial features if I pull the tooth and let it go without an implant. | Hi. I have read through your complaint and the relevant details. You can absolutely choose to get the tooth removed in case of financial situations. But what I reckon would be to go for the cheapest replacement options such as a removable partial denture where you still maintain that space next to the implant. Unlike natural tooth, the implant does not shift to the empty space but the load bearing capacity changes. Since there would not be a natural tooth to hold the load every time you chew. It is transferred completely to the implant. So, the more implant gets the load the more chances of its failure rate. A removable denture for the lost molar will help distribution of the chewing load. And please do not worry about the facial features. It is not going to get affected at all if you remove the molar tooth. Aesthetics is a concern only with the front teeth and not with the molars. |
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Hello doctor,I have an infected root canal. It is a molar and it is next to an implant. I really want to pull it due to money. But I cannot afford an implant and I am concerned about facial features if I pull the tooth and let it go without an implant. [/INST] Hi. I have read through your complaint and the relevant details. You can absolutely choose to get the tooth removed in case of financial situations. But what I reckon would be to go for the cheapest replacement options such as a removable partial denture where you still maintain that space next to the implant. Unlike natural tooth, the implant does not shift to the empty space but the load bearing capacity changes. Since there would not be a natural tooth to hold the load every time you chew. It is transferred completely to the implant. So, the more implant gets the load the more chances of its failure rate. A removable denture for the lost molar will help distribution of the chewing load. And please do not worry about the facial features. It is not going to get affected at all if you remove the molar tooth. Aesthetics is a concern only with the front teeth and not with the molars. |
Q. Is it true that viral infections during early pregnancy causes autism? | Hi doctor, My wife is seven weeks pregnant (about three weeks from fertilization, we think, because she has long cycles) and came down with shingles almost 2 weeks ago (and a cold about a week ago). She has been taking Acyclovir and the pain has reduced but is still present. We are worried about the effect on the baby, particularly because we have read viral infections in early pregnancy can lead to Autism. Do you have any advice about how serious the risks are? | Hi. Shingles is herpes zoster, which is the reactivation of the chicken-pox virus in the body due to an immunocompromised status like pregnancy. But thankfully, the effects are not disastrous for the unborn baby as your wife already has antibodies against the virus in her body to combat transmission. If she had disseminated widespread shingles, there could be theoretical chances of viremia and fetus being affected. She is already taking Acyclovir, so viremia is not possible anymore. Do not worry, be happy. |
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Hi doctor, My wife is seven weeks pregnant (about three weeks from fertilization, we think, because she has long cycles) and came down with shingles almost 2 weeks ago (and a cold about a week ago). She has been taking Acyclovir and the pain has reduced but is still present. We are worried about the effect on the baby, particularly because we have read viral infections in early pregnancy can lead to Autism. Do you have any advice about how serious the risks are? [/INST] Hi. Shingles is herpes zoster, which is the reactivation of the chicken-pox virus in the body due to an immunocompromised status like pregnancy. But thankfully, the effects are not disastrous for the unborn baby as your wife already has antibodies against the virus in her body to combat transmission. If she had disseminated widespread shingles, there could be theoretical chances of viremia and fetus being affected. She is already taking Acyclovir, so viremia is not possible anymore. Do not worry, be happy. |
Q. What causes headache with dizziness and stomach ache? | Hello doctor, I am 18 years old and healthy but lately, I have been waking up with headaches that continue throughout the day and now the last few days I feel very light headed and dizzy when standing and get a stomach ache. I eat regularly and drink five bottles of water a day. I take regular medicines and multivitamins like I have for years now but do not understand why I just now am beginning to feel like this. | Hello. According to the history provided, here you are having a headache, dizziness mainly. Your blood pressure should be checked as fluctuations in blood pressure or high blood pressure can lead to a headache. Second otological causes should be evaluated as an ear infection can lead to a headache with dizziness. Viral respiratory tract infection can lead to a headache with dizziness (in this case congestive symptoms are present). If you are taking the stress and if having smoking habits than also headache can occur. Any cardiac history positive then less blood flow to the brain sometimes can lead to dizziness. For that investigation is done with EKG. If slurred speech is present, history of hypertension and if no specific cause found then CT scan like higher investigation can be done to look for the stroke-like condition. Take care. According to cause found a further specific treatment can be given. Consult a physician for examination with keeping all this in mind. |
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Hello doctor, I am 18 years old and healthy but lately, I have been waking up with headaches that continue throughout the day and now the last few days I feel very light headed and dizzy when standing and get a stomach ache. I eat regularly and drink five bottles of water a day. I take regular medicines and multivitamins like I have for years now but do not understand why I just now am beginning to feel like this. [/INST] Hello. According to the history provided, here you are having a headache, dizziness mainly. Your blood pressure should be checked as fluctuations in blood pressure or high blood pressure can lead to a headache. Second otological causes should be evaluated as an ear infection can lead to a headache with dizziness. Viral respiratory tract infection can lead to a headache with dizziness (in this case congestive symptoms are present). If you are taking the stress and if having smoking habits than also headache can occur. Any cardiac history positive then less blood flow to the brain sometimes can lead to dizziness. For that investigation is done with EKG. If slurred speech is present, history of hypertension and if no specific cause found then CT scan like higher investigation can be done to look for the stroke-like condition. Take care. According to cause found a further specific treatment can be given. Consult a physician for examination with keeping all this in mind. |
Q. Am I having shortness of breath because of iron deficiency anemia? | Hi doctor,My age is 26 and having iron deficiency anemia. My Hb level is 11 but ferritin 18. Sometimes, I felt shortness of breath. Now, I am taking Iron medicine but when I quit taking iron tablets, my situation gets worse with time. | Hello. You can complete the course of Iron medication for 2 to 3 months according to your doctor's prescription. It is not advisable to take Iron tablet randomly. Usually, at 11 gm Hb level, dyspnea does not occur. For your breathlessness, I suggest you investigate with chest X-ray and spirometry investigation. For that, you can consult a pulmonologist for chest examination. Meanwhile, complete the full course of Iron medication. |
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Hi doctor,My age is 26 and having iron deficiency anemia. My Hb level is 11 but ferritin 18. Sometimes, I felt shortness of breath. Now, I am taking Iron medicine but when I quit taking iron tablets, my situation gets worse with time. [/INST] Hello. You can complete the course of Iron medication for 2 to 3 months according to your doctor's prescription. It is not advisable to take Iron tablet randomly. Usually, at 11 gm Hb level, dyspnea does not occur. For your breathlessness, I suggest you investigate with chest X-ray and spirometry investigation. For that, you can consult a pulmonologist for chest examination. Meanwhile, complete the full course of Iron medication. |
Q. What can be done to cure ulcerative colitis with bleeding before every stool and anemia? | Hello doctor, I have ulcerative colitis for more than two months. I pass more than seven stools a day (loose stools). Constant bleeding before every stool from the rectum. Fever, rapid heartbeat, and anemia. And have a fungal infection, taking medicine too. | Hello. For ulcerative colitis, an anti-inflammatory drug like Sulfasalazine group of drugs can be started. (In a severe case, Steroid can be prescribed for a short duration). Immunosuppressive drugs prescribed if needed. Anti-diarrheal medication also can be prescribed to decrease diarrhea frequency. Your anemia is because of constant bleeding in the stool. For that, Iron medication like Ferrous Ascorbate can be started. All these medications are taken regularly and even if still no improvement then surgical management can be done. Consult gastroenterologist for examination and accordingly get prescription. Take care. |
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Hello doctor, I have ulcerative colitis for more than two months. I pass more than seven stools a day (loose stools). Constant bleeding before every stool from the rectum. Fever, rapid heartbeat, and anemia. And have a fungal infection, taking medicine too. [/INST] Hello. For ulcerative colitis, an anti-inflammatory drug like Sulfasalazine group of drugs can be started. (In a severe case, Steroid can be prescribed for a short duration). Immunosuppressive drugs prescribed if needed. Anti-diarrheal medication also can be prescribed to decrease diarrhea frequency. Your anemia is because of constant bleeding in the stool. For that, Iron medication like Ferrous Ascorbate can be started. All these medications are taken regularly and even if still no improvement then surgical management can be done. Consult gastroenterologist for examination and accordingly get prescription. Take care. |
Q. Kindly explain the reasons for tinnitus with difficulty in breathing and anxiety. | Hi doctor, About two years ago, I was playing a video game while wearing a headset with fairly loud burst sounds from time to time, and I noticed a small hissing sound was present in my ears or head when I was getting off my PC. I have always used headsets for long hours before this occurred. Ever since then this tinnitus has moved from one ear to another, and then centralized in my head. Anyhow, now whenever I put on and listen to a headset for a short period even on low volume, my ears hurt. The sides of my head around the ear and the tinnitus spikes up usually. I have tried several popular and expensive headsets with same results. Other symptoms I have are I have difficulty breathing through my nose, I feel emotionally numb, anxiety, my jaw locks sometimes when I bite on hard food and sometimes it does itself during sleep. The bones around my ear hurt. I do not know if any of the symptoms are related. But I have not been to a doctor for various reasons. | Hi. Exposure to loud sounds creates pressure over your nerve of hearing and can evoke tinnitus. Hence, I advise you to use minimal sound during games. The pain in and around your ears is due to excessive usage of headset around your ears. For your nasal obstruction, you should get a diagnostic nasal endoscopy done to rule out the cause and proceed for further investigations. Locking of your jaw can be due to the TM joint which locks more in the morning and creates pain when infected leading to pain while biting hard foods. Hence, a muscle relaxant is advised. |
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Hi doctor, About two years ago, I was playing a video game while wearing a headset with fairly loud burst sounds from time to time, and I noticed a small hissing sound was present in my ears or head when I was getting off my PC. I have always used headsets for long hours before this occurred. Ever since then this tinnitus has moved from one ear to another, and then centralized in my head. Anyhow, now whenever I put on and listen to a headset for a short period even on low volume, my ears hurt. The sides of my head around the ear and the tinnitus spikes up usually. I have tried several popular and expensive headsets with same results. Other symptoms I have are I have difficulty breathing through my nose, I feel emotionally numb, anxiety, my jaw locks sometimes when I bite on hard food and sometimes it does itself during sleep. The bones around my ear hurt. I do not know if any of the symptoms are related. But I have not been to a doctor for various reasons. [/INST] Hi. Exposure to loud sounds creates pressure over your nerve of hearing and can evoke tinnitus. Hence, I advise you to use minimal sound during games. The pain in and around your ears is due to excessive usage of headset around your ears. For your nasal obstruction, you should get a diagnostic nasal endoscopy done to rule out the cause and proceed for further investigations. Locking of your jaw can be due to the TM joint which locks more in the morning and creates pain when infected leading to pain while biting hard foods. Hence, a muscle relaxant is advised. |
Q. Kindly tell me the management for toothache associated with decay. | Hello doctor, I have tooth decay for the past five weeks and it is causing a lot of pain. Please help. | Hi. Your tooth enamel chipped off, exposing dentin and inner layers of the tooth. This might have opened root nerves too and that is why you are having pain. Start taking tablet Brufen 400 mg twice a day for three days. If the pain gets relieved by it, it means there is no deep infection and tooth may be restored by filling. But if pain persists after leaving medication it means root is exposed and now root canal treatment is the only option you are left with. I can tell exactly if you can provide me with a radiograph. Stay happy and blessed. Take care. |
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Hello doctor, I have tooth decay for the past five weeks and it is causing a lot of pain. Please help. [/INST] Hi. Your tooth enamel chipped off, exposing dentin and inner layers of the tooth. This might have opened root nerves too and that is why you are having pain. Start taking tablet Brufen 400 mg twice a day for three days. If the pain gets relieved by it, it means there is no deep infection and tooth may be restored by filling. But if pain persists after leaving medication it means root is exposed and now root canal treatment is the only option you are left with. I can tell exactly if you can provide me with a radiograph. Stay happy and blessed. Take care. |
Q. I am taking Levofloxacin for prostatitis. Will this cause any permanent side-effect? | Hi doctor, I am a 29-year-old male. I have been complaining of symptoms of prostatitis for seven years with LUTS, fatigue, and pain as the main symptoms. The EPS shows more than 10 WBC per HPF and urine and prostatic cultures are negative. Semen culture was done twice in the last six months with the first one showing high agglutination and the second one done three months after is completely normal. I had three courses of antibiotics. Two Levofloxacin and one Ciprofloxacin with a duration of one month to six weeks each time. Antibiotics show partial improvement. I am having a relapse now with pain along the epididymis and when bending down and walking, which happened before and showed improvement only on Levofloxacin. My question is regarding the new data about the safety of Levofloxacin with reported potentially permanent muscular and CNS effects. Should I change antibiotic this time? And what about Fosfomycin? | Hello. You are suffering from chronic prostatitis. It is very difficult to treat. Ideally, prostatic massage and EPS or semen culture must be done. But, if you have an improvement with Levofloxacin, then you can take it. The side effects are if you take it for a very long duration in years. For an acute episode as now take Levofloxacin. Then later, you can shift to oral low dose Nitrofurantoin 100 mg daily for three months. I would also like to add Doxycycline (with Levofloxacin) 100 mg bd for 14 days for an atypical organism. Fosfomycin is reserved in case you have resistance with other drugs. So do not use now. |
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Hi doctor, I am a 29-year-old male. I have been complaining of symptoms of prostatitis for seven years with LUTS, fatigue, and pain as the main symptoms. The EPS shows more than 10 WBC per HPF and urine and prostatic cultures are negative. Semen culture was done twice in the last six months with the first one showing high agglutination and the second one done three months after is completely normal. I had three courses of antibiotics. Two Levofloxacin and one Ciprofloxacin with a duration of one month to six weeks each time. Antibiotics show partial improvement. I am having a relapse now with pain along the epididymis and when bending down and walking, which happened before and showed improvement only on Levofloxacin. My question is regarding the new data about the safety of Levofloxacin with reported potentially permanent muscular and CNS effects. Should I change antibiotic this time? And what about Fosfomycin? [/INST] Hello. You are suffering from chronic prostatitis. It is very difficult to treat. Ideally, prostatic massage and EPS or semen culture must be done. But, if you have an improvement with Levofloxacin, then you can take it. The side effects are if you take it for a very long duration in years. For an acute episode as now take Levofloxacin. Then later, you can shift to oral low dose Nitrofurantoin 100 mg daily for three months. I would also like to add Doxycycline (with Levofloxacin) 100 mg bd for 14 days for an atypical organism. Fosfomycin is reserved in case you have resistance with other drugs. So do not use now. |
Q. Can stress, weight loss or dehydration cause an increase in alkaline phosphatase level? | Hello doctor,I am 36 years old, male, 6'1", 265 lbs. I have a question about total bilirubin. I had it checked four weeks ago and it was at .41 mg/dl and one month later it jumped to .82 mg/dl. My alkaline phosphatase is at 1.173 ukat/l and four weeks ago was at 1.003 ukat/l. The doctor was not concerned by this but the highest I have seen it was three years ago when it was at .53 (total bilirubin).However, during the last month, I went from 282 lbs to 265. I have been extremely stressed out about it. Health problems and my anxiety are high. I barely slept the night before the tests and am possibly dehydrated. Could these factors have contributed to the increase? I am concerned about bile duct obstruction. | Hello. Since this question was posted under diabetology, I am wondering if you have any endocrine issues. The question asked here is about gastroenterology. The liver tests would be concerning for a liver process like gallstone if the enzymes were not coming back down or if you had pain in your right abdomen. Any fever? Dehydration can sometimes cause the numbers to be slightly up. It is important to have a follow up with your GP. You can also run the query through a gastroenterologist on icliniq. |
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Hello doctor,I am 36 years old, male, 6'1", 265 lbs. I have a question about total bilirubin. I had it checked four weeks ago and it was at .41 mg/dl and one month later it jumped to .82 mg/dl. My alkaline phosphatase is at 1.173 ukat/l and four weeks ago was at 1.003 ukat/l. The doctor was not concerned by this but the highest I have seen it was three years ago when it was at .53 (total bilirubin).However, during the last month, I went from 282 lbs to 265. I have been extremely stressed out about it. Health problems and my anxiety are high. I barely slept the night before the tests and am possibly dehydrated. Could these factors have contributed to the increase? I am concerned about bile duct obstruction. [/INST] Hello. Since this question was posted under diabetology, I am wondering if you have any endocrine issues. The question asked here is about gastroenterology. The liver tests would be concerning for a liver process like gallstone if the enzymes were not coming back down or if you had pain in your right abdomen. Any fever? Dehydration can sometimes cause the numbers to be slightly up. It is important to have a follow up with your GP. You can also run the query through a gastroenterologist on icliniq. |
Q. Will taking Pause 500 help in controlling heavy periods flow? | Hello doctor, I am a 26-year-old, sexually inactive woman. My present weight is 77 kg and I have PCOD. Two months back, I tried a weight loss medication and my last period started on 12th, two months before. First I had spotting for 10 days and started bleeding heavily after that and it did not stop. I consulted a local gynecologist a month later to stop my bleeding and she suggested me Regestrone, 5 mg one tablet daily for 21 days. My bleeding stopped after having Registrone within six days. But unfortunately, I had missed Regestrone for three days and started bleeding again. On consulting my gynecologist again she prescribed me Regestrone 5 mg, two tablets daily for 21 days again to stop this bleeding and even suggested Pause 500 mg as SOS. It has been five days since I am taking Regestrone 5 mg, two tablets daily but my period has not stopped. Do you think my period will stop after taking Regestrone twice or do I need Pause 500? | Hello. The bleeding that started after missing Regestrone (Norethisterone) for three days is your withdrawal bleed where endometrial shed has started because you missed daily pills. Now, this endometrium cannot be repaired again by Regesterone once the bleeding has started. So just stop Regesterone tablets and start Pause MF tablet (Tranexamic acid and Mefenamic acid) 500/250 twice a day for the next five days. These are antifibrinolytics and shall help in reducing and further stopping the bleeding. Please increase your daily water intake to 3 to 4 liters as dehydration can further cause bleeding and weakness. Once stopped, then you should be started on PCOD regimen for next three cycles from day three of your next menses to control your PCOD induced hormonal imbalance and anovulatory cycles which are often the causes of prolonged spotting and menorrhagia thereafter in PCOD untreated patients. Please follow up with your hormonal profile, thyroid profile, serum prolactin, and ultrasound pelvis to assess the severity of PCOD. |
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Hello doctor, I am a 26-year-old, sexually inactive woman. My present weight is 77 kg and I have PCOD. Two months back, I tried a weight loss medication and my last period started on 12th, two months before. First I had spotting for 10 days and started bleeding heavily after that and it did not stop. I consulted a local gynecologist a month later to stop my bleeding and she suggested me Regestrone, 5 mg one tablet daily for 21 days. My bleeding stopped after having Registrone within six days. But unfortunately, I had missed Regestrone for three days and started bleeding again. On consulting my gynecologist again she prescribed me Regestrone 5 mg, two tablets daily for 21 days again to stop this bleeding and even suggested Pause 500 mg as SOS. It has been five days since I am taking Regestrone 5 mg, two tablets daily but my period has not stopped. Do you think my period will stop after taking Regestrone twice or do I need Pause 500? [/INST] Hello. The bleeding that started after missing Regestrone (Norethisterone) for three days is your withdrawal bleed where endometrial shed has started because you missed daily pills. Now, this endometrium cannot be repaired again by Regesterone once the bleeding has started. So just stop Regesterone tablets and start Pause MF tablet (Tranexamic acid and Mefenamic acid) 500/250 twice a day for the next five days. These are antifibrinolytics and shall help in reducing and further stopping the bleeding. Please increase your daily water intake to 3 to 4 liters as dehydration can further cause bleeding and weakness. Once stopped, then you should be started on PCOD regimen for next three cycles from day three of your next menses to control your PCOD induced hormonal imbalance and anovulatory cycles which are often the causes of prolonged spotting and menorrhagia thereafter in PCOD untreated patients. Please follow up with your hormonal profile, thyroid profile, serum prolactin, and ultrasound pelvis to assess the severity of PCOD. |
Q. Why is Naproxen not working for my headache? | Hi doctor, I am suffering from unilateral headache for the last two months. I had an eye examination and that was fine. My blood tests were all normal. I have seen three doctors, my GP and two hospital doctors, who all say it is likely a benign headache or tension-type headache of some description. I have no other symptoms other than the pain. I was prescribed Naproxen 500 mg twice daily which helped for two weeks. Pain came back a week after stopping Naproxen, but more mild than before. Then went away for five days and returned. Now, Naproxen does not seem to help at all. Doctors have not been concerned enough to give me a scan, because I have no other symptoms and just the pain. Again, this has been going on for two months now and even on pain-free days while on naproxen I have still had brief one second flashes of pain at least a couple of times a day. I have no sickness or nausea or dizziness. I do not have a history of migraine.There is no pain behind my eye or tearing. I also have no anxiety or tension issues in my personal life to attribute to a headache. The pain is in my left temporal area. I feel some pressure, pinching pain and tightness. Sometimes, it is in the inner ear and sometimes I have pain on the top left of my head. Before I started the Naproxen, it was at its worst at bedtime when I laid down, but I slept pain free for a month while on the Naproxen. The pain is quite mild, but persistent. So, it is very annoying and always on my mind now that the Naproxen does not seem to work at all and I cannot rely on it for relief. Why would naproxen suddenly stop working? Should I be concerned that I have a sinister condition? | Hi. For further doubts consult a neurologist online --> |
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Hi doctor, I am suffering from unilateral headache for the last two months. I had an eye examination and that was fine. My blood tests were all normal. I have seen three doctors, my GP and two hospital doctors, who all say it is likely a benign headache or tension-type headache of some description. I have no other symptoms other than the pain. I was prescribed Naproxen 500 mg twice daily which helped for two weeks. Pain came back a week after stopping Naproxen, but more mild than before. Then went away for five days and returned. Now, Naproxen does not seem to help at all. Doctors have not been concerned enough to give me a scan, because I have no other symptoms and just the pain. Again, this has been going on for two months now and even on pain-free days while on naproxen I have still had brief one second flashes of pain at least a couple of times a day. I have no sickness or nausea or dizziness. I do not have a history of migraine.There is no pain behind my eye or tearing. I also have no anxiety or tension issues in my personal life to attribute to a headache. The pain is in my left temporal area. I feel some pressure, pinching pain and tightness. Sometimes, it is in the inner ear and sometimes I have pain on the top left of my head. Before I started the Naproxen, it was at its worst at bedtime when I laid down, but I slept pain free for a month while on the Naproxen. The pain is quite mild, but persistent. So, it is very annoying and always on my mind now that the Naproxen does not seem to work at all and I cannot rely on it for relief. Why would naproxen suddenly stop working? Should I be concerned that I have a sinister condition? [/INST] Hi. For further doubts consult a neurologist 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. Why is there cold with watery eyes and blocked nose? | Hi doctor,I am suffering from a cold, sore throat and ear pain. Even I have watery eyes for the past two days. Last night I took Cetirizine and Paracetamol and today morning I took Paracetamol and Lozenges but it is not decreasing at all. I got more secretion and blocked nose. What can I do for this? Please help me out. I am 23 years old, 40 kg, 149 cm. | Hi. It looks like a common cold, viral in nature, usually, antibiotics are not needed and self-limiting but chances of superimposition by a bacterial infection is there. As due to ear pain, likely secondary to eustachian tube blockage, fluid collection inside the middle ear and chances of the bacterial infection, you need some aggressive measures. I would like to start antibiotics Augmentin 625 mg three times daily for three days, continue Cetirizine, and take Ibuprofen 400 mg twice daily with the meal instead of Tylenol. I would recommend using warm moist inhalation (boiling water mist) once or twice daily. |
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Hi doctor,I am suffering from a cold, sore throat and ear pain. Even I have watery eyes for the past two days. Last night I took Cetirizine and Paracetamol and today morning I took Paracetamol and Lozenges but it is not decreasing at all. I got more secretion and blocked nose. What can I do for this? Please help me out. I am 23 years old, 40 kg, 149 cm. [/INST] Hi. It looks like a common cold, viral in nature, usually, antibiotics are not needed and self-limiting but chances of superimposition by a bacterial infection is there. As due to ear pain, likely secondary to eustachian tube blockage, fluid collection inside the middle ear and chances of the bacterial infection, you need some aggressive measures. I would like to start antibiotics Augmentin 625 mg three times daily for three days, continue Cetirizine, and take Ibuprofen 400 mg twice daily with the meal instead of Tylenol. I would recommend using warm moist inhalation (boiling water mist) once or twice daily. |
Q. How will a child with autism behave? | Hi doctor, I have just noticed recently my 15 months old when he plays with his electronic toys that light up. He will look closely at where they light up and open his mouth like a stun. It does not happen all the time though. I know this is a sign of autism. But he has great eye contact, responds to name, asks for help with something, babbling, says words like nah, dada, nana for banana, he will point to banana in the book and say it. That to me is pretty smart for a 15-month-old. Imitates, for example, claps hands understands when I say something like, hey Siri he looks straight at the phone. Waves bye we do not even face to say goodbye just I am going or when dad leaves for work and he waves. Loves cuddles sometimes he will gnaw in my arms and make noises. Do not know if that is just a soothing thing he does. We went to playgroup yesterday and looked at what others were doing smiling and laughing. Walked by 14 months. Follows others if they go somewhere, he will open his books and sound out what they are and looks at me as he does it. I know these all sound like a normal developed child, but I am just worried he will not outgrow what he is doing and later develop it. Am I worrying for nothing I just wanted to get your thoughts. | Hi. Please note that whatever you have described is a sign of a normal growing child. It is not a sign of autism. These are signs of the child grasping the knowledge of the things and interacting with things around him. Please do not worry. Also, I would advise tender loving care to your child. Spend more time with the child and interact more often with him. Your child should be fine if your interaction with him is fine. Find age-appropriate toys and games for him. It will improve his intellect. One thing I would advise is to prevent giving your phone or for that matter any phone to the growing child. Handing over a mobile phone to any child cancels all human interaction. The child could have as the child would be lost in the neverending world of the cell phone and not even realize it. I hope I have answered your question and helped you gain an insight into how you can look after the psychological and intellectual growth of your child. |
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Hi doctor, I have just noticed recently my 15 months old when he plays with his electronic toys that light up. He will look closely at where they light up and open his mouth like a stun. It does not happen all the time though. I know this is a sign of autism. But he has great eye contact, responds to name, asks for help with something, babbling, says words like nah, dada, nana for banana, he will point to banana in the book and say it. That to me is pretty smart for a 15-month-old. Imitates, for example, claps hands understands when I say something like, hey Siri he looks straight at the phone. Waves bye we do not even face to say goodbye just I am going or when dad leaves for work and he waves. Loves cuddles sometimes he will gnaw in my arms and make noises. Do not know if that is just a soothing thing he does. We went to playgroup yesterday and looked at what others were doing smiling and laughing. Walked by 14 months. Follows others if they go somewhere, he will open his books and sound out what they are and looks at me as he does it. I know these all sound like a normal developed child, but I am just worried he will not outgrow what he is doing and later develop it. Am I worrying for nothing I just wanted to get your thoughts. [/INST] Hi. Please note that whatever you have described is a sign of a normal growing child. It is not a sign of autism. These are signs of the child grasping the knowledge of the things and interacting with things around him. Please do not worry. Also, I would advise tender loving care to your child. Spend more time with the child and interact more often with him. Your child should be fine if your interaction with him is fine. Find age-appropriate toys and games for him. It will improve his intellect. One thing I would advise is to prevent giving your phone or for that matter any phone to the growing child. Handing over a mobile phone to any child cancels all human interaction. The child could have as the child would be lost in the neverending world of the cell phone and not even realize it. I hope I have answered your question and helped you gain an insight into how you can look after the psychological and intellectual growth of your child. |
Q. Does high serum creatinine indicate abnormal kidney function? | Hello doctor, I am 36 years old male. Weight 67 kg, height 5'5". My serum creatinine is 1.2 mg/dl and urea is 20 mg/dl. My hemoglobin is 14.5 gm/dl. Vitamin D is 20.2 ng/ml. HbA1c is 6 %. I want to know whether my kidney function is normal on the basis of my blood reports. Please suggest. | Hi. To help you better, I need to know your blood pressure, any ultrasound report, if done. Revert back with the asked details for better help. |
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Hello doctor, I am 36 years old male. Weight 67 kg, height 5'5". My serum creatinine is 1.2 mg/dl and urea is 20 mg/dl. My hemoglobin is 14.5 gm/dl. Vitamin D is 20.2 ng/ml. HbA1c is 6 %. I want to know whether my kidney function is normal on the basis of my blood reports. Please suggest. [/INST] Hi. To help you better, I need to know your blood pressure, any ultrasound report, if done. Revert back with the asked details for better help. |
Q. What leads to blood with loose stool? | Hello doctor, I have blood coming in loose stool for the past one year but I do not feel any pain. What is the reason? | Hi. Blood in stool is not a normal condition as you are having the problem for one year. It should be investigated in detail and the following work-up will be useful. Rectal, anal area examination, stool routine microscopic examination, proctoscopy examination, colonoscopy, if needed. If needed during colonoscopy, biopsy taken from the abnormal area if found for histopathology examination. This work-up will be helpful to rule out causes for blood in stool like a polyp, proctitis, piles, colitis, diverticulitis, any growth, if present, etc. If the color of blood in stool is of brown-red color than bleeding is from the upper gastrointestinal tract. If colour is bright red then the cause for bleeding is from the lower gastrointestinal tract. So, from your provided history, this work-up should be done and above causes should be ruled out. One diagnosis cannot be given. Consult general surgeon or gastroenterologist for examination and above work up and according to cause identified further treatment plan can be decided. |
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Hello doctor, I have blood coming in loose stool for the past one year but I do not feel any pain. What is the reason? [/INST] Hi. Blood in stool is not a normal condition as you are having the problem for one year. It should be investigated in detail and the following work-up will be useful. Rectal, anal area examination, stool routine microscopic examination, proctoscopy examination, colonoscopy, if needed. If needed during colonoscopy, biopsy taken from the abnormal area if found for histopathology examination. This work-up will be helpful to rule out causes for blood in stool like a polyp, proctitis, piles, colitis, diverticulitis, any growth, if present, etc. If the color of blood in stool is of brown-red color than bleeding is from the upper gastrointestinal tract. If colour is bright red then the cause for bleeding is from the lower gastrointestinal tract. So, from your provided history, this work-up should be done and above causes should be ruled out. One diagnosis cannot be given. Consult general surgeon or gastroenterologist for examination and above work up and according to cause identified further treatment plan can be decided. |
Q. What is the treatment for redness and itching after bug bite? | Hello doctor,Last month I was bitten by some bed bugs. After pest control, they have been eradicated from the house. But my skin is very itchy and there are white and red spots on the full body. Can you suggest me some medicine or ointment, so the redness and itchiness fades? | Hi. This type of rash is seen not because of bed bugs but maybe you are allergic to something coming in contact. It may be so many things like your clothes, bedding or plants or some food items. For now, apply Hydrocortisone cream at day time and calamine lotion at night along with D-Loratin (Desloratadine) 5 mg once daily before sleep (if pregnant or lactating, avoid tablets). I am not sure about your age and sex as this information is not available. Urticaria. Desloratadine 5 mg once at night, Hydrocortisone cream 1 % once in morning and Calamine lotion at night. |
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Hello doctor,Last month I was bitten by some bed bugs. After pest control, they have been eradicated from the house. But my skin is very itchy and there are white and red spots on the full body. Can you suggest me some medicine or ointment, so the redness and itchiness fades? [/INST] Hi. This type of rash is seen not because of bed bugs but maybe you are allergic to something coming in contact. It may be so many things like your clothes, bedding or plants or some food items. For now, apply Hydrocortisone cream at day time and calamine lotion at night along with D-Loratin (Desloratadine) 5 mg once daily before sleep (if pregnant or lactating, avoid tablets). I am not sure about your age and sex as this information is not available. Urticaria. Desloratadine 5 mg once at night, Hydrocortisone cream 1 % once in morning and Calamine lotion at night. |
Q. Is it advisable to do yoga after sex to conceive? | Hi doctor, I am 31 years old. Last month I had periods on 10th and then we had sex on 22, 23, 25 as those were the fertile days. Also I am doing yoga from past 1 month. This my date was supposed to come before 10 as I normally get period before date. But got my periods today on 14th. Is it because I am doing yoga so I got my periods and failed to conceive? As initially in this month I was having frequent urination, sore breast symptoms but sadly I failed to conceive. Can you suggest shall I continue yoga and is it advisable to do yoga after having sex? Current medications: Folvite and Neurobion forte. | Hello. Nothing to worry. Smaller changes in cycle pattern can be hormonal. Yoga is good, it relaxes you, nothing to worry about. The cycle fecundity is 12 to 15 percent (means every trying cycle has a chance of pregnancy only 12 percent) it takes 1 year of unprotected intercourse for better pregnancy rate. No worries. Considering your age if the trying period is more than 8 to 10 months get a baseline TVS to look for ovarian reserve and also a baseline semen analysis for your partner. hormonal Semen analysis& TVS hormonal reassurance if queries |
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Hi doctor, I am 31 years old. Last month I had periods on 10th and then we had sex on 22, 23, 25 as those were the fertile days. Also I am doing yoga from past 1 month. This my date was supposed to come before 10 as I normally get period before date. But got my periods today on 14th. Is it because I am doing yoga so I got my periods and failed to conceive? As initially in this month I was having frequent urination, sore breast symptoms but sadly I failed to conceive. Can you suggest shall I continue yoga and is it advisable to do yoga after having sex? Current medications: Folvite and Neurobion forte. [/INST] Hello. Nothing to worry. Smaller changes in cycle pattern can be hormonal. Yoga is good, it relaxes you, nothing to worry about. The cycle fecundity is 12 to 15 percent (means every trying cycle has a chance of pregnancy only 12 percent) it takes 1 year of unprotected intercourse for better pregnancy rate. No worries. Considering your age if the trying period is more than 8 to 10 months get a baseline TVS to look for ovarian reserve and also a baseline semen analysis for your partner. hormonal Semen analysis& TVS hormonal reassurance if queries |
Q. Is it advisable to use lemon juice for pimple? | Hello doctor, So I used the juice out of fresh lemon to treat a minor acne spot on the side of my face (cheek) last week. I applied the lemon just overnight. After two days, I saw a small white scar. Therefore, I decided to stop doing this. Is this permanent and will this prevent hair growth on my face? | Hi. Can you forward a few pictures of the affected area to guide you through precisely. |
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Hello doctor, So I used the juice out of fresh lemon to treat a minor acne spot on the side of my face (cheek) last week. I applied the lemon just overnight. After two days, I saw a small white scar. Therefore, I decided to stop doing this. Is this permanent and will this prevent hair growth on my face? [/INST] Hi. Can you forward a few pictures of the affected area to guide you through precisely. |
Q. What is the treatment available for eye floaters and halos around the lights? | Hello doctor, I am suffering from eye floaters, halos around the lights, photo after image, ghost image. First floaters started two years ago, then after 6 to 7 months later. I started seeing halos around the light then ghost image and three months ago, I started seeing photo afterimage. I am really scared of this. Please help me to cure this. | Hello. Floaters, photo after-images, ghost images are usually seen in disorders of the retina. Halos are indicative of corneal edema due to various reasons. There are a lot of diseases which can cause such a picture. At the same time, if you only experience these problems once in a while and have no problems with vision, you could actually have no treatable problems. The best and only way to confirm it for sure would be to visit an ophthalmologist. I would recommend an urgent visit in case you have pain, a sudden drop in vision, part of the image you see cannot be visualized or redness, watering, discharge from the eyes. In case you do not have any of the above, I would say a non-urgent visit would suffice. |
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Hello doctor, I am suffering from eye floaters, halos around the lights, photo after image, ghost image. First floaters started two years ago, then after 6 to 7 months later. I started seeing halos around the light then ghost image and three months ago, I started seeing photo afterimage. I am really scared of this. Please help me to cure this. [/INST] Hello. Floaters, photo after-images, ghost images are usually seen in disorders of the retina. Halos are indicative of corneal edema due to various reasons. There are a lot of diseases which can cause such a picture. At the same time, if you only experience these problems once in a while and have no problems with vision, you could actually have no treatable problems. The best and only way to confirm it for sure would be to visit an ophthalmologist. I would recommend an urgent visit in case you have pain, a sudden drop in vision, part of the image you see cannot be visualized or redness, watering, discharge from the eyes. In case you do not have any of the above, I would say a non-urgent visit would suffice. |
Q. Is surgical correction important for loose vagina with gap? | Hello doctor, I am 21 years old and five months postpartum. I have an embarrassing problem that my vagina is gaping open and very loose. I cannot move without air getting inside. My husband called me an empty pringles can and left me. It is that bad. It actually was that way already before I gave birth and I was always queefing it seems to progress over the years, it started when I was about 12 years old (was not sexually active until 19). Should I get a vaginoplasty and would it last or would it just go back to loose anyway after some time? | Hello. I have seen the pictures which have been uploaded and there is indeed gaping of the vaginal orifice with perineal laxity and also decreased mons pubis and labia mayoral fat pad (attachment removed to protect patient identity). Ideally, after postpartum, one is advised Kegel's exercises to tone the perineal muscles for 3 to 4 months if surgical correction is to be avoided. In your case, where air is seeping in and it is affecting your personal relationship as well, it is suggested that you should opt for a cosmetic gynecology procedure under aesthetic medicine called laser vaginal rejuvenation by thermiva (instrument name- you may search literature if need be), which can help correct the looseness of the vaginal walls circumferentially. Also, after re-evaluation of the results of the procedure after a month, then you can be considered for corrective vaginoplasty with perineoplasty with bilateral vulvoplasty, which would help you regain the aesthetics of the genital area and also your concerns could be addressed. Post-procedure you would be asked to avoid pregnancy for at least two years which would help the wall to repair and strengthen and results can be followed up in subsequent visits. So please meet a cosmetic gynecologist, get assessed and discuss your options in detail. Do not worry, this is correctable. |
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Hello doctor, I am 21 years old and five months postpartum. I have an embarrassing problem that my vagina is gaping open and very loose. I cannot move without air getting inside. My husband called me an empty pringles can and left me. It is that bad. It actually was that way already before I gave birth and I was always queefing it seems to progress over the years, it started when I was about 12 years old (was not sexually active until 19). Should I get a vaginoplasty and would it last or would it just go back to loose anyway after some time? [/INST] Hello. I have seen the pictures which have been uploaded and there is indeed gaping of the vaginal orifice with perineal laxity and also decreased mons pubis and labia mayoral fat pad (attachment removed to protect patient identity). Ideally, after postpartum, one is advised Kegel's exercises to tone the perineal muscles for 3 to 4 months if surgical correction is to be avoided. In your case, where air is seeping in and it is affecting your personal relationship as well, it is suggested that you should opt for a cosmetic gynecology procedure under aesthetic medicine called laser vaginal rejuvenation by thermiva (instrument name- you may search literature if need be), which can help correct the looseness of the vaginal walls circumferentially. Also, after re-evaluation of the results of the procedure after a month, then you can be considered for corrective vaginoplasty with perineoplasty with bilateral vulvoplasty, which would help you regain the aesthetics of the genital area and also your concerns could be addressed. Post-procedure you would be asked to avoid pregnancy for at least two years which would help the wall to repair and strengthen and results can be followed up in subsequent visits. So please meet a cosmetic gynecologist, get assessed and discuss your options in detail. Do not worry, this is correctable. |
Q. Is colonoscopy necessary for diagnosis of stomach pain with diarrhea? | Hello doctor, I get stomach pain and diarrhea after meals. I do not want to do a colonoscopy because the preparation will cause more diarrhea. Therefore I want to know what can be done without colonoscopy for diagnosis? | Hello. Colonoscopy is an invasive procedure in which we can see the lesions directly. If we have doubt then we can take a biopsy and also if any lesion needs to be treated means it can be treated immediately. It is diagnostic and therapeutic also. CT abdomen, ultrasound abdomen and barium swallow, etc., are available but not possible to take the biopsy or treat the lesions. So, please consult your gastroenterologist. He will examine and treat you accordingly. Take care. |
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Hello doctor, I get stomach pain and diarrhea after meals. I do not want to do a colonoscopy because the preparation will cause more diarrhea. Therefore I want to know what can be done without colonoscopy for diagnosis? [/INST] Hello. Colonoscopy is an invasive procedure in which we can see the lesions directly. If we have doubt then we can take a biopsy and also if any lesion needs to be treated means it can be treated immediately. It is diagnostic and therapeutic also. CT abdomen, ultrasound abdomen and barium swallow, etc., are available but not possible to take the biopsy or treat the lesions. So, please consult your gastroenterologist. He will examine and treat you accordingly. Take care. |
Q. What can be done to treat severe nerve pain between left bum and leg? | Hello doctor, I have nerve pain between my left bum and left leg for the past two months. It is so painful that I cannot even walk, sit or lay down. | Hello. Are you obese? Are you diabetic? Any pain in the lower back? The possible causes are lumbar spondylosis with radiculopathy or compressive neuropathy or peripheral neuropathy or restless leg syndrome or arthritis if knee with bursitis or peripheral vascular disease, etc. You have to get it done, nerve conduction study and MRI of the lumbar spine. If necessary, you need a color Doppler of the lower limb. Use tablet Naprosyn 250 twice a day for five days. If your symptoms do not improve or develop an allergy to the above drug, please consult your physician or neurophysician. He will examine and treat you accordingly. Take care. |
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Hello doctor, I have nerve pain between my left bum and left leg for the past two months. It is so painful that I cannot even walk, sit or lay down. [/INST] Hello. Are you obese? Are you diabetic? Any pain in the lower back? The possible causes are lumbar spondylosis with radiculopathy or compressive neuropathy or peripheral neuropathy or restless leg syndrome or arthritis if knee with bursitis or peripheral vascular disease, etc. You have to get it done, nerve conduction study and MRI of the lumbar spine. If necessary, you need a color Doppler of the lower limb. Use tablet Naprosyn 250 twice a day for five days. If your symptoms do not improve or develop an allergy to the above drug, please consult your physician or neurophysician. He will examine and treat you accordingly. Take care. |
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.---> |
<s>[INST]
Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. [/INST] Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> |
Q. For how long should I take Kalachikai powder to overcome PCOD problem? | Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? | Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> |
<s>[INST]
Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? [/INST] Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> |
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 --> |
<s>[INST]
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 --> |
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