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Q. How to confirm positive TB from skin test? | Hi doctor, I had a TB test done at 9:30 AM yesterday and it is now 7:30 PM. The area is itchy, swollen with a red ring around it. Should I be worried? | Hi. I believe that you have undertaken the Mantoux skin test. There is likely to be an initial inflammatory reaction to the tuberculous killed bacillus which can form the ring and itch slightly. You may apply an emollient over it. This test is to be studied after 48 hours for results where if the induration is more than 10 mm in diameter then the test is positive and the patient is said to be susceptible to tuberculosis. Then is followed by ADA (Adenosine deaminase) and/or MTB-PCR (Mycobacterium tuberculosis-polymerase chain reaction) test to confirm the diagnosis further. |
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Hi doctor, I had a TB test done at 9:30 AM yesterday and it is now 7:30 PM. The area is itchy, swollen with a red ring around it. Should I be worried? [/INST] Hi. I believe that you have undertaken the Mantoux skin test. There is likely to be an initial inflammatory reaction to the tuberculous killed bacillus which can form the ring and itch slightly. You may apply an emollient over it. This test is to be studied after 48 hours for results where if the induration is more than 10 mm in diameter then the test is positive and the patient is said to be susceptible to tuberculosis. Then is followed by ADA (Adenosine deaminase) and/or MTB-PCR (Mycobacterium tuberculosis-polymerase chain reaction) test to confirm the diagnosis further. |
Q. I am much worried about my stomach pain. Please help. | Hi doctor, I am a 24 year old male. I am working as a software developer. Sometimes, I feel a sharp pain in my right lower part of the stomach. When I am trying to bend down, I am feeling some pain inside the pelvic bone. After eating meals and dinner, I am getting excess burping and feeling of bloating and tightness in the right lower abdomen. I am also having constipation problem for more than a year. I have consulted a gastroenterologist for physical evaluation. He diagnosed me and prescribed some medicines. After some time, I had an endoscopy and he found I have H.pylori infection. He prescribed medicine for the same. After a month, bloating and burping are less but the pain still persists. I have consulted one more gastroenterologist who evaluated me with some blood test and ultrasound of the whole abdomen and said nothing to worry as everything is normal in my report (including pancreas and kidney). Now again from last three to four days, I feel my urine flow is slow and I have a burning sensation in the penis. I have excess burping, bloating, and pain in the right chest. As I have consulted many doctors and they reported as I have nothing, I am confused with my stomach pain now and much worried as what could be the factor behind the pain? What should I do now? Please help. | Hi. I read your history. As per your description, it seems to be a functional bowel disorder, it may be associated with what called as irritable bowel syndrome (IBS). Bowel illnesses are difficult to prove medically, and mostly they are a matter of exclusion. Infection like H.pylori may be the reason for your burping, but it would not be the cause for right lower abdominal pain. After reading all this do not worry that you have any major illness. I guess your appetite is normal and your weight too. Now I would suggest you do a few things. |
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Hi doctor, I am a 24 year old male. I am working as a software developer. Sometimes, I feel a sharp pain in my right lower part of the stomach. When I am trying to bend down, I am feeling some pain inside the pelvic bone. After eating meals and dinner, I am getting excess burping and feeling of bloating and tightness in the right lower abdomen. I am also having constipation problem for more than a year. I have consulted a gastroenterologist for physical evaluation. He diagnosed me and prescribed some medicines. After some time, I had an endoscopy and he found I have H.pylori infection. He prescribed medicine for the same. After a month, bloating and burping are less but the pain still persists. I have consulted one more gastroenterologist who evaluated me with some blood test and ultrasound of the whole abdomen and said nothing to worry as everything is normal in my report (including pancreas and kidney). Now again from last three to four days, I feel my urine flow is slow and I have a burning sensation in the penis. I have excess burping, bloating, and pain in the right chest. As I have consulted many doctors and they reported as I have nothing, I am confused with my stomach pain now and much worried as what could be the factor behind the pain? What should I do now? Please help. [/INST] Hi. I read your history. As per your description, it seems to be a functional bowel disorder, it may be associated with what called as irritable bowel syndrome (IBS). Bowel illnesses are difficult to prove medically, and mostly they are a matter of exclusion. Infection like H.pylori may be the reason for your burping, but it would not be the cause for right lower abdominal pain. After reading all this do not worry that you have any major illness. I guess your appetite is normal and your weight too. Now I would suggest you do a few things. |
Q. Should I get my wisdom teeth removed? | Hello doctor, I have wisdom tooth. Is it necessary to remove it? | Hi. I have gone through your question and I can understand your concern. If it is giving you any sort of problem or giving you discomfort, you need to remove it immediately. There are chances of cyst formation in some cases too, if the impaction is not treated. You can delay it but my opinion is to get it removed. |
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Hello doctor, I have wisdom tooth. Is it necessary to remove it? [/INST] Hi. I have gone through your question and I can understand your concern. If it is giving you any sort of problem or giving you discomfort, you need to remove it immediately. There are chances of cyst formation in some cases too, if the impaction is not treated. You can delay it but my opinion is to get it removed. |
Q. Is it necessary to get rhesus checked during pregnancy? | Hi doctor, What is Rhesus? My wife is pregnant and started clinic today. | Hi. At first visit, the pregnant lady's blood group needs to be checked. There are many blood groups like A, B, O, AB and another thing which we need to know is rhesus positive or rhesus negative. So on the basis of rhesus, it is A+, A-, B+, B-, O+, O-, AB+, AB -. So, every blood group have rhesus classification like rhesus positive and rhesus negative. A positive and a negative. Rhesus has to be known as there is one issue of rhesus incompatibility. If both mother and father of the child are rhesus positive or both rhesus negative, then no issue. But, if mother is rhesus negative and father is rhesus positive and developing baby is rhesus positive, then mother can develop antibodies against fetal blood that can cause lysis of blood cells most likely in next pregnancy which can lead to anemic baby. Rh negative mothers with Rh positive husbands need anti-D injections. They need to have twice at 28 and 32 weeks of gestation without any cause but in case of bleeding during pregnancy also need injection, after birth also. Check your blood group as well if wife is rhesus negative. She should have regular antenatal visits and in case of bleeding or pain report to gynecology emergency. If wife is Rh negative, have blood grouping of husband. Regular antenatal check-ups in maternal medicine unit if Rh negative and some other complications are related to it. Anti-D injections at 28 and 32 weeks. Balanced diet, weight, and BMI, folic acid. Regular antenatal check-ups. Report in case of any bleeding. |
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Hi doctor, What is Rhesus? My wife is pregnant and started clinic today. [/INST] Hi. At first visit, the pregnant lady's blood group needs to be checked. There are many blood groups like A, B, O, AB and another thing which we need to know is rhesus positive or rhesus negative. So on the basis of rhesus, it is A+, A-, B+, B-, O+, O-, AB+, AB -. So, every blood group have rhesus classification like rhesus positive and rhesus negative. A positive and a negative. Rhesus has to be known as there is one issue of rhesus incompatibility. If both mother and father of the child are rhesus positive or both rhesus negative, then no issue. But, if mother is rhesus negative and father is rhesus positive and developing baby is rhesus positive, then mother can develop antibodies against fetal blood that can cause lysis of blood cells most likely in next pregnancy which can lead to anemic baby. Rh negative mothers with Rh positive husbands need anti-D injections. They need to have twice at 28 and 32 weeks of gestation without any cause but in case of bleeding during pregnancy also need injection, after birth also. Check your blood group as well if wife is rhesus negative. She should have regular antenatal visits and in case of bleeding or pain report to gynecology emergency. If wife is Rh negative, have blood grouping of husband. Regular antenatal check-ups in maternal medicine unit if Rh negative and some other complications are related to it. Anti-D injections at 28 and 32 weeks. Balanced diet, weight, and BMI, folic acid. Regular antenatal check-ups. Report in case of any bleeding. |
Q. Kindly suggest a medicine to manage fungal infection on the wrist. | Hello doctor, I am suffering for the past two months supposedly some fungal infection on the wrist of my right hand. It is circular and expands in a ring red in color. I have been using Candid B cream but as it goes away it comes back again and increase in size. When it expands, white pus-like small things form and on applying the cream for 2 to 3 days goes away but again surrounding area gets these small pus-like things and so the ring expands. It has left a white patch in the center and red ring at sides. It burns in hot but feels good in cold air. Is there a medicine which I can take? | Hi. Your history is strongly in favor of tinea corporis. Tinea Corporis is a fungal infection, usually a consequence of excessive sweating, occlusion, and friction. If not treated correctly, it tends to keep recurring. Candid B is a combination of an antifungal with steroid and such combinations have recently been banned too. The steroid in the composition tends to only suppress but not cure the infection. In addition, it adds to the resistance, hence further delaying the response when treated correctly. Kindly upload appropriate images to confirm the diagnosis, stop Candid B immediately, let us know all the sites which are affected (groins, axilla, etc.) and mention if you are a diabetic. Tablet Levocet 5 mg once daily at nite for two weeks for itching. Stop Candid B. |
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Hello doctor, I am suffering for the past two months supposedly some fungal infection on the wrist of my right hand. It is circular and expands in a ring red in color. I have been using Candid B cream but as it goes away it comes back again and increase in size. When it expands, white pus-like small things form and on applying the cream for 2 to 3 days goes away but again surrounding area gets these small pus-like things and so the ring expands. It has left a white patch in the center and red ring at sides. It burns in hot but feels good in cold air. Is there a medicine which I can take? [/INST] Hi. Your history is strongly in favor of tinea corporis. Tinea Corporis is a fungal infection, usually a consequence of excessive sweating, occlusion, and friction. If not treated correctly, it tends to keep recurring. Candid B is a combination of an antifungal with steroid and such combinations have recently been banned too. The steroid in the composition tends to only suppress but not cure the infection. In addition, it adds to the resistance, hence further delaying the response when treated correctly. Kindly upload appropriate images to confirm the diagnosis, stop Candid B immediately, let us know all the sites which are affected (groins, axilla, etc.) and mention if you are a diabetic. Tablet Levocet 5 mg once daily at nite for two weeks for itching. Stop Candid B. |
Q. Is it normal to have frequent nightfalls? | Hello doctor, I am 27 years old. I have to face problems of falling of sperm. Nightfall happens four times a week. Some time my penis feels burning. It hurts me. I met so many doctors for some days, I get relief, then again I test all sugar, thyroid, and so on. All are negative. | Hello. I can understand your concern. You have the problem of nocturnal emissions four times a week and this is happening most probably due to the lack of sex or masturbation. Engaging in masturbation or sex would reduce the frequency and you will feel better. The burning in the penis is probably due to infection. This is happening most likely due to poor hygiene due to repetitive night falls. Clean your penis with neutral water and if needed take proper treatment. Take care. |
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Hello doctor, I am 27 years old. I have to face problems of falling of sperm. Nightfall happens four times a week. Some time my penis feels burning. It hurts me. I met so many doctors for some days, I get relief, then again I test all sugar, thyroid, and so on. All are negative. [/INST] Hello. I can understand your concern. You have the problem of nocturnal emissions four times a week and this is happening most probably due to the lack of sex or masturbation. Engaging in masturbation or sex would reduce the frequency and you will feel better. The burning in the penis is probably due to infection. This is happening most likely due to poor hygiene due to repetitive night falls. Clean your penis with neutral water and if needed take proper treatment. Take care. |
Q. What can be done for tight tendons on the sides of penis causing pain on erection? | Hello doctor, My partner has very tight tendons on the sides of his penis that cause pain with erection. He has attempted to stretch out the tendons, but they go right back, and he is concerned about damaging them. He gets relief from the pain when he presses down on the penis. He has also heard a popping noise. He saw a Urologist today and was told there was nothing wrong. Any suggestions? | Hi. During vigorous sexual activity sometimes there is a partial tear of the superficial layer of tunica of corpora cavernosa leading to such description. If he is able to achieve the erection with no ecchymosis, redness or blackening, it is fine. Ask him to share a picture of an erect penis in two directions. |
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Hello doctor, My partner has very tight tendons on the sides of his penis that cause pain with erection. He has attempted to stretch out the tendons, but they go right back, and he is concerned about damaging them. He gets relief from the pain when he presses down on the penis. He has also heard a popping noise. He saw a Urologist today and was told there was nothing wrong. Any suggestions? [/INST] Hi. During vigorous sexual activity sometimes there is a partial tear of the superficial layer of tunica of corpora cavernosa leading to such description. If he is able to achieve the erection with no ecchymosis, redness or blackening, it is fine. Ask him to share a picture of an erect penis in two directions. |
Q. What should one do when the contact lens was not removed for 10 years? | Hello doctor,My husband has not removed his contact lens from his eyes in over 10 years he says. He cannot remove them. Please let me know what he should do. | Hello, Welcome to iclinq.com. If contact lens has been there for the last 10 years, then it would cause a lot of problems like redness, watering, itching, pain, blurring of vision. I do not think the contact lens is still there. You should still consult an Ophthalmologist for an eye exam to ascertain it, and get it removed if still present. Please follow up with what the doctor advises and any other query. |
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Hello doctor,My husband has not removed his contact lens from his eyes in over 10 years he says. He cannot remove them. Please let me know what he should do. [/INST] Hello, Welcome to iclinq.com. If contact lens has been there for the last 10 years, then it would cause a lot of problems like redness, watering, itching, pain, blurring of vision. I do not think the contact lens is still there. You should still consult an Ophthalmologist for an eye exam to ascertain it, and get it removed if still present. Please follow up with what the doctor advises and any other query. |
Q. Can braces correct malaligned upper teeth with gaps? | Hi doctor,My upper teeth are slightly malaligned and have gaps in them. I visited the dentist. After X-ray, he said braces will be used by the jaws and will be visible after that up to 3 mm. | Hi. Your age is ideal for orthodontic treatment. If you will delay further then treatment will take more time for completion so it is better to start with it sooner. If you will be having a gummy smile and 3 mm of gum line will be visible after treatment, that is fine too. People look younger with a gummy smile, but you have to properly maintain your oral hygiene then. Stay happy and blessed dear. |
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Hi doctor,My upper teeth are slightly malaligned and have gaps in them. I visited the dentist. After X-ray, he said braces will be used by the jaws and will be visible after that up to 3 mm. [/INST] Hi. Your age is ideal for orthodontic treatment. If you will delay further then treatment will take more time for completion so it is better to start with it sooner. If you will be having a gummy smile and 3 mm of gum line will be visible after treatment, that is fine too. People look younger with a gummy smile, but you have to properly maintain your oral hygiene then. Stay happy and blessed dear. |
Q. Every time I eat spicy food, I poop blood. Why? | Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I do not have a family history of colon cancer. I got blood tests done last night. Please find my reports attached. | Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online --> |
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Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I do not have a family history of colon cancer. I got blood tests done last night. Please find my reports attached. [/INST] Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online --> |
Q. How long should my husband and I wait to try for a baby if we did cocaine? | Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. | Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> |
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Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. [/INST] Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> |
Q. Can Yasmin birth control pill be used as an emergency contraceptive pill? | Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? | Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> |
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Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? [/INST] Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> |
Q. Please explain the poisonous effect of phenol ingestion. | Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. | Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> |
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Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. [/INST] Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> |
Q. For how long should I take Kalachikai powder to overcome PCOD problem? | Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? | Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> |
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Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? [/INST] Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> |
Q. Why do periods get delayed after first time sex? | Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? | Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> |
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Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? [/INST] Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> |
Q. Can I get complete cure for PCOD through Ayurveda? | Hi doctor, I am a 30 year old female. I am suffering from heavy periods for the past seven months. PCOD is diagnosed in ultrasound. Amycordial and Amree Plus are the medicines given by an ayurveda doctor. Shall I take ayurveda treatment for this? Please suggest. | Hi. You need to undergo a process called virechana - ayurvedic detoxification. This is a six-day therapy, works wonders on PCOS (polycystic ovarian syndrome). Consult a panchakarma specialist for physical evaluation and to undergo virechana. The prescription suggested by your doctor has insufficient medications to get the desired results. In my opinion, please start the following medicines in addition to them. I would have been more precise if I had more details but with the information provided by you, I suggest the following. Get back to me after a month of taking these medicines. Regular exercise, healthy diet with fruits and vegetables are advised too. |
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Hi doctor, I am a 30 year old female. I am suffering from heavy periods for the past seven months. PCOD is diagnosed in ultrasound. Amycordial and Amree Plus are the medicines given by an ayurveda doctor. Shall I take ayurveda treatment for this? Please suggest. [/INST] Hi. You need to undergo a process called virechana - ayurvedic detoxification. This is a six-day therapy, works wonders on PCOS (polycystic ovarian syndrome). Consult a panchakarma specialist for physical evaluation and to undergo virechana. The prescription suggested by your doctor has insufficient medications to get the desired results. In my opinion, please start the following medicines in addition to them. I would have been more precise if I had more details but with the information provided by you, I suggest the following. Get back to me after a month of taking these medicines. Regular exercise, healthy diet with fruits and vegetables are advised too. |
Q. What is Lyme disease? Will it cause joint pain and depression? | Hi doctor, Recently, I visited my primary doctor's office, but he was on vacation. I was seen by a nurse practitioner. My main complaint is leg swelling, joint pain, and stomach aches. She asked me to do a series of lab tests and to return a week and a half later. When I went back, she told me that everything came back negative. However, a trace of an old case of Lyme disease showed up but it was nothing to worry about. Then she carried on to give lecture on my weight, and that I need to lose weight. I do, but I am 5'7" and 215 lbs with three children. I have a long history of bipolar depression. Now I began to think that the joint pain and depression may have some correlation with this "old case" of untreated Lyme disease. I need some advice on this, please. | Hi. I assure you not to worry at all as things may get settled with proper care and follow-up. Yes, depression and the joint disease may definitely be associated with the untreated Lyme disease. There are a lot of things that need to be cleared right away in history. I have written just for you to alleviate your concerns, once for all. Do answer where I ask a question, send back in follow up along with all the laboratory results you just went through. There are three main stages of the Lyme disease. Stage 1: This is 1-30 days after the tick bite. It comprises the vague febrile illness with a typical red rash named Erythema migrans (the rash that appears usually in unseen areas like axillae, groin and the back of the knee areas, almost after a week of the tick bite). I wish to know, 1. Did you get this rash sometime? 2. If yes, can you please give me details as when? 3. Any eye redness, tearing, neck stiffness at that time with mild fever, etc? Stage 2: Early disseminated disease which is 3-10 weeks after the tick bite. It includes fever and malaise, eye and vision problems, heart issues, joint pains mostly knees, ankles, wrist involvement. There are also the neurological manifestations like meningitis, facial palsy, headache, neck pain or stiffness, photophobia. Also memory problems, mood changes, sleep and personality changes, depression etc., with some skin rash. STAGE 3; Months to years after the initial infection which is latent or chronic Lyme disease, I have seen my patients get a latency period with no disease and again erupted with stage 3 after sometime. Facial palsy and joint pains are very important and common manifestation of the late disease. Bladder dysfunction, hearing loss, cognitive impairment, other neurological manifestations including depression are common. Treatment plan can be decided on seeing the blood work in follow up along with the details in history. |
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Hi doctor, Recently, I visited my primary doctor's office, but he was on vacation. I was seen by a nurse practitioner. My main complaint is leg swelling, joint pain, and stomach aches. She asked me to do a series of lab tests and to return a week and a half later. When I went back, she told me that everything came back negative. However, a trace of an old case of Lyme disease showed up but it was nothing to worry about. Then she carried on to give lecture on my weight, and that I need to lose weight. I do, but I am 5'7" and 215 lbs with three children. I have a long history of bipolar depression. Now I began to think that the joint pain and depression may have some correlation with this "old case" of untreated Lyme disease. I need some advice on this, please. [/INST] Hi. I assure you not to worry at all as things may get settled with proper care and follow-up. Yes, depression and the joint disease may definitely be associated with the untreated Lyme disease. There are a lot of things that need to be cleared right away in history. I have written just for you to alleviate your concerns, once for all. Do answer where I ask a question, send back in follow up along with all the laboratory results you just went through. There are three main stages of the Lyme disease. Stage 1: This is 1-30 days after the tick bite. It comprises the vague febrile illness with a typical red rash named Erythema migrans (the rash that appears usually in unseen areas like axillae, groin and the back of the knee areas, almost after a week of the tick bite). I wish to know, 1. Did you get this rash sometime? 2. If yes, can you please give me details as when? 3. Any eye redness, tearing, neck stiffness at that time with mild fever, etc? Stage 2: Early disseminated disease which is 3-10 weeks after the tick bite. It includes fever and malaise, eye and vision problems, heart issues, joint pains mostly knees, ankles, wrist involvement. There are also the neurological manifestations like meningitis, facial palsy, headache, neck pain or stiffness, photophobia. Also memory problems, mood changes, sleep and personality changes, depression etc., with some skin rash. STAGE 3; Months to years after the initial infection which is latent or chronic Lyme disease, I have seen my patients get a latency period with no disease and again erupted with stage 3 after sometime. Facial palsy and joint pains are very important and common manifestation of the late disease. Bladder dysfunction, hearing loss, cognitive impairment, other neurological manifestations including depression are common. Treatment plan can be decided on seeing the blood work in follow up along with the details in history. |
Q. Can change in stool consistency affect pregnancy? | Hi doctor, I am 26 years old and now 36 weeks pregnant. I just noticed my stool appeared as a mixture of white and brown long particles. I never had white poop in such lengths. My scan reports were normal a month ago. Is there any problem to worry? Is there any threat to the baby? Should I visit the doctor urgently? Please help. | Hi. Passage of white or brown particles in stool does not harm baby and there is no need to be alarmed. You can visit a physician or gastroenterologist for a physical evaluation, to confirm the nature of the problem and take treatment if required. If there are no other stomach symptoms, that visit too is not an emergency. If you have white string in stools along with other symptoms like loose stools or vomiting and pain in abdomen/fever, you need to visit a doctor as early as possible. |
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Hi doctor, I am 26 years old and now 36 weeks pregnant. I just noticed my stool appeared as a mixture of white and brown long particles. I never had white poop in such lengths. My scan reports were normal a month ago. Is there any problem to worry? Is there any threat to the baby? Should I visit the doctor urgently? Please help. [/INST] Hi. Passage of white or brown particles in stool does not harm baby and there is no need to be alarmed. You can visit a physician or gastroenterologist for a physical evaluation, to confirm the nature of the problem and take treatment if required. If there are no other stomach symptoms, that visit too is not an emergency. If you have white string in stools along with other symptoms like loose stools or vomiting and pain in abdomen/fever, you need to visit a doctor as early as possible. |
Q. Can stress cause bowel disturbances? | Hi doctor, I am 44 years old male. I have a good diet. I have been taking good care of my health for the past 20 years as my digestive tract is bad for many years. Can you review my medical records from July and compare it with my CT scan done yesterday? One thing which is confusing me is the prominent lymph nodes in the paraaortic region. I could say neither stress alone is the cause for all my health problems, nor old age. | Hi. The paraaortic lymph nodes mentioned in the report (attachment removed to protect patient identity) is almost in normal limit. The enlargement will become significant only if you have pain in the abdomen or fever or weight loss. There could be many causes for bowel disturbance example: IBS (irritable bowel syndrome), IBD (inflammatory bowel disease) or reflux of the gastric content that would also cause burning of the chest. In your case, it appears to be benign. We need more information about your bowel habits such as whether you have constipation or not. Stress is a very important cause of bowel disturbance, one should alleviate all kind of stress to get rid of these problems. Treatment plan as advised previously. Preventive measures as advised previously. |
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Hi doctor, I am 44 years old male. I have a good diet. I have been taking good care of my health for the past 20 years as my digestive tract is bad for many years. Can you review my medical records from July and compare it with my CT scan done yesterday? One thing which is confusing me is the prominent lymph nodes in the paraaortic region. I could say neither stress alone is the cause for all my health problems, nor old age. [/INST] Hi. The paraaortic lymph nodes mentioned in the report (attachment removed to protect patient identity) is almost in normal limit. The enlargement will become significant only if you have pain in the abdomen or fever or weight loss. There could be many causes for bowel disturbance example: IBS (irritable bowel syndrome), IBD (inflammatory bowel disease) or reflux of the gastric content that would also cause burning of the chest. In your case, it appears to be benign. We need more information about your bowel habits such as whether you have constipation or not. Stress is a very important cause of bowel disturbance, one should alleviate all kind of stress to get rid of these problems. Treatment plan as advised previously. Preventive measures as advised previously. |
Q. Is it safe to take thyroid tablet during breastfeeding? | Hi doctor, One and a half year back, I was diagnosed with thyroid with the TSH value of around 7.24. I was advised to take Thyronorm 25 mcg daily. I had delivered a baby before two months. I did TSH at that time and the reading was 0.08. Then I stopped the medication as per doctor's advice. On repeating the test in a month interval, the report came out to be 4.5, and I am still not advised to take any medicine. Should I stay off forever or only till I breastfeed the baby? Please suggest. | Hi. My advice is, as of now stop the medication. After six weeks, do a TSH (thyroid stimulating hormone) and anti-TPO (anti-thyroid peroxidase antibodies) test on an empty stomach. If anti-TPO is positive, you may require treatment later. |
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Hi doctor, One and a half year back, I was diagnosed with thyroid with the TSH value of around 7.24. I was advised to take Thyronorm 25 mcg daily. I had delivered a baby before two months. I did TSH at that time and the reading was 0.08. Then I stopped the medication as per doctor's advice. On repeating the test in a month interval, the report came out to be 4.5, and I am still not advised to take any medicine. Should I stay off forever or only till I breastfeed the baby? Please suggest. [/INST] Hi. My advice is, as of now stop the medication. After six weeks, do a TSH (thyroid stimulating hormone) and anti-TPO (anti-thyroid peroxidase antibodies) test on an empty stomach. If anti-TPO is positive, you may require treatment later. |
Q. Will Kalarchikai cure multiple ovarian cysts in PCOD? | Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well. | Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help. |
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Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well. [/INST] Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help. |
Q. I got heavy bleeding after taking Krimson. Is it normal? | Hello doctor,I have PCOS and I visited a dermatologist for acne and hirsutism profile. She suggested me Krimson 35 for 21 days and Aldactone 50 for three months. I am on my fourth day of my periods and my bleeding had reduced but when I consumed Krimson 35 before going to sleep my bleeding increased. I had clitoris simulation after taking Krimson. Is it because of that I have high bleeding or is it usual to have it while taking Krimson. Please help. | Hi. Krimson is an Estrogen-Progesterone medicine. It requires some time to balance your hormones. Relax, do not worry about the bleeding until it is heavy like changing pads often like two hours. Instead, clitoris stimulation may have caused some mild uterine contraction, amounting to squeeze out of some blood remnants inside the uterine cavity. |
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Hello doctor,I have PCOS and I visited a dermatologist for acne and hirsutism profile. She suggested me Krimson 35 for 21 days and Aldactone 50 for three months. I am on my fourth day of my periods and my bleeding had reduced but when I consumed Krimson 35 before going to sleep my bleeding increased. I had clitoris simulation after taking Krimson. Is it because of that I have high bleeding or is it usual to have it while taking Krimson. Please help. [/INST] Hi. Krimson is an Estrogen-Progesterone medicine. It requires some time to balance your hormones. Relax, do not worry about the bleeding until it is heavy like changing pads often like two hours. Instead, clitoris stimulation may have caused some mild uterine contraction, amounting to squeeze out of some blood remnants inside the uterine cavity. |
Q. I am having tenderness with itching below left shoulder blade. Why? | Hello doctor, About a month ago, right below the left shoulder blade started itching. No rashes, bruising or anything abnormal. A few days ago that same area became tender to touch. Again nothing was visible. Now that area hurts all the time. It feels sore, sometimes it starts to feel like the muscle is tingling (like pins and needles) and feels numb from time to time and it itches every so often. If I put pressure on that area it hurts more. I have tried over the counter pain killers and it does not seem to help. The pain comes and goes on its own. Not taking any medication. | Hi. With the description given, it looks more of a neurological problem rather than a skin problem. If there are no rashes and only tingling sensation and pain, etc., over skin of lower shoulder blade, then most likely you are having notalgia paraesthetica. It is a superficial nerve disorder of the skin. For now, you can try a local anesthetic cream called EMLA which has Lidocaine and Prilocaine. Try it for a week or two. If no improvement, then please consult your local physician. You may need some oral medication which is not available over-the-counter. |
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Hello doctor, About a month ago, right below the left shoulder blade started itching. No rashes, bruising or anything abnormal. A few days ago that same area became tender to touch. Again nothing was visible. Now that area hurts all the time. It feels sore, sometimes it starts to feel like the muscle is tingling (like pins and needles) and feels numb from time to time and it itches every so often. If I put pressure on that area it hurts more. I have tried over the counter pain killers and it does not seem to help. The pain comes and goes on its own. Not taking any medication. [/INST] Hi. With the description given, it looks more of a neurological problem rather than a skin problem. If there are no rashes and only tingling sensation and pain, etc., over skin of lower shoulder blade, then most likely you are having notalgia paraesthetica. It is a superficial nerve disorder of the skin. For now, you can try a local anesthetic cream called EMLA which has Lidocaine and Prilocaine. Try it for a week or two. If no improvement, then please consult your local physician. You may need some oral medication which is not available over-the-counter. |
Q. Is it advisable to take Flecainide for A-Fib? | Hello doctor, I am 50 years with PAF. My first A-Fib was five years ago. I converted on my own. It went away for five years and in the year end, I started a keto diet and went into A-Fib twice and converted on my own. Started keto again and went into A-fib twice again and converted on my own. My cardiologist has me on 50 mg Flecainide twice a day. I am also on Prozac 20 mg and Trazadone 400 mg. I am concerned about developing Prolonged QT, and I am not sure if Flecainide is really necessary? I am worried about what Flecainide will do to my heart. I have a healthy heart otherwise. 60 resting heart rate and 95/70 BP. | Hello. I passed carefully through your medical history and would like to explain that you are right when you worry about your current medications. Both Prozac and Flecainide increase QTc interval and may predispose for arrhythmia. I would recommend stop continuing their concomitant use. Probably it would be better to start withdrawing them both. But if it is not possible for the moment, you should discuss with your attending doctor to keep the most indispensable drug which in your case seems to be Prozac. In addition, also Trazodone may potentiate the above pro-arrhythmic effect (increase QTc interval). Coming to this point, it would be wise to stop a keto diet for the moment, and also Flecainide. An adjustment of Prozac with Trazodone combination is recommended, for minimizing the potential adverse effects. You should check also thyroid hormone levels, just to be sure they do not influence the recent appearance of atrial fibrillation episodes. |
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Hello doctor, I am 50 years with PAF. My first A-Fib was five years ago. I converted on my own. It went away for five years and in the year end, I started a keto diet and went into A-Fib twice and converted on my own. Started keto again and went into A-fib twice again and converted on my own. My cardiologist has me on 50 mg Flecainide twice a day. I am also on Prozac 20 mg and Trazadone 400 mg. I am concerned about developing Prolonged QT, and I am not sure if Flecainide is really necessary? I am worried about what Flecainide will do to my heart. I have a healthy heart otherwise. 60 resting heart rate and 95/70 BP. [/INST] Hello. I passed carefully through your medical history and would like to explain that you are right when you worry about your current medications. Both Prozac and Flecainide increase QTc interval and may predispose for arrhythmia. I would recommend stop continuing their concomitant use. Probably it would be better to start withdrawing them both. But if it is not possible for the moment, you should discuss with your attending doctor to keep the most indispensable drug which in your case seems to be Prozac. In addition, also Trazodone may potentiate the above pro-arrhythmic effect (increase QTc interval). Coming to this point, it would be wise to stop a keto diet for the moment, and also Flecainide. An adjustment of Prozac with Trazodone combination is recommended, for minimizing the potential adverse effects. You should check also thyroid hormone levels, just to be sure they do not influence the recent appearance of atrial fibrillation episodes. |
Q. Why am I having painful irregular periods with heavy bleeding? | Hello doctor,My doctor prescribed me ZOVIA 1/50E–28 for my birth control. I have very heavy bleeding during my menstrual cycle with irregular periods and really bad cramps. I am 23 years old and I am pretty much flat chested with 32AA breast with a 28 in the waist and 30 inches hips. I did not know if having smaller hips could cause a more painful menstrual cycle and if a higher dose would help with this. | Hi. Zovia 1/50E is a high dose of an Estrogen-containing birth pill, though commonly lower dosage of 30/35 is used. Please ensure you do not have high blood pressure, migraine, history of thrombosis, liver disease, undiagnosed vaginal bleeding, etc., when using these. Painful periods have multiple reasons like endometriosis, distorted uterine anatomy, big clots passage due to heavy bleeding. Hips are no reason. A higher dose might increase the problems. As per your weight, you can work out with a lower dosage to prevent your problem of irregular, heavy painful periods. Birth control pills have a good effect on all of your problems. By the way, did your doctor specify, why your menarche was so late? |
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Hello doctor,My doctor prescribed me ZOVIA 1/50E–28 for my birth control. I have very heavy bleeding during my menstrual cycle with irregular periods and really bad cramps. I am 23 years old and I am pretty much flat chested with 32AA breast with a 28 in the waist and 30 inches hips. I did not know if having smaller hips could cause a more painful menstrual cycle and if a higher dose would help with this. [/INST] Hi. Zovia 1/50E is a high dose of an Estrogen-containing birth pill, though commonly lower dosage of 30/35 is used. Please ensure you do not have high blood pressure, migraine, history of thrombosis, liver disease, undiagnosed vaginal bleeding, etc., when using these. Painful periods have multiple reasons like endometriosis, distorted uterine anatomy, big clots passage due to heavy bleeding. Hips are no reason. A higher dose might increase the problems. As per your weight, you can work out with a lower dosage to prevent your problem of irregular, heavy painful periods. Birth control pills have a good effect on all of your problems. By the way, did your doctor specify, why your menarche was so late? |
Q. What can be done to cure recurrent acid reflux? | Hello doctor, I have been taking Prevacid (Lansoprazole) 30 mg once daily in the morning since the early 90's for what at that time was diagnosed as acid reflux. Recently, I have been experiencing some reflux after eating supper at night. Why would this start up again after being free of it after all these years taking Prevacid. The only change in my diet is I am reducing my daily coffee intake in an effort to stop drinking it all together. | Hello. 1. Are you taking the sustained released form (DR)? If yes, then make that pharmacy give you the correct medication. 2. The other possibility would be that you are developing tolerance. So, the medication may need to be switched to another medication in the same group giving you the benefit. The other possibility would be that you will have to stop Donovan and may need to switch to another medication in the same group giving you the benefits of cross-tolerance. 3. I would also suggest a good duster for H and R infection and try to avoid late night dinner. The last meal of the day should be two hours before going to bed. |
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Hello doctor, I have been taking Prevacid (Lansoprazole) 30 mg once daily in the morning since the early 90's for what at that time was diagnosed as acid reflux. Recently, I have been experiencing some reflux after eating supper at night. Why would this start up again after being free of it after all these years taking Prevacid. The only change in my diet is I am reducing my daily coffee intake in an effort to stop drinking it all together. [/INST] Hello. 1. Are you taking the sustained released form (DR)? If yes, then make that pharmacy give you the correct medication. 2. The other possibility would be that you are developing tolerance. So, the medication may need to be switched to another medication in the same group giving you the benefit. The other possibility would be that you will have to stop Donovan and may need to switch to another medication in the same group giving you the benefits of cross-tolerance. 3. I would also suggest a good duster for H and R infection and try to avoid late night dinner. The last meal of the day should be two hours before going to bed. |
Q. How long should my husband and I wait to try for a baby if we did cocaine? | Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. | Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> |
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Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. [/INST] Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> |
Q. Can Yasmin birth control pill be used as an emergency contraceptive pill? | Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? | Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> |
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Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? [/INST] Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> |
Q. Please explain the poisonous effect of phenol ingestion. | Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. | Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> |
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Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. [/INST] Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> |
Q. For how long should I take Kalachikai powder to overcome PCOD problem? | Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? | Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> |
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Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? [/INST] Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> |
Q. Why do periods get delayed after first time sex? | Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? | Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> |
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Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? [/INST] Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> |
Q. I masturbate only by rubbing the tip of the penis. Is it a wrong way? | Hi doctor, During masturbation I just rub the tip of the penis and not the entire penis. Is it a wrong way of doing? I do not get excited during sex and unable to ejaculate. Only, rubbing the tip of the penis gives me excitement. Also, two weeks ago, I have undergone circumcision as my foreskin did not retract. Before circumcision too, I have the same problem. Please help. | Hi. For further doubts consult a sexologist online --> |
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Hi doctor, During masturbation I just rub the tip of the penis and not the entire penis. Is it a wrong way of doing? I do not get excited during sex and unable to ejaculate. Only, rubbing the tip of the penis gives me excitement. Also, two weeks ago, I have undergone circumcision as my foreskin did not retract. Before circumcision too, I have the same problem. Please help. [/INST] Hi. For further doubts consult a sexologist online --> |
Q. How can I treat the small painless bubbles on the arm? | Hello doctor, I have these small painless bubbles on my arm for a long time now (almost two years). First, there were not much but now they are spreading all over my arm slowly. It makes me uncomfortable in wearing short sleeve clothes. Please help me. | Hello. These are comedo or blackheads (attachment removed to protect patient identity), are small bumps that appear on your skin due to clogged hair follicles. These bumps are due to the production of too much body oil, the buildup of the acne bacteria, irritation of the hair follicles when dead skins cells do not shed on a regular basis, undergoing hormonal changes that cause an increase in oil production, taking certain drugs, such as Corticosteroids, Lithium, or Androgens. Choose oil-free lotions, and sunscreens to avoid making your problem worse if you are using some. You should once visit the dermatologist for examination. These are treated with Benzoyl Peroxide lotion 2.5 % applied two times a day. You need a wash and keep your skin clean and oil free. Exfoliating scrubs dead skin cells and can help reduce blackheads. |
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Hello doctor, I have these small painless bubbles on my arm for a long time now (almost two years). First, there were not much but now they are spreading all over my arm slowly. It makes me uncomfortable in wearing short sleeve clothes. Please help me. [/INST] Hello. These are comedo or blackheads (attachment removed to protect patient identity), are small bumps that appear on your skin due to clogged hair follicles. These bumps are due to the production of too much body oil, the buildup of the acne bacteria, irritation of the hair follicles when dead skins cells do not shed on a regular basis, undergoing hormonal changes that cause an increase in oil production, taking certain drugs, such as Corticosteroids, Lithium, or Androgens. Choose oil-free lotions, and sunscreens to avoid making your problem worse if you are using some. You should once visit the dermatologist for examination. These are treated with Benzoyl Peroxide lotion 2.5 % applied two times a day. You need a wash and keep your skin clean and oil free. Exfoliating scrubs dead skin cells and can help reduce blackheads. |
Q. Can HIV cause red dots in finger? | Hello doctor, I had deep unprotected sex for three minutes with a broken condom with a sex worker who looks younger and healthy and aged between 18. It was my first intercourse with a sex worker and I am worrying about expose to HIV. I have started fearing from the minute where I had broken condom intercourse and she said to me that she does not have HIV and they never allow anyone to have sex without a condom because of fear of getting infected. So there is no need to worry but I cannot believe her and started studying about HIV and its symptoms and I have a feeling of infection because I got red dots in my finger pits and cold and throat infection. I want to know what are the red dots on my finger which I got? I got it tested many times in those three months and got a negative result. I am worrying abt six months test. | Hi. Firstly, I want to tell you that the tests which are done these days are highly sensitive and specific and give accurate results. Congratulations on your three months HIV test, post-exposure being negative. Numerous studies have shown that 97 % of people will have enough antibodies to accurately test positive at three months. In some of the cases, it takes as long as six months to test positive, but this is rare. Since everyone's window period is different and as per the recommendations and I also suggest to get retested at six months. Red dots on finger pits, cold and throat infection can occur in various conditions not necessarily HIV. Relax. Move forward. Just go for a repeat HIV antibody test at six months. |
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Hello doctor, I had deep unprotected sex for three minutes with a broken condom with a sex worker who looks younger and healthy and aged between 18. It was my first intercourse with a sex worker and I am worrying about expose to HIV. I have started fearing from the minute where I had broken condom intercourse and she said to me that she does not have HIV and they never allow anyone to have sex without a condom because of fear of getting infected. So there is no need to worry but I cannot believe her and started studying about HIV and its symptoms and I have a feeling of infection because I got red dots in my finger pits and cold and throat infection. I want to know what are the red dots on my finger which I got? I got it tested many times in those three months and got a negative result. I am worrying abt six months test. [/INST] Hi. Firstly, I want to tell you that the tests which are done these days are highly sensitive and specific and give accurate results. Congratulations on your three months HIV test, post-exposure being negative. Numerous studies have shown that 97 % of people will have enough antibodies to accurately test positive at three months. In some of the cases, it takes as long as six months to test positive, but this is rare. Since everyone's window period is different and as per the recommendations and I also suggest to get retested at six months. Red dots on finger pits, cold and throat infection can occur in various conditions not necessarily HIV. Relax. Move forward. Just go for a repeat HIV antibody test at six months. |
Q. Can you determine which ear is having BPPV? | Hello doctor, I had an episode of BPPV this morning. I had a couple earlier this year and I am confused as to which is the bad ear so I can do the proper procedure. It happens in this scenario: I lay on my left side and switch to my right. Vertigo starts up when I lay on my right side but only after I have been laying on my left. In fact, I could not get it to do it by turning my head and laying back on either side independently. By what I described, can you determine which is the bad ear? I did the Eppley starting on the left side but got nothing. When I shifted to the right it started for 20 seconds. I aborted not wanting to go the wrong direction. | Hi. With details of your history, it is difficult to say which side it is on but since with Epley, you get vertigo when you do on the right side, it seems to be more on the right side. It does not matter which ear it is in or if it is bilateral. The treatment is the same. The side matters if we try to cure by the maneuver. Are you taking any medicine for vertigo like Betahistine, etc? Precautions: You should restrict salt in the diet. Also, there is some balancing exercise which helps in the long term. The neck exercise should be avoided if you have a cervical problem. Also, let me know if you have other complaints like nausea and fullness in ears. |
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Hello doctor, I had an episode of BPPV this morning. I had a couple earlier this year and I am confused as to which is the bad ear so I can do the proper procedure. It happens in this scenario: I lay on my left side and switch to my right. Vertigo starts up when I lay on my right side but only after I have been laying on my left. In fact, I could not get it to do it by turning my head and laying back on either side independently. By what I described, can you determine which is the bad ear? I did the Eppley starting on the left side but got nothing. When I shifted to the right it started for 20 seconds. I aborted not wanting to go the wrong direction. [/INST] Hi. With details of your history, it is difficult to say which side it is on but since with Epley, you get vertigo when you do on the right side, it seems to be more on the right side. It does not matter which ear it is in or if it is bilateral. The treatment is the same. The side matters if we try to cure by the maneuver. Are you taking any medicine for vertigo like Betahistine, etc? Precautions: You should restrict salt in the diet. Also, there is some balancing exercise which helps in the long term. The neck exercise should be avoided if you have a cervical problem. Also, let me know if you have other complaints like nausea and fullness in ears. |
Q. My foot moves up and down while lying down. Please advise. | Hello doctor, When I am lying down my foot moves. What it means is like my whole foot will move up and down (if this makes sense) sometimes my hips too. I cannot remember when this started to happen but it only happens when I lie down. | Hello. You seem to be suffering from hyperkinetic movement disorders. Many people who suffer from mild or moderate PLMS (periodic limb movements during sleep) can successfully manage their condition without medication. People often report that relaxation exercises like yoga or meditation can help reduce their symptoms. Sometimes a hot bath or messaging one's legs before going to sleep will help with the movements as well. Try to have full body massage and if symptoms persist then visit any neurophysician. He will advise some tests and prescribe medications to you. |
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Hello doctor, When I am lying down my foot moves. What it means is like my whole foot will move up and down (if this makes sense) sometimes my hips too. I cannot remember when this started to happen but it only happens when I lie down. [/INST] Hello. You seem to be suffering from hyperkinetic movement disorders. Many people who suffer from mild or moderate PLMS (periodic limb movements during sleep) can successfully manage their condition without medication. People often report that relaxation exercises like yoga or meditation can help reduce their symptoms. Sometimes a hot bath or messaging one's legs before going to sleep will help with the movements as well. Try to have full body massage and if symptoms persist then visit any neurophysician. He will advise some tests and prescribe medications to you. |
Q. I am not able to concentrate in the class or studies. Please help. | Hello doctor, I am a 19-year-old girl, weight 38 kg, height 5 feet. So my problem is related to brain concentration. Earlier up to school, I had good concentrating power. After schooling, I started preparing for entrance exams and it has been two years preparing for the same but now I feel that I have trouble concentrating over questions, concepts during class or while doing self-study. Please help. | Hi. Lack of concentration can be due to several reasons, most common reasons are stress, lack of sleep, disinterests in the project and lack of motivation. Here are some tips and the principle by which they help you. Minimum seven hours sleep helps to reinforce the memory, and re-energize you for the next day. Regular routine, especially sleep timings, starting from your meal times, the time you visit the library, and workouts, keep it regular. Improves your time management, keeps you healthy and prevents loss of time due to sickness. Eat healthy. Eat what suits your taste and digestive capacity. Eat from only hygienic places. Again this helps prevent the unnecessary sick leaves. Non-study activities. It is a must, it gives a break to your mind which is already stressed by continuous and monotonous study hours. It could be anything starting from prayer, meditation, sports activity, work outs, morning or evening jogs. Have a healthy study group. Do not be selfish with your group, be contributory towards your group. It has multiple benefits, it acts like a mnemonic helping you remember facts in relation to place our person you discussed it with. It gives a sense of easiness to find many people are with you on the same boat. It acts as a strong motivation, if there is a healthy and friendly competition among the group members. Stay away from distractions like the internet. Keep distance from people who speak negative most of the time. Try to be in company of people who are highly charged in energy. All the best. |
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Hello doctor, I am a 19-year-old girl, weight 38 kg, height 5 feet. So my problem is related to brain concentration. Earlier up to school, I had good concentrating power. After schooling, I started preparing for entrance exams and it has been two years preparing for the same but now I feel that I have trouble concentrating over questions, concepts during class or while doing self-study. Please help. [/INST] Hi. Lack of concentration can be due to several reasons, most common reasons are stress, lack of sleep, disinterests in the project and lack of motivation. Here are some tips and the principle by which they help you. Minimum seven hours sleep helps to reinforce the memory, and re-energize you for the next day. Regular routine, especially sleep timings, starting from your meal times, the time you visit the library, and workouts, keep it regular. Improves your time management, keeps you healthy and prevents loss of time due to sickness. Eat healthy. Eat what suits your taste and digestive capacity. Eat from only hygienic places. Again this helps prevent the unnecessary sick leaves. Non-study activities. It is a must, it gives a break to your mind which is already stressed by continuous and monotonous study hours. It could be anything starting from prayer, meditation, sports activity, work outs, morning or evening jogs. Have a healthy study group. Do not be selfish with your group, be contributory towards your group. It has multiple benefits, it acts like a mnemonic helping you remember facts in relation to place our person you discussed it with. It gives a sense of easiness to find many people are with you on the same boat. It acts as a strong motivation, if there is a healthy and friendly competition among the group members. Stay away from distractions like the internet. Keep distance from people who speak negative most of the time. Try to be in company of people who are highly charged in energy. All the best. |
Q. Will I gain height more than my parents? | Hello doctor, I am a boy and my height is 5.1 feet, my father's height is 5.0 feet and mother's height is under 5 feet. So, can I grow 5.6 feet? Because my head is bigger than my body so I look awkward. Kindly help me, please. | Hello. Being a teenager, your body is actively growing in length and you will probably grow more until your bone's growth plates fuse. Taking both your mother's and father's height as 5 feet, the expected height is roughly 5'4'' with a little room for changes either way. Vitamin and Mineral supplements could supplement your growth and you may consider that. |
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Hello doctor, I am a boy and my height is 5.1 feet, my father's height is 5.0 feet and mother's height is under 5 feet. So, can I grow 5.6 feet? Because my head is bigger than my body so I look awkward. Kindly help me, please. [/INST] Hello. Being a teenager, your body is actively growing in length and you will probably grow more until your bone's growth plates fuse. Taking both your mother's and father's height as 5 feet, the expected height is roughly 5'4'' with a little room for changes either way. Vitamin and Mineral supplements could supplement your growth and you may consider that. |
Q. Can uterine fibroid be cured without surgery? | Hello doctor, I am a 49 year old female, and I have a uterine fibroid. I have heavy bleeding from two or three months. What to do? What medicines can I take? Is it curable without surgery? Please advise. I am taking Kanchanar Guggulu from ten days. | Hi. The heavy bleeding may be due to the fibroid and menopausal symptoms. Hence, we need to treat fibroid and hormonal imbalance. For your condition, I suggest you try taking the following medicines. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. You need to continue these drugs for three months. Within one week, the bleeding will stop. Then gradually, the uterine fibroid will be reduced in size. After few more months, your uterus will become normal. If you can collect or buy the bark of jambul tree, crush 50 gm of the bark with 300 ml of water. Boil in mild flame, and reduce it to 50 ml. Then drink it. This should be consumed in the morning and evening on an empty stomach. This has the potential to stop the excess bleeding. Use banana flower in cooking. It is also good to control uterine bleeding. Another option is using hormones given by a gynecologist, but that should be your last option. This drug gives only symptomatic relief, it does not reduce the fibroid uterus size. For more information consult an ayurveda specialist online --> |
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Hello doctor, I am a 49 year old female, and I have a uterine fibroid. I have heavy bleeding from two or three months. What to do? What medicines can I take? Is it curable without surgery? Please advise. I am taking Kanchanar Guggulu from ten days. [/INST] Hi. The heavy bleeding may be due to the fibroid and menopausal symptoms. Hence, we need to treat fibroid and hormonal imbalance. For your condition, I suggest you try taking the following medicines. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. You need to continue these drugs for three months. Within one week, the bleeding will stop. Then gradually, the uterine fibroid will be reduced in size. After few more months, your uterus will become normal. If you can collect or buy the bark of jambul tree, crush 50 gm of the bark with 300 ml of water. Boil in mild flame, and reduce it to 50 ml. Then drink it. This should be consumed in the morning and evening on an empty stomach. This has the potential to stop the excess bleeding. Use banana flower in cooking. It is also good to control uterine bleeding. Another option is using hormones given by a gynecologist, but that should be your last option. This drug gives only symptomatic relief, it does not reduce the fibroid uterus size. For more information consult an ayurveda specialist online --> |
Q. Can I take ginger during pregnancy? | Hi doctor,I am 15 weeks pregnant and I daily drink a green juice with about 4 g of fresh ginger. I have just read that more than 1.5 g of ginger daily can cause miscarriage and problems for the baby. Please, could you confirm if 4 g of fresh ginger can be harmful to the baby? | Hi. Generally, ginger is taken during pregnancy to relieve nausea and vomiting of pregnancy but care should be taken if the patient is on blood thinners, etc. Ginger root tea in a moderate amount not exceeding more than 4 gm is acceptable. I think you should not take too many juices as they themselves cause gastritis. Eat small frequent meals every two hours and have at least 8 to 9 serving of food every day. During the first three months, eat whatever you like but all-in moderate amount. |
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Hi doctor,I am 15 weeks pregnant and I daily drink a green juice with about 4 g of fresh ginger. I have just read that more than 1.5 g of ginger daily can cause miscarriage and problems for the baby. Please, could you confirm if 4 g of fresh ginger can be harmful to the baby? [/INST] Hi. Generally, ginger is taken during pregnancy to relieve nausea and vomiting of pregnancy but care should be taken if the patient is on blood thinners, etc. Ginger root tea in a moderate amount not exceeding more than 4 gm is acceptable. I think you should not take too many juices as they themselves cause gastritis. Eat small frequent meals every two hours and have at least 8 to 9 serving of food every day. During the first three months, eat whatever you like but all-in moderate amount. |
Q. What can be done to manage premature ejaculation? | Hello doctor, I am 36 years old individual. During intercourse, my penis gets eruction but I ejaculate in less than a minute. It is becoming difficult. Kindly help as I am losing confidence. My height is 5 feet 8 inches, weight 128 kg (severe obesity), waist-line 55 inches, penis size 5 inches, approximately when erected and girth is two inches and not so hard as it used to be. Glans penis (head) is completely covered by foreskin and cannot be seen and when tried to retract, it is painful and not possible to retract but when not erect, the foreskin can be retracted without pain and be cleaned. The main problem is premature ejaculation. Other systemic complications are diabetes and on Gemmer 1 mg once daily from the paat one year. No blood pressure or thyroid or anything else. | Hello. I have read your problem. Premature ejaculation is very common and is usually not associated with any disease but may be due to anxiety. However, it is sometimes associated with infection of male accessory glands, which is treatable. You can learn to control PE by doing this exercise. Pull your muscles that you pull at the end of urination for a few seconds and then release. Repeat this several times daily. Another is the stop-start technique. When you feel that you are going to ejaculate stop the sexual stimulation and divert your mind, the penis will relax, after some time, start the stimulation again and repeat the procedure. Over a few months, you will gradually increase your ejaculation time. Also, there are medicines to control it but there is no permanent cure. In your case, you should strictly control diabetes and reduce weight by slow walking daily 15 minutes. Your foreskin may be tight due to some infection which is common in obese diabetics. If you get too much pain, then circumcision, which is a small operation can help. |
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Hello doctor, I am 36 years old individual. During intercourse, my penis gets eruction but I ejaculate in less than a minute. It is becoming difficult. Kindly help as I am losing confidence. My height is 5 feet 8 inches, weight 128 kg (severe obesity), waist-line 55 inches, penis size 5 inches, approximately when erected and girth is two inches and not so hard as it used to be. Glans penis (head) is completely covered by foreskin and cannot be seen and when tried to retract, it is painful and not possible to retract but when not erect, the foreskin can be retracted without pain and be cleaned. The main problem is premature ejaculation. Other systemic complications are diabetes and on Gemmer 1 mg once daily from the paat one year. No blood pressure or thyroid or anything else. [/INST] Hello. I have read your problem. Premature ejaculation is very common and is usually not associated with any disease but may be due to anxiety. However, it is sometimes associated with infection of male accessory glands, which is treatable. You can learn to control PE by doing this exercise. Pull your muscles that you pull at the end of urination for a few seconds and then release. Repeat this several times daily. Another is the stop-start technique. When you feel that you are going to ejaculate stop the sexual stimulation and divert your mind, the penis will relax, after some time, start the stimulation again and repeat the procedure. Over a few months, you will gradually increase your ejaculation time. Also, there are medicines to control it but there is no permanent cure. In your case, you should strictly control diabetes and reduce weight by slow walking daily 15 minutes. Your foreskin may be tight due to some infection which is common in obese diabetics. If you get too much pain, then circumcision, which is a small operation can help. |
Q. What is causing less sexual desire and no erection? | Hello doctor, I am not able to get an erection since yesterday, all of a sudden. Also for the past two days, I do not have sexual urges. I am 21, male. I had not faced erection problems before and till 3 to 4 days ago, I was able to masturbate with no problem. | Hi. Erection problem in young people is usually due to anxiety and stress. Masturbation and feeling guilty also cause this. Do you have diabetes mellitus, do you smoke, is there any history of trauma to the lower back, is there any pain in testes? If the answer to all is a no, then causes are anxiety, guilt, etc. Do you have morning erections? If yes, then you are all fine. Anxiety causes a release of stress hormones in the blood which may suddenly cause erectile dysfunction. Just refrain from masturbation, do not try to forcibly masturbate, remain calm, do not think about erection problem for seven days at least. Do not forcibly divert your mind to erotic thoughts. Meanwhile, do the following exercises: 1. Deep breathing: Sit on the floor in a calm room alone, close your eyes, slowly inspire through the nose in five seconds, hold breath for five seconds and then release air from the mouth in five seconds. Then hold breath for five seconds and again repeat this cycle for 15 cycles. Do this daily in morning and evening. 2. Kegel: Tighten your pelvic floor muscles like you do while you strongly hold your urine when you have a strong urge to pass urine. Tighten muscles for five seconds and release, again repeat the cycle. Repeat for 20 cycles in one session and do 4 to 5 cycles in 24 hours. You can do this anytime anywhere while standing in a bus, walking on a road, sitting on a chair, lying on the bed, etc. 3. Do jogging preferably in the early morning, for 30 minutes daily. Eat lots of dry fruits, drink plenty of water, reduce salt intake, avoid fatty meals. Follow-up after seven days with details about your condition, so that you can further be guided, if required. Anxiety, guilt, stress. Not at this time. As described above. Avoid smoking, alcohol, masturbation, erotic thoughts, and avoid concern about the erectile problem. |
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Hello doctor, I am not able to get an erection since yesterday, all of a sudden. Also for the past two days, I do not have sexual urges. I am 21, male. I had not faced erection problems before and till 3 to 4 days ago, I was able to masturbate with no problem. [/INST] Hi. Erection problem in young people is usually due to anxiety and stress. Masturbation and feeling guilty also cause this. Do you have diabetes mellitus, do you smoke, is there any history of trauma to the lower back, is there any pain in testes? If the answer to all is a no, then causes are anxiety, guilt, etc. Do you have morning erections? If yes, then you are all fine. Anxiety causes a release of stress hormones in the blood which may suddenly cause erectile dysfunction. Just refrain from masturbation, do not try to forcibly masturbate, remain calm, do not think about erection problem for seven days at least. Do not forcibly divert your mind to erotic thoughts. Meanwhile, do the following exercises: 1. Deep breathing: Sit on the floor in a calm room alone, close your eyes, slowly inspire through the nose in five seconds, hold breath for five seconds and then release air from the mouth in five seconds. Then hold breath for five seconds and again repeat this cycle for 15 cycles. Do this daily in morning and evening. 2. Kegel: Tighten your pelvic floor muscles like you do while you strongly hold your urine when you have a strong urge to pass urine. Tighten muscles for five seconds and release, again repeat the cycle. Repeat for 20 cycles in one session and do 4 to 5 cycles in 24 hours. You can do this anytime anywhere while standing in a bus, walking on a road, sitting on a chair, lying on the bed, etc. 3. Do jogging preferably in the early morning, for 30 minutes daily. Eat lots of dry fruits, drink plenty of water, reduce salt intake, avoid fatty meals. Follow-up after seven days with details about your condition, so that you can further be guided, if required. Anxiety, guilt, stress. Not at this time. As described above. Avoid smoking, alcohol, masturbation, erotic thoughts, and avoid concern about the erectile problem. |
Q. My mom has ear pain and itching in inner ear due to cold. What should be done? | Hello doctor, My mom has an ear infection for more than one month now. She had a cold which led to her ear pain. Then she took Aplosyn for two weeks and now she is taking Nasoflo. The back of her ear until her neck has pain now. What can we do? | Hello. Is there any swelling around her ears or neck? Is she a diabetic? Any throat complaints? If yes, send me a clear picture of her throat. |
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Hello doctor, My mom has an ear infection for more than one month now. She had a cold which led to her ear pain. Then she took Aplosyn for two weeks and now she is taking Nasoflo. The back of her ear until her neck has pain now. What can we do? [/INST] Hello. Is there any swelling around her ears or neck? Is she a diabetic? Any throat complaints? If yes, send me a clear picture of her throat. |
Q. How long should my husband and I wait to try for a baby if we did cocaine? | Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. | Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> |
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Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. [/INST] Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> |
Q. Can Yasmin birth control pill be used as an emergency contraceptive pill? | Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? | Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> |
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Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? [/INST] Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> |
Q. Please explain the poisonous effect of phenol ingestion. | Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. | Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> |
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Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. [/INST] Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> |
Q. For how long should I take Kalachikai powder to overcome PCOD problem? | Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? | Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> |
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Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? [/INST] Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> |
Q. Why do periods get delayed after first time sex? | Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? | Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> |
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Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? [/INST] Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> |
Q. I feel difficulty in tasks with lack of concentration. How to approach my problem? | Hi doctor, I have been noticed some of my symptoms for a few years. A few people make comments that got ADHD and so I searched about it. I feel difficulty in finishing a task in an appropriate time. I am always late and tired. I also interrupt other people for help, and my senior shouted me for this. For example, I study in school, and every year it gets too hard. I feel worthless, frustrated and wishing to die. I have a lack of concentration, hard to work and changing tasks without completing it. I think some psychiatric help is must here. Please help. | Hello. You report difficulties with attention, poor concentration overactivity, and impulsive behavior. These may be suggestive of ADHD (Attention Deficit Hyperactivity Disorder). ADHD may present since childhood but is more evident in the adolescent stage, as the academic demands get higher. You say you are in school. Even though you may be intelligent, if you have ADHD it may affect your educational attainment. No wonder it is causing frustration. ADHD is increasingly recognized in recent decades. It is not a behavioral problem, it is a neurodevelopmental condition which is treatable. ADHD can be managed by behavioral support, and if symptoms are significant, then medication (stimulants like Methylphenidate or non-stimulants like Atomoxetine) will be helpful. I will recommend discussing with your parents, family doctor about possible ADHD and get assessed. You can also speak to pediatric or psychiatric doctors in your school regarding the same. |
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Hi doctor, I have been noticed some of my symptoms for a few years. A few people make comments that got ADHD and so I searched about it. I feel difficulty in finishing a task in an appropriate time. I am always late and tired. I also interrupt other people for help, and my senior shouted me for this. For example, I study in school, and every year it gets too hard. I feel worthless, frustrated and wishing to die. I have a lack of concentration, hard to work and changing tasks without completing it. I think some psychiatric help is must here. Please help. [/INST] Hello. You report difficulties with attention, poor concentration overactivity, and impulsive behavior. These may be suggestive of ADHD (Attention Deficit Hyperactivity Disorder). ADHD may present since childhood but is more evident in the adolescent stage, as the academic demands get higher. You say you are in school. Even though you may be intelligent, if you have ADHD it may affect your educational attainment. No wonder it is causing frustration. ADHD is increasingly recognized in recent decades. It is not a behavioral problem, it is a neurodevelopmental condition which is treatable. ADHD can be managed by behavioral support, and if symptoms are significant, then medication (stimulants like Methylphenidate or non-stimulants like Atomoxetine) will be helpful. I will recommend discussing with your parents, family doctor about possible ADHD and get assessed. You can also speak to pediatric or psychiatric doctors in your school regarding the same. |
Q. Can you tell me if there are signs of cancer in my mother's MRI? | Hello doctor, I need to have my mother’s MRI read by a radiologist. Her doctor ordered her to have an MRI done and she had one done yesterday. My mother has had neck pain for at least a year now and her doctor believes the problem is arthritis, but not sure. My mother went to a physical therapist and had several shots in her neck for pain, but that did not solve the problem. I have sent the files of the MRI. | Hi.I have read through your query in detail and have gone through the MRI (attachment removed to protect patient identity). Please find my observations below. In conclusion, pain in the neck is possible with this kind of an MRI finding and might be considered a finding that is to be managed medically. Surgery is not required in this case as the findings are mild.Physiotherapy and nerve pain relief medicines are the first treatment of choice. |
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Hello doctor, I need to have my mother’s MRI read by a radiologist. Her doctor ordered her to have an MRI done and she had one done yesterday. My mother has had neck pain for at least a year now and her doctor believes the problem is arthritis, but not sure. My mother went to a physical therapist and had several shots in her neck for pain, but that did not solve the problem. I have sent the files of the MRI. [/INST] Hi.I have read through your query in detail and have gone through the MRI (attachment removed to protect patient identity). Please find my observations below. In conclusion, pain in the neck is possible with this kind of an MRI finding and might be considered a finding that is to be managed medically. Surgery is not required in this case as the findings are mild.Physiotherapy and nerve pain relief medicines are the first treatment of choice. |
Q. I got a teeth cleaning done,but the inflammation is still there. What do I do? | Hello doctor, I got a teeth cleaning done, but the inflammation is still there. The dentist said that I need to get treated for a receding gum line through surgery. She said it was due to brushing hard and asked me to switch to a soft bristle toothbrush and sensodyne toothpaste. I am also awaiting some fillings. I already have a temporary filling which as fallen out and the hole seems to be too big. Please advice. | Hello. Use warm saline gargling daily at least 2 or 3 times, for two weeks. This will help in reducing the inflammation and help in preventing further recession of gum line. Also if you can get Betadine gargle for rinsing then it would be much better, this would be of great help in case of severe periodontitis (gum inflammation and receding gums). Use sensodyne toothbrush (as suggested by your treating dentist) which have very soft bristles in an upward and downward motion only. Do not scrub the toothbrush over gingiva (gums) as it may cause further recession of the gum line. If the recession is severe then it may require flap surgery, still, the receded gingiva can never be brought back but a further recession can be avoided. You need to get that filling done as early as possible or it may result in infection of the tooth root. The receding gums might be due to: 1. Faulty brushing habit. 2. Calculus deposition. 3. Poor oral hygiene. Intraoral x-ray of the affected area. Use of saline gargle, betadine gargle, flap surgery and antibiotics if required. Follow proper brushing technique with soft toothbrush. |
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Hello doctor, I got a teeth cleaning done, but the inflammation is still there. The dentist said that I need to get treated for a receding gum line through surgery. She said it was due to brushing hard and asked me to switch to a soft bristle toothbrush and sensodyne toothpaste. I am also awaiting some fillings. I already have a temporary filling which as fallen out and the hole seems to be too big. Please advice. [/INST] Hello. Use warm saline gargling daily at least 2 or 3 times, for two weeks. This will help in reducing the inflammation and help in preventing further recession of gum line. Also if you can get Betadine gargle for rinsing then it would be much better, this would be of great help in case of severe periodontitis (gum inflammation and receding gums). Use sensodyne toothbrush (as suggested by your treating dentist) which have very soft bristles in an upward and downward motion only. Do not scrub the toothbrush over gingiva (gums) as it may cause further recession of the gum line. If the recession is severe then it may require flap surgery, still, the receded gingiva can never be brought back but a further recession can be avoided. You need to get that filling done as early as possible or it may result in infection of the tooth root. The receding gums might be due to: 1. Faulty brushing habit. 2. Calculus deposition. 3. Poor oral hygiene. Intraoral x-ray of the affected area. Use of saline gargle, betadine gargle, flap surgery and antibiotics if required. Follow proper brushing technique with soft toothbrush. |
Q. I am losing my hair density due to hair fall problem. Please help. | Hi doctor, I am facing hair loss problem for the past three years. I am a male, 25 years old, 5.4 inches height and 71 kg weight. My hair volume becomes very less. Please help. | Hi. How are you? Hope your physical condition is good. I have read your problem carefully. Your history is incomplete, and so I have a few queries. What is the pattern of hair loss (a picture will help)? Do you have a dandruff problem? Is there any family history of early hair loss? Do you have any other symptom such as weight gain, skin rash, body itching, etc? There are many causes of hair loss in early age. The most common reasons are, 1. Familial.2. Male pattern hair loss (hormonal, androgenic).3. Dandruff. Other causes are mainly due to different systemic diseases such as diabetes mellitus, hypothyroidism, connective tissue disease, etc. With your history, I do not think you have systemic diseases. Please get the following investigations to rule out systemic disease. OGTT (oral glucose tolerance test), TSH (thyroid-stimulating hormone test) and serum creatinine. The treatment mainly depends on the underlying cause. Now, I recommend Minoxidil spray 5% two times daily in the interim period. Please revert with further details. |
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Hi doctor, I am facing hair loss problem for the past three years. I am a male, 25 years old, 5.4 inches height and 71 kg weight. My hair volume becomes very less. Please help. [/INST] Hi. How are you? Hope your physical condition is good. I have read your problem carefully. Your history is incomplete, and so I have a few queries. What is the pattern of hair loss (a picture will help)? Do you have a dandruff problem? Is there any family history of early hair loss? Do you have any other symptom such as weight gain, skin rash, body itching, etc? There are many causes of hair loss in early age. The most common reasons are, 1. Familial.2. Male pattern hair loss (hormonal, androgenic).3. Dandruff. Other causes are mainly due to different systemic diseases such as diabetes mellitus, hypothyroidism, connective tissue disease, etc. With your history, I do not think you have systemic diseases. Please get the following investigations to rule out systemic disease. OGTT (oral glucose tolerance test), TSH (thyroid-stimulating hormone test) and serum creatinine. The treatment mainly depends on the underlying cause. Now, I recommend Minoxidil spray 5% two times daily in the interim period. Please revert with further details. |
Q. What are the side effects of Unwanted-72 pill? | Hello doctor, I want to know about the Unwanted-72 pill. Does it have any side effects? I had unprotected sex with my fiance for the first time and I am confused about what to do. I want to know if this pill is safe. | Hello. |
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Hello doctor, I want to know about the Unwanted-72 pill. Does it have any side effects? I had unprotected sex with my fiance for the first time and I am confused about what to do. I want to know if this pill is safe. [/INST] Hello. |
Q. I have a bump after getting hurt while shaving. Will Neosporin help? | Hello doctor, I did a shave last week and hurt myself pretty badly. Now, I have this bump and it has been a week. I have been using Neosporin, Advil, Claritin, and hot baths. What is this? | Hello. I have seen the pictures that you attached (attachment removed to protect patient identity). Based on the description you mentioned, it looks like a folliculitis (hair follicle inflammation) or a razor bump. But you mentioned in the picture that a similar lesion was present since a week even before you shaved the area. So I would like to know if you have been having it before, and does it have any intense itching with tingling or pain? Or did you have any fever a few days prior to developing these bumps? If you are a sexually active individual, I would like to know if you had genital herpes anytime before, or if your partner has had genital herpes infection ever? I am enquiring all these because another possibility could be genital herpes. Tablet Paracetamol or Diclofenac for pain relief. |
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Hello doctor, I did a shave last week and hurt myself pretty badly. Now, I have this bump and it has been a week. I have been using Neosporin, Advil, Claritin, and hot baths. What is this? [/INST] Hello. I have seen the pictures that you attached (attachment removed to protect patient identity). Based on the description you mentioned, it looks like a folliculitis (hair follicle inflammation) or a razor bump. But you mentioned in the picture that a similar lesion was present since a week even before you shaved the area. So I would like to know if you have been having it before, and does it have any intense itching with tingling or pain? Or did you have any fever a few days prior to developing these bumps? If you are a sexually active individual, I would like to know if you had genital herpes anytime before, or if your partner has had genital herpes infection ever? I am enquiring all these because another possibility could be genital herpes. Tablet Paracetamol or Diclofenac for pain relief. |
Q. Can playing baseball cause lower back pain? | Hi doctor, I am coming here for what I think may be possible lower back muscle spasms. I originally felt the pain after playing lots of baseballs (swinging a baseball bat many times). I have symptoms such as tightness, limited mobility or restricted range of motion, throbbing pain, and sometimes it gets so bad that it became hard for me to even walk or sit! I went to my athletic trainer a month ago, and she told me she thinks it is just an aggravated muscle spasm. So she told me to just give it some rest from the activity that hurt it. So I gave it about a month, in which it seemed there was no pain. But as soon as I tried to do the activity that hurt me in the first place, it went right back to hurting. It would be of great help for any assistance. What should I do now? | Hello. I read your concern. I feel that spasm could be due to less core stability and excessive spasm. Invariable loading hip joint reducing its range on movement. I would like to suggest you get more insight of your symptoms like is there any pain on bending forward touching the floor. Or arching back or inside bending. I recommend you to kindly do apply ice frequently over the painful area. A lot of frequent stretching for gluteus, hip flexors, and oblique muscles, a back extension like cobra stretches 20X4 at least three times in a day. Keep icing every time after stretch, core stability exercises. Kindly do these for two weeks and revert back to me. |
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Hi doctor, I am coming here for what I think may be possible lower back muscle spasms. I originally felt the pain after playing lots of baseballs (swinging a baseball bat many times). I have symptoms such as tightness, limited mobility or restricted range of motion, throbbing pain, and sometimes it gets so bad that it became hard for me to even walk or sit! I went to my athletic trainer a month ago, and she told me she thinks it is just an aggravated muscle spasm. So she told me to just give it some rest from the activity that hurt it. So I gave it about a month, in which it seemed there was no pain. But as soon as I tried to do the activity that hurt me in the first place, it went right back to hurting. It would be of great help for any assistance. What should I do now? [/INST] Hello. I read your concern. I feel that spasm could be due to less core stability and excessive spasm. Invariable loading hip joint reducing its range on movement. I would like to suggest you get more insight of your symptoms like is there any pain on bending forward touching the floor. Or arching back or inside bending. I recommend you to kindly do apply ice frequently over the painful area. A lot of frequent stretching for gluteus, hip flexors, and oblique muscles, a back extension like cobra stretches 20X4 at least three times in a day. Keep icing every time after stretch, core stability exercises. Kindly do these for two weeks and revert back to me. |
Q. What is dermographism? Is that similar to hives? | Hi doctor, I went to a dermatologist last week, and she told me that I have dermographism. It started last month. How long does it take to go away? I have little bumps in my stomach such as hives, just like a pimple. I have a doubt, can hives pop like a little simple bump or only occur in clusters? I just wanted to know some information about the condition. | Hello. I have read about your query. Your condition can be acute urticaria/ hives. It usually presents with itching. Dermographism (dermatographism) is an exaggerated urticarial response which is also called skin writing. It is usually seen in young adults with a fair complexion and it disappears in 6-8 hours. It usually gets off course as the age progresses and it is just of a cosmetic concern. Usually, dermographism does not give any symptoms and usually has a trigger like stick injury, pressure, etc. Complete blood count with differential count and IgE. 1. Acute urticaria. 2. Dermographism. 1. Antihistaminics like Fexofenadine, Levocetirizine. 2. A moisturizer can be applied. 3. If it does not come down, then you can take a week of low dose steroid like Prednisolone 5 mg in the morning before food. |
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Hi doctor, I went to a dermatologist last week, and she told me that I have dermographism. It started last month. How long does it take to go away? I have little bumps in my stomach such as hives, just like a pimple. I have a doubt, can hives pop like a little simple bump or only occur in clusters? I just wanted to know some information about the condition. [/INST] Hello. I have read about your query. Your condition can be acute urticaria/ hives. It usually presents with itching. Dermographism (dermatographism) is an exaggerated urticarial response which is also called skin writing. It is usually seen in young adults with a fair complexion and it disappears in 6-8 hours. It usually gets off course as the age progresses and it is just of a cosmetic concern. Usually, dermographism does not give any symptoms and usually has a trigger like stick injury, pressure, etc. Complete blood count with differential count and IgE. 1. Acute urticaria. 2. Dermographism. 1. Antihistaminics like Fexofenadine, Levocetirizine. 2. A moisturizer can be applied. 3. If it does not come down, then you can take a week of low dose steroid like Prednisolone 5 mg in the morning before food. |
Q. What is the best treatment option for keratoconus? | Hi doctor, I am diagnosed with keratoconus. My recent report showed K value 49.90, I-S 2.16 D, KISA 244%, and Pachymetry 461.465. My doctor advised me to go for C3R. I would like to know is there any other treatment option for keratoconus? | Hi. C3R (Corneal Collagen Cross-linking with Riboflavin) will help to check further deterioration of corneal thickness. May I know what is your vision with spectacles or contact lenses? |
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Hi doctor, I am diagnosed with keratoconus. My recent report showed K value 49.90, I-S 2.16 D, KISA 244%, and Pachymetry 461.465. My doctor advised me to go for C3R. I would like to know is there any other treatment option for keratoconus? [/INST] Hi. C3R (Corneal Collagen Cross-linking with Riboflavin) will help to check further deterioration of corneal thickness. May I know what is your vision with spectacles or contact lenses? |
Q. Suggest an ayurvedic cure for muscle pain. | Hi doctor, Can Balaguluchyadi thailam be used for muscle knots or pain in the forearm? | Hi. Majority of thailam will relieve pain. But we should find out the reason for the pain. If it is because of gout, definitely your pain will be cured with this oil. It would be better if you explain your problem in detail with reports if you have any. |
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Hi doctor, Can Balaguluchyadi thailam be used for muscle knots or pain in the forearm? [/INST] Hi. Majority of thailam will relieve pain. But we should find out the reason for the pain. If it is because of gout, definitely your pain will be cured with this oil. It would be better if you explain your problem in detail with reports if you have any. |
Q. I took Misoprostol during pregnancy and baby survived. Will it cause any defect in baby? | Hello doctor, I am 12 weeks pregnant now. On the third week of my pregnancy, I took two pills of Misoprostol. Yesterday, I went to ultrasound and my doctor told my baby is very healthy. Is there a high risk for my baby to be born with moebius syndrome or other illnesses? Please inform me, should I end my pregnancy? | Hi. You already used Misoprostol which is hormonal pills used to induce abortion and acts locally but luckily, it did not work and you got a healthy alive, active baby inside uterus growing. Have strict monitoring and take care of any symptoms you have like pain, bleeding, etc. Your sugar levels, blood pressure, thyroid levels should be in normal range and if you have been treated for any health issue, that also need to be checked and regularly treated. Have Folic acid 5 mg and Iron, Calcium with Vitamin D regularly. Have Micheal translucency scan at 13 weeks, detailed fetal anomaly scan at 20 weeks and scan for cardiac outflow tract at 22 weeks to check any abnormality in the child. I hope there will not be any abnormality if you do not have any family history of congenital anomalies. To be on safe side, you can take double marker tests, hormonal tests at 13 weeks and scan to exclude any congenital anomaly in the fetus. Have a regular antenatal checkup. I hope things would be better. Have the best care of baby and yourself. Misoprostol acts locally and prepares the female body to have a miscarriage. I hope it would not affect fetus with no detailed specific side effects as a congenital anomaly. Regular antenatal follow-ups along with a complete treatment of any health issue you have. Regular antenatal visit, double marker tests. scan at 13 weeks for nuchal translucency, at 20 weeks for detailed anomaly scan, at 22 weeks for cardiac outflow tract. Iron, Calcium with Vitamin D supplements, folic acid. Regular diet, weight, BMI, antenatal visits, multivitamins. |
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Hello doctor, I am 12 weeks pregnant now. On the third week of my pregnancy, I took two pills of Misoprostol. Yesterday, I went to ultrasound and my doctor told my baby is very healthy. Is there a high risk for my baby to be born with moebius syndrome or other illnesses? Please inform me, should I end my pregnancy? [/INST] Hi. You already used Misoprostol which is hormonal pills used to induce abortion and acts locally but luckily, it did not work and you got a healthy alive, active baby inside uterus growing. Have strict monitoring and take care of any symptoms you have like pain, bleeding, etc. Your sugar levels, blood pressure, thyroid levels should be in normal range and if you have been treated for any health issue, that also need to be checked and regularly treated. Have Folic acid 5 mg and Iron, Calcium with Vitamin D regularly. Have Micheal translucency scan at 13 weeks, detailed fetal anomaly scan at 20 weeks and scan for cardiac outflow tract at 22 weeks to check any abnormality in the child. I hope there will not be any abnormality if you do not have any family history of congenital anomalies. To be on safe side, you can take double marker tests, hormonal tests at 13 weeks and scan to exclude any congenital anomaly in the fetus. Have a regular antenatal checkup. I hope things would be better. Have the best care of baby and yourself. Misoprostol acts locally and prepares the female body to have a miscarriage. I hope it would not affect fetus with no detailed specific side effects as a congenital anomaly. Regular antenatal follow-ups along with a complete treatment of any health issue you have. Regular antenatal visit, double marker tests. scan at 13 weeks for nuchal translucency, at 20 weeks for detailed anomaly scan, at 22 weeks for cardiac outflow tract. Iron, Calcium with Vitamin D supplements, folic acid. Regular diet, weight, BMI, antenatal visits, multivitamins. |
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 D-dimer is raised from 1. 5 to 5. 9 and all tests are normal. What could be the reason? | Hello doctor, My D-dimer is getting higher from 1.5 to 5.9 within the last four months. My heart has been checked, and I had a chest x-ray, CT of heart, aorta, abdomen, and pelvic floor and Doppler of my legs. All are clear. Blood work is normal apart from D-Dimer and c-reactive protein which is 12.6 mg/L. What can it be? | Hello. Following is my opinion about your asked question. D-dimer is usually elevated in some thrombotic events in the body like DIC (disseminated intravascular coagulation), deep vein thrombosis or pulmonary embolism. But your CT chest and Doppler leg are normal as per history. So pulmonary embolism and DVT can be excluded. The other causes for elevated D-dimer can be liver disease, heart disease, inflammation, post-surgery, and pregnancy as well. Your heart is normal as per history, so heart disease can be excluded. You can rule out the liver disease by SGPT (serum glutamic pyruvic transaminase), SGOT (serum glutamic-oxaloacetic transaminase), and serum protein estimation. If you have pregnancy or surgery history than it can be the cause. PT (prothrombin time), PTT (partial thromboplastin time) and coagulation profile can be planned by your doctor if D- dimer remains persistently high. Kindly attach your report to give further comments if possible. |
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Hello doctor, My D-dimer is getting higher from 1.5 to 5.9 within the last four months. My heart has been checked, and I had a chest x-ray, CT of heart, aorta, abdomen, and pelvic floor and Doppler of my legs. All are clear. Blood work is normal apart from D-Dimer and c-reactive protein which is 12.6 mg/L. What can it be? [/INST] Hello. Following is my opinion about your asked question. D-dimer is usually elevated in some thrombotic events in the body like DIC (disseminated intravascular coagulation), deep vein thrombosis or pulmonary embolism. But your CT chest and Doppler leg are normal as per history. So pulmonary embolism and DVT can be excluded. The other causes for elevated D-dimer can be liver disease, heart disease, inflammation, post-surgery, and pregnancy as well. Your heart is normal as per history, so heart disease can be excluded. You can rule out the liver disease by SGPT (serum glutamic pyruvic transaminase), SGOT (serum glutamic-oxaloacetic transaminase), and serum protein estimation. If you have pregnancy or surgery history than it can be the cause. PT (prothrombin time), PTT (partial thromboplastin time) and coagulation profile can be planned by your doctor if D- dimer remains persistently high. Kindly attach your report to give further comments if possible. |
Q. Why am I having frequent miscarriages? | Hello doctor, I have had four miscarriages in a row. One had a subchronic hematoma. Is there a reason for this or a way to stop? I have given live births but now I cannot keep a child. What can I do? | Hi. Recurrent miscarriages need to be investigated actually. You had live births but now had four consecutive miscarriages. It is better to have a thrombophilia screen and products of conception needed to be send out for histopathology to check any chromosomal, congenital, structural anomaly. If you have been treated for any health issues like diabetes, thyroid, or high blood pressure, better have a complete, revised and regular treatment. All levels of blood pressure, thyroid, sugar levels should be within normal range as high sugar levels, high blood pressure, abnormal thyroid function test can trigger miscarriage. Have Folic acid continuously 5 mg as the abnormal product of conception, with structural, congenital or chromosomal anomalies can be aborted easily by nature itself. A hormonal imbalance like polycystic ovaries need hormonal support like Duphaston and Metformin during pregnancy for maintenance. Have a healthy diet, less salt, sugar, oil, and spice. Try to have normal BMI and weight as both high and low BMI can affect conception. Husbands health issues also need to be sorted out. Have recreational activities and quit recreational drugs as a couple as these reduces fertility in both gender and can cause fetal anomalies. You need blood thinning medications as well as soon as fetal viability comes like Aspirin, Heparin, etc. It is better to have an early booking with maternal medicine and high risk pregnancy consultant obstetrician. Send me your recent blood reports, detailed medical, gynecological, obstetrics and drug history and have thrombophilia screen, rubella screen. So that you could be guided more nicely. Medical issues to be sorted out, if any. Thrombophilia screen, rubella screening. Recurrent miscarriages. Folic acid daily 5 mg, sex in the fertile period of the cycle, early booking with high risk and maternal medicine consultant obstetrician. Blood-thinning medications as soon as fetal viability confirms. Progesterone support as soon as pregnancy test comes positive or cycle miss. Complete check and regular treatment and care of any health issue she has, healthy lifestyle, have normal BMI and weight, daily walk and exercise. Quit recreational drugs as a couple. Husband's medical issues also needed to be sorted out. |
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Hello doctor, I have had four miscarriages in a row. One had a subchronic hematoma. Is there a reason for this or a way to stop? I have given live births but now I cannot keep a child. What can I do? [/INST] Hi. Recurrent miscarriages need to be investigated actually. You had live births but now had four consecutive miscarriages. It is better to have a thrombophilia screen and products of conception needed to be send out for histopathology to check any chromosomal, congenital, structural anomaly. If you have been treated for any health issues like diabetes, thyroid, or high blood pressure, better have a complete, revised and regular treatment. All levels of blood pressure, thyroid, sugar levels should be within normal range as high sugar levels, high blood pressure, abnormal thyroid function test can trigger miscarriage. Have Folic acid continuously 5 mg as the abnormal product of conception, with structural, congenital or chromosomal anomalies can be aborted easily by nature itself. A hormonal imbalance like polycystic ovaries need hormonal support like Duphaston and Metformin during pregnancy for maintenance. Have a healthy diet, less salt, sugar, oil, and spice. Try to have normal BMI and weight as both high and low BMI can affect conception. Husbands health issues also need to be sorted out. Have recreational activities and quit recreational drugs as a couple as these reduces fertility in both gender and can cause fetal anomalies. You need blood thinning medications as well as soon as fetal viability comes like Aspirin, Heparin, etc. It is better to have an early booking with maternal medicine and high risk pregnancy consultant obstetrician. Send me your recent blood reports, detailed medical, gynecological, obstetrics and drug history and have thrombophilia screen, rubella screen. So that you could be guided more nicely. Medical issues to be sorted out, if any. Thrombophilia screen, rubella screening. Recurrent miscarriages. Folic acid daily 5 mg, sex in the fertile period of the cycle, early booking with high risk and maternal medicine consultant obstetrician. Blood-thinning medications as soon as fetal viability confirms. Progesterone support as soon as pregnancy test comes positive or cycle miss. Complete check and regular treatment and care of any health issue she has, healthy lifestyle, have normal BMI and weight, daily walk and exercise. Quit recreational drugs as a couple. Husband's medical issues also needed to be sorted out. |
Q. I have dry scalp with white flaky layers on the front and sides. Please help. | Hello doctor,I have a very dry scalp. There is a white flaky layer on the front and on the sides of the scalp. I have tried different shampoos but no help. Hair is getting thin day by day. I shampoo my hair twice weekly and before shampoo only I apply oil. Please help. | Hello. You can start Sulfur 30 five pills in morning noon and night, Arsenic alb 200 five pills in morning and evening, Psorinum 1M five pills in morning empty stomach. (One dose only). Your complaints seem like scaly dandruff. Along with medicines have food rich in protein because protein is best for hairs. Mix coconut oil, castor oil, sesame oil and add 10 drops of Arnica Montana mother tincture. Massage your scalp with this mixture twice in a week. Do not change often oil and shampoo. Have black Sesame in whatever form you like (laddu or raw, etc.). Sesame is good as the hair tonic. You can also have Fenugreek seeds laddu. Fenugreek is also hair tonic. Have these medicines but I need a follow up with such details. Hair fall, smell from the head, itching of scalp, bleeding after itching of scalp, hairs stick together, any other complaints? Since how long you had this? Any illness before starting this complaint? These all details will help to decide further medication and duration of treatment. 1.Dandruff. 2.Psoriasis. |
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Hello doctor,I have a very dry scalp. There is a white flaky layer on the front and on the sides of the scalp. I have tried different shampoos but no help. Hair is getting thin day by day. I shampoo my hair twice weekly and before shampoo only I apply oil. Please help. [/INST] Hello. You can start Sulfur 30 five pills in morning noon and night, Arsenic alb 200 five pills in morning and evening, Psorinum 1M five pills in morning empty stomach. (One dose only). Your complaints seem like scaly dandruff. Along with medicines have food rich in protein because protein is best for hairs. Mix coconut oil, castor oil, sesame oil and add 10 drops of Arnica Montana mother tincture. Massage your scalp with this mixture twice in a week. Do not change often oil and shampoo. Have black Sesame in whatever form you like (laddu or raw, etc.). Sesame is good as the hair tonic. You can also have Fenugreek seeds laddu. Fenugreek is also hair tonic. Have these medicines but I need a follow up with such details. Hair fall, smell from the head, itching of scalp, bleeding after itching of scalp, hairs stick together, any other complaints? Since how long you had this? Any illness before starting this complaint? These all details will help to decide further medication and duration of treatment. 1.Dandruff. 2.Psoriasis. |
Q. Kindly guide me about beta thalassemia. | Hello doctor, Is beta thalassemia trait a serious case? | Hi. Let me explain you about beta thalassemia trait. It is good that you are aware of using online health portal. Beta thalassemia trait is the heterozygous condition and the patient can live a normal life. If nutrition is not maintained properly and if any unusual excess bleeding occurs because of some reason then sometimes Hb can be decreased and the patient feels weakness because of that. But as such thalassemia minor patient have no any problem which hampers usual lifestyle. You have to take precaution while doing marriage. Before marriage, your fiance thalassemia report should be done. If she is also having thalassemia minor then the chance of the baby having thalassemia major is 25 %. And thalassemia major is danger condition. Hence just keep in mind that before marriage your fiance should also be checked for thalassemia minor. If you are not having thalassemia minor then no need for further testing of your fiance. |
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Hello doctor, Is beta thalassemia trait a serious case? [/INST] Hi. Let me explain you about beta thalassemia trait. It is good that you are aware of using online health portal. Beta thalassemia trait is the heterozygous condition and the patient can live a normal life. If nutrition is not maintained properly and if any unusual excess bleeding occurs because of some reason then sometimes Hb can be decreased and the patient feels weakness because of that. But as such thalassemia minor patient have no any problem which hampers usual lifestyle. You have to take precaution while doing marriage. Before marriage, your fiance thalassemia report should be done. If she is also having thalassemia minor then the chance of the baby having thalassemia major is 25 %. And thalassemia major is danger condition. Hence just keep in mind that before marriage your fiance should also be checked for thalassemia minor. If you are not having thalassemia minor then no need for further testing of your fiance. |
Q. Kindly guide me about the tests taken to confirm HIV status. | Hello doctor,I had sex with CSW and my condom got broken. I have started feeling symptoms and have a cold sore throat and rashes on my back. I had tested 22nd day and 95th day both are antibody test and got negative and my doctor asked me to retest after six months. I had read that 84 days are enough to show up in the test. What is the rare condition to get antibodies? Should I retest? | Hi. Regarding HIV infection, the window period (or period in which a person might test negative for the virus but actually be positive because of a delayed immune response) is typically between 21 and 60 days. There is however some evidence that it can be as long as 180 days (six months). When there is a history of a potential transmission risk event, like having unprotected sexual intercourse, we recommend a final repeat of the antibody and antigen combo test at six months. Even though your symptoms could be explained by other infections, I would still recommend that you repeat the combo test at six months for your own peace of mind. It is also very important that you test yourself for syphilis as your symptoms, especially your rash, suggests a need to just exclude that, as it is highly treatable if found. I would strongly suggest as well that you consult with a trusted physician so that he or she can examine you clinically and help to exclude other diagnoses like upper respiratory tract infection and treat accordingly. |
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Hello doctor,I had sex with CSW and my condom got broken. I have started feeling symptoms and have a cold sore throat and rashes on my back. I had tested 22nd day and 95th day both are antibody test and got negative and my doctor asked me to retest after six months. I had read that 84 days are enough to show up in the test. What is the rare condition to get antibodies? Should I retest? [/INST] Hi. Regarding HIV infection, the window period (or period in which a person might test negative for the virus but actually be positive because of a delayed immune response) is typically between 21 and 60 days. There is however some evidence that it can be as long as 180 days (six months). When there is a history of a potential transmission risk event, like having unprotected sexual intercourse, we recommend a final repeat of the antibody and antigen combo test at six months. Even though your symptoms could be explained by other infections, I would still recommend that you repeat the combo test at six months for your own peace of mind. It is also very important that you test yourself for syphilis as your symptoms, especially your rash, suggests a need to just exclude that, as it is highly treatable if found. I would strongly suggest as well that you consult with a trusted physician so that he or she can examine you clinically and help to exclude other diagnoses like upper respiratory tract infection and treat accordingly. |
Q. Is it advisable to not use Nuva ring for seven days in between menstrual cycle? | Hello doctor, I am on the NuvaRing and this is the 7th day of it out because I was trying to have my period. Should I put it back in today? This is my first month on the NuvaRing and it is to regulate my period and I started my period a few days back. Prior to the NuvaRing, I did not have a period for over a year. | Hi. The NuvaRing is to be worn for three weeks, while off for one week. If today is your seventh day, insert it tomorrow. Mark it on the calendar, and count it as the first day of your next cycle. Wear it till 21st day, remove it on 22nd day morning till the 28th day. The 29th day is again your first day of next cycle. |
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Hello doctor, I am on the NuvaRing and this is the 7th day of it out because I was trying to have my period. Should I put it back in today? This is my first month on the NuvaRing and it is to regulate my period and I started my period a few days back. Prior to the NuvaRing, I did not have a period for over a year. [/INST] Hi. The NuvaRing is to be worn for three weeks, while off for one week. If today is your seventh day, insert it tomorrow. Mark it on the calendar, and count it as the first day of your next cycle. Wear it till 21st day, remove it on 22nd day morning till the 28th day. The 29th day is again your first day of next cycle. |
Q. What should I do to get glowing fair skin? | Hi doctor, My face and body color are different. My face is getting dark and black day-by-day. What should I do to increase my fairness and get glowing skin? Shall I use some night cream? | Hi. I have read your problem carefully. What is your nature of work? Will you get exposed to sunlight? Are you allergic to any drug or disease? There are a lot of causes of skin darkening. The most common reason is sunlight exposure. For treatment, 1. You can use a cap or umbrella when you go for an outing.2. Sunscreen (30SPF), 10-20 minutes before an outing.3. Regular washing with good face wash. Please do not use whitening cream. It may cause harm to your skin. Take care. |
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Hi doctor, My face and body color are different. My face is getting dark and black day-by-day. What should I do to increase my fairness and get glowing skin? Shall I use some night cream? [/INST] Hi. I have read your problem carefully. What is your nature of work? Will you get exposed to sunlight? Are you allergic to any drug or disease? There are a lot of causes of skin darkening. The most common reason is sunlight exposure. For treatment, 1. You can use a cap or umbrella when you go for an outing.2. Sunscreen (30SPF), 10-20 minutes before an outing.3. Regular washing with good face wash. Please do not use whitening cream. It may cause harm to your skin. Take care. |
Q. How can I cure one sided headache with vomiting? | Hi doctor, I have one side headache. How to cure it? Will you please give your suggestion? During maigrane headache, I have vomiting. | Hello. You seem to be suffering from migraine. Treatment of a migraine is mainly prophylactic, that is, the medicine reduces the episodes of a headache. Tablet Flunarin 5 to 10 mg HS should be taken daily. There are other prophylactic medicines also available. Further, you better see a neurophysician, get all the routine investigations done including MRI and EEG. Avoid triggers of a migraine like taking proper sleep, avoid bright lights, loud noises and it could be any other source. |
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Hi doctor, I have one side headache. How to cure it? Will you please give your suggestion? During maigrane headache, I have vomiting. [/INST] Hello. You seem to be suffering from migraine. Treatment of a migraine is mainly prophylactic, that is, the medicine reduces the episodes of a headache. Tablet Flunarin 5 to 10 mg HS should be taken daily. There are other prophylactic medicines also available. Further, you better see a neurophysician, get all the routine investigations done including MRI and EEG. Avoid triggers of a migraine like taking proper sleep, avoid bright lights, loud noises and it could be any other source. |
Q. What is causing diarrhea after eating a spicy dish? | Hello doctor, I ate a chicken kebab a week back. Next day morning, I woke with small stomach pain followed by diarrhea. By evening, I was shivering and cold. Next morning I woke up feeling fine but still had diarrhea. Six days later, I am still having diarrhea after eating meals. There has been no vomiting or nausea and I can hold fluids fine. Also, dry foods like crackers and biscuits cause no problem. Any idea what is causing this? | Hello. It seems to be a post-infectious irritable bowel syndrome. Due to infection, normal bacterial flora of the body which is present in the intestine is lost. That is why you are getting such symptoms. These symptoms should go away after a few weeks. If not, then you need to do some investigations to look for the cause. Post-infectious irritable bowel syndrome. Tablet Bifilac twice a day for five days. |
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Hello doctor, I ate a chicken kebab a week back. Next day morning, I woke with small stomach pain followed by diarrhea. By evening, I was shivering and cold. Next morning I woke up feeling fine but still had diarrhea. Six days later, I am still having diarrhea after eating meals. There has been no vomiting or nausea and I can hold fluids fine. Also, dry foods like crackers and biscuits cause no problem. Any idea what is causing this? [/INST] Hello. It seems to be a post-infectious irritable bowel syndrome. Due to infection, normal bacterial flora of the body which is present in the intestine is lost. That is why you are getting such symptoms. These symptoms should go away after a few weeks. If not, then you need to do some investigations to look for the cause. Post-infectious irritable bowel syndrome. Tablet Bifilac twice a day for five days. |
Q. I always stammer while speaking. Please guide me. | Hello doctor, I always stutter or stammer while speaking. Please guide me. | Hello. Stammering or stuttering is either because of structural or functional aspects. A structural defect is most commonly tongue-tie if you had at birth during your speech development. Functional aspects are almost always due to stress and decreased self-confidence levels. (unless you got any neurological problem, which is usually not). To check for tongue-tie, try to touch your chin with tongue. If you can reach the beginning of chin, then there is no structural problem. |
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Hello doctor, I always stutter or stammer while speaking. Please guide me. [/INST] Hello. Stammering or stuttering is either because of structural or functional aspects. A structural defect is most commonly tongue-tie if you had at birth during your speech development. Functional aspects are almost always due to stress and decreased self-confidence levels. (unless you got any neurological problem, which is usually not). To check for tongue-tie, try to touch your chin with tongue. If you can reach the beginning of chin, then there is no structural problem. |
Q. My daughter inhaled sea water while swimming. Should she be concerned? | Hello doctor, My daughter inhaled a huge breath of what turned out to be sea water when she rolled onto her back with a snorkel mask. She tried to keep swimming, but breathing was nearly impossible. There were squeaky noises as she tried to get air. Lots of coughing for about two hours afterward; the next day she was just fine. A couple of days later she had gone for a 10-mile run, but there were no problems. Next day she had gone for a 6-mile run, and there were no problems. Today she tried swimming again. She did not inhale water, but violent coughing returned and she had difficulty in breathing after getting out of the water. She was discouraged because she really wanted to swim. Should she be concerned? | Hi. I want to assure you that you need not worry as everything is going to be fine soon. I have thoroughly gone through your case and can well understand your genuine concerns. She needs not to be worried and discouraged. Seawater is salty and usually causes such problems to the swimmers. The same is happening with your daughter. She had breathed in some water in the first episode and it caused trauma to her too. The second time it may be a psychological effect of passing through the same after effects as previously. This may merely be after effects and psychological effects. Or, it may really be inhalation of a small amount of water once again and it is not uncommon that such minor water inhalation happens and remains unnoticed during sea-swimming. The swimmer gets it known only when comes out of the water with respiratory symptoms like coughing and shortness of breath. She needs a swimming guide. No doubt she is good at swimming but, he will guide her cope with the fear and therefore the psychological effects will be masked. She definitely will get better soon with this technique of management. She needs not to be worried and discouraged. Seawater is salty and usually causes such problems to the swimmers. The same is happening with your daughter. She had breathed in some water in the first episode and it caused a trauma to her too. The second time it may be a psychological effect of passing through the same after effects as previously. This may merely be after effects and psychological effects. Or, it may really be an inhalation of a small amount of water once again and it is not uncommon that such minor water inhalation happens and remains unnoticed during sea-swimming. The swimmer gets it known only when comes out of water with respiratory symptoms like coughing and shortness of breath. She needs a swimming guide. No doubt she is good in swimming but, he will guide her cope with the fear and therefore the psychological effects will be masked. She definitely will get better soon with this technique of management. |
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Hello doctor, My daughter inhaled a huge breath of what turned out to be sea water when she rolled onto her back with a snorkel mask. She tried to keep swimming, but breathing was nearly impossible. There were squeaky noises as she tried to get air. Lots of coughing for about two hours afterward; the next day she was just fine. A couple of days later she had gone for a 10-mile run, but there were no problems. Next day she had gone for a 6-mile run, and there were no problems. Today she tried swimming again. She did not inhale water, but violent coughing returned and she had difficulty in breathing after getting out of the water. She was discouraged because she really wanted to swim. Should she be concerned? [/INST] Hi. I want to assure you that you need not worry as everything is going to be fine soon. I have thoroughly gone through your case and can well understand your genuine concerns. She needs not to be worried and discouraged. Seawater is salty and usually causes such problems to the swimmers. The same is happening with your daughter. She had breathed in some water in the first episode and it caused trauma to her too. The second time it may be a psychological effect of passing through the same after effects as previously. This may merely be after effects and psychological effects. Or, it may really be inhalation of a small amount of water once again and it is not uncommon that such minor water inhalation happens and remains unnoticed during sea-swimming. The swimmer gets it known only when comes out of the water with respiratory symptoms like coughing and shortness of breath. She needs a swimming guide. No doubt she is good at swimming but, he will guide her cope with the fear and therefore the psychological effects will be masked. She definitely will get better soon with this technique of management. She needs not to be worried and discouraged. Seawater is salty and usually causes such problems to the swimmers. The same is happening with your daughter. She had breathed in some water in the first episode and it caused a trauma to her too. The second time it may be a psychological effect of passing through the same after effects as previously. This may merely be after effects and psychological effects. Or, it may really be an inhalation of a small amount of water once again and it is not uncommon that such minor water inhalation happens and remains unnoticed during sea-swimming. The swimmer gets it known only when comes out of water with respiratory symptoms like coughing and shortness of breath. She needs a swimming guide. No doubt she is good in swimming but, he will guide her cope with the fear and therefore the psychological effects will be masked. She definitely will get better soon with this technique of management. |
Q. I have pain in my fingers, palm, and wrist after working on the laptop from home. Please help. | Hi doctor, I am an IT professional, presently working from home for 8-10 hours a day. Six days back my laptop keyboard got packed up. Next three days, I worked with an external keyboard and mouse while sitting on the bed instead of a table and chair. Though I felt strain and discomfort, I somehow continued with it. I felt sharp and dull pains all over the fingers, finger joints, wrist, etc., on the third night. I somehow slept after hot and cold fomentation and had an oral painkiller. From the next day, I am taking complete rest, doing nothing with right-hand fingers. It is almost three days, and still, there is a dull and sharp pain here and there over my right hand. There is no numbness or tingling sensation ever. Also, there is a feeling of discomfort and a sort of weakness in the right hand. Please advise medicine or ointment or exercise. Thank you. | Hello. Where is the exact location of pain? Is it at wrist or elbow? Is it at shoulder joint too? Are you suffering from hypothyroidism or diabetes? The possible causes are like, 1. Neuropraxia. 2. Carpal tunnel syndrome. 3. Hypocalcemia. 4. Hypokalemia. 5. Viral fever with myalgia. 6. Spondylosis with radiculopathy. 7. Pressure-induced numbness. Use tablet Pregabalin 75 mg once a day for five days and tablet Zerodol MR (Aceclofenac 100 mg + Tizanidine 2 mg) twice a day for three days. Kindly get serum calcium, blood sugar, thyroid profile, and nerve conduction study. If symptoms not improved, then please consult with your physician. He will examine and treat you accordingly. Take care. |
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Hi doctor, I am an IT professional, presently working from home for 8-10 hours a day. Six days back my laptop keyboard got packed up. Next three days, I worked with an external keyboard and mouse while sitting on the bed instead of a table and chair. Though I felt strain and discomfort, I somehow continued with it. I felt sharp and dull pains all over the fingers, finger joints, wrist, etc., on the third night. I somehow slept after hot and cold fomentation and had an oral painkiller. From the next day, I am taking complete rest, doing nothing with right-hand fingers. It is almost three days, and still, there is a dull and sharp pain here and there over my right hand. There is no numbness or tingling sensation ever. Also, there is a feeling of discomfort and a sort of weakness in the right hand. Please advise medicine or ointment or exercise. Thank you. [/INST] Hello. Where is the exact location of pain? Is it at wrist or elbow? Is it at shoulder joint too? Are you suffering from hypothyroidism or diabetes? The possible causes are like, 1. Neuropraxia. 2. Carpal tunnel syndrome. 3. Hypocalcemia. 4. Hypokalemia. 5. Viral fever with myalgia. 6. Spondylosis with radiculopathy. 7. Pressure-induced numbness. Use tablet Pregabalin 75 mg once a day for five days and tablet Zerodol MR (Aceclofenac 100 mg + Tizanidine 2 mg) twice a day for three days. Kindly get serum calcium, blood sugar, thyroid profile, and nerve conduction study. If symptoms not improved, then please consult with your physician. 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.---> |
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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 masturbation the reason for my premature ejaculation? | Hi doctor, I am a 32 year old unmarried male. I am suffering from premature ejaculation. I am masturbation from 13 years od age using sex toys. I am not lasting more than two minutes. I am taking antidepressants and doing squeeze technique. But, it does not help me. Kindly suggest medicine for premature ejaculation. I am worried to get married. I also have diabetes. My sugar level before the meal is 9.5 mol and after the meal is 110 mol. I am taking Gliclazide 80 mg once daily. | Hi. I can understand your concern. For further information consult a sexologist online --> |
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Hi doctor, I am a 32 year old unmarried male. I am suffering from premature ejaculation. I am masturbation from 13 years od age using sex toys. I am not lasting more than two minutes. I am taking antidepressants and doing squeeze technique. But, it does not help me. Kindly suggest medicine for premature ejaculation. I am worried to get married. I also have diabetes. My sugar level before the meal is 9.5 mol and after the meal is 110 mol. I am taking Gliclazide 80 mg once daily. [/INST] Hi. I can understand your concern. For further information consult a sexologist online --> |
Q. What are the benefits of consuming guava? | Hello doctor, How does guava help boost weight loss? Can guava extract help in prostate cancer prevention? How does guava work as a remedy for cold? Why is guava recommended for better brain health? What can guava's high vitamin A content do for our eyesight? What are the other benefits of consuming guava (if any)? | Hi. Guava helps in weight loss as it contains roughage or fibers. Fibers include both soluble and insoluble fiber. Fibers are the part of plant foods. Not all fibers are completely digested by the human body, hence they will not add to your calories, but they add bulk to the food. After consuming it fills our stomach and makes us reduce the quantity intake of other caloric foods like rice, bread, etc. Guava contains vitamin C, hence it acts as a remedy for cold. Guava contains vitamin E and C which are very much needed for good memory. Hence, it is helpful for good brain health. Guava is rich in vitamin C, A, antioxidants and lycopene which help in the prevention of prostate and other types of cancers. Other benefits of guava are: Rather than consuming an extract, it is always advisable to eat the complete fruit to get the complete benefits. |
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Hello doctor, How does guava help boost weight loss? Can guava extract help in prostate cancer prevention? How does guava work as a remedy for cold? Why is guava recommended for better brain health? What can guava's high vitamin A content do for our eyesight? What are the other benefits of consuming guava (if any)? [/INST] Hi. Guava helps in weight loss as it contains roughage or fibers. Fibers include both soluble and insoluble fiber. Fibers are the part of plant foods. Not all fibers are completely digested by the human body, hence they will not add to your calories, but they add bulk to the food. After consuming it fills our stomach and makes us reduce the quantity intake of other caloric foods like rice, bread, etc. Guava contains vitamin C, hence it acts as a remedy for cold. Guava contains vitamin E and C which are very much needed for good memory. Hence, it is helpful for good brain health. Guava is rich in vitamin C, A, antioxidants and lycopene which help in the prevention of prostate and other types of cancers. Other benefits of guava are: Rather than consuming an extract, it is always advisable to eat the complete fruit to get the complete benefits. |
Q. I have blood in stool and pain while passing stool. Please help. | Hello doctor,When I go to the bathroom for poop, the blood came out with my stool and it became painful for me to pass the stool. After stool, I could not sit down properly. It hurts for a long time. My second problem is that I have an epidemic cyst in my testes. Sometimes I feel pain in that. | Hello. I have reviewed your query and here is my advise. You have two main concern: For blood in stool, two common causes could be ruled out: dysentery or colitis or piles. For that proctoscopy examination is done. Additionally, you require to investigate with the stool routine micro examination. If any abdominal pain and vomiting are associated, then mention it. Maintain hydration with lots of water. For epididymal scrotal cyst, if it is painful, then needs its removal through minor surgery. |
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Hello doctor,When I go to the bathroom for poop, the blood came out with my stool and it became painful for me to pass the stool. After stool, I could not sit down properly. It hurts for a long time. My second problem is that I have an epidemic cyst in my testes. Sometimes I feel pain in that. [/INST] Hello. I have reviewed your query and here is my advise. You have two main concern: For blood in stool, two common causes could be ruled out: dysentery or colitis or piles. For that proctoscopy examination is done. Additionally, you require to investigate with the stool routine micro examination. If any abdominal pain and vomiting are associated, then mention it. Maintain hydration with lots of water. For epididymal scrotal cyst, if it is painful, then needs its removal through minor surgery. |
Q. Stress-a barrier for brain development,is that true? | Hi doctor, I read that great stress will cause brain development inhibition in children. Can this be caught up through something? Is this permanent? | Hello. Great amount of stress in children does affect brain development. As the brain develops till the age of 18 years, stress can affect the development. Stress can, in general, affect the functioning of the body, hormonal balance, and immunity levels as well. If the stress persists beyond the child's tolerance, the effect can be long-lasting or permanent. However, if the child is relieved from stress, he can show a tremendous spurt in development. Some ways to help children under stress would be, |
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Hi doctor, I read that great stress will cause brain development inhibition in children. Can this be caught up through something? Is this permanent? [/INST] Hello. Great amount of stress in children does affect brain development. As the brain develops till the age of 18 years, stress can affect the development. Stress can, in general, affect the functioning of the body, hormonal balance, and immunity levels as well. If the stress persists beyond the child's tolerance, the effect can be long-lasting or permanent. However, if the child is relieved from stress, he can show a tremendous spurt in development. Some ways to help children under stress would be, |
Q. Is having acne under chin and above neck related to HIV? | Hi doctor, Recently, I have some acne under my chin and upper than my neck. What does this symptom show? I wonder can it have any relation with stopping of masturbation which I have done in about three weeks. Also, I had unprotected sex with someone 10 days ago and I am scared of HIV sign. | Hi. The erythematous papular eruptions which you have on your facial area seems to be acne or folliculitis (attachment removed to protect patient identity). This is a superficial skin infection, commonly bacterial and is extremely common irrespective of HIV status. It has no association with starting or stopping masturbation. For your unprotected sexual exposure get your HIV rapid combo test, if negative you will require a repeat testing at three months and preferably at six months of exposure also. I also advise you having safe sex using consistently and correctively condoms in the future. |
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Hi doctor, Recently, I have some acne under my chin and upper than my neck. What does this symptom show? I wonder can it have any relation with stopping of masturbation which I have done in about three weeks. Also, I had unprotected sex with someone 10 days ago and I am scared of HIV sign. [/INST] Hi. The erythematous papular eruptions which you have on your facial area seems to be acne or folliculitis (attachment removed to protect patient identity). This is a superficial skin infection, commonly bacterial and is extremely common irrespective of HIV status. It has no association with starting or stopping masturbation. For your unprotected sexual exposure get your HIV rapid combo test, if negative you will require a repeat testing at three months and preferably at six months of exposure also. I also advise you having safe sex using consistently and correctively condoms in the future. |
Q. What does abutment of the nerve root mean? | Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for annular bulging and tear? | Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online --> |
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Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for annular bulging and tear? [/INST] Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online --> |
Q. I am 82 years, and my pulse was 54 a couple of nights ago. Should I be concerned? | Hi doctor, I am an 82-year-old man and noticed that my pulse was 54 late a couple of nights ago. I recorded it yesterday throughout the beginning with 8 am and ending at 10:15 pm. The pulse was 58, 60, 80, 78, 69, and 54. The 80 was after hiking 2.5 miles. I am concerned about the low of 54. I am currently on Valsartan and Hydrochlorothiazide 325 mg/25 mg and Amiloride 5 mg, each one per day. | Hello. Thanks for reaching out to us. I understand your concern about your health. Please do not be worried as it is nothing. It is perfectly normal to have a slightly low pulse as you age. It is a physiological change that occurs with aging perhaps 54 beats per minute can not be said to be too low. A normal pulse is between 60 to 90 beats per minute. This range differs with people. Age, body size, and activity level are some of the reasons for the variation. I advise you to continue your normal daily routine without worry. You can become concerned if it becomes lower as much as 40 and you experience symptoms like shortness of breath or faintness. Remain healthy. Best regards. |
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Hi doctor, I am an 82-year-old man and noticed that my pulse was 54 late a couple of nights ago. I recorded it yesterday throughout the beginning with 8 am and ending at 10:15 pm. The pulse was 58, 60, 80, 78, 69, and 54. The 80 was after hiking 2.5 miles. I am concerned about the low of 54. I am currently on Valsartan and Hydrochlorothiazide 325 mg/25 mg and Amiloride 5 mg, each one per day. [/INST] Hello. Thanks for reaching out to us. I understand your concern about your health. Please do not be worried as it is nothing. It is perfectly normal to have a slightly low pulse as you age. It is a physiological change that occurs with aging perhaps 54 beats per minute can not be said to be too low. A normal pulse is between 60 to 90 beats per minute. This range differs with people. Age, body size, and activity level are some of the reasons for the variation. I advise you to continue your normal daily routine without worry. You can become concerned if it becomes lower as much as 40 and you experience symptoms like shortness of breath or faintness. Remain healthy. Best regards. |
Q. Can you suggest a medicine for Loose Motion? | Hi doctor, I am suffering from loose motion since today morning. Can you suggest a medicine? | Hello. Loose motion usually spontaneously subsides within a day or two. Usually people who travel more frequetly will get affected easily and hence it is adviced for them to take ORS with them. Let's have ORS (oral rehydration salt) solution, and take a few sips for every few minutes. And after loose motion, wait for a while and then have ORS to compensate for the water that is lost. Eat bland diet. Avoid milk, spicy and fatty food. Preferably eat bananas, rice and other light food. Loose motion should subside by this. However, if it is not controlled in a day or two, take tablet O2 (Ofloxacin and Ornidazole combination) twice a day for 5 days. This is an antibiotic which is useful in bacterial infections. If the infection is viral, antibiotics have no role. It needs to be just treated by ORS solution itself. |
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Hi doctor, I am suffering from loose motion since today morning. Can you suggest a medicine? [/INST] Hello. Loose motion usually spontaneously subsides within a day or two. Usually people who travel more frequetly will get affected easily and hence it is adviced for them to take ORS with them. Let's have ORS (oral rehydration salt) solution, and take a few sips for every few minutes. And after loose motion, wait for a while and then have ORS to compensate for the water that is lost. Eat bland diet. Avoid milk, spicy and fatty food. Preferably eat bananas, rice and other light food. Loose motion should subside by this. However, if it is not controlled in a day or two, take tablet O2 (Ofloxacin and Ornidazole combination) twice a day for 5 days. This is an antibiotic which is useful in bacterial infections. If the infection is viral, antibiotics have no role. It needs to be just treated by ORS solution itself. |
Q. Can Femosten cause irregularity of periods? | Hello doctor,I commenced taking Femosten last month because I was not getting a period for the last six months. Prior to this, I got them intermittently for 12 to 18 months. For several months, I would just get my period for several consecutive months. My cycle has always been 28 days. My periods never differed, perhaps a little heavier than usual. I suffered constant hot flushing for six months. So the doctor prescribed Femoston which dealt with that issue. She did advise perhaps I would still have some bleeding. I have never had any breakthrough bleeding but last month I got a period, lasting for usual five days and yesterday, I have had another period. Just wondering about this. I am due to see my GP soon for a pap smear and review the Femosten. Should I make an earlier booking? | Hi. I can understand your concern. What about hot flushes? Do you have them? And when is your scheduled appointment with GP? Do you have foul smelling discharge? Do you have weight loss or low-grade fever? Do you have a family history of cervical cancer? Please reply to my answers of the above-asked questions, so that I can guide you better. I will be happy to help you further. Wish you good health. |
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Hello doctor,I commenced taking Femosten last month because I was not getting a period for the last six months. Prior to this, I got them intermittently for 12 to 18 months. For several months, I would just get my period for several consecutive months. My cycle has always been 28 days. My periods never differed, perhaps a little heavier than usual. I suffered constant hot flushing for six months. So the doctor prescribed Femoston which dealt with that issue. She did advise perhaps I would still have some bleeding. I have never had any breakthrough bleeding but last month I got a period, lasting for usual five days and yesterday, I have had another period. Just wondering about this. I am due to see my GP soon for a pap smear and review the Femosten. Should I make an earlier booking? [/INST] Hi. I can understand your concern. What about hot flushes? Do you have them? And when is your scheduled appointment with GP? Do you have foul smelling discharge? Do you have weight loss or low-grade fever? Do you have a family history of cervical cancer? Please reply to my answers of the above-asked questions, so that I can guide you better. I will be happy to help you further. Wish you good health. |
Q. How can I make my period regular after taking Primolut N? | Hello doctor, I am 29 years old. I had a small issue. I have used Primoult-N for 20 days due to vacation. After stopping the medicine, the mensus was as usual but this month mensus started but only once there was a little spot of blood and later it was only black spots. Please provide me a solution for this. I have my marriage on the 10th of this month. If it is abnormal, it will be a problem. | Hi. This could be because of hormonal changes. There is nothing to worry about. However, if you have a doubt, then get yourself checked by a gynecologist and get a pelvic scan done to rule out the exact cause. Do get back to me with reports so that I can guide you further. Take care. |
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Hello doctor, I am 29 years old. I had a small issue. I have used Primoult-N for 20 days due to vacation. After stopping the medicine, the mensus was as usual but this month mensus started but only once there was a little spot of blood and later it was only black spots. Please provide me a solution for this. I have my marriage on the 10th of this month. If it is abnormal, it will be a problem. [/INST] Hi. This could be because of hormonal changes. There is nothing to worry about. However, if you have a doubt, then get yourself checked by a gynecologist and get a pelvic scan done to rule out the exact cause. Do get back to me with reports so that I can guide you further. Take care. |
Q. When I wake up, my heart is often racing. What could be the reason? | Hello doctor, I am a 61 year old man and in reasonably good health apart from being overweight and diagnosed diabetic 10 years ago. The following has started after I lost a lot of weight. For the last 9 months, I have had to sleep sitting up in a chair and leaning to my left side. If I lie down to sleep horizontally, or remain sitting up but tilting even slightly backward, or if I slip down on to my back on the chair while asleep, my heart begins to get faster and faster. I feel no pain and it does not wake me up. That is the problem, I sleep through it until I wake up with the need of going to the bathroom. I suspect these episodes last for hours with my heart going dangerously fast. These are not palpitations. When I wake up, my heart is often racing, and I have to take deep breaths for a couple of minutes to get enough oxygen inside me for the heart to return to its normal beat. It all started very suddenly, not progressive. For all these months I have been scared by the prospect of having to go to sleep and leave it as long as possible before trying, just praying that I can get through the night keeping myself upright and with a reasonably clear nose. If I can do that, I can usually make it through reasonably fine, but this is the exception rather than the rule. Body position seems to be one key factor, clear nose another, but the first always overrides the latter in importance. I recently had to make a 6 day 1500 mile dash drive and slept every night upright in the car seat right next to an open window. I had no problems at all during those 5 nights. A cardiologist has run tests and told me there is nothing abnormal with my heart’s muscle or function. I rented an automatic CPAP machine for 4 months, but have now returned it. It does not do much of help, but its data shows no continuous waking such as might happen with obstructive sleep apnea. It does, however, show that I go into periods of shallow breathing while asleep. The only other suggestion that I have had is that this might be some form of central sleep apnea and therefore perhaps more neurologically based. The company that rented me the CPAP machine say that a BIPAP machine might be better, as it will force me to breathe, but I would really like a more expert opinion before going down that extremely expensive road. Do you know any other people who have had similar symptoms and experiences, and if so, what was the cause and how was it treated? Current daily medications I take are 75 mg Aspirin for blood thinning, 1 x 15 mg Pioglitazone/ 850mg Metformin tablet for controlling diabetes, 5 mg Ramipril for blood pressure, and various vitamin and fish oil supplements. | Hi. My compliments for a detailed medical history of what you have been going through in the last nine months. I have gone through it and following are the points which are important to show the way to diagnosis: What are the problems you do not probably have: What you may have: My suggestions: |
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Hello doctor, I am a 61 year old man and in reasonably good health apart from being overweight and diagnosed diabetic 10 years ago. The following has started after I lost a lot of weight. For the last 9 months, I have had to sleep sitting up in a chair and leaning to my left side. If I lie down to sleep horizontally, or remain sitting up but tilting even slightly backward, or if I slip down on to my back on the chair while asleep, my heart begins to get faster and faster. I feel no pain and it does not wake me up. That is the problem, I sleep through it until I wake up with the need of going to the bathroom. I suspect these episodes last for hours with my heart going dangerously fast. These are not palpitations. When I wake up, my heart is often racing, and I have to take deep breaths for a couple of minutes to get enough oxygen inside me for the heart to return to its normal beat. It all started very suddenly, not progressive. For all these months I have been scared by the prospect of having to go to sleep and leave it as long as possible before trying, just praying that I can get through the night keeping myself upright and with a reasonably clear nose. If I can do that, I can usually make it through reasonably fine, but this is the exception rather than the rule. Body position seems to be one key factor, clear nose another, but the first always overrides the latter in importance. I recently had to make a 6 day 1500 mile dash drive and slept every night upright in the car seat right next to an open window. I had no problems at all during those 5 nights. A cardiologist has run tests and told me there is nothing abnormal with my heart’s muscle or function. I rented an automatic CPAP machine for 4 months, but have now returned it. It does not do much of help, but its data shows no continuous waking such as might happen with obstructive sleep apnea. It does, however, show that I go into periods of shallow breathing while asleep. The only other suggestion that I have had is that this might be some form of central sleep apnea and therefore perhaps more neurologically based. The company that rented me the CPAP machine say that a BIPAP machine might be better, as it will force me to breathe, but I would really like a more expert opinion before going down that extremely expensive road. Do you know any other people who have had similar symptoms and experiences, and if so, what was the cause and how was it treated? Current daily medications I take are 75 mg Aspirin for blood thinning, 1 x 15 mg Pioglitazone/ 850mg Metformin tablet for controlling diabetes, 5 mg Ramipril for blood pressure, and various vitamin and fish oil supplements. [/INST] Hi. My compliments for a detailed medical history of what you have been going through in the last nine months. I have gone through it and following are the points which are important to show the way to diagnosis: What are the problems you do not probably have: What you may have: My suggestions: |
Q. Every time I exercise on treadmill,my legs are itching. How do I prevent this? | Hi doctor, Every time I exercise on the treadmill, my legs are blushing and itching. So, that is stopping me from exercising. What is wrong and what can I do to prevent this? | 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 understand your genuine health concerns. This is a very common problem for a lot of treadmill users doing cardio exercises. The main issue is the sensitivity of the skin. It looks very simple but I found this fact after a research on 150 people of different ages and with different health status, but with the same issue of blushing and itching on the legs while using the treadmill. Reasons: Dry skin in the legs. Wearing tight clothes/jeans or trousers while exercising on the treadmill. Wearing tight and above ankle socks. 1. Wear cotton-only trousers (100% cotton; not mixed with any synthetic fiber). 2. It is better to wear ankle socks compared to above ankle socks. 3. Wax properly and timely on the legs and apply Eucerin cream (extra dry treatment lotion) on the legs especially when doing the treadmill. 4. There must be a proper ventilation in the room where you do the treadmill. 5. Keep a judicious supply of water to avoid dehydration. 6. You need to keep a good and healthy diet full of vitamins, minerals and fluids (vegetables, salads, fruits, salmon fish, nuts, dry fruits). 7. Avoid caffeinated drinks like coffee, tea, beverages, energy drinks, etc. 8. It is possible that you may still feel itching and redness for the first couple of days, so it is better to take tablet Cetirizine 1 hour before workout. And apply Hydrocortisone cream if you feel that the redness is not going away on its own after an hour of completing workout . In a few days you will not get the problem anymore. |
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Hi doctor, Every time I exercise on the treadmill, my legs are blushing and itching. So, that is stopping me from exercising. What is wrong and what can I do to prevent this? [/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 understand your genuine health concerns. This is a very common problem for a lot of treadmill users doing cardio exercises. The main issue is the sensitivity of the skin. It looks very simple but I found this fact after a research on 150 people of different ages and with different health status, but with the same issue of blushing and itching on the legs while using the treadmill. Reasons: Dry skin in the legs. Wearing tight clothes/jeans or trousers while exercising on the treadmill. Wearing tight and above ankle socks. 1. Wear cotton-only trousers (100% cotton; not mixed with any synthetic fiber). 2. It is better to wear ankle socks compared to above ankle socks. 3. Wax properly and timely on the legs and apply Eucerin cream (extra dry treatment lotion) on the legs especially when doing the treadmill. 4. There must be a proper ventilation in the room where you do the treadmill. 5. Keep a judicious supply of water to avoid dehydration. 6. You need to keep a good and healthy diet full of vitamins, minerals and fluids (vegetables, salads, fruits, salmon fish, nuts, dry fruits). 7. Avoid caffeinated drinks like coffee, tea, beverages, energy drinks, etc. 8. It is possible that you may still feel itching and redness for the first couple of days, so it is better to take tablet Cetirizine 1 hour before workout. And apply Hydrocortisone cream if you feel that the redness is not going away on its own after an hour of completing workout . In a few days you will not get the problem anymore. |
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 --> |
<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 --> |
Q. How soon will I bleed after taking Regestrone? | Hello doctor, My periods are delayed by a month and was prescribed Regestrone 5 mg twice daily for three days. How soon can I expect to start bleeding and is it normal to feel nauseous after taking that dosage? Until when is it legal to get an abortion for a woman without any complications or failed contraception? | Hello. As you asked, yes, it is common to have nausea after taking Regestrone pills, as it is a hormonal pill. Your periods will stop only after stopping the tablet and should be getting any time between 7-10 days after stopping it, as it varies from person to person. MTP (medical termination of pregnancy) can be offered till 24 weeks of gestation, if the pregnancy is assumed to be constituting grave injury to the physical or mental health of the woman. Although they have not clearly mentioned, as the scenario you mentioned, any unwanted pregnancy (arising due to rape or contraceptive failure) can be a grave mental injury to a woman. Also in your scenario, I would like to know, why would a woman consider a termination of pregnancy at an advanced gestational age, if neither there were any complications nor it happens due to contraception failure. But one needs to get it approved by two registered medical practitioners for going ahead with the termination of pregnancy. I hope this helps. |
<s>[INST]
Hello doctor, My periods are delayed by a month and was prescribed Regestrone 5 mg twice daily for three days. How soon can I expect to start bleeding and is it normal to feel nauseous after taking that dosage? Until when is it legal to get an abortion for a woman without any complications or failed contraception? [/INST] Hello. As you asked, yes, it is common to have nausea after taking Regestrone pills, as it is a hormonal pill. Your periods will stop only after stopping the tablet and should be getting any time between 7-10 days after stopping it, as it varies from person to person. MTP (medical termination of pregnancy) can be offered till 24 weeks of gestation, if the pregnancy is assumed to be constituting grave injury to the physical or mental health of the woman. Although they have not clearly mentioned, as the scenario you mentioned, any unwanted pregnancy (arising due to rape or contraceptive failure) can be a grave mental injury to a woman. Also in your scenario, I would like to know, why would a woman consider a termination of pregnancy at an advanced gestational age, if neither there were any complications nor it happens due to contraception failure. But one needs to get it approved by two registered medical practitioners for going ahead with the termination of pregnancy. I hope this helps. |
Q. How to treat multidrug-resistant tuberculosis? | Hello doctor, I have been diagnosed with multidrug-resistant tuberculosis. I have attached the reports. Please suggest a way to treat this. | Hello. I have seen both the reports (attachment removed to protect patient identity). Sputum report is positive and has also grown Mycobacterium tuberculosis. But the sensitivity test for all five first-line drugs is not done. Patient weight is also not mentioned. If it is MDR-TB (Multi-drug-resistant tuberculosis), thesecond-line drugs should be started with remaining sensitive first-line drugs. When there is no report of resistance to Isoniazid or Rifampicin, only then we say it as MDR-TB. So, please get done the sensitivity test for all first and second line drugs from the same lab. The patient must take injection Streptomycin 750 mg IM (intramuscular) daily along with tablet Akurit 4 (combination of Isoniazid, Rifampicin, Pyrazinamide, and Ethambutol) according to weight. Also, give protein supplements like eggs and proteinex powder with milk. Decreased immunity might be a cause. Sputum AFB culture. Sensitivity test for first and second line drugs. Multi-drug-resistant tuberculosis (MDR-TB) Second line anti-tubercular treatment. Compulsory use of mask by the patient. |
<s>[INST]
Hello doctor, I have been diagnosed with multidrug-resistant tuberculosis. I have attached the reports. Please suggest a way to treat this. [/INST] Hello. I have seen both the reports (attachment removed to protect patient identity). Sputum report is positive and has also grown Mycobacterium tuberculosis. But the sensitivity test for all five first-line drugs is not done. Patient weight is also not mentioned. If it is MDR-TB (Multi-drug-resistant tuberculosis), thesecond-line drugs should be started with remaining sensitive first-line drugs. When there is no report of resistance to Isoniazid or Rifampicin, only then we say it as MDR-TB. So, please get done the sensitivity test for all first and second line drugs from the same lab. The patient must take injection Streptomycin 750 mg IM (intramuscular) daily along with tablet Akurit 4 (combination of Isoniazid, Rifampicin, Pyrazinamide, and Ethambutol) according to weight. Also, give protein supplements like eggs and proteinex powder with milk. Decreased immunity might be a cause. Sputum AFB culture. Sensitivity test for first and second line drugs. Multi-drug-resistant tuberculosis (MDR-TB) Second line anti-tubercular treatment. Compulsory use of mask by the patient. |
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