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Q. How to cure the scrotal skin affected by jock itch? | Hi doctor,I am suffering from jock itch for two months. Initially, there were well-circumscribed lesions with darker edges and itching on groin folds. Now, the skin has become hard, pigmented and dry with loss of hair. Scrotum and penile shaft also affected and resulted in the loss of rugosities and hair as well. Earlier I used Ketoconazole cream 2%, and now I am on Terbinafine cream 1%. | Hello. I suggest you Luliconazole 1% cream, twice daily for two weeks. In addition, I suggest you take an oral antihistamine such as Cetirizine 10 mg tablet once a day for symptomatic relief from itching. You may also take an oral antifungal such as Itraconazole 100 mg Capsule, twice daily for two weeks. Can you upload a few images of the upper inner thighs? |
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Hi doctor,I am suffering from jock itch for two months. Initially, there were well-circumscribed lesions with darker edges and itching on groin folds. Now, the skin has become hard, pigmented and dry with loss of hair. Scrotum and penile shaft also affected and resulted in the loss of rugosities and hair as well. Earlier I used Ketoconazole cream 2%, and now I am on Terbinafine cream 1%. [/INST] Hello. I suggest you Luliconazole 1% cream, twice daily for two weeks. In addition, I suggest you take an oral antihistamine such as Cetirizine 10 mg tablet once a day for symptomatic relief from itching. You may also take an oral antifungal such as Itraconazole 100 mg Capsule, twice daily for two weeks. Can you upload a few images of the upper inner thighs? |
Q. How do I use Mifegest kit to abort 8 weeks pregnancy? | Hi doctor, I am 8 weeks pregnant. I got Mifegest kit as I want to discontinue the pregnancy. After taking the first pill today afternoon I would be taking next two pills after 48 hours orally. So, when should I take another two pills? Should I take it orally or vaginally? As bleeding is expected after taking two pills, how should I take the next two pills vaginally? Would it be less effective if I take the third dose orally and not vaginally? | Hi. Using oral medications after seven weeks of pregnancy may lead to heavy bleeding. Please ensure that you can attend a hospital with blood bank facility in your easy reach if any mishap of such kind happens. The Misoprostol tablets 200 mcg into four tablets should be inserted high inside the vagina after 48 hours of tablet Mifepristone intake. In case, you already start bleeding after Mifepristone (occurs in 30% of cases) ingestion, take two tablets on the third day morning (ie, around 36 hours) and two tablets in the evening. Please take pill Zofer (Ondansetron) before taking the Misoprostol tablets orally, as it may induce vomiting and waste the medicine. The bleeding may stay for 10-14 days. |
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Hi doctor, I am 8 weeks pregnant. I got Mifegest kit as I want to discontinue the pregnancy. After taking the first pill today afternoon I would be taking next two pills after 48 hours orally. So, when should I take another two pills? Should I take it orally or vaginally? As bleeding is expected after taking two pills, how should I take the next two pills vaginally? Would it be less effective if I take the third dose orally and not vaginally? [/INST] Hi. Using oral medications after seven weeks of pregnancy may lead to heavy bleeding. Please ensure that you can attend a hospital with blood bank facility in your easy reach if any mishap of such kind happens. The Misoprostol tablets 200 mcg into four tablets should be inserted high inside the vagina after 48 hours of tablet Mifepristone intake. In case, you already start bleeding after Mifepristone (occurs in 30% of cases) ingestion, take two tablets on the third day morning (ie, around 36 hours) and two tablets in the evening. Please take pill Zofer (Ondansetron) before taking the Misoprostol tablets orally, as it may induce vomiting and waste the medicine. The bleeding may stay for 10-14 days. |
Q. Can balanitis cause tearing of foreskin and pain while masturbation? | Hello doctor, I am perhaps suffering from balanitis. The foreskin is torn at some places and it hurts too much to pull the skin back. Some white substance is accumulating every day under the head of the penis. What to do? To be honest, it hurts while masturbation. So, I have stopped masturbating. But the skin tear does not heal. I am afraid very much. | Hi. I have seen your query. With your descriptions, it seems you have developed balanitis xerotica obliterans. You must clean the prepuce area with water and apply Clotrimazole plus Fusidic acid cream local application twice daily and take tablet Fluconazole 150 mg once a week for four weeks after consulting your GP or nearby dermatologist. |
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Hello doctor, I am perhaps suffering from balanitis. The foreskin is torn at some places and it hurts too much to pull the skin back. Some white substance is accumulating every day under the head of the penis. What to do? To be honest, it hurts while masturbation. So, I have stopped masturbating. But the skin tear does not heal. I am afraid very much. [/INST] Hi. I have seen your query. With your descriptions, it seems you have developed balanitis xerotica obliterans. You must clean the prepuce area with water and apply Clotrimazole plus Fusidic acid cream local application twice daily and take tablet Fluconazole 150 mg once a week for four weeks after consulting your GP or nearby dermatologist. |
Q. Can zirconia crowns on tooth cause a bulge in the jaw with pain? | Hello doctor, My lower molar root canal was done a year back. After that, a metal-ceramic cap was placed. A few months later, my cap was replaced with zirconia supreme because of throbbing below the cap. My dentist advised that because of metal there may be a possibility of some allergic reaction. So, I should replace the cap. Now just two weeks back, I replaced but now I have a bulge in the jaw with pain. | Hello. Zirconia, no doubt, it is the best in all caps. But, there is no reason to replace a metal cap. Your jaw pain is may be due to forceful removal of cap and trimming of teeth, etc. Visit the dentist for genuine advice. Not all metal crowns create allergies. It is once in a blue moon thing. Do not worry, you will be fine but at least use your cap for at least five years. If you have a zirconia cap, then it will work for at least 5 to 10 years if you take care of it properly. |
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Hello doctor, My lower molar root canal was done a year back. After that, a metal-ceramic cap was placed. A few months later, my cap was replaced with zirconia supreme because of throbbing below the cap. My dentist advised that because of metal there may be a possibility of some allergic reaction. So, I should replace the cap. Now just two weeks back, I replaced but now I have a bulge in the jaw with pain. [/INST] Hello. Zirconia, no doubt, it is the best in all caps. But, there is no reason to replace a metal cap. Your jaw pain is may be due to forceful removal of cap and trimming of teeth, etc. Visit the dentist for genuine advice. Not all metal crowns create allergies. It is once in a blue moon thing. Do not worry, you will be fine but at least use your cap for at least five years. If you have a zirconia cap, then it will work for at least 5 to 10 years if you take care of it properly. |
Q. Is it normal to have frequent urge to urinate with burning sensation in cervix after sex? | Hello doctor, I and my fiancee had sex with condoms on the third of this month. When we ran out of condoms, I inserted my clean penis into her vagina for hardly 5 to 10 seconds. But as soon as I felt I am going to ejaculate, I withdraw it and I ejaculated on her stomach immediately after taking my penis out. She took Plan B pill after 16 hours just to be sure. We had sex again the next day but it was all with condoms. She noticed white vaginal discharge along with foul smell and pain inside the vagina near the cervical area and burning sensation in the vagina on 5th evening. She is having an urge to pee frequently but little is coming out and it hurts while peeing. What could be the cause? Please help. | Hi. I think she is having a urinary infection plus a vaginal infection. We might need to change antibiotic after culture report. Urine routine and culture. UTI with vaginitis. Plenty of fluids. Start tablet Niftran 100 mg bd for three days till awaiting culture report, support analyzer 2 teaspoons in one cup of water 2 to 3 times a day, tablet Clingen Forte vaginal pessary one tablet to be inserted in the vagina at night for seven days, tablet for Forcan 150 mg just one tablet two hours after meal. Pass urine before and after intercourse. |
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Hello doctor, I and my fiancee had sex with condoms on the third of this month. When we ran out of condoms, I inserted my clean penis into her vagina for hardly 5 to 10 seconds. But as soon as I felt I am going to ejaculate, I withdraw it and I ejaculated on her stomach immediately after taking my penis out. She took Plan B pill after 16 hours just to be sure. We had sex again the next day but it was all with condoms. She noticed white vaginal discharge along with foul smell and pain inside the vagina near the cervical area and burning sensation in the vagina on 5th evening. She is having an urge to pee frequently but little is coming out and it hurts while peeing. What could be the cause? Please help. [/INST] Hi. I think she is having a urinary infection plus a vaginal infection. We might need to change antibiotic after culture report. Urine routine and culture. UTI with vaginitis. Plenty of fluids. Start tablet Niftran 100 mg bd for three days till awaiting culture report, support analyzer 2 teaspoons in one cup of water 2 to 3 times a day, tablet Clingen Forte vaginal pessary one tablet to be inserted in the vagina at night for seven days, tablet for Forcan 150 mg just one tablet two hours after meal. Pass urine before and after intercourse. |
Q. Is there any way to manage pain in anus? | Hello doctor, I am having huge inner pain in stool going place, anus. It happens after every 10 months. Please suggest what has to be done. I am male, 40. | Hello. Burning while defecation could be due to anal fissure. The anal fissure is a break or a crack in the mucosal lining of the anal canal. You better see a gastroenterologist and get a PR examination and sigmoidoscopy test done. Treatment consists of taking stool softeners like Pegfibre 4 tsp at bed time with a glass of water. Ointment Diltigesic locally thrice a day. Hot sitz bath for 15 to 20 minutes twice a day. |
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Hello doctor, I am having huge inner pain in stool going place, anus. It happens after every 10 months. Please suggest what has to be done. I am male, 40. [/INST] Hello. Burning while defecation could be due to anal fissure. The anal fissure is a break or a crack in the mucosal lining of the anal canal. You better see a gastroenterologist and get a PR examination and sigmoidoscopy test done. Treatment consists of taking stool softeners like Pegfibre 4 tsp at bed time with a glass of water. Ointment Diltigesic locally thrice a day. Hot sitz bath for 15 to 20 minutes twice a day. |
Q. What causes pressure and mobility in teeth with swelling? | Hello doctor, I am 18 years old, 120 pounds, 5'7", teeth are not good. I do not have pain but have pressure and I feel like all my teeth move a little, not much. There is a swelling on one whole tooth, no pain though. What is going on? I went to my dentist today and he gave me antibiotics for swelling. | Hi. I have gone through your question and I can understand your concern. As per your history, signs, and symptoms, it seems to me that you might have apical periodontitis in the swollen single tooth. You need to take antibiotics as directed by your dentist. Pressure is also because of that. The problem of mobility of the tooth, if you feel it in early in the morning, that is normal and it is physiological because the periodontic ligament is relaxed and there seems to mobility. You need to get your teeth cleaned (dental scaling) after the antibiotics are over. Carious tooth. IOPAR X-ray. Acute pulpitis. Acute apical periodontitis. |
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Hello doctor, I am 18 years old, 120 pounds, 5'7", teeth are not good. I do not have pain but have pressure and I feel like all my teeth move a little, not much. There is a swelling on one whole tooth, no pain though. What is going on? I went to my dentist today and he gave me antibiotics for swelling. [/INST] Hi. I have gone through your question and I can understand your concern. As per your history, signs, and symptoms, it seems to me that you might have apical periodontitis in the swollen single tooth. You need to take antibiotics as directed by your dentist. Pressure is also because of that. The problem of mobility of the tooth, if you feel it in early in the morning, that is normal and it is physiological because the periodontic ligament is relaxed and there seems to mobility. You need to get your teeth cleaned (dental scaling) after the antibiotics are over. Carious tooth. IOPAR X-ray. Acute pulpitis. Acute apical periodontitis. |
Q. What food can provide essential nutrients to baby after bleeding due to placenta previa? | Hi doctor, I have been diagnosed with placenta previa at 14 weeks. I have had one episode of heavy bleeding. Are there any foods (going above and beyond healthy pregnancy foods) that I should eat to ensure my baby gets the nutrients he needs to make up for the blood loss? | Hi. You have been diagnosed with placenta previa. Eat high protein diet via vegetarian and non-vegetarian sources, iron-rich diet to make for the losses. You can add Iron tablet daily if Hb is less than 10 gm. Your baby will get good nutrition if you eat a good diet. In your case, you can have the recurrent episode so be careful. Maybe because the placenta is big in case of twins, sometime this placenta migrates to the upper segment at around 28 to 30 weeks. Avoid any heavy weight lifting, exertion, long traveling, intercourse, squatting. Be careful as it is painless and recurrent and even causeless. |
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Hi doctor, I have been diagnosed with placenta previa at 14 weeks. I have had one episode of heavy bleeding. Are there any foods (going above and beyond healthy pregnancy foods) that I should eat to ensure my baby gets the nutrients he needs to make up for the blood loss? [/INST] Hi. You have been diagnosed with placenta previa. Eat high protein diet via vegetarian and non-vegetarian sources, iron-rich diet to make for the losses. You can add Iron tablet daily if Hb is less than 10 gm. Your baby will get good nutrition if you eat a good diet. In your case, you can have the recurrent episode so be careful. Maybe because the placenta is big in case of twins, sometime this placenta migrates to the upper segment at around 28 to 30 weeks. Avoid any heavy weight lifting, exertion, long traveling, intercourse, squatting. Be careful as it is painless and recurrent and even causeless. |
Q. How can I cure soreness and tightness of foreskin? | Hello doctor, A widower, 81 years old. Of late my foreskin has become sore and slightly tight to retract. I am a diabetic person for last seven years. But the sugar is normal but occasionally sugar goes up to 170/180. | Hi. A slightly tight foreskin has difficulty to retract over the glans penis. It is commonly known as paraphimosis. It needs surgical removal of the foreskin which covers the glans penis. Now you can use Jatyadi ghritam externally as a lubricant to move foreskin. 1. Apply Jatyadi ghritam externally under foreskin to move foreskin. 2. Slightly try to dilate foreskin through cleaned finger. 1. You should try to control your blood sugar and take medicines properly. 2. Do Yoga and Pranayana to correct your metabolism which helps to improve your concern. |
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Hello doctor, A widower, 81 years old. Of late my foreskin has become sore and slightly tight to retract. I am a diabetic person for last seven years. But the sugar is normal but occasionally sugar goes up to 170/180. [/INST] Hi. A slightly tight foreskin has difficulty to retract over the glans penis. It is commonly known as paraphimosis. It needs surgical removal of the foreskin which covers the glans penis. Now you can use Jatyadi ghritam externally as a lubricant to move foreskin. 1. Apply Jatyadi ghritam externally under foreskin to move foreskin. 2. Slightly try to dilate foreskin through cleaned finger. 1. You should try to control your blood sugar and take medicines properly. 2. Do Yoga and Pranayana to correct your metabolism which helps to improve your concern. |
Q. How long should my husband and I wait to try for a baby if we did cocaine? | Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. | Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> |
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Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. [/INST] Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> |
Q. Can Yasmin birth control pill be used as an emergency contraceptive pill? | Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? | Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> |
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Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? [/INST] Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> |
Q. Please explain the poisonous effect of phenol ingestion. | Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. | Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> |
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Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. [/INST] Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> |
Q. For how long should I take Kalachikai powder to overcome PCOD problem? | Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? | Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> |
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Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? [/INST] Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> |
Q. Why do periods get delayed after first time sex? | Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? | Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> |
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Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? [/INST] Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> |
Q. How long is Risperidone effective? | Hello doctor, I discontinued Risperidone two months ago. I have not had any psychotic symptoms. I believe my schizoaffective disorder is in remission. However, can Risperidone continue to have an effect two months after taking it? If so what is the maximum amount of time Risperidone continue to have an effect? I took it for four years and took 5 mg twice daily. I am a 44-year old male. I also take Buproprion 75 mg once daily. | Hi. Since you have taken Risperidone for four years, the brain circuits and its neurotransmitters had been under control. The medicine though it might have been washed out from your body, the effect of it remains for a few weeks to months and your brain circuits may start functioning abnormally after few months and once your symptoms come up again, the dose at which you were taking may not be sufficient to control the symptoms later. So, I advise you to immediately restart medications and do regular follow up with the doctor. |
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Hello doctor, I discontinued Risperidone two months ago. I have not had any psychotic symptoms. I believe my schizoaffective disorder is in remission. However, can Risperidone continue to have an effect two months after taking it? If so what is the maximum amount of time Risperidone continue to have an effect? I took it for four years and took 5 mg twice daily. I am a 44-year old male. I also take Buproprion 75 mg once daily. [/INST] Hi. Since you have taken Risperidone for four years, the brain circuits and its neurotransmitters had been under control. The medicine though it might have been washed out from your body, the effect of it remains for a few weeks to months and your brain circuits may start functioning abnormally after few months and once your symptoms come up again, the dose at which you were taking may not be sufficient to control the symptoms later. So, I advise you to immediately restart medications and do regular follow up with the doctor. |
Q. Is it advisable to take Duphaston during pregnancy? | Hello doctor, My wife is pregnant for about five weeks. So the doctor suggested Duphastone three times, JC Folate one time, Myocyst two times a day. My wife has got miscarriage two times before that and she was also treated for PCOD last one year. I am scared about Duphastone. | Hello. I have gone through the case summary. As she has had PCOD, in such patient, there is a deficiency of pregnancy hormone Progesterone. So we have to give from outside to support pregnancies. There is a history of two miscarriages. Can you tell me where did they occur and at what time of gestation was the heartbeat present? When the ultrasound was done? I think we should start tablet Ecosprin 75 mg once a day if not yet started. There is no fear about Duphaston as it is safe during pregnancy. Many studies have been done to know about the safety of Duphaston. So you should not worry. |
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Hello doctor, My wife is pregnant for about five weeks. So the doctor suggested Duphastone three times, JC Folate one time, Myocyst two times a day. My wife has got miscarriage two times before that and she was also treated for PCOD last one year. I am scared about Duphastone. [/INST] Hello. I have gone through the case summary. As she has had PCOD, in such patient, there is a deficiency of pregnancy hormone Progesterone. So we have to give from outside to support pregnancies. There is a history of two miscarriages. Can you tell me where did they occur and at what time of gestation was the heartbeat present? When the ultrasound was done? I think we should start tablet Ecosprin 75 mg once a day if not yet started. There is no fear about Duphaston as it is safe during pregnancy. Many studies have been done to know about the safety of Duphaston. So you should not worry. |
Q. Will post nasal drip cause a whitish lump in throat? | Hi doctor, I have a whitish lump at the back of my throat located on the posterior wall. I suffer badly from post nasal drip but not sure if this is related, doctors seem unsure and I am worried sick. Any input as to what this could be? Suffer from GERD, post nasal drip, have had blood at the back of throat over the area of concern previously (when the lump was not visible). | Hi. I understand your concern, it is most likely submucosal lymphadenitis of the posterior pharyngeal wall. This may develop secondary to chronic infection of the nose, paranasal sinuses, and throat. To confirm the diagnosis, you may go for MRI neck and FNAC from the lump. Most of the time it is reported as non-specific reactive hyperplasia which is not a problem and maybe leave as such but if anything special comes in FNAC then that may be plan for treatment accordingly. |
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Hi doctor, I have a whitish lump at the back of my throat located on the posterior wall. I suffer badly from post nasal drip but not sure if this is related, doctors seem unsure and I am worried sick. Any input as to what this could be? Suffer from GERD, post nasal drip, have had blood at the back of throat over the area of concern previously (when the lump was not visible). [/INST] Hi. I understand your concern, it is most likely submucosal lymphadenitis of the posterior pharyngeal wall. This may develop secondary to chronic infection of the nose, paranasal sinuses, and throat. To confirm the diagnosis, you may go for MRI neck and FNAC from the lump. Most of the time it is reported as non-specific reactive hyperplasia which is not a problem and maybe leave as such but if anything special comes in FNAC then that may be plan for treatment accordingly. |
Q. Is it advisable to try for pregnancy right after cervical polyp removal? | Hello doctor, Today is CD6. Yesterday, I started taking Clomid for CD5 to 9. CD10 is scheduled for cervical polypectomy. The night before instructed to take Misoprostol. Can I try to conceive this month right after a cervical polyp removal? The polyp is very small in the cervix. | Hi. If a cervical polyp is removed anytime, there will be some fresh blood. So it is not advisable to have any medication for pregnancy, in the same cycle as the removal. As blood is not a good medium for sperms, sperm motility is reduced or stopped by blood components. You can try for pregnancy, but when there is blood with a raw area in the cervical canal, sperm health may be reduced. You can have sexual contact after bleeding stops, usually which stops within 2 to 3 days. Next periods your chances will be better. Better use Clomid from the next cycle. |
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Hello doctor, Today is CD6. Yesterday, I started taking Clomid for CD5 to 9. CD10 is scheduled for cervical polypectomy. The night before instructed to take Misoprostol. Can I try to conceive this month right after a cervical polyp removal? The polyp is very small in the cervix. [/INST] Hi. If a cervical polyp is removed anytime, there will be some fresh blood. So it is not advisable to have any medication for pregnancy, in the same cycle as the removal. As blood is not a good medium for sperms, sperm motility is reduced or stopped by blood components. You can try for pregnancy, but when there is blood with a raw area in the cervical canal, sperm health may be reduced. You can have sexual contact after bleeding stops, usually which stops within 2 to 3 days. Next periods your chances will be better. Better use Clomid from the next cycle. |
Q. What causes mid-cycle bleeding after taking Option 72? | Hello doctor, I had my periods on 2nd of this month that ended on 6th. After having the intercourse on 9th, I ate Option 72 on 10th at 8 AM. But now my periods came on 15th again. I had clot once and bleeding is also not very much. Am I pregnant? | Hi. Since you have taken an emergency pill within 72 hours of intercourse, there is no chance of pregnancy. This could be because of hormonal changes due to the pill you have taken. So relax and do not worry. However, if you have a doubt, then get back to me. Take care. |
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Hello doctor, I had my periods on 2nd of this month that ended on 6th. After having the intercourse on 9th, I ate Option 72 on 10th at 8 AM. But now my periods came on 15th again. I had clot once and bleeding is also not very much. Am I pregnant? [/INST] Hi. Since you have taken an emergency pill within 72 hours of intercourse, there is no chance of pregnancy. This could be because of hormonal changes due to the pill you have taken. So relax and do not worry. However, if you have a doubt, then get back to me. Take care. |
Q. My second ultrasound showed an empty embryonic sac. How is this possible? | Hi.. Doctor, I'm having a situation here.. I am a mother with 2 kids, My last first period was 69 days back. I'm worried and made an UPT which shows positive 20 days back.(after 12 yrs I'm am pregnant). I do faces all the pregnancy symptoms as vomiting and so on.. Unfortunately I am spotting since last week (which comes in chocolate color upon ironing only which is not a heavy flow). And made my first ultrasound 5 days back. Doctor says baby is fine. Then the spotting still haven't stop; so I decide to refer another doctor since really worried. When I did 2nd ultrasound a couple of days back, i only can see my empty sac? How this possible? The doctor request me to come over for another scan after 2 weeks. If still empty, then I have to abbot it. I'm depressed & really not sure what happen Please advise ..doctor | dear, welcome toiclinq. com I can absolutely understand ur concern.. what u are going through must be missed miscarriage.. this is because of defective embryogenesis( the ovum , becos of ur age may have meitoic dysfunction .. resulting in multiplication errors) ... it's a waY of of natural selection in which only the good embryo moves forward... just wait for a week, rpt USG, and decide as per reports.. Do not worry... u have 2 kids... we do come across such worse scenarios in women going through ivf pregnancies .... stay bold..., it shall pass by... hope u find it useful regards missed miscarriage tvs after a week missed miscarriage as per scan reports if any query |
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Hi.. Doctor, I'm having a situation here.. I am a mother with 2 kids, My last first period was 69 days back. I'm worried and made an UPT which shows positive 20 days back.(after 12 yrs I'm am pregnant). I do faces all the pregnancy symptoms as vomiting and so on.. Unfortunately I am spotting since last week (which comes in chocolate color upon ironing only which is not a heavy flow). And made my first ultrasound 5 days back. Doctor says baby is fine. Then the spotting still haven't stop; so I decide to refer another doctor since really worried. When I did 2nd ultrasound a couple of days back, i only can see my empty sac? How this possible? The doctor request me to come over for another scan after 2 weeks. If still empty, then I have to abbot it. I'm depressed & really not sure what happen Please advise ..doctor [/INST] dear, welcome toiclinq. com I can absolutely understand ur concern.. what u are going through must be missed miscarriage.. this is because of defective embryogenesis( the ovum , becos of ur age may have meitoic dysfunction .. resulting in multiplication errors) ... it's a waY of of natural selection in which only the good embryo moves forward... just wait for a week, rpt USG, and decide as per reports.. Do not worry... u have 2 kids... we do come across such worse scenarios in women going through ivf pregnancies .... stay bold..., it shall pass by... hope u find it useful regards missed miscarriage tvs after a week missed miscarriage as per scan reports if any query |
Q. Is it normal to have pain in elbow even weeks after hitting it? | Hi doctor, I hit my elbow a few weeks ago and never really thought much of it. But it has been maybe two weeks now and I still cannot lean on it or touch it in any way. If I do, pain shoots straight through my elbow and down my arm until I even feel a tingle in my fingers. It is not swollen, bruised or shows signs of injury in any way other than the pain. Do you think it is serious and should be checked out, or did I just hit it hard enough that even though there is no marking, it is just sore this long? | Hi. Sorry to hear that an accidental hit to your elbow is troubling you a lot. By the looks of it (attachment removed to protect patient identity), you do not seem to have any bony injury, especially if you are able to move your elbow (flex and extend it) without pain. The only thing that I can think of is that you might have injured your ulnar nerve which is just behind the medial edge of the elbow. This would be more likely if the tingling sensation that you are getting is along the little and ring finger of your hand, which would be more if you tap just behind the medial aspect (inner aspect) of your elbow. If this is the case it should usually get better in 6 to 8 weeks. But if you feel that the symptoms are increasing or you are developing numbness or weakness in hand or wasting of muscles of hand (which is very rare), you would need to see a doctor. If you do not have the above signs then it might be just a soft tissue contusion which should get better in 3 to 4 weeks. If you are having pain on flexing and extending the elbow, you need to see a doctor and probably get an X-ray done. |
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Hi doctor, I hit my elbow a few weeks ago and never really thought much of it. But it has been maybe two weeks now and I still cannot lean on it or touch it in any way. If I do, pain shoots straight through my elbow and down my arm until I even feel a tingle in my fingers. It is not swollen, bruised or shows signs of injury in any way other than the pain. Do you think it is serious and should be checked out, or did I just hit it hard enough that even though there is no marking, it is just sore this long? [/INST] Hi. Sorry to hear that an accidental hit to your elbow is troubling you a lot. By the looks of it (attachment removed to protect patient identity), you do not seem to have any bony injury, especially if you are able to move your elbow (flex and extend it) without pain. The only thing that I can think of is that you might have injured your ulnar nerve which is just behind the medial edge of the elbow. This would be more likely if the tingling sensation that you are getting is along the little and ring finger of your hand, which would be more if you tap just behind the medial aspect (inner aspect) of your elbow. If this is the case it should usually get better in 6 to 8 weeks. But if you feel that the symptoms are increasing or you are developing numbness or weakness in hand or wasting of muscles of hand (which is very rare), you would need to see a doctor. If you do not have the above signs then it might be just a soft tissue contusion which should get better in 3 to 4 weeks. If you are having pain on flexing and extending the elbow, you need to see a doctor and probably get an X-ray done. |
Q. Can I take Nexium for GERD beyond two weeks while pregnant? | Hi doctor, I am six weeks pregnant. I have struggled with GERD and esophagitis for years and my gastroenterologist put me on Nexium, which is the only thing that helps. I usually do a two-week treatment every year. My pregnancy is exacerbating the GERD. I just finished a two-week Nexium treatment and today my symptoms are worse than ever, and the acid is constantly in my throats and mouth. Is it safe to continue taking the Nexium beyond two weeks while pregnant? | Hi. Yes, the symptoms can get exacerbated during pregnancy. Nexium is a relatively safe acid-suppressing drug in pregnancy. You can continue it when you have symptoms. The other alternative is tablet Ranitidine. You can add tablet Ondansetron 4 mg twice daily for a week 30 minutes before food. This also helps in reducing reflux. The other safe alternative is Doxylamine tablet. Avoid heavy meals, rather take short frequent feeds. Stay upright or move around for one hour after feeds. Do not lie immediately after food. Avoid reflux promoting foods like excess coffee. |
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Hi doctor, I am six weeks pregnant. I have struggled with GERD and esophagitis for years and my gastroenterologist put me on Nexium, which is the only thing that helps. I usually do a two-week treatment every year. My pregnancy is exacerbating the GERD. I just finished a two-week Nexium treatment and today my symptoms are worse than ever, and the acid is constantly in my throats and mouth. Is it safe to continue taking the Nexium beyond two weeks while pregnant? [/INST] Hi. Yes, the symptoms can get exacerbated during pregnancy. Nexium is a relatively safe acid-suppressing drug in pregnancy. You can continue it when you have symptoms. The other alternative is tablet Ranitidine. You can add tablet Ondansetron 4 mg twice daily for a week 30 minutes before food. This also helps in reducing reflux. The other safe alternative is Doxylamine tablet. Avoid heavy meals, rather take short frequent feeds. Stay upright or move around for one hour after feeds. Do not lie immediately after food. Avoid reflux promoting foods like excess coffee. |
Q. Why are there burning and itching in vagina with milky discharge? | Hello doctor, I am currently not taking any medication. I am 23 years old, 4'11", 115 pounds. There is burning, itching, and passed some discharge, milky like discharge on the inside of labia minora, just thin layers being wiped off, small like cuts or something are there along with redness, burns when I pee too. I was on Ciprofloxacin for UTI about two weeks ago and Fluconazole for yeast infection. I did not finish antibiotic, still have six pills left. I did not take and only took one yeast infection pill instead of two. I just took it again because I started having this problem again after my period ended. However, I have had a new sex partner within that time frame and do not know if I am fine. I bought one of those vaginal infection kits to test and the stick stayed yellow. It never changed blue or green which meant normal acidity. So, should I still worry about STD or does this sound like recurring yeast infection and UTI? | Hello. I have seen the case summary. I think your fungal infection of vagina and UTI are still not resolved as I can see you having so much of fungal infection (attachment removed to protect patient identity) plus you have not taken your antibiotics properly. So get urine routine examination and culture again and get blood sugar fasting also. We can also get a high vaginal swab for culture and sensitivity if the infection is not getting resolved. As you are having recurrent infection plus get your partner tested for semen culture and clinical exam to rule out STD as the male partner are usually carrier and do not exhibit symptoms in some infections. Candidal infection. Urine routine and culture, fasting blood sugar, get high vaginal swab culture. For the partner, urine routine culture, semen culture. UTI, vaginitis. Will start antibiotic after the culture report. For vaginal infection use Clotrimazole vaginal pessary daily for seven days. Apply antifungal with steroid combination cream locally to relieve itching and burning of private parts. Just clean your private parts with normal temperature water and do not let it remain wet. |
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Hello doctor, I am currently not taking any medication. I am 23 years old, 4'11", 115 pounds. There is burning, itching, and passed some discharge, milky like discharge on the inside of labia minora, just thin layers being wiped off, small like cuts or something are there along with redness, burns when I pee too. I was on Ciprofloxacin for UTI about two weeks ago and Fluconazole for yeast infection. I did not finish antibiotic, still have six pills left. I did not take and only took one yeast infection pill instead of two. I just took it again because I started having this problem again after my period ended. However, I have had a new sex partner within that time frame and do not know if I am fine. I bought one of those vaginal infection kits to test and the stick stayed yellow. It never changed blue or green which meant normal acidity. So, should I still worry about STD or does this sound like recurring yeast infection and UTI? [/INST] Hello. I have seen the case summary. I think your fungal infection of vagina and UTI are still not resolved as I can see you having so much of fungal infection (attachment removed to protect patient identity) plus you have not taken your antibiotics properly. So get urine routine examination and culture again and get blood sugar fasting also. We can also get a high vaginal swab for culture and sensitivity if the infection is not getting resolved. As you are having recurrent infection plus get your partner tested for semen culture and clinical exam to rule out STD as the male partner are usually carrier and do not exhibit symptoms in some infections. Candidal infection. Urine routine and culture, fasting blood sugar, get high vaginal swab culture. For the partner, urine routine culture, semen culture. UTI, vaginitis. Will start antibiotic after the culture report. For vaginal infection use Clotrimazole vaginal pessary daily for seven days. Apply antifungal with steroid combination cream locally to relieve itching and burning of private parts. Just clean your private parts with normal temperature water and do not let it remain wet. |
Q. I had ACL reconstruction surgery. Kindly tell me the time taken to get normal completely. | Hello doctor, I am 25. I have gone through ACL reconstruction and meniscus repair surgery on left leg almost three months before. Now, on post-op rehabilitation. The doctor has suggested me to walk slowly. Currently, doing squats and weight exercises. I just wanted to know still how much time it will take for me to walk and run normally. Will I be able to be normal in future like others from past 10 days? I am getting pain near knee cap region. Even after three months post operatively. | Hello. I read your concern. In my opinion, it will take another 6 to 8 weeks for you to start running. I hope you got your movement range completely in your joint. Now, do your rehabilitation and weight training properly as advised. You can start walking normally. The pain what you are referring could be due to muscle stiffness or soreness. Get a gentle massage done for your thigh and leg muscles. Do not strain your joint. This should help you to get rid of the pain and the discomfort. |
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Hello doctor, I am 25. I have gone through ACL reconstruction and meniscus repair surgery on left leg almost three months before. Now, on post-op rehabilitation. The doctor has suggested me to walk slowly. Currently, doing squats and weight exercises. I just wanted to know still how much time it will take for me to walk and run normally. Will I be able to be normal in future like others from past 10 days? I am getting pain near knee cap region. Even after three months post operatively. [/INST] Hello. I read your concern. In my opinion, it will take another 6 to 8 weeks for you to start running. I hope you got your movement range completely in your joint. Now, do your rehabilitation and weight training properly as advised. You can start walking normally. The pain what you are referring could be due to muscle stiffness or soreness. Get a gentle massage done for your thigh and leg muscles. Do not strain your joint. This should help you to get rid of the pain and the discomfort. |
Q. My hearing is affected after suddenly waking up in the morning with dizziness and nausea. Please help. | Hi doctor, Five days ago (for the first time in my life) I went to the emergency room of the local hospital. I had awakened at 3 AM with severe dizziness and nausea. We determined that it was probably caused from an accidental overdose of Tamsulosin. I have gradually improved but to only about 80 % of my previous stability. I am still a bit wobbly, especially when I am tired at the end of the day. This morning my hearing seems affected. It is kind of like they feel when full of water, the sounds seem slightly muted except for sharp sounds which are almost painful. | Hi, Welcome to iclinq.com. You need to perform tympanometry and pure tone audiometry to assess the condition of your middle ears, inner ears, and cochlear nerves. The attack which you have experienced can be an acute vestibular attack but the accurate diagnosis needs initially the previous audiological investigations plus videonystagmography (VNG). Before audiological tests, you have to stop any medications for dizziness for three days. |
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Hi doctor, Five days ago (for the first time in my life) I went to the emergency room of the local hospital. I had awakened at 3 AM with severe dizziness and nausea. We determined that it was probably caused from an accidental overdose of Tamsulosin. I have gradually improved but to only about 80 % of my previous stability. I am still a bit wobbly, especially when I am tired at the end of the day. This morning my hearing seems affected. It is kind of like they feel when full of water, the sounds seem slightly muted except for sharp sounds which are almost painful. [/INST] Hi, Welcome to iclinq.com. You need to perform tympanometry and pure tone audiometry to assess the condition of your middle ears, inner ears, and cochlear nerves. The attack which you have experienced can be an acute vestibular attack but the accurate diagnosis needs initially the previous audiological investigations plus videonystagmography (VNG). Before audiological tests, you have to stop any medications for dizziness for three days. |
Q. How long should my husband and I wait to try for a baby if we did cocaine? | Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. | Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> |
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Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. [/INST] Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> |
Q. Can Yasmin birth control pill be used as an emergency contraceptive pill? | Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? | Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> |
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Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? [/INST] Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> |
Q. Please explain the poisonous effect of phenol ingestion. | Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. | Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> |
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Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. [/INST] Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> |
Q. For how long should I take Kalachikai powder to overcome PCOD problem? | Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? | Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> |
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Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? [/INST] Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> |
Q. Why do periods get delayed after first time sex? | Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? | Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> |
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Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? [/INST] Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> |
Q. Is it possible to plan for pregnancy based on TORCH test after three miscarriages? | Hello doctor, After three miscarriages, my doctor suggested me for torch test and it came out positive with high values of rubella IgG 272, toxoplasma IgG 78.6 and CMV IgG 12.1 and herpes IgG 46.1. My doctor gave me Acylex 200 mg two times a day for two months and advised us to not try for a baby for two months. After two months medicine course, I did this test again today and again it is positive with rubella IgG 223, toxoplasma IgG 101, CMV IgG is 13.6 and herpes IgG is 47.9. We cannot understand the reports. My uterus, ovaries, hormones, everything is fine. Please tell me when we can plan a pregnancy? And what are the chances of miscarriage again because of torch test positive results? All torch test IgM values are normal. | Hello. I have gone through your case summary. Please tell me about the miscarriage at what time of gestation did they occur. Have you got an ultrasound done in those previous pregnancies? Was any shadow of the baby seen at that time? Was heartbeat seen in the baby? Next is your TORCH test. First of all, it is not responsible for recurrent miscarriages. All high values of IgG suggest that you are immune and now nothing is to be done. If we want to know a fresh infection, then only IgM or avidity testing is required. Did you have any history of fever, sore throat or any eruptions on your skin at the time of first miscarriage? Now, just do not bother about these tests. The important test required to be done. If not done earlier are thyroid profile, fasting, and postprandial blood sugar, VDRL, anticardiolipin antibodies IgM and IgG, lupus anticoagulant, PT or INR and APTT, vitamin B12, serum homocysteine. Get all these tests and accordingly, she can plan a pregnancy after another month. Pre-conceptionally, she should take tablet Folvite 1 mg and tablet Ecosprin 75 mg once a day. Could be anti-phospholipid antibody syndrome with bad obstetric history or hypothyroidism. deranged sugar, hyperhomocysteinemia. Thyroid profile, fasting and postprandial blood sugar, VDRL, anticardiolipin antibodies, IgM and IgG, lupus anticoagulant, PT or INR and APTT, vitaminB12, serum homocysteine. RPL, bad obstetric history. Tab Folvite 1 mg and tablet Ecosprin 75 mg daily. One tablet should be taken while planning the pregnancy, at least six weeks before. First get all these tests done. If normal, then can plan pregnancy after next month. |
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Hello doctor, After three miscarriages, my doctor suggested me for torch test and it came out positive with high values of rubella IgG 272, toxoplasma IgG 78.6 and CMV IgG 12.1 and herpes IgG 46.1. My doctor gave me Acylex 200 mg two times a day for two months and advised us to not try for a baby for two months. After two months medicine course, I did this test again today and again it is positive with rubella IgG 223, toxoplasma IgG 101, CMV IgG is 13.6 and herpes IgG is 47.9. We cannot understand the reports. My uterus, ovaries, hormones, everything is fine. Please tell me when we can plan a pregnancy? And what are the chances of miscarriage again because of torch test positive results? All torch test IgM values are normal. [/INST] Hello. I have gone through your case summary. Please tell me about the miscarriage at what time of gestation did they occur. Have you got an ultrasound done in those previous pregnancies? Was any shadow of the baby seen at that time? Was heartbeat seen in the baby? Next is your TORCH test. First of all, it is not responsible for recurrent miscarriages. All high values of IgG suggest that you are immune and now nothing is to be done. If we want to know a fresh infection, then only IgM or avidity testing is required. Did you have any history of fever, sore throat or any eruptions on your skin at the time of first miscarriage? Now, just do not bother about these tests. The important test required to be done. If not done earlier are thyroid profile, fasting, and postprandial blood sugar, VDRL, anticardiolipin antibodies IgM and IgG, lupus anticoagulant, PT or INR and APTT, vitamin B12, serum homocysteine. Get all these tests and accordingly, she can plan a pregnancy after another month. Pre-conceptionally, she should take tablet Folvite 1 mg and tablet Ecosprin 75 mg once a day. Could be anti-phospholipid antibody syndrome with bad obstetric history or hypothyroidism. deranged sugar, hyperhomocysteinemia. Thyroid profile, fasting and postprandial blood sugar, VDRL, anticardiolipin antibodies, IgM and IgG, lupus anticoagulant, PT or INR and APTT, vitaminB12, serum homocysteine. RPL, bad obstetric history. Tab Folvite 1 mg and tablet Ecosprin 75 mg daily. One tablet should be taken while planning the pregnancy, at least six weeks before. First get all these tests done. If normal, then can plan pregnancy after next month. |
Q. Can medicines taken for MDR tuberculosis cause diarrhea? | Hello doctor, My mother is 51 years old with DM and thyroid and is suffering from MDR tuberculosis. She is on medication for 15 months. Recently her medicine has been changed due to diarrhea. Her new medicine are Elox OZ, Rabifit DSR, Calvit 500 mg, Doxid 50 mg, Trixid-H, Petril MD, Rejunex CD3, Ativan 1 mg, Zenoxa 300 mg, Censpram plus, Redotil, Combutol 1000 mg, Augmentin 1000 mg, Pzid 750 mg, lcin 500 mg, Ethide 250 mg, Linox 600 mg, Econorm sachet, QPAS. Does any of the above-mentioned medicine can cause this problem? | Hi. This contains a big list of medicines including anti-TB medicines, antibiotics, antidepressants, anti-diarrhea medicines, etc. Few of them are the same compounds, especially antidepressants containing Clonazepam. Rabifit-DSR contains Domperidone, which can cause increased gut motility. You can substitute it with plain Rabeprazole. Augmentin has the potential to cause antibiotic-induced diarrhea by altering the gut flora. Your list contains Econorm which helps in relieving diarrhea. All the antidepressants can alter gut motility but mostly decrease it. |
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Hello doctor, My mother is 51 years old with DM and thyroid and is suffering from MDR tuberculosis. She is on medication for 15 months. Recently her medicine has been changed due to diarrhea. Her new medicine are Elox OZ, Rabifit DSR, Calvit 500 mg, Doxid 50 mg, Trixid-H, Petril MD, Rejunex CD3, Ativan 1 mg, Zenoxa 300 mg, Censpram plus, Redotil, Combutol 1000 mg, Augmentin 1000 mg, Pzid 750 mg, lcin 500 mg, Ethide 250 mg, Linox 600 mg, Econorm sachet, QPAS. Does any of the above-mentioned medicine can cause this problem? [/INST] Hi. This contains a big list of medicines including anti-TB medicines, antibiotics, antidepressants, anti-diarrhea medicines, etc. Few of them are the same compounds, especially antidepressants containing Clonazepam. Rabifit-DSR contains Domperidone, which can cause increased gut motility. You can substitute it with plain Rabeprazole. Augmentin has the potential to cause antibiotic-induced diarrhea by altering the gut flora. Your list contains Econorm which helps in relieving diarrhea. All the antidepressants can alter gut motility but mostly decrease it. |
Q. Creatinine level 2. 7 with controlled BP. Kindly advise the food to be taken. | Hello doctor, My wife's creatinine is 2.7. Now BP is brought to normal. What food should I give and what to do? | Hello. First, you should get regular follow-ups with her doctor (nephrologist, cardiologist or even internal medicine specialist). Foods to avoid are salt, dark-colored colas, canned foods, orange, and orange juice, red rice, etc. Foods to eat are water the best you can drink, cranberries as whole or juice, apples, mushrooms, oatmeal, kale, cauliflower, etc. |
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Hello doctor, My wife's creatinine is 2.7. Now BP is brought to normal. What food should I give and what to do? [/INST] Hello. First, you should get regular follow-ups with her doctor (nephrologist, cardiologist or even internal medicine specialist). Foods to avoid are salt, dark-colored colas, canned foods, orange, and orange juice, red rice, etc. Foods to eat are water the best you can drink, cranberries as whole or juice, apples, mushrooms, oatmeal, kale, cauliflower, etc. |
Q. What causes dizziness and blackout with swollen throat? | Hello doctor, For a couple of days now I have been ill and the symptoms are getting worse. First, it started off with a swollen throat (which I still have but is not as bad) which gives me a phlegm cough but has reduced. I constantly have dizziness and blackouts with pulsating sensations not only going through my head but sometimes my body too. I am finding it very difficult to concentrate on anything and bright lights hurt my head too. | Hi. Based on descriptive history, I come to the conclusion that it started off as a viral infection (a sore throat) and has progressed to a secondary bacterial infection which has manifested as a cough with phlegm and due to phlegm accumulation in your sinuses, you are experiencing strange sensations in your head. I would advise you to go for saline gargles (lukewarm water with a pinch of salt added) and Betadine sore throat gargles alternatively till you get your throat clear. Try swallowing a tablespoon of honey twice a day to soothen your throat. Start a course of Azithromycin antibiotic as it is the best suited for such respiratory infection and you will only have to take three tablets in a total of 500 mg once a day for three days. And start an expectorant cough syrup which has Guaphenisin in the contents, take 10 ml each thrice a day, it will relieve you of the phlegm. Take care. |
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Hello doctor, For a couple of days now I have been ill and the symptoms are getting worse. First, it started off with a swollen throat (which I still have but is not as bad) which gives me a phlegm cough but has reduced. I constantly have dizziness and blackouts with pulsating sensations not only going through my head but sometimes my body too. I am finding it very difficult to concentrate on anything and bright lights hurt my head too. [/INST] Hi. Based on descriptive history, I come to the conclusion that it started off as a viral infection (a sore throat) and has progressed to a secondary bacterial infection which has manifested as a cough with phlegm and due to phlegm accumulation in your sinuses, you are experiencing strange sensations in your head. I would advise you to go for saline gargles (lukewarm water with a pinch of salt added) and Betadine sore throat gargles alternatively till you get your throat clear. Try swallowing a tablespoon of honey twice a day to soothen your throat. Start a course of Azithromycin antibiotic as it is the best suited for such respiratory infection and you will only have to take three tablets in a total of 500 mg once a day for three days. And start an expectorant cough syrup which has Guaphenisin in the contents, take 10 ml each thrice a day, it will relieve you of the phlegm. Take care. |
Q. What can be done to avoid hearing voices that tell me to do something wrong? | Hi doctor, I am a 21-year-old mother of a 10-month-old. I have been diagnosed with generalized anxiety disorder, borderline personality disorder, and major depression. I have been experiencing what sounds like my voice telling me horrible things about myself and the people around me for quite some time now but in the past year, this voice tells me to do horrible awful things to myself and others. The other night it felt like something completely took over my mind and body and did something terrible that could have effected my whole life. Have I been wrongly diagnosed? | Hello. If you have symptoms like voices telling you to do something wrong and you have feeling that these voices are real and are not your doubts then this needs re-evaluation. This could be due to some psychotic issues. Hearing voices giving running commentary could be due to auditory hallucination. You should discuss this with your psychiatrist during your next visit. Explain the symptoms in detail. This will help you. |
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Hi doctor, I am a 21-year-old mother of a 10-month-old. I have been diagnosed with generalized anxiety disorder, borderline personality disorder, and major depression. I have been experiencing what sounds like my voice telling me horrible things about myself and the people around me for quite some time now but in the past year, this voice tells me to do horrible awful things to myself and others. The other night it felt like something completely took over my mind and body and did something terrible that could have effected my whole life. Have I been wrongly diagnosed? [/INST] Hello. If you have symptoms like voices telling you to do something wrong and you have feeling that these voices are real and are not your doubts then this needs re-evaluation. This could be due to some psychotic issues. Hearing voices giving running commentary could be due to auditory hallucination. You should discuss this with your psychiatrist during your next visit. Explain the symptoms in detail. This will help you. |
Q. Is it normal to have nausea and breast tenderness after changing birth control pill? | Hello doctor, I recently had to get an emergency refill on my birth control because I was going out of town and realized I did not have enough to last the whole trip. The one I originally used was a generic version of Yaz and the one I got was a different generic version of Yaz (called Gianvi). Since taking Gianvi, I have experienced nausea and vomiting, breast tenderness, and fatigue. I did not experience any of this with the one I usually take. Is this normal or likely? Even though they should technically be the same? I last had sex around a month back, but I will not have access to a pregnancy test until I am back from my trip this month. I have read that birth control can mimic pregnancy symptoms, which is why I am wondering if this is the case. | Hi. Yes, you are correct. These symptoms like nausea, breast tenderness could be due to hormonal variations caused by the pill. Better to continue pill as per schedule. I hope you have not missed a single pill. If completed course without skipping the dose of the pill, no risk of pregnancy. |
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Hello doctor, I recently had to get an emergency refill on my birth control because I was going out of town and realized I did not have enough to last the whole trip. The one I originally used was a generic version of Yaz and the one I got was a different generic version of Yaz (called Gianvi). Since taking Gianvi, I have experienced nausea and vomiting, breast tenderness, and fatigue. I did not experience any of this with the one I usually take. Is this normal or likely? Even though they should technically be the same? I last had sex around a month back, but I will not have access to a pregnancy test until I am back from my trip this month. I have read that birth control can mimic pregnancy symptoms, which is why I am wondering if this is the case. [/INST] Hi. Yes, you are correct. These symptoms like nausea, breast tenderness could be due to hormonal variations caused by the pill. Better to continue pill as per schedule. I hope you have not missed a single pill. If completed course without skipping the dose of the pill, no risk of pregnancy. |
Q. I am suffering from thyroid problem. I have been suffering from erectile dysfunction. I have fear of not performing. | Hello doctor, I am suffering from a thyroid problem. My TSH level is on the higher side. At present, I am taking 50 mg Thyroxine. For the last 4 or 5 months, I have been suffering from erectile dysfunction. Please give me a proper solution. | Hi. Unfortunately, the information provided at this stage is very limited, and it is difficult to interpret and make conclusions.I request you to post the following details: At this stage, I would like to inform you that thyroid is mostly not responsible for erectile dysfunction, and we need to explore additional reasons for same. I am not sure about your age, but if you are above 50 years, you are requested to get the following blood reports if not acquired already. Erectile dysfunction is a complex disorder and needs a thorough evaluation for treatment. I look forward to seeing more details. |
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Hello doctor, I am suffering from a thyroid problem. My TSH level is on the higher side. At present, I am taking 50 mg Thyroxine. For the last 4 or 5 months, I have been suffering from erectile dysfunction. Please give me a proper solution. [/INST] Hi. Unfortunately, the information provided at this stage is very limited, and it is difficult to interpret and make conclusions.I request you to post the following details: At this stage, I would like to inform you that thyroid is mostly not responsible for erectile dysfunction, and we need to explore additional reasons for same. I am not sure about your age, but if you are above 50 years, you are requested to get the following blood reports if not acquired already. Erectile dysfunction is a complex disorder and needs a thorough evaluation for treatment. I look forward to seeing more details. |
Q. Can Aleve and Goody's powder cause stomach upset? | Hi doctor, I recently had a migraine, so I took two tablets of Aleve. It did not work, so I took Goody's powder, but the pain was still there, so I took another one. The migraine pain has gone, but my stomach seems to be upset. | Hi. Sorry to hear about your headache. For more information consult an internal medicine physician online --> |
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Hi doctor, I recently had a migraine, so I took two tablets of Aleve. It did not work, so I took Goody's powder, but the pain was still there, so I took another one. The migraine pain has gone, but my stomach seems to be upset. [/INST] Hi. Sorry to hear about your headache. For more information consult an internal medicine physician online --> |
Q. Is there any medicine to lower BP other than diuretic? | Hi doctor, A 50-year-old type 2 diabetic male with HBP and dry eye disease and diabetic retinopathy. Medicines: 100 units of slow Insulin, Valsartan 320 mg, Amlodipine 10 mg, Escitalopram 10 mg, Xiidra eye drops. After years of high HbA1c of around 10.5 last year has averaged around 6.5. HBP runs around 150/105. I have managed to radically improve glucose control over the last year but my blood pressure has remained the same. I have some retinopathy issues and my ophthalmologist and optometrist want my glucose to stay at or below 6.5 and my BP to be 120/70. I have tried a variety of diuretics like HCTZ, Spironolactone, and Chlorthalidone, each for about 3 to 4 months but I suffer from severe dehydration whenever I take a diuretic. My eye doctors also tell me that diuretics can worsen the inflammation associated with both my dry eye and retinopathy. To add insult to injury, when I was taking the diuretics, my BP was still running at about 150/105 with no real noticeable difference. My question then is relatively simple. I need to lower my BP to a safer rate but my doctor has run out of ideas for a third BP medicine that is not a diuretic. Can you suggest something (no-diuretic) that I could suggest to him? | Hi. Reduce salt intake. Avoid alcohol and caffeine and nicotine in any form. Take plenty of fruits and vegetables. Reduce weight, do daily exercise. Take sleep of good quantity and quality, at least six hours uninterrupted sleep at night and 1 to 2 hours at day time. If you snore, treat it. It is one of the main cause of resistant hypertension. Then, you may take beta blocker as next addition such as Metoprolol succinate 50 to 100 mg per day, Atenolol 50 to 100 mg per day or Nebivolol 2.5 to 10 mg per day. Then you may add Hydralazine 25 mg thrice a day to 75 mg thrice a day. Also, the option is for alpha blockers such as Prazosin, Terazosin, and Doxazocin. Also other options. Consult your primary doctor with these ideas. If still BP is not controlled, follow-up with me. |
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Hi doctor, A 50-year-old type 2 diabetic male with HBP and dry eye disease and diabetic retinopathy. Medicines: 100 units of slow Insulin, Valsartan 320 mg, Amlodipine 10 mg, Escitalopram 10 mg, Xiidra eye drops. After years of high HbA1c of around 10.5 last year has averaged around 6.5. HBP runs around 150/105. I have managed to radically improve glucose control over the last year but my blood pressure has remained the same. I have some retinopathy issues and my ophthalmologist and optometrist want my glucose to stay at or below 6.5 and my BP to be 120/70. I have tried a variety of diuretics like HCTZ, Spironolactone, and Chlorthalidone, each for about 3 to 4 months but I suffer from severe dehydration whenever I take a diuretic. My eye doctors also tell me that diuretics can worsen the inflammation associated with both my dry eye and retinopathy. To add insult to injury, when I was taking the diuretics, my BP was still running at about 150/105 with no real noticeable difference. My question then is relatively simple. I need to lower my BP to a safer rate but my doctor has run out of ideas for a third BP medicine that is not a diuretic. Can you suggest something (no-diuretic) that I could suggest to him? [/INST] Hi. Reduce salt intake. Avoid alcohol and caffeine and nicotine in any form. Take plenty of fruits and vegetables. Reduce weight, do daily exercise. Take sleep of good quantity and quality, at least six hours uninterrupted sleep at night and 1 to 2 hours at day time. If you snore, treat it. It is one of the main cause of resistant hypertension. Then, you may take beta blocker as next addition such as Metoprolol succinate 50 to 100 mg per day, Atenolol 50 to 100 mg per day or Nebivolol 2.5 to 10 mg per day. Then you may add Hydralazine 25 mg thrice a day to 75 mg thrice a day. Also, the option is for alpha blockers such as Prazosin, Terazosin, and Doxazocin. Also other options. Consult your primary doctor with these ideas. If still BP is not controlled, follow-up with me. |
Q. May I know till what age do girls grow? | Hello doctor, I am a girl. My height is 5, but my parents are much taller. My mom's height is 5'6" and father's 5'8". Will I grow or is it my final height? When I went to a doctor in my city he said that I stopped growing. Is it true? I have already had a period for a year and a half? | Hi. I have read your concern very carefully. You are worried about your height. It is an important issue of everyone’s life. Usually, growth occurs up to 18 years. After that growth ceases. Growth depends on various factors like familial, nutritional, pathological. The highest rate of growth occurs between 9 years to 14 years of age when puberty occurs. Because in this time, gonadal hormone starts to release. According to international recognized institute CDC, normal height of girl at the end of 18 years is 60 to 68 inches. Your height is 60 inches. So you are in normal height and your age is in growing years. There are still chances of growing in height further up to 18 years. So, you should not be worried. But if still, you are worried, you should do some test to check whether the normal level is normal and not. Estrogen, LH, and FSH, testosterone, growth hormone. You can also contact with an endocrinologist to take a decision about growth hormone therapy. I hope the above information will help you a lot. |
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Hello doctor, I am a girl. My height is 5, but my parents are much taller. My mom's height is 5'6" and father's 5'8". Will I grow or is it my final height? When I went to a doctor in my city he said that I stopped growing. Is it true? I have already had a period for a year and a half? [/INST] Hi. I have read your concern very carefully. You are worried about your height. It is an important issue of everyone’s life. Usually, growth occurs up to 18 years. After that growth ceases. Growth depends on various factors like familial, nutritional, pathological. The highest rate of growth occurs between 9 years to 14 years of age when puberty occurs. Because in this time, gonadal hormone starts to release. According to international recognized institute CDC, normal height of girl at the end of 18 years is 60 to 68 inches. Your height is 60 inches. So you are in normal height and your age is in growing years. There are still chances of growing in height further up to 18 years. So, you should not be worried. But if still, you are worried, you should do some test to check whether the normal level is normal and not. Estrogen, LH, and FSH, testosterone, growth hormone. You can also contact with an endocrinologist to take a decision about growth hormone therapy. I hope the above information will help you a lot. |
Q. Should I be concerned about fertility and pregnancy complications due to bicornuate uterus? | Results from an HSG procedure showed that I have a bicornuate uterus or a thick septum. Both Fallopian tubes are patent. But there is an abnormal position of the uterine body, possibly due to a cystic nodularity in the right adnexa, displacing the entire uterine body toward the left side of the pelvic cavity. Currently trying to conceive and I'm pretty concerned about the complications with both fertility and pregnancy due to the potential above diagnosis. Further clinical evaluation is recommended. What can be done to fix this and/or make the changes for a healthy full-term pregnancy? Thanks! | Hi Thanks for your query woman may never need treatment for a bicornuate uterus. If it is required, the surgery is known as a Strassman metroplasty. This surgery may be recommended if a woman has repeated miscarriages and bicornuate uterus is thought to be the cause. Performing this procedure, as a solution to infertility, is controversial, as the majority of research carried out suggests that having a bicornuate uterus will not affect a woman’s chances of falling pregnant. Some evidence suggests that problems, such as miscarriage and early birth, are more likely in women with the condition, though it does not rule out a successful pregnancy and natural delivery. Women with a bicornuate uterus who do become pregnant should have additional monitoring and checkups throughout their pregnancy, to minimize risk and identify any problems early on. It’s not necessary that all those with this condition will get problems with fertility or pregnancy but the chances are more especially if it’s septate uterus where there’s full septum diving uterus into two. Sometimes it can’t be established on imaging and laparoscopic view may be necessary. |
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Results from an HSG procedure showed that I have a bicornuate uterus or a thick septum. Both Fallopian tubes are patent. But there is an abnormal position of the uterine body, possibly due to a cystic nodularity in the right adnexa, displacing the entire uterine body toward the left side of the pelvic cavity. Currently trying to conceive and I'm pretty concerned about the complications with both fertility and pregnancy due to the potential above diagnosis. Further clinical evaluation is recommended. What can be done to fix this and/or make the changes for a healthy full-term pregnancy? Thanks! [/INST] Hi Thanks for your query woman may never need treatment for a bicornuate uterus. If it is required, the surgery is known as a Strassman metroplasty. This surgery may be recommended if a woman has repeated miscarriages and bicornuate uterus is thought to be the cause. Performing this procedure, as a solution to infertility, is controversial, as the majority of research carried out suggests that having a bicornuate uterus will not affect a woman’s chances of falling pregnant. Some evidence suggests that problems, such as miscarriage and early birth, are more likely in women with the condition, though it does not rule out a successful pregnancy and natural delivery. Women with a bicornuate uterus who do become pregnant should have additional monitoring and checkups throughout their pregnancy, to minimize risk and identify any problems early on. It’s not necessary that all those with this condition will get problems with fertility or pregnancy but the chances are more especially if it’s septate uterus where there’s full septum diving uterus into two. Sometimes it can’t be established on imaging and laparoscopic view may be necessary. |
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 there any way to permanently cure clicking of TMJ? | Hello doctor, I have problems with my TMJ. When I wake up in the morning, I feel an annoying clicking in my TMJ. I do some exercise by opening and closing my jaw (while giving support to my chin with the thumb). It reduces that clicking to some extent but I want some permanent treatment. I do not feel any pain whatsoever. Please advice as to what should I do. | Hi. I had gone through your question. I can understand your concern about your TMJ. There may be some cause associated with it, that means for a permanent solution you have to single out the cause and eliminate it. Some major causes are as follows: 1. Missing teeth, grossly decayed teeth on the same side or opposite side, because of that you must be chewing from one side only. If this is the case, get the treatment done. 2. Malocclusion if you have any like crowding, teeth not properly closing, you need orthodontic treatment for it. 3. Bruxism, grinding of teeth during sleep. You need to single out the cause and get it treated. During the meantime, do the TMJ exercise, get the hot packs placed on the side of the face twice daily to reduce any muscle strain. Malocclusion, bruxism, missing or grossly decayed teeth. OPG. Avoid hard foods. |
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Hello doctor, I have problems with my TMJ. When I wake up in the morning, I feel an annoying clicking in my TMJ. I do some exercise by opening and closing my jaw (while giving support to my chin with the thumb). It reduces that clicking to some extent but I want some permanent treatment. I do not feel any pain whatsoever. Please advice as to what should I do. [/INST] Hi. I had gone through your question. I can understand your concern about your TMJ. There may be some cause associated with it, that means for a permanent solution you have to single out the cause and eliminate it. Some major causes are as follows: 1. Missing teeth, grossly decayed teeth on the same side or opposite side, because of that you must be chewing from one side only. If this is the case, get the treatment done. 2. Malocclusion if you have any like crowding, teeth not properly closing, you need orthodontic treatment for it. 3. Bruxism, grinding of teeth during sleep. You need to single out the cause and get it treated. During the meantime, do the TMJ exercise, get the hot packs placed on the side of the face twice daily to reduce any muscle strain. Malocclusion, bruxism, missing or grossly decayed teeth. OPG. Avoid hard foods. |
Q. My mother has cough and problem with breathing. Please advice. | Hello doctor,For the last 15 days, my mother is facing problems while breathing due to the current weather condition here in our place. There is too much pollution, humid weather and it is also rainy season here. She was having cold earlier, but that has been treated. Right now she is having little cough and problems while breathing. She says she feels something choking while she breathes. She has been taking homeopathy medicines but it seems it is not working anymore for her. For now, she is taking 300 mg Deriphyllin to get the ease of that blockage, but it seems it is also not working for her. Due to this, she is not able to work or roam around. She is facing real difficulty in doing household work. Please advice. | Hello Sir. Asthma has many triggers. They are cold weather, dust, mist, rain and as you said, pollution is also a cause. Since her symptoms do not come down with Deriphyllin, I am suggesting the following. She needs one antibiotic to completely remove the pathogen. Also some medications to reduce cold and wheezing. Once her symptoms are reduced, we can start single-drug therapy for a month to prevent wheezing coming back again. All the above medications have to be taken twice a day. She will get some sleep due to these medications. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. How to use the inhaler? Take the inhaler, remove the white mouth cap, keep the inhaler in the mouth, and while inhaling press the container downwards once, and breathe deeply while closing the mouth. Repeat the inhaler after two minutes. Like this, she has to do in the morning and at night.Please start medications as soon as possible. After 5 days, once her symptoms reduce, stop all the drugs and start the following drug: Tablet Montair LC (Montelukast and Levocetirizine combination) 0-0-1 (at evening 7 PM) for one month. This drug also causes sleepiness.If wheezing comes again, the inhaler is enough. The inhaler is completely safe and does not cause addiction. She will get well soon. Exacerbation due to dust, mist, cold climate, pollution and rain. COPD - Chronic Obstructive Pulmonary Disease Exacerbation of bronchial asthma She has to wear a woolen cap which will cover her mouth, nose and ears while going outdoors. She should always have the inhaler in hand and use it anytime if needed. |
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Hello doctor,For the last 15 days, my mother is facing problems while breathing due to the current weather condition here in our place. There is too much pollution, humid weather and it is also rainy season here. She was having cold earlier, but that has been treated. Right now she is having little cough and problems while breathing. She says she feels something choking while she breathes. She has been taking homeopathy medicines but it seems it is not working anymore for her. For now, she is taking 300 mg Deriphyllin to get the ease of that blockage, but it seems it is also not working for her. Due to this, she is not able to work or roam around. She is facing real difficulty in doing household work. Please advice. [/INST] Hello Sir. Asthma has many triggers. They are cold weather, dust, mist, rain and as you said, pollution is also a cause. Since her symptoms do not come down with Deriphyllin, I am suggesting the following. She needs one antibiotic to completely remove the pathogen. Also some medications to reduce cold and wheezing. Once her symptoms are reduced, we can start single-drug therapy for a month to prevent wheezing coming back again. All the above medications have to be taken twice a day. She will get some sleep due to these medications. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. How to use the inhaler? Take the inhaler, remove the white mouth cap, keep the inhaler in the mouth, and while inhaling press the container downwards once, and breathe deeply while closing the mouth. Repeat the inhaler after two minutes. Like this, she has to do in the morning and at night.Please start medications as soon as possible. After 5 days, once her symptoms reduce, stop all the drugs and start the following drug: Tablet Montair LC (Montelukast and Levocetirizine combination) 0-0-1 (at evening 7 PM) for one month. This drug also causes sleepiness.If wheezing comes again, the inhaler is enough. The inhaler is completely safe and does not cause addiction. She will get well soon. Exacerbation due to dust, mist, cold climate, pollution and rain. COPD - Chronic Obstructive Pulmonary Disease Exacerbation of bronchial asthma She has to wear a woolen cap which will cover her mouth, nose and ears while going outdoors. She should always have the inhaler in hand and use it anytime if needed. |
Q. I sleep with contact lenses in my eyes. Will this affect my vision? | Hello doctor, I am 16 years old, and I wear contact lenses. I have never really taken them off. I would sleep with the contact lenses in my eyes and I have started wearing them since I was 13 years old. I would change them, but I would not take them off, and I would go days. My vision gets worse when I go to the eye doctor, but I have not had problems with infections. Recently I noticed that my left eye is red without pain or irritation, but red as the color of the pink eye. I do not know if it is the contact lenses which is causing the redness. Please help. | Hi. It can be an infection, but one thing you must remember is contact lenses should ideally be used 8 to 10 hours a day. If you wear during sleep and for more than 10 hours a day, there is a possibility of the eyes developing infection and transparency of cornea getting decreased over a long time. You must stop wearing contact lenses till your eyes are clear. Start wearing spectacles. Contact lenses related bacterial conjunctivitis or corneal hypoxia. Detailed slit lamp examination. Start using antibiotic eye drops and artificial tears eye drops. |
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Hello doctor, I am 16 years old, and I wear contact lenses. I have never really taken them off. I would sleep with the contact lenses in my eyes and I have started wearing them since I was 13 years old. I would change them, but I would not take them off, and I would go days. My vision gets worse when I go to the eye doctor, but I have not had problems with infections. Recently I noticed that my left eye is red without pain or irritation, but red as the color of the pink eye. I do not know if it is the contact lenses which is causing the redness. Please help. [/INST] Hi. It can be an infection, but one thing you must remember is contact lenses should ideally be used 8 to 10 hours a day. If you wear during sleep and for more than 10 hours a day, there is a possibility of the eyes developing infection and transparency of cornea getting decreased over a long time. You must stop wearing contact lenses till your eyes are clear. Start wearing spectacles. Contact lenses related bacterial conjunctivitis or corneal hypoxia. Detailed slit lamp examination. Start using antibiotic eye drops and artificial tears eye drops. |
Q. I have a history of recurrent miscarriages. Is my estradiol good enough? | Hello doctor, I am a 29 year old woman with a history of recurrent miscarriages (3 losses, all in 5-6 weeks). I was recently diagnosed with Grave's disease (I had overt hyperthyroidism with my last miscarriage). Now my levels are in check. I had APS, ANA and thrombophilia panels, all perfect except for heterozygous MTHFR A1298C. I have added more folate to my diet (2mg instead of 0.4mg). I am now 4 weeks and 1 day with my 4th pregnancy. I am taking PTU 75mg, Progesterone 400mg (300 orally, 100 vaginally), Prednisone 10mg and Folate 2mg. Yesterday at 4 weeks (2 weeks since conception) I measured my estradiol since I had never measured it with my other pregnancies. It came out at 186 pg/ml. Is my estradiol good enough? I have read studies that say estradiol levels are prognostic for a viable pregnancy but did not specify the numbers. With my last pregnancies, I lost them by bleeding and I have read that estradiol prevents that. Should I supplement with 1-2mg/day? Is there anything else I should be doing? | Hi. Your estradiol level appears to be fine if pregnancy happened naturally (that is not through treatment like ovarian stimulation). Though studies associate low estradiol levels with viability, the association is indirect (indirectly indicating defective egg formation/folliculogenesis, with resultant defective corpus luteum). Estrogen supplementation to improve viability in natural pregnancy is not studied well. In fact, it is only the health of embryo, which determines viability (and it cannot be altered through medicines), second hypothesized intervention being progesterone support (which you are already taking). As other causes like APA, thrombophilia is already ruled out, you do not need medicines for that. Regarding MTHFR mutation, if your homocysteine levels were high, it is better to take Vitamin B6 and B12 supplements along with Folate. If levels were normal, those supplements are not normally needed. If levels were not checked, you can get it checked or start supplements, as there is no harm in taking water-soluble vitamins. So, in summary, estrogen supplementation is not known to improve viability/prolong pregnancy, and is not needed. Vitamin B6 and B12 supplementation may be helpful if you had elevated homocysteine levels. Wish you good luck. |
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Hello doctor, I am a 29 year old woman with a history of recurrent miscarriages (3 losses, all in 5-6 weeks). I was recently diagnosed with Grave's disease (I had overt hyperthyroidism with my last miscarriage). Now my levels are in check. I had APS, ANA and thrombophilia panels, all perfect except for heterozygous MTHFR A1298C. I have added more folate to my diet (2mg instead of 0.4mg). I am now 4 weeks and 1 day with my 4th pregnancy. I am taking PTU 75mg, Progesterone 400mg (300 orally, 100 vaginally), Prednisone 10mg and Folate 2mg. Yesterday at 4 weeks (2 weeks since conception) I measured my estradiol since I had never measured it with my other pregnancies. It came out at 186 pg/ml. Is my estradiol good enough? I have read studies that say estradiol levels are prognostic for a viable pregnancy but did not specify the numbers. With my last pregnancies, I lost them by bleeding and I have read that estradiol prevents that. Should I supplement with 1-2mg/day? Is there anything else I should be doing? [/INST] Hi. Your estradiol level appears to be fine if pregnancy happened naturally (that is not through treatment like ovarian stimulation). Though studies associate low estradiol levels with viability, the association is indirect (indirectly indicating defective egg formation/folliculogenesis, with resultant defective corpus luteum). Estrogen supplementation to improve viability in natural pregnancy is not studied well. In fact, it is only the health of embryo, which determines viability (and it cannot be altered through medicines), second hypothesized intervention being progesterone support (which you are already taking). As other causes like APA, thrombophilia is already ruled out, you do not need medicines for that. Regarding MTHFR mutation, if your homocysteine levels were high, it is better to take Vitamin B6 and B12 supplements along with Folate. If levels were normal, those supplements are not normally needed. If levels were not checked, you can get it checked or start supplements, as there is no harm in taking water-soluble vitamins. So, in summary, estrogen supplementation is not known to improve viability/prolong pregnancy, and is not needed. Vitamin B6 and B12 supplementation may be helpful if you had elevated homocysteine levels. Wish you good luck. |
Q. I'm allergic to dust and temperature. My nose is almost always blocked. Please advice. | Hello doctor, I have allergies to dust and temperature changes. I get headaches frequently around my eyes. I breathe through the mouth during the night and sometimes in the day. My nose is almost always blocked. I also have huge under eye bags, a protruding brow bone, and a bigger lower lip because of mouth breathing. My tongue is usually white with foul breath and my ears have a little more than normal wax. I had adenoids as a kid and my parents left it untreated. Some doctors say I might have sinusitis while some say it is just an allergy. I had an NCCT PNS and it showed inverted 'S' shaped mildly deviated septum. Doctors suggest septoplasty, but I am skeptical about it as I do not think it will cure my problem. I think my cure lies somewhere else but I am not able to find it. Your help would be greatly appreciated. | Hello. Let us discuss your problems one by one. Before you undergo any surgery for this issue(s), you must know for sure if you have an allergy. Allergy is a form of hypersensitivity by your body to substances which do not elicit such a response from other individuals. Also, there is no known cure for allergy. We can, however, keep it under wraps using our medications. Hence, for someone who has allergy, we only give a guarded prognosis for surgeries, which means the success of surgery performed on such a person will be less because he has an allergy. Going back to your problem, only such a deviated septum that causes nose block almost always without any respite with nose drops and steam, do we advise septoplasty. A gross deviated septum increases your chances of contracting rhinitis (infections of nose) due to increased air currents and alterations in normal clearance mechanisms of the mucosa. This can aggravate your mouth breathing and headaches. Headaches around the eyes, like how you have described, could be due to sinusitis. Sinuses are air-filled cavities in your skull and facial bones which open into the nose through a small hole called ostium. The ostia of sinuses could get blocked due to mucosal edema which could be due to infections or non-infectious swellings. Blocking of the ostia result in poor ventilation of sinuses and hence sinus ache. Nose drops when applied in apt positions will gain access to the ostia and reduce the edema around it, increasing its diameter, to allow for better ventilation of sinuses. To confirm whether you have an allergy, you may undergo a few blood investigations like serum IgE (immunoglobulin E which is increased in blood in those with allergy) and AEC (Absolute Eosinophil Count). If the counts are higher, then we may institute you on nasal steroid sprays which have to be taken for a month or two or longer. These sprays control allergic responses very well in most individuals. If after the spray, your symptoms are getting better, you may forget the surgery. This advice is based on what information you have provided. I am giving you some general measures which you may practice: Hope you get well soon. |
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Hello doctor, I have allergies to dust and temperature changes. I get headaches frequently around my eyes. I breathe through the mouth during the night and sometimes in the day. My nose is almost always blocked. I also have huge under eye bags, a protruding brow bone, and a bigger lower lip because of mouth breathing. My tongue is usually white with foul breath and my ears have a little more than normal wax. I had adenoids as a kid and my parents left it untreated. Some doctors say I might have sinusitis while some say it is just an allergy. I had an NCCT PNS and it showed inverted 'S' shaped mildly deviated septum. Doctors suggest septoplasty, but I am skeptical about it as I do not think it will cure my problem. I think my cure lies somewhere else but I am not able to find it. Your help would be greatly appreciated. [/INST] Hello. Let us discuss your problems one by one. Before you undergo any surgery for this issue(s), you must know for sure if you have an allergy. Allergy is a form of hypersensitivity by your body to substances which do not elicit such a response from other individuals. Also, there is no known cure for allergy. We can, however, keep it under wraps using our medications. Hence, for someone who has allergy, we only give a guarded prognosis for surgeries, which means the success of surgery performed on such a person will be less because he has an allergy. Going back to your problem, only such a deviated septum that causes nose block almost always without any respite with nose drops and steam, do we advise septoplasty. A gross deviated septum increases your chances of contracting rhinitis (infections of nose) due to increased air currents and alterations in normal clearance mechanisms of the mucosa. This can aggravate your mouth breathing and headaches. Headaches around the eyes, like how you have described, could be due to sinusitis. Sinuses are air-filled cavities in your skull and facial bones which open into the nose through a small hole called ostium. The ostia of sinuses could get blocked due to mucosal edema which could be due to infections or non-infectious swellings. Blocking of the ostia result in poor ventilation of sinuses and hence sinus ache. Nose drops when applied in apt positions will gain access to the ostia and reduce the edema around it, increasing its diameter, to allow for better ventilation of sinuses. To confirm whether you have an allergy, you may undergo a few blood investigations like serum IgE (immunoglobulin E which is increased in blood in those with allergy) and AEC (Absolute Eosinophil Count). If the counts are higher, then we may institute you on nasal steroid sprays which have to be taken for a month or two or longer. These sprays control allergic responses very well in most individuals. If after the spray, your symptoms are getting better, you may forget the surgery. This advice is based on what information you have provided. I am giving you some general measures which you may practice: Hope you get well soon. |
Q. I get recurrent ear pain whenever I clean my ears with q-tips? | Hello doctor, Last February, I have had an ear infection from cleaning my left ear too often with a q tip. I went to the hospital and was prescribed Aplosyn otic drops, Celebrex, and an antibiotic which starts with a letter L (I forgot it as I lost the prescription. I am sorry). I took it for a week and went back to the doctor to have me flushed. He told me my eardrum was not perforated. All went well until two nights ago. I gently cleaned my left ear with a q tip after shower before going to sleep. I woke up the following morning with mild pain in my ear (maybe because I was sided left all throughout my sleep and have put so much pressure on it). Today I used a mirror to have a look at it. It looks like it has pus again and the moderate pain now is up to my left neck. What should I do? Please help. | Hi. I know how frustrating this problem can get. You can follow the advice mentioned below. 1. Please stop using earbuds q-tips as they introduce infections into a sensitive region such as the ear. 2. If there is pus coming out of your ear, there is a possibility of you developing an ear infection that may or may not involve the eardrum. 3. Take tablet Amoxicillin 500 mg with Potassium Clavulanate 125 mg combination one tablet thrice times a day after food for one week. Along with this, you can also take a combination of Paracetamol, Phenylephrine, and Levocetirizine one tablet twice daily for one week. 4. Keep your ears closed with sterile cotton and change it every six hours. 5. Do not allow any water or air to enter into your ear as it can keep getting infected and pus or ear discharge will start once again. 6. In a case where if by chance there is perforation of the eardrum, it will close on its own once the discharge subsides. Do not worry about it, you will be completely fine in a week's time. I hope this helps. |
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Hello doctor, Last February, I have had an ear infection from cleaning my left ear too often with a q tip. I went to the hospital and was prescribed Aplosyn otic drops, Celebrex, and an antibiotic which starts with a letter L (I forgot it as I lost the prescription. I am sorry). I took it for a week and went back to the doctor to have me flushed. He told me my eardrum was not perforated. All went well until two nights ago. I gently cleaned my left ear with a q tip after shower before going to sleep. I woke up the following morning with mild pain in my ear (maybe because I was sided left all throughout my sleep and have put so much pressure on it). Today I used a mirror to have a look at it. It looks like it has pus again and the moderate pain now is up to my left neck. What should I do? Please help. [/INST] Hi. I know how frustrating this problem can get. You can follow the advice mentioned below. 1. Please stop using earbuds q-tips as they introduce infections into a sensitive region such as the ear. 2. If there is pus coming out of your ear, there is a possibility of you developing an ear infection that may or may not involve the eardrum. 3. Take tablet Amoxicillin 500 mg with Potassium Clavulanate 125 mg combination one tablet thrice times a day after food for one week. Along with this, you can also take a combination of Paracetamol, Phenylephrine, and Levocetirizine one tablet twice daily for one week. 4. Keep your ears closed with sterile cotton and change it every six hours. 5. Do not allow any water or air to enter into your ear as it can keep getting infected and pus or ear discharge will start once again. 6. In a case where if by chance there is perforation of the eardrum, it will close on its own once the discharge subsides. Do not worry about it, you will be completely fine in a week's time. I hope this helps. |
Q. Does Azithromycin work the same as Amoxicillin Clavulanate tablet? | Hello doctor, Does (Inozith-250) Azithromycin work the same as (Clavu-nova 625) Amoxicillin and Clavulanate Potassium Tablet USP? I am using to treat a back/chest problem I had two years back which the doctor prescribed Inozith-250 for me. I used the same drug when I had a similar problem and I am well. | Hello. No, Azithromycin and Amoxicillin plus Clavulanate potassium work via different mechanisms. Azithromycin is an antibiotic useful for the treatment of a number of bacterial infections. Azithromycin is a type of macrolide antibiotic. It works by decreasing the production of protein, thus stopping bacterial growth. That is, it is bacteriostatic. Amoxicillin attaches to the cell wall of susceptible bacteria and results in their death thus it is a bactericidal compound while Clavulanic acid is a β-lactam drug that functions as a mechanism-based β-Lactamase inhibitor (an enzyme secreted by many bacteria for their defense against Amoxicillin). While not effective by itself as an antibiotic, when combined with penicillin-group antibiotics, it can overcome antibiotic resistance in bacteria that secrete β-lactamase, which otherwise inactivates most Penicillins. The doctor may have prescribed Azithromycin 250 mg twice a day earlier to you for maybe congestion or cold or some other problem but I would advise you to visit a physician in person and then take the medication. Then it would be of much benefit to you. For more information consult a pharmacologist online --> |
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Hello doctor, Does (Inozith-250) Azithromycin work the same as (Clavu-nova 625) Amoxicillin and Clavulanate Potassium Tablet USP? I am using to treat a back/chest problem I had two years back which the doctor prescribed Inozith-250 for me. I used the same drug when I had a similar problem and I am well. [/INST] Hello. No, Azithromycin and Amoxicillin plus Clavulanate potassium work via different mechanisms. Azithromycin is an antibiotic useful for the treatment of a number of bacterial infections. Azithromycin is a type of macrolide antibiotic. It works by decreasing the production of protein, thus stopping bacterial growth. That is, it is bacteriostatic. Amoxicillin attaches to the cell wall of susceptible bacteria and results in their death thus it is a bactericidal compound while Clavulanic acid is a β-lactam drug that functions as a mechanism-based β-Lactamase inhibitor (an enzyme secreted by many bacteria for their defense against Amoxicillin). While not effective by itself as an antibiotic, when combined with penicillin-group antibiotics, it can overcome antibiotic resistance in bacteria that secrete β-lactamase, which otherwise inactivates most Penicillins. The doctor may have prescribed Azithromycin 250 mg twice a day earlier to you for maybe congestion or cold or some other problem but I would advise you to visit a physician in person and then take the medication. Then it would be of much benefit to you. For more information consult a pharmacologist online --> |
Q. Does Nicotex chewing gum help in quitting smoking? | Hello doctor, I am a 28 year old male and a regular smoker. I do smoke 10-15 cigarettes a day and have been smoking like this for almost 10 years now. When I started, I used different brands, from ultra mild to regular bidis. But now, for almost 3 years I am stuck with regular gold flake.Now, I am desperate about quitting smoking. I tried not to smoke for a day. But the next day, I would return back to the same. Recently, I came to know about a chewing gum called nicotex. It comes in 2 mg and 4 mg form. But I am not sure about this product. So my question is, does cipla nicotex chewing gum help in quitting smoking? Also to buy this chewing gum, do I need a doctor's prescription? | Hello. As you have been a chronic smoker since last 10 years smoking 10-15 cigarettes per day, the body is presently addicted to nicotine and hence if you intend to leave it for a day, the nicotine withdrawal sets in. This may include: These Nicotex chewing gums have nicotine in them in varying concentrations which allow a sustained but minimal release of nicotine while chewing. This nicotine is absorbed through buccal mucosa thus not allowing the withdrawal symptoms to become evident, but the benefit is that you are free from most of the side effects of smoking per se, especially the smoke entering into lungs which may lead to lung diseases in future. This is a substitute to nicotine supplementation and is being prescribed for chronic smokers who wish to discontinue it slowly by following the principle of slow desensitization. These are available off the counter and no prescription is required for the same. You may try it and try to reduce your smoking urges. In the end, Nicotex can just help you in a way but you need to develop a will to quit smoking and that is very important. You may try and see how you respond to it as every person responds differently to its use. It has been seen to give successful outcomes, but again will power is still the most important thing behind quitting smoking. |
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Hello doctor, I am a 28 year old male and a regular smoker. I do smoke 10-15 cigarettes a day and have been smoking like this for almost 10 years now. When I started, I used different brands, from ultra mild to regular bidis. But now, for almost 3 years I am stuck with regular gold flake.Now, I am desperate about quitting smoking. I tried not to smoke for a day. But the next day, I would return back to the same. Recently, I came to know about a chewing gum called nicotex. It comes in 2 mg and 4 mg form. But I am not sure about this product. So my question is, does cipla nicotex chewing gum help in quitting smoking? Also to buy this chewing gum, do I need a doctor's prescription? [/INST] Hello. As you have been a chronic smoker since last 10 years smoking 10-15 cigarettes per day, the body is presently addicted to nicotine and hence if you intend to leave it for a day, the nicotine withdrawal sets in. This may include: These Nicotex chewing gums have nicotine in them in varying concentrations which allow a sustained but minimal release of nicotine while chewing. This nicotine is absorbed through buccal mucosa thus not allowing the withdrawal symptoms to become evident, but the benefit is that you are free from most of the side effects of smoking per se, especially the smoke entering into lungs which may lead to lung diseases in future. This is a substitute to nicotine supplementation and is being prescribed for chronic smokers who wish to discontinue it slowly by following the principle of slow desensitization. These are available off the counter and no prescription is required for the same. You may try it and try to reduce your smoking urges. In the end, Nicotex can just help you in a way but you need to develop a will to quit smoking and that is very important. You may try and see how you respond to it as every person responds differently to its use. It has been seen to give successful outcomes, but again will power is still the most important thing behind quitting smoking. |
Q. Can masturbation cause nervous system diseases? | Hello doctor,I am 21 years old. I am addicted to masturbation. Now suddenly, I got muscle spasm and body pain. Can masturbation cause nervous system diseases? | Hello. Masturbation is a universal habit. It is present in most human beings. It helps to maintain sexual hormone levels, acts as a stress buster, and in males it protects against prostate problems and cancer. Also, the old sperms are pushed out of the body, to make way for new sperms. Old sperms need to be removed. This happens through sex usually. If sex is not happening, then through masturbation. If both are not happening, then via nightfall. A person can masturbate safely depending on his health status. He needs to drink plenty of water and eat healthy nutritious food regularly since it is a kind of an exercise with calorie loss. So, masturbation is a safe and healthy habit. For more information consult a sexologist online --> |
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Hello doctor,I am 21 years old. I am addicted to masturbation. Now suddenly, I got muscle spasm and body pain. Can masturbation cause nervous system diseases? [/INST] Hello. Masturbation is a universal habit. It is present in most human beings. It helps to maintain sexual hormone levels, acts as a stress buster, and in males it protects against prostate problems and cancer. Also, the old sperms are pushed out of the body, to make way for new sperms. Old sperms need to be removed. This happens through sex usually. If sex is not happening, then through masturbation. If both are not happening, then via nightfall. A person can masturbate safely depending on his health status. He needs to drink plenty of water and eat healthy nutritious food regularly since it is a kind of an exercise with calorie loss. So, masturbation is a safe and healthy habit. For more information consult a sexologist online --> |
Q. What is causing severe lower back pain? | Hello doctor, I am having horrible lower back pain. It is hard to sleep, sit up straight, and bend over. If I try to bend over, there is a shooting pain sent up my back. Looking at the diagrams of the spine, I see that it is at the bottom of the lumbar spine and all throughout the sacral vertebrae. I am looking for causes and possible fixes for this. | Hello. I read your concern. In my opinion, you would have glute muscles stiffness. Leading to pain in your lower back. It could also be due to some disc issue as well. Do not worry, both the issues are completely treatable. I would recommend you to do the following: 1. Do a lot of icing in your gluteus and lower back. 2. A lot of stretching of gluteus, hamstring, and hip joint. 3. Do look for hip mobility exercises. 4. Roll a tennis ball under your butt in sitting with comfortable pressure. 5. Do cobra stretch frequently at least 20 X 3 once in an hour. Do revert back to me after two days and let me know how is your issue. |
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Hello doctor, I am having horrible lower back pain. It is hard to sleep, sit up straight, and bend over. If I try to bend over, there is a shooting pain sent up my back. Looking at the diagrams of the spine, I see that it is at the bottom of the lumbar spine and all throughout the sacral vertebrae. I am looking for causes and possible fixes for this. [/INST] Hello. I read your concern. In my opinion, you would have glute muscles stiffness. Leading to pain in your lower back. It could also be due to some disc issue as well. Do not worry, both the issues are completely treatable. I would recommend you to do the following: 1. Do a lot of icing in your gluteus and lower back. 2. A lot of stretching of gluteus, hamstring, and hip joint. 3. Do look for hip mobility exercises. 4. Roll a tennis ball under your butt in sitting with comfortable pressure. 5. Do cobra stretch frequently at least 20 X 3 once in an hour. Do revert back to me after two days and let me know how is your issue. |
Q. There is non-stop bleeding after three hours of tooth surgery. Why? | Hello doctor, My daughter just had a tooth surgery and bleeding is not stopping. Is it normal? Three hours before only she had it. | Hi. I had gone through your question and I can understand your concern about your daughter. No, the bleeding should have been stopped with a half hour or two, but maybe the clot has been dislodged from its position and it has bled now again. You need to role cotton, sterilized or a new one purchased from market three to four times equal to the socket, not too big or small, put it on the socket and close the mouth tight. Keep the teeth closed for half an hour, do not talk for this half an hour, even do not spit the blood out too. Make sure that mouth must not open for this half an hour. In case there is saliva in the mouth, she can swallow it but mouth must be closed at the time of swallow. You can also visit the dentist in case the blood does not stop in the next half an hour after the above procedure is done. Post-operative bleeding. If the bleeding does not stop, get an injection of tranexamic acid, keep the cotton on the wound and do as said above. Do not spit or talk for the time the cotton is in the mouth. |
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Hello doctor, My daughter just had a tooth surgery and bleeding is not stopping. Is it normal? Three hours before only she had it. [/INST] Hi. I had gone through your question and I can understand your concern about your daughter. No, the bleeding should have been stopped with a half hour or two, but maybe the clot has been dislodged from its position and it has bled now again. You need to role cotton, sterilized or a new one purchased from market three to four times equal to the socket, not too big or small, put it on the socket and close the mouth tight. Keep the teeth closed for half an hour, do not talk for this half an hour, even do not spit the blood out too. Make sure that mouth must not open for this half an hour. In case there is saliva in the mouth, she can swallow it but mouth must be closed at the time of swallow. You can also visit the dentist in case the blood does not stop in the next half an hour after the above procedure is done. Post-operative bleeding. If the bleeding does not stop, get an injection of tranexamic acid, keep the cotton on the wound and do as said above. Do not spit or talk for the time the cotton is in the mouth. |
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 have sinusitis for the past 6 months and no medication helped me. Why? | Hello doctor, I am suffering from sinusitis for the last six months. I have tried lots of medicines but there is no improvement. Because of the current scenario of COVID-19, I cannot visit any ENT specialist. Please help me and prescribe some medicines. | Hi. Yes, I understand how frustrating your problem can be. Sinusitis is usually secondary to a certain problem such as allergy (which is the most common cause, once other rare causes are ruled out). So considering the treatment of this particular issue, we need to always treat the primary from its root source so that the effect remains for a longer time with the least amount of medications. What can be done? If you are having underlying allergic issues such as sneezing, watery nasal discharge, ear fullness, heaviness in the head, and facial regions, we need to treat the allergy first. You need to wear an n95 mask (and nothing else other than that) to prevent any irritative substance such as dust, fumes from entering your nose, and initiating the allergic cascade mechanism leading to its symptoms. Wearing a mask even at home, avoiding exposure to dust and other substances which instigate sneezing according to me is the single most important factor which you have to take care of as other things mentioned below are all for symptomatic relief and we are not treating the allergy as such, precisely speaking. Take tablet Sinarest (Acetaminophen, Chlorpheniramine, and Pseudoephedrine) one tablet two times a day after food for 10 days, Allegra-M (Fexofenadine and Montelukast) one tablet two twice for 10 days, Duonase nasal spray two puffs in both nostrils twice daily for three continuous months (do not inhale while applying the spray), tablet Mucomix 600 mg one tablet twice daily for 10 days. Do steam inhalation two or three times a day for supportive relief. Take Wysolone 10 mg once a day after breakfast for 10 days, tablet Pan D (Pantoprazole) one tablet before breakfast for 10days, Clarithromycin 500 mg twice daily for one month. Saltwater gargles 8 to 10 times a day will keep irritative substances away from the throat. All these medications will be useful only if you strictly follow the precautionary measures. The requirement of medications will automatically reduce once your symptoms come down with a decreased allergic load. Please do get a noncontrast CT (computed tomography) of the nose and paranasal sinuses and show it to me once you get it done in the subsequent follow-ups. I advise you for a follow up after two weeks of treatment, so I can evaluate and let you know about the further requirement of medications. I hope this helps. |
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Hello doctor, I am suffering from sinusitis for the last six months. I have tried lots of medicines but there is no improvement. Because of the current scenario of COVID-19, I cannot visit any ENT specialist. Please help me and prescribe some medicines. [/INST] Hi. Yes, I understand how frustrating your problem can be. Sinusitis is usually secondary to a certain problem such as allergy (which is the most common cause, once other rare causes are ruled out). So considering the treatment of this particular issue, we need to always treat the primary from its root source so that the effect remains for a longer time with the least amount of medications. What can be done? If you are having underlying allergic issues such as sneezing, watery nasal discharge, ear fullness, heaviness in the head, and facial regions, we need to treat the allergy first. You need to wear an n95 mask (and nothing else other than that) to prevent any irritative substance such as dust, fumes from entering your nose, and initiating the allergic cascade mechanism leading to its symptoms. Wearing a mask even at home, avoiding exposure to dust and other substances which instigate sneezing according to me is the single most important factor which you have to take care of as other things mentioned below are all for symptomatic relief and we are not treating the allergy as such, precisely speaking. Take tablet Sinarest (Acetaminophen, Chlorpheniramine, and Pseudoephedrine) one tablet two times a day after food for 10 days, Allegra-M (Fexofenadine and Montelukast) one tablet two twice for 10 days, Duonase nasal spray two puffs in both nostrils twice daily for three continuous months (do not inhale while applying the spray), tablet Mucomix 600 mg one tablet twice daily for 10 days. Do steam inhalation two or three times a day for supportive relief. Take Wysolone 10 mg once a day after breakfast for 10 days, tablet Pan D (Pantoprazole) one tablet before breakfast for 10days, Clarithromycin 500 mg twice daily for one month. Saltwater gargles 8 to 10 times a day will keep irritative substances away from the throat. All these medications will be useful only if you strictly follow the precautionary measures. The requirement of medications will automatically reduce once your symptoms come down with a decreased allergic load. Please do get a noncontrast CT (computed tomography) of the nose and paranasal sinuses and show it to me once you get it done in the subsequent follow-ups. I advise you for a follow up after two weeks of treatment, so I can evaluate and let you know about the further requirement of medications. I hope this helps. |
Q. What can be done for painful hard lump with pus discharge on labia minora? | Hello doctor, Painful and hard lump, growing larger day by day on labia minora. Trouble walking and sitting due to discomfort. Red and hot to the touch. Due to friction when walking, it started seeping pus with a little blood. Drained a lot and lump became smaller and slightly less painful, but the lump is still there and still hard to touch. | Hello. This is left sided labial abscess. Get incision and drainage along with that, the pus should be sent for culture and sensitivity. In the meantime broad spectrum antibiotic like Ampicillin with Clavulanic acid 625 mg three times a day for seven days along with anti-inflammatory medicine. Mostly infected. Pus for culture and sensitivity, VDRL, HIV. Labial abscess. Incision and drainage followed by antibiotic and either Diclofenac with serratiopeptidase should be taken 2 to 3 times a day for seven days. |
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Hello doctor, Painful and hard lump, growing larger day by day on labia minora. Trouble walking and sitting due to discomfort. Red and hot to the touch. Due to friction when walking, it started seeping pus with a little blood. Drained a lot and lump became smaller and slightly less painful, but the lump is still there and still hard to touch. [/INST] Hello. This is left sided labial abscess. Get incision and drainage along with that, the pus should be sent for culture and sensitivity. In the meantime broad spectrum antibiotic like Ampicillin with Clavulanic acid 625 mg three times a day for seven days along with anti-inflammatory medicine. Mostly infected. Pus for culture and sensitivity, VDRL, HIV. Labial abscess. Incision and drainage followed by antibiotic and either Diclofenac with serratiopeptidase should be taken 2 to 3 times a day for seven days. |
Q. Will I be made comfortable during getting anesthesia for wisdom tooth removal? | Hello doctor, Today I got my wisdom teeth pulled and they said they were gonna give me a shot in my mouth. There is no way I will be relaxed. Is there any option they would do for me to be more comfortable? | Hi. Yes, this is the only way to get local anesthesia. You can also go for general anesthesia but it will be too costly and needs hospitalization. It is a simple procedure, and you will only feel a prick like an insect bite. Do not worry, it is simple and there will be no pain during the procedure. If you are too apprehensive tell your doctor that apply some local anesthesia at the site of the prick, you will then even not feel the prick too. |
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Hello doctor, Today I got my wisdom teeth pulled and they said they were gonna give me a shot in my mouth. There is no way I will be relaxed. Is there any option they would do for me to be more comfortable? [/INST] Hi. Yes, this is the only way to get local anesthesia. You can also go for general anesthesia but it will be too costly and needs hospitalization. It is a simple procedure, and you will only feel a prick like an insect bite. Do not worry, it is simple and there will be no pain during the procedure. If you are too apprehensive tell your doctor that apply some local anesthesia at the site of the prick, you will then even not feel the prick too. |
Q. How can I manage tight penis opening that causes pain on jerking it? | Hello doctor,I am 20 years old and my problem is that I have a tight opening of the penis. This is very painful when I jerk it off. | Hi. It is called as phimosis. Try to use steroid cream for 10 days and massage the skin. Try to retract the skin and clean the secretion beneath the prepuce. Keep the area clean because steroid cream may lead to infection if not taken care appropriately. Betamethasone ointment twice a day. |
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Hello doctor,I am 20 years old and my problem is that I have a tight opening of the penis. This is very painful when I jerk it off. [/INST] Hi. It is called as phimosis. Try to use steroid cream for 10 days and massage the skin. Try to retract the skin and clean the secretion beneath the prepuce. Keep the area clean because steroid cream may lead to infection if not taken care appropriately. Betamethasone ointment twice a day. |
Q. Am I getting irritation in the leg due to cervical region injury? | Hello doctor, I got hit on the left side on cervical region almost two years from now. MRI does not show any injury or significant stenosis but the electromyography shows left moderate radiculopathy C5-C8 and recent results showed deterioration. Symptoms also still exist on left arm and trapezius but recently for the first time, I started feeling some irritations in the left leg too. My questions are the following: How this will progress you think? MRI shows nothing significant anatomically but radiculopathy deteriorates and emg results. Is this possible you think to start having the same problems in the leg too? This will constitute kind of myelopathy. Is it? | Hello. Regarding your concern, I would explain that as there are no signs of myelopathy or spinal canal compression on MRI, there is no reason to panic about myelopathy. The pain in this region is related to the nerve damage. Physiotherapy can help improve your situation. I would also recommend trying a cervical collar during pain exacerbation. I do not think that it will progress. It is also important avoiding heavy weight lifting and use an orthopedic pillow. Regarding the irritation on the leg, I would recommend performing a lumbar spine X-ray study in order to investigate for possible chronic degeneration or the lumbar vertebral column, which may mimic this clinical situation. |
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Hello doctor, I got hit on the left side on cervical region almost two years from now. MRI does not show any injury or significant stenosis but the electromyography shows left moderate radiculopathy C5-C8 and recent results showed deterioration. Symptoms also still exist on left arm and trapezius but recently for the first time, I started feeling some irritations in the left leg too. My questions are the following: How this will progress you think? MRI shows nothing significant anatomically but radiculopathy deteriorates and emg results. Is this possible you think to start having the same problems in the leg too? This will constitute kind of myelopathy. Is it? [/INST] Hello. Regarding your concern, I would explain that as there are no signs of myelopathy or spinal canal compression on MRI, there is no reason to panic about myelopathy. The pain in this region is related to the nerve damage. Physiotherapy can help improve your situation. I would also recommend trying a cervical collar during pain exacerbation. I do not think that it will progress. It is also important avoiding heavy weight lifting and use an orthopedic pillow. Regarding the irritation on the leg, I would recommend performing a lumbar spine X-ray study in order to investigate for possible chronic degeneration or the lumbar vertebral column, which may mimic this clinical situation. |
Q. Is there any remedy to cure skin infection affecting fingers and legs? | Hello doctor, My son is suffering from a kind of skin infection. This infection occured across his fingers and leg. I am attaching photographs for the same. | Hello. I have viewed the images (attachment removed to protect patient identity). I can see dry, scaly, red patches. This seems like psoriasis vulgaris rather than skin infection. Psoriasis usually presents as dry, red, well defined, scaly patches on extensors like the elbow, knee, scalp, knuckles, etc. Take care. |
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Hello doctor, My son is suffering from a kind of skin infection. This infection occured across his fingers and leg. I am attaching photographs for the same. [/INST] Hello. I have viewed the images (attachment removed to protect patient identity). I can see dry, scaly, red patches. This seems like psoriasis vulgaris rather than skin infection. Psoriasis usually presents as dry, red, well defined, scaly patches on extensors like the elbow, knee, scalp, knuckles, etc. Take care. |
Q. Is it normal to get cold allergies with fever, weakness and vibrating fingers? | Hello doctor, My daughter is 17 years old. She has cold allergies and at the time of cold, she gets a fever and she gets weak and after taking some of the medicine, her fingers start to vibrate. So what kind of medicine should I give? | Hello. Colds and fever is a viral illness that follows seasonal change usually. For fever Paracetamol 1000 mg thrice a day should be given after food only if there is fever and for colds, she can take Chlorpheniramine maleate or Dcold. Take care that Dcold has Paracetamol and hence if she is taking Dcold tablet, then she needs to adjust the dose of Paracetamol to 500 mg thrice a day only because Dcold has 500 mg Paracetamol already. Also, give her steam inhalation preferably with sterile water. And to avoid such prolonged illness, Vitamin C must be consumed, either in fruits like oranges, or fresh lemon drinks or tomatoes or she needs to take Vitamin C tablets daily to boost immunity and fight infection naturally. Take care. |
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Hello doctor, My daughter is 17 years old. She has cold allergies and at the time of cold, she gets a fever and she gets weak and after taking some of the medicine, her fingers start to vibrate. So what kind of medicine should I give? [/INST] Hello. Colds and fever is a viral illness that follows seasonal change usually. For fever Paracetamol 1000 mg thrice a day should be given after food only if there is fever and for colds, she can take Chlorpheniramine maleate or Dcold. Take care that Dcold has Paracetamol and hence if she is taking Dcold tablet, then she needs to adjust the dose of Paracetamol to 500 mg thrice a day only because Dcold has 500 mg Paracetamol already. Also, give her steam inhalation preferably with sterile water. And to avoid such prolonged illness, Vitamin C must be consumed, either in fruits like oranges, or fresh lemon drinks or tomatoes or she needs to take Vitamin C tablets daily to boost immunity and fight infection naturally. Take care. |
Q. Do mild cramps, bleeding and lower back pain indicate miscarriage? | Hi doctor, I am 30 years old and according to LMP, I am 9 weeks and 6 days pregnant now. I had three previous miscarriages (two chemical pregnancies and one at 5-6 weeks). This pregnancy has been really well until a few days ago. Last week I had an ultrasound and the heart rate was 173. That night, I started getting cramp pain. I had mild cramps but noticeable. Cramp intensity was around 3-4/10 at the most. I cramped every day since then and yesterday I started bleeding. At first just brown blood then increasingly heavier. I went to the doctor as soon as I started bleeding (before the clots and red blood) and the baby was fine on the ultrasound, measuring 24-25 mm (so growing) and heart rate was 179. The doctor told me that there is no problem with the placenta which had no bleeding or tears and so this is not a threatened miscarriage. There was some free blood in the uterus which he said may be from further implantation of the placenta. However, I started gushing red blood with clots after an hour with 2-3 bouts of heavy bleeding through the night. This morning it seems to be much lighter but still bleeding. I still have mild cramps, some back aches and lower abdomen side aches. Overall, I feel like I have my period, I have a sensation of inflammation in the uterus, but without the typical period cramping. All through the pregnancy I have taken the following medicine, Prenatal vitamin once a day, Baby Aspirin 75 mg once a day, PTU 50 mg, 400 mg Progesterone vaginally, 3 mg Folic Acid, 2.5-5 mg Prednisone and HCG IM injections every 4 days (5000 IU). I have few questions that my doctor did not answer me. Can this bleeding be caused by implantation? Can takeover of progesterone production by placenta cause bleeding? When does the placenta actually takeover hormone production? Do I still have a chance of keeping this pregnancy? Do the mild cramps and backaches indicate impending miscarriage or are they somewhat normal with the bleeding? If they are normal, should I take Acetaminophen for them? Should I continue to take the Aspirin given that I am bleeding? I have had the APS and thrombophilia panel tests and all are clear. Should I take the Progesterone orally now, while I am bleeding? Is it as effective? And finally, is there any possible explanation for this type of bleeding with a healthy baby with heart beat? If it was immunological (for example NK cells) would that kill the embryo instead or just start a bleeding like this? Please explain. | Hi. The symptoms you are experiencing come under category of threatened abortion. The clinical diagnosis of threatened abortion is presumed when a bloody vaginal discharge or bleeding appears through a closed cervical os during the first half of pregnancy. Risk of threatened abortion progressing to abortion is substantially reduced when fetal cardiac activity is seen on ultrasound; which is true in your case and is a reassuring fact. This bleeding is not an implantation bleeding. The implantation bleeding happens between 7-10 days after ovulation when baby is burrowing in endometrium which is actually before diagnosis of pregnancy or before a woman misses her period. Placenta takes over progesterone production between 7-11 weeks. But it is just a shift in hormone production and not associated with bleeding. As described above, you have a fair chance of continuing pregnancy (if not already lost), because of heart activity seen on ultrasound. Cramps during pregnancy (unless due to bowel/bladder disturbances) are not normal and indicate threat to pregnancy. Cramps do not always indicate impending miscarriage. Acetaminophen can be taken for relief of cramps; better medicine is injection of Progesterone along with antispasmodics. Aspirin rarely aggravates bleeding and can be continued despite bleeding in most cases. Progesterone when taken orally is less effective than vaginal progesterone, only exception being Hydrogesterone which is effective orally. Normally in such cases we start injection Progesterone 100 mg intramuscularly on alternate days, but there is insufficient evidence to support and refute its effectiveness. In most cases, such bleeding happens due to chorioamniotic separation or subchorionic bleeding that is bleeding between baby and uterine wall. If cause is immunological, abortion may happen with intrauterine demise of baby or it may start with bleeding; both are possible. So, summarizing facts in your case, |
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Hi doctor, I am 30 years old and according to LMP, I am 9 weeks and 6 days pregnant now. I had three previous miscarriages (two chemical pregnancies and one at 5-6 weeks). This pregnancy has been really well until a few days ago. Last week I had an ultrasound and the heart rate was 173. That night, I started getting cramp pain. I had mild cramps but noticeable. Cramp intensity was around 3-4/10 at the most. I cramped every day since then and yesterday I started bleeding. At first just brown blood then increasingly heavier. I went to the doctor as soon as I started bleeding (before the clots and red blood) and the baby was fine on the ultrasound, measuring 24-25 mm (so growing) and heart rate was 179. The doctor told me that there is no problem with the placenta which had no bleeding or tears and so this is not a threatened miscarriage. There was some free blood in the uterus which he said may be from further implantation of the placenta. However, I started gushing red blood with clots after an hour with 2-3 bouts of heavy bleeding through the night. This morning it seems to be much lighter but still bleeding. I still have mild cramps, some back aches and lower abdomen side aches. Overall, I feel like I have my period, I have a sensation of inflammation in the uterus, but without the typical period cramping. All through the pregnancy I have taken the following medicine, Prenatal vitamin once a day, Baby Aspirin 75 mg once a day, PTU 50 mg, 400 mg Progesterone vaginally, 3 mg Folic Acid, 2.5-5 mg Prednisone and HCG IM injections every 4 days (5000 IU). I have few questions that my doctor did not answer me. Can this bleeding be caused by implantation? Can takeover of progesterone production by placenta cause bleeding? When does the placenta actually takeover hormone production? Do I still have a chance of keeping this pregnancy? Do the mild cramps and backaches indicate impending miscarriage or are they somewhat normal with the bleeding? If they are normal, should I take Acetaminophen for them? Should I continue to take the Aspirin given that I am bleeding? I have had the APS and thrombophilia panel tests and all are clear. Should I take the Progesterone orally now, while I am bleeding? Is it as effective? And finally, is there any possible explanation for this type of bleeding with a healthy baby with heart beat? If it was immunological (for example NK cells) would that kill the embryo instead or just start a bleeding like this? Please explain. [/INST] Hi. The symptoms you are experiencing come under category of threatened abortion. The clinical diagnosis of threatened abortion is presumed when a bloody vaginal discharge or bleeding appears through a closed cervical os during the first half of pregnancy. Risk of threatened abortion progressing to abortion is substantially reduced when fetal cardiac activity is seen on ultrasound; which is true in your case and is a reassuring fact. This bleeding is not an implantation bleeding. The implantation bleeding happens between 7-10 days after ovulation when baby is burrowing in endometrium which is actually before diagnosis of pregnancy or before a woman misses her period. Placenta takes over progesterone production between 7-11 weeks. But it is just a shift in hormone production and not associated with bleeding. As described above, you have a fair chance of continuing pregnancy (if not already lost), because of heart activity seen on ultrasound. Cramps during pregnancy (unless due to bowel/bladder disturbances) are not normal and indicate threat to pregnancy. Cramps do not always indicate impending miscarriage. Acetaminophen can be taken for relief of cramps; better medicine is injection of Progesterone along with antispasmodics. Aspirin rarely aggravates bleeding and can be continued despite bleeding in most cases. Progesterone when taken orally is less effective than vaginal progesterone, only exception being Hydrogesterone which is effective orally. Normally in such cases we start injection Progesterone 100 mg intramuscularly on alternate days, but there is insufficient evidence to support and refute its effectiveness. In most cases, such bleeding happens due to chorioamniotic separation or subchorionic bleeding that is bleeding between baby and uterine wall. If cause is immunological, abortion may happen with intrauterine demise of baby or it may start with bleeding; both are possible. So, summarizing facts in your case, |
Q. My grandmother is 98 years old and has head reeling often. What may be the possible reason? | Hello doctor, My grandmother is 98 years old. Of late, she is complaining of head reeling often. She does not have high blood pressure or diabetes and her haemoglobin is normal. She has roti in the morning, rice and dal for lunch and roti for dinner. Her bowel movements are normal. What may be the possible reason and line of treatment? | Hello. It is good to see your concern about your grandmother. But one thing you have to keep in mind always is that she belongs to a very fragile age group. Just like the young ones, old people also need special care. A most common condition in this age group is malnutrition, which occurs due to poor diet. This adds to every other risk factor which can develop in this age group. As per the reports (attachment removed to protect patient identity), there are no abnormalities yet, which is good. However, there can always be some underlying protein deficiency in this age group. Also, I would suggest you get her serum electrolytes, liver function profile, ECG and cardiac profile done. Increase the protein content in the diet, you can give egg white as well. Try to divide meals into 5 parts rather than the usual 3 meals a day. For her headache, I would say, in this age, there could be many reasons for headache such as reduced vision, refractory errors, glaucoma, anemia, respiratory conditions, etc. Hence you have to get a detailed assessment done to rule out every cause. For symptomatic improvement, you can give her NSAIDS such as Naproxen, Paracetamol when needed, but avoid repeated usage. Maintain her hydration, nutrition with high protein content. Once the assessment has been done, it is better to start with some medications, as in this age one should always be cautious. |
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Hello doctor, My grandmother is 98 years old. Of late, she is complaining of head reeling often. She does not have high blood pressure or diabetes and her haemoglobin is normal. She has roti in the morning, rice and dal for lunch and roti for dinner. Her bowel movements are normal. What may be the possible reason and line of treatment? [/INST] Hello. It is good to see your concern about your grandmother. But one thing you have to keep in mind always is that she belongs to a very fragile age group. Just like the young ones, old people also need special care. A most common condition in this age group is malnutrition, which occurs due to poor diet. This adds to every other risk factor which can develop in this age group. As per the reports (attachment removed to protect patient identity), there are no abnormalities yet, which is good. However, there can always be some underlying protein deficiency in this age group. Also, I would suggest you get her serum electrolytes, liver function profile, ECG and cardiac profile done. Increase the protein content in the diet, you can give egg white as well. Try to divide meals into 5 parts rather than the usual 3 meals a day. For her headache, I would say, in this age, there could be many reasons for headache such as reduced vision, refractory errors, glaucoma, anemia, respiratory conditions, etc. Hence you have to get a detailed assessment done to rule out every cause. For symptomatic improvement, you can give her NSAIDS such as Naproxen, Paracetamol when needed, but avoid repeated usage. Maintain her hydration, nutrition with high protein content. Once the assessment has been done, it is better to start with some medications, as in this age one should always be cautious. |
Q. Does low level of testosterone cause weight gain issues? | Hello doctor, My current weight is 92 kg, and my height is 5 feet 8 inches. I have a regular weight gain problem. In the past, I have got done tests like thyroid, testosterone, and cortisol. Please advise if any other test can be done to diagnose a problem. I have a very strict diet and exercise. I do not have cold drinks and fried food. But still, I am gaining weight. Also is the testosterone in the attached report less enough to cause any weight gain issues? | Hi.I have read through your query in detail. Please find my observations below. If obesity runs in your family, then that might have influenced your weight gain. Such weight gain is genetic and therefore if your parents and relatives have a tendency of obesity then it is genetic and no other test is required. In males, stress-related anxiety plays an important role in weight gain. Many men gain weight due to increased mental stress. If you have any such stressful factors causing your weight gain, then please do mind relaxation exercises and being happy and cheerful will help in weight management. Eating also influences weight gain. Even if you are strict with the food you eat, please eat multiple small meals instead of a few large meals. This will distribute the calories evenly and you will not over eat. You might have daily 2200 kcal diet with small meals every 3 - 4 hours. As per your reports (attachment removed to protect patient identity), your testosterone level is near the lower limit and this is also related to obesity. It should be at mid-level. If you balance your stress levels and have a good healthy diet then your testosterone might get back to the mid-range. However, please avoid taking testosterone supplement because it can be harmful and have long term side effects like hair loss. Please do exercises for 30 minutes everyday and yoga for 30 minutes. Please get detailed evaluation done for diabetes. This should include fasting blood glucose, post prandial blood glucose and HbA1c blood test. Genetic, stress, over eating or diabetes related weight gain. Life style changes, confirmation of any medical condition like diabetes and intake of low fat diet. |
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Hello doctor, My current weight is 92 kg, and my height is 5 feet 8 inches. I have a regular weight gain problem. In the past, I have got done tests like thyroid, testosterone, and cortisol. Please advise if any other test can be done to diagnose a problem. I have a very strict diet and exercise. I do not have cold drinks and fried food. But still, I am gaining weight. Also is the testosterone in the attached report less enough to cause any weight gain issues? [/INST] Hi.I have read through your query in detail. Please find my observations below. If obesity runs in your family, then that might have influenced your weight gain. Such weight gain is genetic and therefore if your parents and relatives have a tendency of obesity then it is genetic and no other test is required. In males, stress-related anxiety plays an important role in weight gain. Many men gain weight due to increased mental stress. If you have any such stressful factors causing your weight gain, then please do mind relaxation exercises and being happy and cheerful will help in weight management. Eating also influences weight gain. Even if you are strict with the food you eat, please eat multiple small meals instead of a few large meals. This will distribute the calories evenly and you will not over eat. You might have daily 2200 kcal diet with small meals every 3 - 4 hours. As per your reports (attachment removed to protect patient identity), your testosterone level is near the lower limit and this is also related to obesity. It should be at mid-level. If you balance your stress levels and have a good healthy diet then your testosterone might get back to the mid-range. However, please avoid taking testosterone supplement because it can be harmful and have long term side effects like hair loss. Please do exercises for 30 minutes everyday and yoga for 30 minutes. Please get detailed evaluation done for diabetes. This should include fasting blood glucose, post prandial blood glucose and HbA1c blood test. Genetic, stress, over eating or diabetes related weight gain. Life style changes, confirmation of any medical condition like diabetes and intake of low fat diet. |
Q. My child had an outbreak of chickenpox one week ago. Can I still get infected? | Hello doctor, My child had an outbreak of chickenpox one week ago. I would like to visit her and would like to know. Can I still get infected? If yes, would a vaccine help 2 days before meeting her? I have attached my height, weight and BMI details. | Hi. First of all, I want to tell you that based on the weight for your age and height, you are very severely underweight and the ideal weight you should have in my view is 68 kg to keep a good balance in life and keep your immunity up. With this BMI of 10.20, you are very susceptible to any kind of infection that normal BMI persons of your age are naturally immune to. So, have a good balanced healthy diet and keep your BMI in normal limits. If you will need any kind of help in this regard, feel free to contact me anytime. Let me explain you a little about chickenpox viral disease: Chickenpox is caused by the varicella-zoster virus (VZV). It can spread easily. You can get it from your infected child who sneezes, coughs or shares food or drinks with you. You can also get it if you touch the fluid from a chickenpox blister on the body of your child. Actually, a person who has chickenpox can spread the virus even before he or she has any symptoms. Chickenpox is most easily spread from 2 to 3 days before the rash appears until all the blisters have crusted over. So, if you have to touch the child, do it with gloves on. This is needed until all the blisters are crusted over. You are at the risk for chickenpox if you have never had the illness and if you have not had the chickenpox vaccine. Now I want to add some knowledge about the disease course and how will it progress in your child's case: Get vaccinated for chickenpox if you had not had this vaccine when you were a child or if you had not got the disease when you were a child. I usually recommend to get a chickenpox vaccination, for a healthy person who is not sure if he has had the vaccine or chickenpox at childhood. Get your child properly treated as chickenpox may lead to severe complications like pneumonia and encephalitis. |
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Hello doctor, My child had an outbreak of chickenpox one week ago. I would like to visit her and would like to know. Can I still get infected? If yes, would a vaccine help 2 days before meeting her? I have attached my height, weight and BMI details. [/INST] Hi. First of all, I want to tell you that based on the weight for your age and height, you are very severely underweight and the ideal weight you should have in my view is 68 kg to keep a good balance in life and keep your immunity up. With this BMI of 10.20, you are very susceptible to any kind of infection that normal BMI persons of your age are naturally immune to. So, have a good balanced healthy diet and keep your BMI in normal limits. If you will need any kind of help in this regard, feel free to contact me anytime. Let me explain you a little about chickenpox viral disease: Chickenpox is caused by the varicella-zoster virus (VZV). It can spread easily. You can get it from your infected child who sneezes, coughs or shares food or drinks with you. You can also get it if you touch the fluid from a chickenpox blister on the body of your child. Actually, a person who has chickenpox can spread the virus even before he or she has any symptoms. Chickenpox is most easily spread from 2 to 3 days before the rash appears until all the blisters have crusted over. So, if you have to touch the child, do it with gloves on. This is needed until all the blisters are crusted over. You are at the risk for chickenpox if you have never had the illness and if you have not had the chickenpox vaccine. Now I want to add some knowledge about the disease course and how will it progress in your child's case: Get vaccinated for chickenpox if you had not had this vaccine when you were a child or if you had not got the disease when you were a child. I usually recommend to get a chickenpox vaccination, for a healthy person who is not sure if he has had the vaccine or chickenpox at childhood. Get your child properly treated as chickenpox may lead to severe complications like pneumonia and encephalitis. |
Q. Is CRTD good for heart patient with acute heart failure and MI? | Hi doctor, My father has acute heart failure and extensive MI since two months ago. Also, he got a pleural effusion and leg edema. He is in bed symptomatic depending on oxygen device most of the time. His EF is 21. The ECG shows possible left atrial enlargement, nonspecific intraventricular block, right ventricular hypertrophy, inferior infarct, and anterolateral infarct. QRS = 138 with right bundle branch block. He sleeps in a 30-45 degree. We did not do PCI until now. I would like to know will CRTD be good for him? | Hi. As he had a heart attack, first priority is revascularization of angioplasty or bypass surgery. If this is done and heart function improves, then it will be good. In right bundle branch block, there is very little benefit of CRT (cardiac resynchronization therapy). If revascularization is not possible, then maximum medical therapy is best. Yes, ICD (implantable cadioverter defibrillator) is indicated. It should be considered once the patient is out of the acute episode and is stabilized. If the patient needs recurrent hospitalization for heart failure or recurrent BP drops that need medicines to raise it, then the option is left ventricular assist device (LVAD) or total artificial heart (TAH) or heart transplantation (subject to availability of facilities). First thing is to assess for revascularization if there is viable heart muscle. I hope this helps. |
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Hi doctor, My father has acute heart failure and extensive MI since two months ago. Also, he got a pleural effusion and leg edema. He is in bed symptomatic depending on oxygen device most of the time. His EF is 21. The ECG shows possible left atrial enlargement, nonspecific intraventricular block, right ventricular hypertrophy, inferior infarct, and anterolateral infarct. QRS = 138 with right bundle branch block. He sleeps in a 30-45 degree. We did not do PCI until now. I would like to know will CRTD be good for him? [/INST] Hi. As he had a heart attack, first priority is revascularization of angioplasty or bypass surgery. If this is done and heart function improves, then it will be good. In right bundle branch block, there is very little benefit of CRT (cardiac resynchronization therapy). If revascularization is not possible, then maximum medical therapy is best. Yes, ICD (implantable cadioverter defibrillator) is indicated. It should be considered once the patient is out of the acute episode and is stabilized. If the patient needs recurrent hospitalization for heart failure or recurrent BP drops that need medicines to raise it, then the option is left ventricular assist device (LVAD) or total artificial heart (TAH) or heart transplantation (subject to availability of facilities). First thing is to assess for revascularization if there is viable heart muscle. I hope this helps. |
Q. How long should my husband and I wait to try for a baby if we did cocaine? | Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. | Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> |
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Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. [/INST] Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> |
Q. Can Yasmin birth control pill be used as an emergency contraceptive pill? | Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? | Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> |
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Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? [/INST] Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> |
Q. Please explain the poisonous effect of phenol ingestion. | Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. | Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> |
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Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. [/INST] Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> |
Q. For how long should I take Kalachikai powder to overcome PCOD problem? | Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? | Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> |
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Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? [/INST] Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> |
Q. Why do periods get delayed after first time sex? | Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? | Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> |
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Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? [/INST] Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> |
Q. I have swollen gums near the extraction site. Please help. | Hello doctor, Four days ago, I had surgery to remove four impacted wisdom teeth and one molar extraction. Yesterday, I began to develop swelling of the gums near the bottom right incision. Today it has grown up into a bubble covering the top of my back molar. One quarter of the molar is covered by the swollen gum. It is bubble shaped and deep red or white. Most of my pain has subsided but this localized area hurts severely and has gotten progressively worse. I have continued with salt water rinses and the medicated rinse the dentist gave me. All of the other sites seem to be healing just fine. Should I be concerned about infection? It feels like my molar is cutting into this piece of gum and it is a sharp burning pain that is radiating. No fever, is helped by pain medication but pain resumes immediately when the medication wears off. | Hi. I checked your attachment (attachment removed to protect patient identity), clinically it is a sign of mild gum infection. Now you can do the following steps to overcome this problem: 1. Take Metronidazole 400 mg twice a day for three days, Augmentin 625 mg twice a day for three days and keep taking Ibuprofen 600 mg twice a day to arrest infection. 2. Keep doing saline water mouthrinses at least 6 to 8 times a day. Take a sterile syringe pinch that bubble a bit, let it bleed fresh. (If possible do it by yourself till three days once in a day, if not possible, go to the dentist, he will do it for you) and then wash it with saline water. You can wash this area with pressure with a syringe. Take saline in a syringe and wash this area with full pressure several times, food may be stuck at the back that may cause this infection, syringe pressure may wash it through. Hopefully, this will get better after doing these steps in a week. Keep doing rinses 5 to 7 times a day till next two weeks. Do give me follow up after three days. Take care. |
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Hello doctor, Four days ago, I had surgery to remove four impacted wisdom teeth and one molar extraction. Yesterday, I began to develop swelling of the gums near the bottom right incision. Today it has grown up into a bubble covering the top of my back molar. One quarter of the molar is covered by the swollen gum. It is bubble shaped and deep red or white. Most of my pain has subsided but this localized area hurts severely and has gotten progressively worse. I have continued with salt water rinses and the medicated rinse the dentist gave me. All of the other sites seem to be healing just fine. Should I be concerned about infection? It feels like my molar is cutting into this piece of gum and it is a sharp burning pain that is radiating. No fever, is helped by pain medication but pain resumes immediately when the medication wears off. [/INST] Hi. I checked your attachment (attachment removed to protect patient identity), clinically it is a sign of mild gum infection. Now you can do the following steps to overcome this problem: 1. Take Metronidazole 400 mg twice a day for three days, Augmentin 625 mg twice a day for three days and keep taking Ibuprofen 600 mg twice a day to arrest infection. 2. Keep doing saline water mouthrinses at least 6 to 8 times a day. Take a sterile syringe pinch that bubble a bit, let it bleed fresh. (If possible do it by yourself till three days once in a day, if not possible, go to the dentist, he will do it for you) and then wash it with saline water. You can wash this area with pressure with a syringe. Take saline in a syringe and wash this area with full pressure several times, food may be stuck at the back that may cause this infection, syringe pressure may wash it through. Hopefully, this will get better after doing these steps in a week. Keep doing rinses 5 to 7 times a day till next two weeks. Do give me follow up after three days. Take care. |
Q. I noticed chest pain in the left side. Please advise on the same. | Hello doctor, I am a 32 year old male having a normal health condition. My height is 5 feet 6 inches, and weight is 58 Kg. Recently (yesterday), I noticed chest pain in the left side which feels like pinpointed pain (electric shock kind) and lasted for a few seconds. Please let me know what I need to do as it is the first time I have faced such a symptom. Previously, I had once felt once the same pain (before 30 days), but it was very mild. I read on the internet that, it is due to the gas problem, but I am not sure. Please advise on the same. | Hello. I understand your concern. Most common causes of such chest pain are: 1. Muscular pain Costochondritis. 2. Chest pain due to heart issues. 3. Acid peptic disease. We cannot afford to miss cardiac reason for chest pain, so we always advise to get an ECG and chest x-ray done. This will give an idea if the pain is cardiac in nature or not. If you have recurrent episodes of acidity, get upper GI endoscopy and ultrasound abdomen done. For acid reflux, I would advise you to take a combination of Pantoprazole and Domperidone once a day. For muscular chest pain , do hot fomentation of the affected area and apply Diclofenac ointment locally. Avoid smoking and alcohol. Avoid hot and spicy food. |
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Hello doctor, I am a 32 year old male having a normal health condition. My height is 5 feet 6 inches, and weight is 58 Kg. Recently (yesterday), I noticed chest pain in the left side which feels like pinpointed pain (electric shock kind) and lasted for a few seconds. Please let me know what I need to do as it is the first time I have faced such a symptom. Previously, I had once felt once the same pain (before 30 days), but it was very mild. I read on the internet that, it is due to the gas problem, but I am not sure. Please advise on the same. [/INST] Hello. I understand your concern. Most common causes of such chest pain are: 1. Muscular pain Costochondritis. 2. Chest pain due to heart issues. 3. Acid peptic disease. We cannot afford to miss cardiac reason for chest pain, so we always advise to get an ECG and chest x-ray done. This will give an idea if the pain is cardiac in nature or not. If you have recurrent episodes of acidity, get upper GI endoscopy and ultrasound abdomen done. For acid reflux, I would advise you to take a combination of Pantoprazole and Domperidone once a day. For muscular chest pain , do hot fomentation of the affected area and apply Diclofenac ointment locally. Avoid smoking and alcohol. Avoid hot and spicy food. |
Q. My girlfriend did not get periods after taking Unwanted 72. Why? | Hi doctor, I had unprotected sex with my girlfriend and she took the pill(Unwanted 72) within an hour. Two days later, after taking second pill accidentally we had unprotected sex. But, in both the cases I did not ejaculate in her vagina. Now, five days got over and she did not get her periods yet. What are the chances of pregnancy? | Hi. Firstly, I would like to inform you that taking an I-pill will not cause periods. The periods will come at its own time, maybe slightly late too. Delay in periods after I-pill is a common and expected side effect. Secondly, I would suggest you not to take more than one pill a month as one pill can cause serious hormonal changes. Also, it is best to take it only in emergency. Casual and frequent use can cause long-term problems. For further doubts consult an obstetrician and gynaecologist online --> |
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Hi doctor, I had unprotected sex with my girlfriend and she took the pill(Unwanted 72) within an hour. Two days later, after taking second pill accidentally we had unprotected sex. But, in both the cases I did not ejaculate in her vagina. Now, five days got over and she did not get her periods yet. What are the chances of pregnancy? [/INST] Hi. Firstly, I would like to inform you that taking an I-pill will not cause periods. The periods will come at its own time, maybe slightly late too. Delay in periods after I-pill is a common and expected side effect. Secondly, I would suggest you not to take more than one pill a month as one pill can cause serious hormonal changes. Also, it is best to take it only in emergency. Casual and frequent use can cause long-term problems. For further doubts consult an obstetrician and gynaecologist online --> |
Q. What can be done to treat hooded eyelids? | Hello doctor,My eyelids have become more hooded. | Hello. There can be a number of causes which could give rise to an appearance of a hooded eyelid. The most common of which are: 1. Eyelid bags (for which you may be using lid taping), although a reaction to the tape is possible, it is a rare occurrence. 2. Dermatochalasis which is caused by eyelid skin sagging down, this is benign and needs surgery like blepharoplasty. 3. Blepharochalasis is a reactionary swelling and needs a detailed evaluation to get to the cause of the problem and treatment with eyedrops and tablets. 4. Epiblepharon which is an extra fold of skin since childhood. This also may need surgery. If you could attach a photo of your eyelids while closed and send me, I could probably be able to help you regarding the cause and treatment. |
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Hello doctor,My eyelids have become more hooded. [/INST] Hello. There can be a number of causes which could give rise to an appearance of a hooded eyelid. The most common of which are: 1. Eyelid bags (for which you may be using lid taping), although a reaction to the tape is possible, it is a rare occurrence. 2. Dermatochalasis which is caused by eyelid skin sagging down, this is benign and needs surgery like blepharoplasty. 3. Blepharochalasis is a reactionary swelling and needs a detailed evaluation to get to the cause of the problem and treatment with eyedrops and tablets. 4. Epiblepharon which is an extra fold of skin since childhood. This also may need surgery. If you could attach a photo of your eyelids while closed and send me, I could probably be able to help you regarding the cause and treatment. |
Q. I have grade 1 fatty changes in liver. How to improve my health? | Hi doctor, I am a 33 year old male. Recently, I went for a master checkup. To my horror, I found my liver reports abnormal. I have attached my reports for your reference. The ultrasound of abdomen revealed grade-I fatty changes in liver. Apart from this, my triglycerides levels are also elevated. My cholesterol levels are well within the limits. I am very much concerned. When I consulted a gastroenterologist, he recommended to abstain from meat, egg yellow and sweets for three months and suggested an active life and healthy food. The doctor did not prescribe any medicines. Please suggest me what to do. From the day of results till date, I have abstained from meat and have been doing exercise regularly. Moreover the doctor said that I suffer from non-alcoholic fatty liver disease. I have never touched alcohol and cigarette. I do not have any bad habits. Please suggest me a way to improve my health. Why is my alkaline phosphatase elevated abnormally? Do I have jaundice? When can I recheck my levels again? I do not have any symptoms like yellowing of eyes, skin and stomach pain, etc. Is there anything serious? | Hi. It is good to get routine checkup (attachment removed to protect patient identity) and you got your problem identified earlier. 1. Complete blood count (CBC). 2. Reticulocyte count. Advice from gastroenterologist is absolutely recommended for you; also avoid fatty meal and alcohol. Continue exercise. We need to avoid some medications, which we will discuss after reports. Revert back with reports to a medical gastroenterologist online.---> |
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Hi doctor, I am a 33 year old male. Recently, I went for a master checkup. To my horror, I found my liver reports abnormal. I have attached my reports for your reference. The ultrasound of abdomen revealed grade-I fatty changes in liver. Apart from this, my triglycerides levels are also elevated. My cholesterol levels are well within the limits. I am very much concerned. When I consulted a gastroenterologist, he recommended to abstain from meat, egg yellow and sweets for three months and suggested an active life and healthy food. The doctor did not prescribe any medicines. Please suggest me what to do. From the day of results till date, I have abstained from meat and have been doing exercise regularly. Moreover the doctor said that I suffer from non-alcoholic fatty liver disease. I have never touched alcohol and cigarette. I do not have any bad habits. Please suggest me a way to improve my health. Why is my alkaline phosphatase elevated abnormally? Do I have jaundice? When can I recheck my levels again? I do not have any symptoms like yellowing of eyes, skin and stomach pain, etc. Is there anything serious? [/INST] Hi. It is good to get routine checkup (attachment removed to protect patient identity) and you got your problem identified earlier. 1. Complete blood count (CBC). 2. Reticulocyte count. Advice from gastroenterologist is absolutely recommended for you; also avoid fatty meal and alcohol. Continue exercise. We need to avoid some medications, which we will discuss after reports. Revert back with reports to a medical gastroenterologist online.---> |
Q. I have tinnitus, small bursts of light and burning at the back of throat. Are these signs of brain tumor? | Hello doctor, I am a 30-year-old healthy woman. I am diagnosed with anxiety disorder 10 years ago. For the past year, I have been experiencing crippling health anxiety. I have experienced a number of frightening symptoms, including brain zaps, weakness in legs, body twitching, dizziness, etc. Last year, I had a CT scan, and MRI of the head and neck. I consulted with a family doctor and neurologist, terrified of MS. All scans came back clear. My doctor said this was all a result of my anxiety and also said he thought I was suffering from GERD or acid reflux. I felt better for some time but for the past two weeks, I started experiencing very strange symptoms that I have never before felt in my life. I get on and off tinnitus in my right ear, seeing small bursts of light once or twice a day, and feeling of spice/burning in the back of my tongue while eating bland nonspicy food. I have called my optometrist who did a full workup less than a year ago. I have 20/20 vision and no eye conditions. I explained the small bursts of light and he was not too worried and simply told me to keep track and let him know if they are increasing. So far they are not. But these small bursts of light coupled with the tinnitus and also the tongue burning sensation has absolutely terrified me. I am terrified I have a tumor or brain cancer. This fear is crippling me and I can hardly think straight. Should I be concerned? I am on the verge of running to the ER every night and begging for a CT scan. Please help. | Hi. So the problem here is right ear tinnitus. Regarding this I need to know is there hearing difficulty in the right ear? What type of tinnitus, swishing, or continuous? How long it lasts? Is there any vertigo associated with tinnitus? Is there any discharge or fullness of the right ear? Regarding bursts of light, Which eye? Single eye or both eyes? At the same time of tinnitus or at a different time? Are flashes colored or black or white? Is burning on the back of tongue one-sided or both sided? Is there any redness on the tongue? Is there hoarseness of voice or throat pain? Please answer all these questions. |
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Hello doctor, I am a 30-year-old healthy woman. I am diagnosed with anxiety disorder 10 years ago. For the past year, I have been experiencing crippling health anxiety. I have experienced a number of frightening symptoms, including brain zaps, weakness in legs, body twitching, dizziness, etc. Last year, I had a CT scan, and MRI of the head and neck. I consulted with a family doctor and neurologist, terrified of MS. All scans came back clear. My doctor said this was all a result of my anxiety and also said he thought I was suffering from GERD or acid reflux. I felt better for some time but for the past two weeks, I started experiencing very strange symptoms that I have never before felt in my life. I get on and off tinnitus in my right ear, seeing small bursts of light once or twice a day, and feeling of spice/burning in the back of my tongue while eating bland nonspicy food. I have called my optometrist who did a full workup less than a year ago. I have 20/20 vision and no eye conditions. I explained the small bursts of light and he was not too worried and simply told me to keep track and let him know if they are increasing. So far they are not. But these small bursts of light coupled with the tinnitus and also the tongue burning sensation has absolutely terrified me. I am terrified I have a tumor or brain cancer. This fear is crippling me and I can hardly think straight. Should I be concerned? I am on the verge of running to the ER every night and begging for a CT scan. Please help. [/INST] Hi. So the problem here is right ear tinnitus. Regarding this I need to know is there hearing difficulty in the right ear? What type of tinnitus, swishing, or continuous? How long it lasts? Is there any vertigo associated with tinnitus? Is there any discharge or fullness of the right ear? Regarding bursts of light, Which eye? Single eye or both eyes? At the same time of tinnitus or at a different time? Are flashes colored or black or white? Is burning on the back of tongue one-sided or both sided? Is there any redness on the tongue? Is there hoarseness of voice or throat pain? Please answer all these questions. |
Q. I have a painless white blister on the scrotum. Kindly advise. | Hello doctor, I have a white blister on the scrotum for the past one year which is painless. | Hi. I have seen your query. With your descriptions, it seems you have developed a sebaceous cyst. Please get a review with pictures for better evaluation and the best possible treatment for your concerns. |
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Hello doctor, I have a white blister on the scrotum for the past one year which is painless. [/INST] Hi. I have seen your query. With your descriptions, it seems you have developed a sebaceous cyst. Please get a review with pictures for better evaluation and the best possible treatment for your concerns. |
Q. Will doing exercise during growing years help in increasing height? | Hello doctor, How much does lack of exercise during growing years stunt growth? How many inches does it usually subtract from your adult height? | Hello. As of right now, there are no studies to calculate inches lost by physical exercise. However, height is a function of genetics and your parental and ancestral genes play a major role in your physical appearance, but a small amount of environmental change does affect physical growth, and no exercise can stunt your height significantly but not measurably. Since is are no fixed number, different people have different height ranges. Some are born in tall families and some in short, hence a number for stunted height cannot be calculated based on exercise alone. Nonetheless, physical exercise plays an extremely important role to increase at least two inches of physical height on average. |
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Hello doctor, How much does lack of exercise during growing years stunt growth? How many inches does it usually subtract from your adult height? [/INST] Hello. As of right now, there are no studies to calculate inches lost by physical exercise. However, height is a function of genetics and your parental and ancestral genes play a major role in your physical appearance, but a small amount of environmental change does affect physical growth, and no exercise can stunt your height significantly but not measurably. Since is are no fixed number, different people have different height ranges. Some are born in tall families and some in short, hence a number for stunted height cannot be calculated based on exercise alone. Nonetheless, physical exercise plays an extremely important role to increase at least two inches of physical height on average. |
Q. What causes a swollen lymph node behind the ear? | Hello doctor, I have had this swollen lymph node behind my ear for about three months now. What could the reason be? There is no pain. I am able to move it. I am not having any other symptoms such as fever, weight loss or fatigue. I have been coughing up mucus for a few years now. Could this be the reason and is there any infection suspected? About two weeks ago, I noticed a smaller lymph node appear right under my ear lobe (the top of my neck) what could be the reason for this? I also realized the skin where my lymph node is red and warm. Is it cancer? Please help. I have pictures attached with the lymph node behind my ear. | Hi. It looks like you have a small benign lymph node. Lymph nodes do no harm and everyone has lots of them in their bodies. These flare up only when there is a little infection to fight in your surroundings. So there is not much to worry about, especially it is not cancer. Based on the photos and information you provided (attachment removed to protect patient identity), it may also be a benign lipoma which is a lump of fat slightly thicker and does not need anything to be done. Just leave it in place and it will go away on its own. Do not massage it. See a doctor if you experience pain or if it increases in size significantly. Take care. |
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Hello doctor, I have had this swollen lymph node behind my ear for about three months now. What could the reason be? There is no pain. I am able to move it. I am not having any other symptoms such as fever, weight loss or fatigue. I have been coughing up mucus for a few years now. Could this be the reason and is there any infection suspected? About two weeks ago, I noticed a smaller lymph node appear right under my ear lobe (the top of my neck) what could be the reason for this? I also realized the skin where my lymph node is red and warm. Is it cancer? Please help. I have pictures attached with the lymph node behind my ear. [/INST] Hi. It looks like you have a small benign lymph node. Lymph nodes do no harm and everyone has lots of them in their bodies. These flare up only when there is a little infection to fight in your surroundings. So there is not much to worry about, especially it is not cancer. Based on the photos and information you provided (attachment removed to protect patient identity), it may also be a benign lipoma which is a lump of fat slightly thicker and does not need anything to be done. Just leave it in place and it will go away on its own. Do not massage it. See a doctor if you experience pain or if it increases in size significantly. Take care. |
Q. Is the swelling with toothache an abscess? | Hello doctor, For a few days, I have had a bad toothache. I noticed swelling and begun taking antibiotics. I woke up today and the pain is gone but it is even more swollen. I have been using cold and heat compresses, as well as salt water rinse. I am worried I may have developed an abscess but I do not have the money to seek out a dentist. | Hi. Understanding your situation, I am prescribing you a proper antibiotic regime that will help in diminishing abscess and infection. Take Augmentin 625 mg twice a day, tablet Metronidazole 400 mg twice a day, tablet Brufen 400 mg twice a day. Take all these medicines for three days. It will work hopefully and will dry up the infection, but again you know it is a temporary solution. The permanent solution is the extraction of the culprit tooth. You may look for low-cost dental visits and ask in your locality when will it happen. Keep doing saline water mouthrinses at least 3 to 5 times a day. Give me follow up after three days. Stay happy and blessed. Take care. |
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Hello doctor, For a few days, I have had a bad toothache. I noticed swelling and begun taking antibiotics. I woke up today and the pain is gone but it is even more swollen. I have been using cold and heat compresses, as well as salt water rinse. I am worried I may have developed an abscess but I do not have the money to seek out a dentist. [/INST] Hi. Understanding your situation, I am prescribing you a proper antibiotic regime that will help in diminishing abscess and infection. Take Augmentin 625 mg twice a day, tablet Metronidazole 400 mg twice a day, tablet Brufen 400 mg twice a day. Take all these medicines for three days. It will work hopefully and will dry up the infection, but again you know it is a temporary solution. The permanent solution is the extraction of the culprit tooth. You may look for low-cost dental visits and ask in your locality when will it happen. Keep doing saline water mouthrinses at least 3 to 5 times a day. Give me follow up after three days. Stay happy and blessed. Take care. |
Q. Is it normal for a 10-week-old baby to spit up after every nursing session? | Hello doctor, My 10-week old projectile spits up after every nursing session. He is scheduled to have an ultrasound of upper GI one week from now to see if he has pyloric stenosis. Last night he was up until 7 AM screaming in pain. He is hungry all the time and I feel like I am doing more harm than good by feeding him all the time. At his two months check-up, he had gained weight, he was 11 lb 7 oz. He has very good urine output and I do not think he is dehydrated. He only has 1 or 2 bowel movements a week. Every day he seems worse even with Zantac three times a day. I do not know what to do for him while we have to wait a whole week to have his tests done. Is there any way I can help him? Should I take him to the emergency room? | Hi. I understand your misery. However, I feel the line of management chosen is appropriate. If you could arrange for getting a USG abdomen done earlier it would be good. An X-ray of the erect abdomen can also be done to get an approximate judgment about the same. Another study that may need to be done would be a reflux study (since you have mentioned Zantac is no good). Signs you need to take him to the emergency room include lethargy, abdominal distension, not passing stools for three days or more with recurrent episodes of vomiting. Beyond this, I do not think there is anything that can be done given the current scenario. |
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Hello doctor, My 10-week old projectile spits up after every nursing session. He is scheduled to have an ultrasound of upper GI one week from now to see if he has pyloric stenosis. Last night he was up until 7 AM screaming in pain. He is hungry all the time and I feel like I am doing more harm than good by feeding him all the time. At his two months check-up, he had gained weight, he was 11 lb 7 oz. He has very good urine output and I do not think he is dehydrated. He only has 1 or 2 bowel movements a week. Every day he seems worse even with Zantac three times a day. I do not know what to do for him while we have to wait a whole week to have his tests done. Is there any way I can help him? Should I take him to the emergency room? [/INST] Hi. I understand your misery. However, I feel the line of management chosen is appropriate. If you could arrange for getting a USG abdomen done earlier it would be good. An X-ray of the erect abdomen can also be done to get an approximate judgment about the same. Another study that may need to be done would be a reflux study (since you have mentioned Zantac is no good). Signs you need to take him to the emergency room include lethargy, abdominal distension, not passing stools for three days or more with recurrent episodes of vomiting. Beyond this, I do not think there is anything that can be done given the current scenario. |
Q. How long should my husband and I wait to try for a baby if we did cocaine? | Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. | Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> |
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Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. [/INST] Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> |
Q. Can Yasmin birth control pill be used as an emergency contraceptive pill? | Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? | Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> |
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Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? [/INST] Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> |
Q. Please explain the poisonous effect of phenol ingestion. | Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. | Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> |
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Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. [/INST] Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> |
Q. For how long should I take Kalachikai powder to overcome PCOD problem? | Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? | Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> |
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Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? [/INST] Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> |
Q. Why do periods get delayed after first time sex? | Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? | Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> |
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Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? [/INST] Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> |
Q. What are the recommended measures to control high BP in a stroke patient? | Hello doctor, My father is 65 years old. He had a stroke (left thalamic ich) a few months back, but now his blood pressure remains very high which is 110/180-200. Presently he is taking Prazopress 2.5 1-1-1, Olmesan 40 1-0-1, and Cardobis 1-0-1. Please advise. | Hi. If there is any acute stressful condition, tackle it. BP will be fine. Measures to control BP (blood pressure): 1. Avoid smoking and other addictions. 2. Reduce salt intake in diet. 3. Reduce fatty foods, junk foods, and saturated fats. 4. Avoid stress and anxiety. 5. Do regular moderate intensity exercise such as brisk walk for 30 minutes. 6. Have proper night sleep, at least eight hours a day including at least six hours in the night (uninterrupted sleep). 7. Reduce weight even if weight is within the normal range. 8. Drink plenty of water. 9. Do deep breathing exercises and meditation. Measure BP while you are totally relaxed, sit for five minutes in a quiet room without talking to anyone. Empty bowel and bladder before checking BP. Avoid tea, coffee 30 minutes before checking BP. Sit on the chair with feet on the ground, back supported, hand supported on a table, cuff at the position of heart. Check the BP and repeat it after five minutes again. Then check the BP in the other arm and repeat it after 5 minutes. During the entire period remain relax and quiet. Arm with higher BP readings is your exact blood pressure. You may take at least two or more readings and the average of readings is your actual BP. If these measures do not help then switch medicines. But before switching, have renal function tests and electrolytes done. If the tests are normal, and you are not allergic to components of the following medicines, then take tablet Amlodipine or Valsartan 10/160 mg in the morning or evening time. Measure BP daily as described above for two to three weeks. If it normalizes, continue the medicine, if not reconsult. |
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Hello doctor, My father is 65 years old. He had a stroke (left thalamic ich) a few months back, but now his blood pressure remains very high which is 110/180-200. Presently he is taking Prazopress 2.5 1-1-1, Olmesan 40 1-0-1, and Cardobis 1-0-1. Please advise. [/INST] Hi. If there is any acute stressful condition, tackle it. BP will be fine. Measures to control BP (blood pressure): 1. Avoid smoking and other addictions. 2. Reduce salt intake in diet. 3. Reduce fatty foods, junk foods, and saturated fats. 4. Avoid stress and anxiety. 5. Do regular moderate intensity exercise such as brisk walk for 30 minutes. 6. Have proper night sleep, at least eight hours a day including at least six hours in the night (uninterrupted sleep). 7. Reduce weight even if weight is within the normal range. 8. Drink plenty of water. 9. Do deep breathing exercises and meditation. Measure BP while you are totally relaxed, sit for five minutes in a quiet room without talking to anyone. Empty bowel and bladder before checking BP. Avoid tea, coffee 30 minutes before checking BP. Sit on the chair with feet on the ground, back supported, hand supported on a table, cuff at the position of heart. Check the BP and repeat it after five minutes again. Then check the BP in the other arm and repeat it after 5 minutes. During the entire period remain relax and quiet. Arm with higher BP readings is your exact blood pressure. You may take at least two or more readings and the average of readings is your actual BP. If these measures do not help then switch medicines. But before switching, have renal function tests and electrolytes done. If the tests are normal, and you are not allergic to components of the following medicines, then take tablet Amlodipine or Valsartan 10/160 mg in the morning or evening time. Measure BP daily as described above for two to three weeks. If it normalizes, continue the medicine, if not reconsult. |
Q. Will exercise or diet help to maintain lipid levels? | Hello doctor, My father is 77 years old. Just had quad bypass surgery. Too clogged for a stent. Not overweight (ever). Smoked 2 or 3 cheap cigars a day for 15 to 20 years. No regular exercise, but stayed busy in the yard, walked the dogs, etc. Generally ate what he wanted, including both a lot of good foods. But he certainly did not avoid red meat, bacon, etc. I am 50, male. I have never smoked. I am 6 feet, 185 lb. I am a teacher, so I am up and about all day. I do not regularly exercise, but I stay busy. My latest lipid is HDL 48, triglycerides 81, LDL 158. I eat pretty healthy, but probably more red meat than I should. My questions are as follows. 1. If my dad had been on a statin all those years, would he still likely be in the hospital recovering from this surgery? And I say likely, as I know you cannot guarantee that answer. 2. If you were forced to advise me at 50, given that I would remain at my current weight (and not start smoking at any point) would you tell me to eat an extremely healthy diet like fish, nuts, fruits, veggies, little or no bad fat, red meat, etc., or would you advise me to start playing tennis four days a week (or substitute any exercise similar to that like cycling, rowing, running, etc.). You have to advise me to do any of the above, not both, please. | Hi. There are three things you are asking, statin, diet, exercise, right? 1. Statin: Scientific evidence shows elevated lipid especially LDL is a major risk factor for coronary artery disease, peripheral vascular disease, and stroke. And guidelines tell us that everyone aged 40 or above, in familial cases even before 40, a lipid profile should be done. If LDL is above a certain threshold (different threshold in presence and absence of risk factors and family history), the statin should be started to prevent coronary events. If your father had started statins early, chances for the current condition was less likely. 2. Diet: Healthy diet is something like a prerequisite for preventing heart diseases, and it is must at all ages. 3. Exercise: Regular aerobic exercise of at least moderate intensity is must for all ages to prevent heart attack and stroke, etc. Two and three, both are must simultaneously, and both must be advised, if not enforced. If I have to advise only one, I would advise exercise. If still any concern, I will be happy to clarify. |
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Hello doctor, My father is 77 years old. Just had quad bypass surgery. Too clogged for a stent. Not overweight (ever). Smoked 2 or 3 cheap cigars a day for 15 to 20 years. No regular exercise, but stayed busy in the yard, walked the dogs, etc. Generally ate what he wanted, including both a lot of good foods. But he certainly did not avoid red meat, bacon, etc. I am 50, male. I have never smoked. I am 6 feet, 185 lb. I am a teacher, so I am up and about all day. I do not regularly exercise, but I stay busy. My latest lipid is HDL 48, triglycerides 81, LDL 158. I eat pretty healthy, but probably more red meat than I should. My questions are as follows. 1. If my dad had been on a statin all those years, would he still likely be in the hospital recovering from this surgery? And I say likely, as I know you cannot guarantee that answer. 2. If you were forced to advise me at 50, given that I would remain at my current weight (and not start smoking at any point) would you tell me to eat an extremely healthy diet like fish, nuts, fruits, veggies, little or no bad fat, red meat, etc., or would you advise me to start playing tennis four days a week (or substitute any exercise similar to that like cycling, rowing, running, etc.). You have to advise me to do any of the above, not both, please. [/INST] Hi. There are three things you are asking, statin, diet, exercise, right? 1. Statin: Scientific evidence shows elevated lipid especially LDL is a major risk factor for coronary artery disease, peripheral vascular disease, and stroke. And guidelines tell us that everyone aged 40 or above, in familial cases even before 40, a lipid profile should be done. If LDL is above a certain threshold (different threshold in presence and absence of risk factors and family history), the statin should be started to prevent coronary events. If your father had started statins early, chances for the current condition was less likely. 2. Diet: Healthy diet is something like a prerequisite for preventing heart diseases, and it is must at all ages. 3. Exercise: Regular aerobic exercise of at least moderate intensity is must for all ages to prevent heart attack and stroke, etc. Two and three, both are must simultaneously, and both must be advised, if not enforced. If I have to advise only one, I would advise exercise. If still any concern, I will be happy to clarify. |
Q. Is it normal to get presence of endocervical and squamous cells in Pap smear? | Hello doctor, I got a Pap done last week and I got the results back today. It says I am negative for an intraepithelial lesion of malignancy (NIL). And under specimen adequacy, it says satisfactory for evaluation. Endocervical and/or squamous cells (endocervical component) are present. What does this mean and should I be concerned? | Hi. Pap smear is a cervical cancer screening tool for gynecologists. Firstly, whenever a sample is observed under the microscope, the pathologist has to comment on the adequacy of the sample. Your cervix has ectocervix (containing squamous, flat cells), and an endocervix (containing endocervical- columnar cells) (attachment removed to protect patient identity), so if the smear is collected properly, it should contain both type of cells for assessing any kind of abnormality to detect signs of malignancy. Your report is perfectly all right, no need to worry. |
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Hello doctor, I got a Pap done last week and I got the results back today. It says I am negative for an intraepithelial lesion of malignancy (NIL). And under specimen adequacy, it says satisfactory for evaluation. Endocervical and/or squamous cells (endocervical component) are present. What does this mean and should I be concerned? [/INST] Hi. Pap smear is a cervical cancer screening tool for gynecologists. Firstly, whenever a sample is observed under the microscope, the pathologist has to comment on the adequacy of the sample. Your cervix has ectocervix (containing squamous, flat cells), and an endocervix (containing endocervical- columnar cells) (attachment removed to protect patient identity), so if the smear is collected properly, it should contain both type of cells for assessing any kind of abnormality to detect signs of malignancy. Your report is perfectly all right, no need to worry. |
Q. Can I use ayurvedic medicine for erectile dysfunction in hepatitis patient? | Hello doctor, My sperm is very watery and less in quantity, plus I ejaculate very fast. Please recommend an ayurvedic medicine as I am hepatitis B positive under treatment, otherwise living a normal healthy life. | Hi. Ejaculation of sperm with minimal sexual stimulation before, on or shortly after penetration and or before person wishes, it is called premature ejaculation. Premature ejaculation is a common complaint. It is only rarely caused by a physical problem. PM early in a relationship is most often caused by stress or anxiety and too much stimulation. Guilt and other psychological factors may also be involved. The condition usually improves without treatment. Amount and consistency of ejaculates depend on the semen. But sperm count and its motility may be normal. You can evaluate it with semen analysis. There are several ayurvedic herbs and medicines available to improve sperm count and their motility. In your case you continue your previous medications to hepatitis B. Stress, anxiety, high blood sugar, high blood pressure, etc. Semen analysis. The treatment plan would be Shukra Stambhaka, Vatahara, Medhya Rasayana, Vatanuloman chikitsa, counseling, and exercise. 1. Avoid spicy and fried junk foods. 2. Quit smoking and drinking if you have these habits. 3. Do regular Yoga and pranayama. |
<s>[INST]
Hello doctor, My sperm is very watery and less in quantity, plus I ejaculate very fast. Please recommend an ayurvedic medicine as I am hepatitis B positive under treatment, otherwise living a normal healthy life. [/INST] Hi. Ejaculation of sperm with minimal sexual stimulation before, on or shortly after penetration and or before person wishes, it is called premature ejaculation. Premature ejaculation is a common complaint. It is only rarely caused by a physical problem. PM early in a relationship is most often caused by stress or anxiety and too much stimulation. Guilt and other psychological factors may also be involved. The condition usually improves without treatment. Amount and consistency of ejaculates depend on the semen. But sperm count and its motility may be normal. You can evaluate it with semen analysis. There are several ayurvedic herbs and medicines available to improve sperm count and their motility. In your case you continue your previous medications to hepatitis B. Stress, anxiety, high blood sugar, high blood pressure, etc. Semen analysis. The treatment plan would be Shukra Stambhaka, Vatahara, Medhya Rasayana, Vatanuloman chikitsa, counseling, and exercise. 1. Avoid spicy and fried junk foods. 2. Quit smoking and drinking if you have these habits. 3. Do regular Yoga and pranayama. |
Q. Why am I getting severe itchy skin eruptions? | Hello doctor, I am a male, 70 years old with worsening skin eruptions, on upper right arm, and across the chest. It has also moved to the neck and jaw area. Extreme itchiness, which increases late at night, early morning. I have some photos. Unknown cause. Have tried some topicals, but no improvement. | Hi. I have seen your pictures (attachment removed to protect patient identity). Your concern may be Pityrosporum folliculitis or Miliria rubra or cholinergic urticaria, atopic dermatitis. You can try Levocetirizine 10 mg any brand tablet once daily bedtime and Loratidine 10 mg any brand tablet once daily after breakfast. Apply Cetaphil restoring moisturizer twice daily after bath and dust Clotrimazole dusting powder twice daily after applying moisturizer. Apply any brand Calamine lotion as on required. Avoid too hot water baths and prefer citrus fruits for sake of Vitamin C. Prefer room temperature around 25 to 30 degrees centigrade. |
<s>[INST]
Hello doctor, I am a male, 70 years old with worsening skin eruptions, on upper right arm, and across the chest. It has also moved to the neck and jaw area. Extreme itchiness, which increases late at night, early morning. I have some photos. Unknown cause. Have tried some topicals, but no improvement. [/INST] Hi. I have seen your pictures (attachment removed to protect patient identity). Your concern may be Pityrosporum folliculitis or Miliria rubra or cholinergic urticaria, atopic dermatitis. You can try Levocetirizine 10 mg any brand tablet once daily bedtime and Loratidine 10 mg any brand tablet once daily after breakfast. Apply Cetaphil restoring moisturizer twice daily after bath and dust Clotrimazole dusting powder twice daily after applying moisturizer. Apply any brand Calamine lotion as on required. Avoid too hot water baths and prefer citrus fruits for sake of Vitamin C. Prefer room temperature around 25 to 30 degrees centigrade. |
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