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Q. Will using mobile phones cause pain in brain? | Hi doctor, I am 23 years old, my height is 6 feet, weight is 55 kg. When I use the mobile phone, I feel pain in my brain but when I do not use the mobile phone, I feel normal. But when I use mobile I feel malaise and because of it, sleep does not come to me at night. I used to take medicines for this problem at that time. When I was taking medicine, sleep was coming daily at night on time but nowadays sleep is not coming to me at night or at day. | Hello. You should know that short conversations on the phone are not harmful to the brain. But, long conversations can lead to altered brain function (abnormal waves in EEG). For this reason, I would recommend avoiding prolonged use of the phone. I would also recommend trying Melatonin 5 mg before sleep every night for a month. |
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Hi doctor, I am 23 years old, my height is 6 feet, weight is 55 kg. When I use the mobile phone, I feel pain in my brain but when I do not use the mobile phone, I feel normal. But when I use mobile I feel malaise and because of it, sleep does not come to me at night. I used to take medicines for this problem at that time. When I was taking medicine, sleep was coming daily at night on time but nowadays sleep is not coming to me at night or at day. [/INST] Hello. You should know that short conversations on the phone are not harmful to the brain. But, long conversations can lead to altered brain function (abnormal waves in EEG). For this reason, I would recommend avoiding prolonged use of the phone. I would also recommend trying Melatonin 5 mg before sleep every night for a month. |
Q. What can be done for loss of erection and sex desire? | Hello doctor, I am 27 years, 178 cm height, 79 kg weight. I have totally lost the desire for sex and no erection and sex feeling even on touching a naked girl. After tuberculosis treatment, I lost my libido and unnoticed it. I used to masturbate since 12 years of age and no sex with a girl at all. When first time got on bed with my wife no excitement, no urge for sex and no erection too. | Hello. This can happen quite commonly during the beginning of sexual encounters, where you find yourself in a situation where you cannot perform well. Hence, you develop a fear that what if you will not be able to perform, subsequently, then what will happen. This worry is called performance anxiety. Also, medications can cause a reduced libido. Hence, you have to overcome this anxiety, give your body time to regain itself from the previous illness. You should talk actively with your spouse, discuss with her your problems, likes, fantasies. Maintain a healthy diet and regular workout. This will help you to perform well. |
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Hello doctor, I am 27 years, 178 cm height, 79 kg weight. I have totally lost the desire for sex and no erection and sex feeling even on touching a naked girl. After tuberculosis treatment, I lost my libido and unnoticed it. I used to masturbate since 12 years of age and no sex with a girl at all. When first time got on bed with my wife no excitement, no urge for sex and no erection too. [/INST] Hello. This can happen quite commonly during the beginning of sexual encounters, where you find yourself in a situation where you cannot perform well. Hence, you develop a fear that what if you will not be able to perform, subsequently, then what will happen. This worry is called performance anxiety. Also, medications can cause a reduced libido. Hence, you have to overcome this anxiety, give your body time to regain itself from the previous illness. You should talk actively with your spouse, discuss with her your problems, likes, fantasies. Maintain a healthy diet and regular workout. This will help you to perform well. |
Q. I found blood in my stool. Is it a sign of bowel cancer? | Hi doctor, I am a 30 year old woman. I found blood in my stool this morning, for the first time in life. I am sure that is not period. Is it a sign of bowel cancer? | Hello. I assure you not to worry a lot as things can be settled with proper care and follow up. There are some reasons for fresh blood in stools, with stools, before or after stools other than menstrual blood.First of all, it may be hemorrhoids. You may have felt some dilated small lesions on the anal opening before or after passing stools ( if this was bleeding hemorrhoid). It is due to a disease named portal hypertension and you need to follow it up and it will settle down with treatment. Your general surgeon is the person to decide the stage of hemorrhoids and treatment goes accordingly. He may do proctoscopy, colonoscopy or digital rectal examination. The other cause is anal fissure bleed. When stools get hard due to constipation and when patient forcibly defecates, it causes a breach in the mucosal lining of the rectum and anus and it bleeds in the form of fresh blood. Lactulose syrup, whole grain foods, dietary fiber supplements, plenty of fluids and a good physical activity will help improve this condition. But it may also need treatment with antibiotics to avoid severe infection. General surgeon consultation for a physical examination is my suggestion. Last but not least is the cancerous growth. It is serious but less likely in your case. But if you have a family history of colon cancer, have a change in bowel habits, lost weight, loss in appetite, constipation or diarrhea, You may be having cancer. A general surgeon will diagnose with colonoscopy and barium tests through radiologic studies. Final suggestion - avoid constipation, keep a good physical activity, avoid fast foods, processed meats, low fiber diet, and soft drinks. Go to a general surgeon in person for proper evaluation and treatment. |
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Hi doctor, I am a 30 year old woman. I found blood in my stool this morning, for the first time in life. I am sure that is not period. Is it a sign of bowel cancer? [/INST] Hello. I assure you not to worry a lot as things can be settled with proper care and follow up. There are some reasons for fresh blood in stools, with stools, before or after stools other than menstrual blood.First of all, it may be hemorrhoids. You may have felt some dilated small lesions on the anal opening before or after passing stools ( if this was bleeding hemorrhoid). It is due to a disease named portal hypertension and you need to follow it up and it will settle down with treatment. Your general surgeon is the person to decide the stage of hemorrhoids and treatment goes accordingly. He may do proctoscopy, colonoscopy or digital rectal examination. The other cause is anal fissure bleed. When stools get hard due to constipation and when patient forcibly defecates, it causes a breach in the mucosal lining of the rectum and anus and it bleeds in the form of fresh blood. Lactulose syrup, whole grain foods, dietary fiber supplements, plenty of fluids and a good physical activity will help improve this condition. But it may also need treatment with antibiotics to avoid severe infection. General surgeon consultation for a physical examination is my suggestion. Last but not least is the cancerous growth. It is serious but less likely in your case. But if you have a family history of colon cancer, have a change in bowel habits, lost weight, loss in appetite, constipation or diarrhea, You may be having cancer. A general surgeon will diagnose with colonoscopy and barium tests through radiologic studies. Final suggestion - avoid constipation, keep a good physical activity, avoid fast foods, processed meats, low fiber diet, and soft drinks. Go to a general surgeon in person for proper evaluation and treatment. |
Q. What are the ways to increase sperm count? | Hello doctor, How to increase sperm count? I had a sperm examination test. The sperm count and mobility of sperm are very low. | Hello. You have to rule out the underlying cause for low sperm count and motility. For that, you need to investigate further with serum testosterone estimation, serum prolactin estimation, USG testis to rule out varicocele, etc., like investigation as per need. Smoking and alcohol drinking also are the culprit in such case. So it should be avoided if having a habit of it. Hey Forte (CoEnzyme Q10 and Selenium) like tablet can be prescribed empirically in low sperm count and motility. |
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Hello doctor, How to increase sperm count? I had a sperm examination test. The sperm count and mobility of sperm are very low. [/INST] Hello. You have to rule out the underlying cause for low sperm count and motility. For that, you need to investigate further with serum testosterone estimation, serum prolactin estimation, USG testis to rule out varicocele, etc., like investigation as per need. Smoking and alcohol drinking also are the culprit in such case. So it should be avoided if having a habit of it. Hey Forte (CoEnzyme Q10 and Selenium) like tablet can be prescribed empirically in low sperm count and motility. |
Q. What is causing pimples on the back and shoulders? | Hello doctor, I have been developing pimples on the back of shoulders and on shoulders as shown in the photos attached. What could be the reason for this and what are the medications? | Hi. Acne occurs not only on the face but also on the upper back and chest. It is usually due to the hormonal activity over the oil glands of the body. Your pictures (attachment removed to protect patient identity) are suggestive of a combination of truncal acne and Pityrosporum folliculitis. This could be due to your young age, tight clothing, excessive sweating, humid climate, foods with high glycemic index and improper hygiene. Truncal acne or Pityrosporum folliculitis. 1. Acnil soap for bath. 2. Ketoconazole lotion (Kevon stay on lotion or KZ lotion) in the morning after bath. 3. Benzoyl peroxide gel (Persol forte cream) at night. Decrease foods with high glycemic index, take bath daily, avoid tight-fitting clothes. |
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Hello doctor, I have been developing pimples on the back of shoulders and on shoulders as shown in the photos attached. What could be the reason for this and what are the medications? [/INST] Hi. Acne occurs not only on the face but also on the upper back and chest. It is usually due to the hormonal activity over the oil glands of the body. Your pictures (attachment removed to protect patient identity) are suggestive of a combination of truncal acne and Pityrosporum folliculitis. This could be due to your young age, tight clothing, excessive sweating, humid climate, foods with high glycemic index and improper hygiene. Truncal acne or Pityrosporum folliculitis. 1. Acnil soap for bath. 2. Ketoconazole lotion (Kevon stay on lotion or KZ lotion) in the morning after bath. 3. Benzoyl peroxide gel (Persol forte cream) at night. Decrease foods with high glycemic index, take bath daily, avoid tight-fitting clothes. |
Q. My father is a diabetic. What kind of fruits can he have? | Hi doctor, My father is a diabetic. He likes to have fruits. But I am worried he is not supposed to eat some kind of fruits. Please advise regarding what kind of fruits he can have and those which he should not have. | Hi. Fiber-rich foods are generally safe for diabetics to eat because they tend to have a lower glycemic index and therefore do not spike blood sugar levels to the same extent as high glycemic index foods. Fruits with high fiber content include passion fruit, orange, raspberries, apples, pears, apricots, blueberries, kiwifruit, strawberries, avocados, and raw papaya. Quantity to be consumed: A person who is diabetic should make frequent changes in his menu, meaning your father should take a small quantity of these fruits in a day asevery 10 g equals to 40 calories. So, he should not take any fruit in too much quantity, because all fruits have sugar in them. But the ones which I have mentioned above have low sugar and high fiber. For example, if he takes 1 medium orange a day, he can replace it with a pear the next day. So that each day he can have a different fruit. |
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Hi doctor, My father is a diabetic. He likes to have fruits. But I am worried he is not supposed to eat some kind of fruits. Please advise regarding what kind of fruits he can have and those which he should not have. [/INST] Hi. Fiber-rich foods are generally safe for diabetics to eat because they tend to have a lower glycemic index and therefore do not spike blood sugar levels to the same extent as high glycemic index foods. Fruits with high fiber content include passion fruit, orange, raspberries, apples, pears, apricots, blueberries, kiwifruit, strawberries, avocados, and raw papaya. Quantity to be consumed: A person who is diabetic should make frequent changes in his menu, meaning your father should take a small quantity of these fruits in a day asevery 10 g equals to 40 calories. So, he should not take any fruit in too much quantity, because all fruits have sugar in them. But the ones which I have mentioned above have low sugar and high fiber. For example, if he takes 1 medium orange a day, he can replace it with a pear the next day. So that each day he can have a different fruit. |
Q. Will Nano-Leo give permanent solution for erection problem? | Hello doctor, I am 48 years old. I am experiencing weak erection and difficulty in sustaining the same. This condition was observed 10 years back. Also, there is premature ejaculation. Other physical ailments that I have are, I am suffering from hypertension and taking Amlopres-L (Amlodipine and Lisinopril) for the last 10 years, high cholesterol and triglycerides. My cholesterol level is 225 and triglyceride is 200 for the last 12 years. I used to do frequent masturbation in early age. I do have erection during morning hours many times, particularly after sound sleep or if I had long walk previous day. I am having Sildenafil 25 mg or 5 mg Cialis, which is effective enough. But, I wish to get rid of tablet support and live natural way. I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days. I wish to have your second opinion on this. Please guide. | Hi. For further doubts consult a sexologist online --> |
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Hello doctor, I am 48 years old. I am experiencing weak erection and difficulty in sustaining the same. This condition was observed 10 years back. Also, there is premature ejaculation. Other physical ailments that I have are, I am suffering from hypertension and taking Amlopres-L (Amlodipine and Lisinopril) for the last 10 years, high cholesterol and triglycerides. My cholesterol level is 225 and triglyceride is 200 for the last 12 years. I used to do frequent masturbation in early age. I do have erection during morning hours many times, particularly after sound sleep or if I had long walk previous day. I am having Sildenafil 25 mg or 5 mg Cialis, which is effective enough. But, I wish to get rid of tablet support and live natural way. I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days. I wish to have your second opinion on this. Please guide. [/INST] Hi. For further doubts consult a sexologist online --> |
Q. Can schizophrenia be inherited and pass down to next generation? | Hello doctor, I am a 28-year-old male in good health. I have suffered bouts of depression for the past few years along with anxiety and OCD. I am on Zoloft every day and am doing well for the most part. I am staying active and keeping busy. The reason why I ask this is, that on my mother's side there are two stories of people with suspected schizophrenia. My maternal grandmother's mother was said to have been institutionalized for her life because of it, and my maternal aunt (mom's sister) is a paranoid schizophrenic, according to my grandma. Does this skip generations? Neither of my parents or siblings has this condition. What are the chances of becoming a schizophrenic? Do I have anything to worry about? | Hello. Based on the history provided, I see that you do not have any first degree relatives with schizophrenia. So the risk is not high. This condition can run in families, but the risk is more when you have first degree relatives with schizophrenia (like parents, siblings). Schizophrenia is relatively rare affecting about 1% of the general population. So anyone in the world has a 1 in 100 chance of developing schizophrenia. Your risk will be the same as the general population ( ~1%), possibly marginally higher due to extended family history. You need not worry unnecessarily as the risk is not substantially higher than anybody else in the world. To give you an idea about the genetic risk of schizophrenia, look at these figures. If there is a first degree relative with schizophrenia, the risk increases to 10 %. If both parents have schizophrenia, the risk increases to 50 %. If there is identical twin, the risk can increase to about 50 to 65%. You do not fall into these categories. You may be aware that genes play a role in the etiology of schizophrenia but they alone are not responsible. Schizophrenia is caused by a complex interaction between genes, environment, and psychological factors. Environmental factors like illicit drug use and high stress levels play a huge role. Since there is a possible history of schizophrenia in the extended family, it makes sense to avoid any risk factors like illicit drugs use (weed, cocaine, etc). Continue an active and healthy lifestyle. Continue appropriate treatment for depression, anxiety, and OCD (obsessive-compulsive disorder). If you have any other concerns, you can contact your psychiatrist for a review. I hope this helps. |
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Hello doctor, I am a 28-year-old male in good health. I have suffered bouts of depression for the past few years along with anxiety and OCD. I am on Zoloft every day and am doing well for the most part. I am staying active and keeping busy. The reason why I ask this is, that on my mother's side there are two stories of people with suspected schizophrenia. My maternal grandmother's mother was said to have been institutionalized for her life because of it, and my maternal aunt (mom's sister) is a paranoid schizophrenic, according to my grandma. Does this skip generations? Neither of my parents or siblings has this condition. What are the chances of becoming a schizophrenic? Do I have anything to worry about? [/INST] Hello. Based on the history provided, I see that you do not have any first degree relatives with schizophrenia. So the risk is not high. This condition can run in families, but the risk is more when you have first degree relatives with schizophrenia (like parents, siblings). Schizophrenia is relatively rare affecting about 1% of the general population. So anyone in the world has a 1 in 100 chance of developing schizophrenia. Your risk will be the same as the general population ( ~1%), possibly marginally higher due to extended family history. You need not worry unnecessarily as the risk is not substantially higher than anybody else in the world. To give you an idea about the genetic risk of schizophrenia, look at these figures. If there is a first degree relative with schizophrenia, the risk increases to 10 %. If both parents have schizophrenia, the risk increases to 50 %. If there is identical twin, the risk can increase to about 50 to 65%. You do not fall into these categories. You may be aware that genes play a role in the etiology of schizophrenia but they alone are not responsible. Schizophrenia is caused by a complex interaction between genes, environment, and psychological factors. Environmental factors like illicit drug use and high stress levels play a huge role. Since there is a possible history of schizophrenia in the extended family, it makes sense to avoid any risk factors like illicit drugs use (weed, cocaine, etc). Continue an active and healthy lifestyle. Continue appropriate treatment for depression, anxiety, and OCD (obsessive-compulsive disorder). If you have any other concerns, you can contact your psychiatrist for a review. 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. What causes itching and hot feeling in between thigh and vagina? | Hello doctor, I have a strong itching and hot feeling in the space between my left thigh and vagina. What could be causing this? I am really not able to tell if there is a color change. | Hi. Intense itching as you describe mostly indicates a fungal infection. It is possible that you might be working in a hot environment or maybe sweating too much there along with wearing tight clothes. That prevents aeration of the area and promotes fungal growth. Try using antifungal or Cotrimoxazole ointments on the area to get relief. Hope you get well soon. |
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Hello doctor, I have a strong itching and hot feeling in the space between my left thigh and vagina. What could be causing this? I am really not able to tell if there is a color change. [/INST] Hi. Intense itching as you describe mostly indicates a fungal infection. It is possible that you might be working in a hot environment or maybe sweating too much there along with wearing tight clothes. That prevents aeration of the area and promotes fungal growth. Try using antifungal or Cotrimoxazole ointments on the area to get relief. Hope you get well soon. |
Q. My hair becomes wet even without applying oil. I also have hair fall. Please advice. | Hello doctor, I am a 30 year old male. My height is 155 cm and I weigh 63 kg. I am facing hair fall for one year. Now it is even more severe. Till last year, I was having dandruff problem also, but after mundan (hair tonsuring), there is not much dandruff but hair fall has not stopped. Below are the symptoms. I used to wash my hair once in 3 days earlier. But within 2 days, my hair becomes wet even without applying oil. Because of that reason, nowadays, I wash my hair once in 2 days. Because of any reason, if I do not have a hair wash for 3 to 4 days, my head smells very bad and becomes wet. I do not know about my hair type, so I used to change my hair shampoo frequently between anti-dandruff and anti-hair fall. I got married four years back. Till that time, there was no hair loss and I had not observed any baldness. My father has baldness but, he got it at 40 years of age. But now, it looks like I am in the final stage of becoming bald. I have attached pictures of the same. I travel to South Korea very frequently for a minimum of 3 months a year. This weekend, I am traveling to a foreign country, so I need to buy any medication for hair fall (if needed) before going. I want to know my hair type and remedies for hair fall. | Hi.I have worked through your query and have understood your health issues. I have gone through the pictures (attachment removed to protect patient identity), I assure you not to worry. This is the most common disease of men at this age. It is actually the male pattern baldness and you are lucky that you had noticed at such an early stage. It is stage 2 baldness and has just started. |
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Hello doctor, I am a 30 year old male. My height is 155 cm and I weigh 63 kg. I am facing hair fall for one year. Now it is even more severe. Till last year, I was having dandruff problem also, but after mundan (hair tonsuring), there is not much dandruff but hair fall has not stopped. Below are the symptoms. I used to wash my hair once in 3 days earlier. But within 2 days, my hair becomes wet even without applying oil. Because of that reason, nowadays, I wash my hair once in 2 days. Because of any reason, if I do not have a hair wash for 3 to 4 days, my head smells very bad and becomes wet. I do not know about my hair type, so I used to change my hair shampoo frequently between anti-dandruff and anti-hair fall. I got married four years back. Till that time, there was no hair loss and I had not observed any baldness. My father has baldness but, he got it at 40 years of age. But now, it looks like I am in the final stage of becoming bald. I have attached pictures of the same. I travel to South Korea very frequently for a minimum of 3 months a year. This weekend, I am traveling to a foreign country, so I need to buy any medication for hair fall (if needed) before going. I want to know my hair type and remedies for hair fall. [/INST] Hi.I have worked through your query and have understood your health issues. I have gone through the pictures (attachment removed to protect patient identity), I assure you not to worry. This is the most common disease of men at this age. It is actually the male pattern baldness and you are lucky that you had noticed at such an early stage. It is stage 2 baldness and has just started. |
Q. What causes severe anxiety with nausea and panic attacks? | Hello doctor, I have severe anxiety and struggling majorly with nausea, having multiple panic attacks a day and now stuck for leaving home. 10 years ago they tried Zoloft which worsened symptoms. Then went to Mirtazapine 45 mg and that helped for quite many years. Unfortunately, the last 12 months it has gone back to a severe level. This week a GP doctor has changed me to Valdoxan which I am swapping to this week. I have been told to cut Avanza for two days entirely and start 25 mg Valdoxan which I have but having severe panic attacks and nausea. Wondering if there are better options or what to do. I am at a wits' end with nausea. | Hi. Although Agomelatine (Valdoxan) is a good medication for treatment of anxiety and panic disorders, it is not the best option. Agomelatine is considered a weak agent and possibility of helping in severe anxiety and panic attacks are less when compare to traditional medications such as SSRI and SNRI. Since one of the SSRI was already tried a few years back with negative results (Zoloft), I feel the SNRI should be considered as the next option. Although four medications are available in this category, I feel Desvenlafaxine (Prestiq) should make a better choice. This is one of the potent anti-anxiety medications and the possibility of a positive response is comparatively better when compared to other similar medications. It is true that it may cause nausea for some days (often less than one week) but this is self-limiting and disappears on its own in a few days and rarely lasts for a week. The next option is to try another SSRI which comes with trade name Paxil. It is again one of the preferred medication in severe anxiety and yields earlier results. It is true that every medication have their own side effects and we need to give a deeper thought before starting any medication. |
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Hello doctor, I have severe anxiety and struggling majorly with nausea, having multiple panic attacks a day and now stuck for leaving home. 10 years ago they tried Zoloft which worsened symptoms. Then went to Mirtazapine 45 mg and that helped for quite many years. Unfortunately, the last 12 months it has gone back to a severe level. This week a GP doctor has changed me to Valdoxan which I am swapping to this week. I have been told to cut Avanza for two days entirely and start 25 mg Valdoxan which I have but having severe panic attacks and nausea. Wondering if there are better options or what to do. I am at a wits' end with nausea. [/INST] Hi. Although Agomelatine (Valdoxan) is a good medication for treatment of anxiety and panic disorders, it is not the best option. Agomelatine is considered a weak agent and possibility of helping in severe anxiety and panic attacks are less when compare to traditional medications such as SSRI and SNRI. Since one of the SSRI was already tried a few years back with negative results (Zoloft), I feel the SNRI should be considered as the next option. Although four medications are available in this category, I feel Desvenlafaxine (Prestiq) should make a better choice. This is one of the potent anti-anxiety medications and the possibility of a positive response is comparatively better when compared to other similar medications. It is true that it may cause nausea for some days (often less than one week) but this is self-limiting and disappears on its own in a few days and rarely lasts for a week. The next option is to try another SSRI which comes with trade name Paxil. It is again one of the preferred medication in severe anxiety and yields earlier results. It is true that every medication have their own side effects and we need to give a deeper thought before starting any medication. |
Q. Why is there a skin patch on my lip that gets white and dries out? | Hello doctor, I have had this patch of skin above my top lip for the past couple of weeks. It has not worsened or disappeared. It is white and dries out. I have been putting on ointments but nothing seems to improve it. It does not have bumps. | Hello. It seems like Pityriasis Alba which is patchy post inflammatory hypopigmentation, usually on the face, in those who have dry skin or are atopic. I suggest you use Tacrolimus 0.03 % ointment, twice daily. Rub it in. Do you use a moisturizer on your face? How do you wash your face? Do you have any allergies? |
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Hello doctor, I have had this patch of skin above my top lip for the past couple of weeks. It has not worsened or disappeared. It is white and dries out. I have been putting on ointments but nothing seems to improve it. It does not have bumps. [/INST] Hello. It seems like Pityriasis Alba which is patchy post inflammatory hypopigmentation, usually on the face, in those who have dry skin or are atopic. I suggest you use Tacrolimus 0.03 % ointment, twice daily. Rub it in. Do you use a moisturizer on your face? How do you wash your face? Do you have any allergies? |
Q. How can I stop continuous bleeding after miscarriage? | Hi doctor,I had a miscarriage two weeks ago (three months pregnancy) and I went to the hospital. The doctor told me I have to flush everything out, which I did. But since then I have been having light bleeding with pain until last week. I had a heavy one with a thick clot and something else I cannot really describe. I immediately passed that out, the pain stopped and it was like something left me. But I am still having light bleeding. So I went back to the doctor to explain and he prescribed another drug to me, one will make me bleed and the other will stop the bleeding but I am scared. I do not know what to do again. Please help. | Hi. You had a miscarriage and it was managed medically. Post medical induction, you can have bleeding gradually but it can be in episodes and can be extended up to 2 to 3 weeks in form of mild spotting. Stopping of bleeding is not the solution actually. Have one transvaginal scan to check if any retained products are there still inside the uterus or not. If products of conception are still inside, this bleeding is in favor of you. As naturally, the body is responding and emitting out conception products. In the case of retained products inside the vagina, you might need evacuation if you observe heavy bleeding or pain or both. Have a complete check if any health issue you have and try to have regular complete treatment. If the uterus is clean with no products of conception inside, have a complete blood count, thyroid function tests and tablet Postan 500 mg and tablet Tranexamic acid 500 mg 8 hourly for 2 to 5 days as per need to stop bleeding. Have laboratory tests as per given scenario and discuss. In case of heavy bleeding and pain, report to gynecology emergency. As a casual protocol of induced miscarriage. Transvaginal scan immediately. Retained products. If retained products are there on the scan, you may need evacuation. So scan has to be discussed with the specialist to decide. If no products of conception, clear the uterus, then have medications as I advised above. Check on any other health issue and try to have treatment for that as well. |
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Hi doctor,I had a miscarriage two weeks ago (three months pregnancy) and I went to the hospital. The doctor told me I have to flush everything out, which I did. But since then I have been having light bleeding with pain until last week. I had a heavy one with a thick clot and something else I cannot really describe. I immediately passed that out, the pain stopped and it was like something left me. But I am still having light bleeding. So I went back to the doctor to explain and he prescribed another drug to me, one will make me bleed and the other will stop the bleeding but I am scared. I do not know what to do again. Please help. [/INST] Hi. You had a miscarriage and it was managed medically. Post medical induction, you can have bleeding gradually but it can be in episodes and can be extended up to 2 to 3 weeks in form of mild spotting. Stopping of bleeding is not the solution actually. Have one transvaginal scan to check if any retained products are there still inside the uterus or not. If products of conception are still inside, this bleeding is in favor of you. As naturally, the body is responding and emitting out conception products. In the case of retained products inside the vagina, you might need evacuation if you observe heavy bleeding or pain or both. Have a complete check if any health issue you have and try to have regular complete treatment. If the uterus is clean with no products of conception inside, have a complete blood count, thyroid function tests and tablet Postan 500 mg and tablet Tranexamic acid 500 mg 8 hourly for 2 to 5 days as per need to stop bleeding. Have laboratory tests as per given scenario and discuss. In case of heavy bleeding and pain, report to gynecology emergency. As a casual protocol of induced miscarriage. Transvaginal scan immediately. Retained products. If retained products are there on the scan, you may need evacuation. So scan has to be discussed with the specialist to decide. If no products of conception, clear the uterus, then have medications as I advised above. Check on any other health issue and try to have treatment for that as well. |
Q. What does abutment of the nerve root mean? | Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for annular bulging and tear? | Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online --> |
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Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for annular bulging and tear? [/INST] Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online --> |
Q. I have an ingrown toenail which is infected. What do I do? | Hello doctor, I have an ingrown toenail and it has got infected. I suffer from a lot of pain while wearing shoes. I have this pea-sized bubble like thing which bleeds on the side of my toenail. I have attached a picture of my toenail. It is a swelling, and I wonder what can I do to take it away, other than surgery? | Hello.I have seen your clinical picture and gone through your query (attachment removed to protect patient identity). I would strongly advise you to undergo a partial nail excision, debridement and daily dressing of the wound until it shows healthy granulation tissue. It is because unless you remove the offending portion of the nail, the wound will not settle down. I would rather call it a procedure rather than a surgery, which can be done with local anesthesia (ring block) and in OPD procedure room. Other than surgery, just the debridement and daily dressings can be tried, but once again I would like to tell you that unless the portion of the nail which is curved inside and impinging the skin is excised, this wound may not settle down. Also, a broad spectrum antibiotic will be required until the wound heals satisfactorily. |
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Hello doctor, I have an ingrown toenail and it has got infected. I suffer from a lot of pain while wearing shoes. I have this pea-sized bubble like thing which bleeds on the side of my toenail. I have attached a picture of my toenail. It is a swelling, and I wonder what can I do to take it away, other than surgery? [/INST] Hello.I have seen your clinical picture and gone through your query (attachment removed to protect patient identity). I would strongly advise you to undergo a partial nail excision, debridement and daily dressing of the wound until it shows healthy granulation tissue. It is because unless you remove the offending portion of the nail, the wound will not settle down. I would rather call it a procedure rather than a surgery, which can be done with local anesthesia (ring block) and in OPD procedure room. Other than surgery, just the debridement and daily dressings can be tried, but once again I would like to tell you that unless the portion of the nail which is curved inside and impinging the skin is excised, this wound may not settle down. Also, a broad spectrum antibiotic will be required until the wound heals satisfactorily. |
Q. Is it normal to get shortness of breath with burning sensation in chest after a meal? | Hello doctor, I have shortness of breath sometimes, burning sensation in the chest after having a meal. Consult with the doctor and get prescribed Omez DSR in the morning. Also, do some medical test including ECG, so the report is herewith attached. Please confirm the test analysis. The patient is having a brain tumor (astrocytoma, grade 2) and surgery was done a year back. | Hello. I have gone through your reports (attachment removed to protect patient identity). The only significant finding is of deranged cholesterol levels. Your LDL cholesterol is mildly elevated, so you should have a healthy lifestyle like avoiding fatty oily food and daily exercises like walking, etc. No need to take any medicines for it at present. You should repeat lipid profile after three months of lifestyle modifications. ECG is having minor changes only and no major and significant abnormalities are there, so nothing to worry about it. The symptoms are likely due to gastritis and reflux disease. So you have Omez DSR before breakfast for a week period and then whenever needed. Also, avoid spicy food, heavy meals and have some walk after meals for sometimes rather than resting immediately after food. However, if received any chemotherapy during treatment then should have one echo to rule out the possibility of heart damage due to chemotherapy. |
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Hello doctor, I have shortness of breath sometimes, burning sensation in the chest after having a meal. Consult with the doctor and get prescribed Omez DSR in the morning. Also, do some medical test including ECG, so the report is herewith attached. Please confirm the test analysis. The patient is having a brain tumor (astrocytoma, grade 2) and surgery was done a year back. [/INST] Hello. I have gone through your reports (attachment removed to protect patient identity). The only significant finding is of deranged cholesterol levels. Your LDL cholesterol is mildly elevated, so you should have a healthy lifestyle like avoiding fatty oily food and daily exercises like walking, etc. No need to take any medicines for it at present. You should repeat lipid profile after three months of lifestyle modifications. ECG is having minor changes only and no major and significant abnormalities are there, so nothing to worry about it. The symptoms are likely due to gastritis and reflux disease. So you have Omez DSR before breakfast for a week period and then whenever needed. Also, avoid spicy food, heavy meals and have some walk after meals for sometimes rather than resting immediately after food. However, if received any chemotherapy during treatment then should have one echo to rule out the possibility of heart damage due to chemotherapy. |
Q. I had a miscarriage one month ago and I am still bleeding. Is it a symptom of cancer? | Hello doctor, I had an abortion a few months back but retained the gestational sac. After 39 days, I had my periods. Again I conceived three months back and had a miscarriage 5 weeks later. I am still bleeding and it is heavy bleeding with lots of blood. The blood is bright red in color. Along with the blood, there are large clots and tissues along with it. I do not feel any pain except when there is heavy bleeding I feel pain in my vagina. Is it a symptom of cancer? | Hello. The fact that your bleeding has not stopped even after a month of miscarriage, indicates that there is all likelihood that you may have retained products of conception. It is mandatory to get a transvaginal ultrasound pelvis to check for endometrial thickness and for possible retained products. If the products are not seen and the endometrium is thickened, then you should opt for dilatation and curettage (D and C) for controlling bleeding. I also assure you that this is not endometrial cancer, as it is uncommon at your age and you have an inciting cause (miscarriage) which initiated the heavy bleed. So, USG is a must. |
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Hello doctor, I had an abortion a few months back but retained the gestational sac. After 39 days, I had my periods. Again I conceived three months back and had a miscarriage 5 weeks later. I am still bleeding and it is heavy bleeding with lots of blood. The blood is bright red in color. Along with the blood, there are large clots and tissues along with it. I do not feel any pain except when there is heavy bleeding I feel pain in my vagina. Is it a symptom of cancer? [/INST] Hello. The fact that your bleeding has not stopped even after a month of miscarriage, indicates that there is all likelihood that you may have retained products of conception. It is mandatory to get a transvaginal ultrasound pelvis to check for endometrial thickness and for possible retained products. If the products are not seen and the endometrium is thickened, then you should opt for dilatation and curettage (D and C) for controlling bleeding. I also assure you that this is not endometrial cancer, as it is uncommon at your age and you have an inciting cause (miscarriage) which initiated the heavy bleed. So, USG is a must. |
Q. Are there any common viruses or bacteria that would be viable after 3 years? | Hello doctor, Under normal circumstances are there any common viruses or bacteria (harmful microorganisms in general) that would be viable after three years? | Hi. It would have been better if your query had been clear about whether you meant the normal circumstances inside the human body or in the environmental condition. Inside the human body, bacteria and viruses can survive for many years without causing any clinical disease in the host and such type of hosts are called as carriers. When favorable conditions develop, these microorganisms leads to development of clinical diseases. Second about environmental condition, viruses multiply only inside living host and they cannot survive outside their host for such a long period of 3 years. The duration for inactivation of viruses in the environment is different for different viruses. About bacteria, many bacterial species can survive in the environment for a long period if they have favourable environment. It includes many non-pathogenic and some pathogenic bacteria and also some opportunistic bacteria. |
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Hello doctor, Under normal circumstances are there any common viruses or bacteria (harmful microorganisms in general) that would be viable after three years? [/INST] Hi. It would have been better if your query had been clear about whether you meant the normal circumstances inside the human body or in the environmental condition. Inside the human body, bacteria and viruses can survive for many years without causing any clinical disease in the host and such type of hosts are called as carriers. When favorable conditions develop, these microorganisms leads to development of clinical diseases. Second about environmental condition, viruses multiply only inside living host and they cannot survive outside their host for such a long period of 3 years. The duration for inactivation of viruses in the environment is different for different viruses. About bacteria, many bacterial species can survive in the environment for a long period if they have favourable environment. It includes many non-pathogenic and some pathogenic bacteria and also some opportunistic bacteria. |
Q. Is Aripiprazole safe for my father who is 65 years old? | Hello doctor, My father is 65 years old. He has bipolar disorder for 40 years. He also has diabetes. He is taking medicine for high blood pressure. For a very long time, he took lithium 1000 mg and oxcarbazepine 900 mg. 2-3 episodes used to happen, normally of long manic spell followed by gloomy/not so active spell. He stopped lithium due to toxicity, as even low dose was toxic. He started 200 mg quetiapine at night. In manic spell, he used to take up to 30 mg aripiprazole for 2-3 months. Considering his age and other medical conditions, what should be the right combination of medicine? Is aripiprazole safe? (it is very effective in mania for him) Now he has stopped aripiprazole, and he is fine. But he is complaining of restlessness sometimes. He feels like not wanting to sit in a place. What should be given to him in this post mania phase? Please ask for any more details if you require. | Hi. I have read through your query in detail. Please find my observations below. Medicines for mental health conditions should be taken under the strict supervision of the psychiatrist. As mentioned above, lithium toxicity is a serious concern and it is good that you have stopped lithium due to toxicity. Quetiapine is an atypical antipsychotic medication and studies have shown that it is a safe and effective medication for the elderly. The side effects are less when the patient takes Quetiapine. Transient hypotension, dizziness, and somnolence are the only side effects in patients and is seen rarely. Long term use of Quetiapine has shown no serious side effects in the elderly. Aripiprazole is good medicine but might cause agitation and activation in about 8 percent of elderly people who take it. Studies show that in most patients Aripiprazole can be continued at a dose of 10 to 15 mg/day. Aripiprazole has less metabolic side effects than other medicines. Side effects of Aripiprazole include dizziness, weakness, lightheadedness, nausea, vomiting, stomach upset, tiredness, excess saliva or drooling, choking or trouble in swallowing, blurred vision, headache, anxiety, weight gain, drowsiness, sleep problems (insomnia) and constipation. There is a little increase in the risk of stroke in the elderly due to the intake of antipsychotic medicines, though this is very less. It is very important to go into details of patient problems when prescribing and changing doses of medicines. I hope your father is managing well with his diabetes and blood pressure. Considering the above, it is best to prescribe medicines based on benefit and risk. Some patients might do well without medicine without much bipolar symptoms and in the absence of frequent attacks, however many require medicines like your father. There is no fixed regimen over one medicine being better than the rest but medicine like Aripiprazole has fewer side effects. Can you please let us know the treatment he has undertaken in the last 2 years, including medicine name and duration for which it was taken, dose, symptoms, and improvements. |
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Hello doctor, My father is 65 years old. He has bipolar disorder for 40 years. He also has diabetes. He is taking medicine for high blood pressure. For a very long time, he took lithium 1000 mg and oxcarbazepine 900 mg. 2-3 episodes used to happen, normally of long manic spell followed by gloomy/not so active spell. He stopped lithium due to toxicity, as even low dose was toxic. He started 200 mg quetiapine at night. In manic spell, he used to take up to 30 mg aripiprazole for 2-3 months. Considering his age and other medical conditions, what should be the right combination of medicine? Is aripiprazole safe? (it is very effective in mania for him) Now he has stopped aripiprazole, and he is fine. But he is complaining of restlessness sometimes. He feels like not wanting to sit in a place. What should be given to him in this post mania phase? Please ask for any more details if you require. [/INST] Hi. I have read through your query in detail. Please find my observations below. Medicines for mental health conditions should be taken under the strict supervision of the psychiatrist. As mentioned above, lithium toxicity is a serious concern and it is good that you have stopped lithium due to toxicity. Quetiapine is an atypical antipsychotic medication and studies have shown that it is a safe and effective medication for the elderly. The side effects are less when the patient takes Quetiapine. Transient hypotension, dizziness, and somnolence are the only side effects in patients and is seen rarely. Long term use of Quetiapine has shown no serious side effects in the elderly. Aripiprazole is good medicine but might cause agitation and activation in about 8 percent of elderly people who take it. Studies show that in most patients Aripiprazole can be continued at a dose of 10 to 15 mg/day. Aripiprazole has less metabolic side effects than other medicines. Side effects of Aripiprazole include dizziness, weakness, lightheadedness, nausea, vomiting, stomach upset, tiredness, excess saliva or drooling, choking or trouble in swallowing, blurred vision, headache, anxiety, weight gain, drowsiness, sleep problems (insomnia) and constipation. There is a little increase in the risk of stroke in the elderly due to the intake of antipsychotic medicines, though this is very less. It is very important to go into details of patient problems when prescribing and changing doses of medicines. I hope your father is managing well with his diabetes and blood pressure. Considering the above, it is best to prescribe medicines based on benefit and risk. Some patients might do well without medicine without much bipolar symptoms and in the absence of frequent attacks, however many require medicines like your father. There is no fixed regimen over one medicine being better than the rest but medicine like Aripiprazole has fewer side effects. Can you please let us know the treatment he has undertaken in the last 2 years, including medicine name and duration for which it was taken, dose, symptoms, and improvements. |
Q. How long should my husband and I wait to try for a baby if we did cocaine? | Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. | Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> |
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Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. [/INST] Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> |
Q. Can Yasmin birth control pill be used as an emergency contraceptive pill? | Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? | Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> |
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Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? [/INST] Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> |
Q. Please explain the poisonous effect of phenol ingestion. | Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. | Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> |
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Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. [/INST] Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> |
Q. For how long should I take Kalachikai powder to overcome PCOD problem? | Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? | Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> |
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Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? [/INST] Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> |
Q. Why do periods get delayed after first time sex? | Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? | Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> |
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Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? [/INST] Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> |
Q. Will Nano-Leo give permanent solution for erection problem? | Hello doctor, I am 48 years old. I am experiencing weak erection and difficulty in sustaining the same. This condition was observed 10 years back. Also, there is premature ejaculation. Other physical ailments that I have are, I am suffering from hypertension and taking Amlopres-L (Amlodipine and Lisinopril) for the last 10 years, high cholesterol and triglycerides. My cholesterol level is 225 and triglyceride is 200 for the last 12 years. I used to do frequent masturbation in early age. I do have erection during morning hours many times, particularly after sound sleep or if I had long walk previous day. I am having Sildenafil 25 mg or 5 mg Cialis, which is effective enough. But, I wish to get rid of tablet support and live natural way. I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days. I wish to have your second opinion on this. Please guide. | Hi. For further doubts consult a sexologist online --> |
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Hello doctor, I am 48 years old. I am experiencing weak erection and difficulty in sustaining the same. This condition was observed 10 years back. Also, there is premature ejaculation. Other physical ailments that I have are, I am suffering from hypertension and taking Amlopres-L (Amlodipine and Lisinopril) for the last 10 years, high cholesterol and triglycerides. My cholesterol level is 225 and triglyceride is 200 for the last 12 years. I used to do frequent masturbation in early age. I do have erection during morning hours many times, particularly after sound sleep or if I had long walk previous day. I am having Sildenafil 25 mg or 5 mg Cialis, which is effective enough. But, I wish to get rid of tablet support and live natural way. I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days. I wish to have your second opinion on this. Please guide. [/INST] Hi. For further doubts consult a sexologist online --> |
Q. Will cardiac ablation worsen POT syndrome? | Hello doctor, I have had POTS syndrome for 5 years and recently had loop recorder implanted. I have been told that I have atrial tachycardia and need ablation. Will ablation make POTS worse? | Hi. I assure you not to worry as everything is going to be fine soon. I have thoroughly gone through your case and can well understand your genuine concerns. No, cardiac ablation will not cause any derangements in your progressing disease of Postural Orthostatic Tachycardia Syndrome (POTS). It will rather help improve the symptoms of the disease and will lower the racing heart (tachycardia) feelings. I advise you to do aerobic exercise on a regular basis so that venous return from the lower extremities can be increased. If you experience feelings of dizziness to the extent of syncope (fainting), I advise you to wear graded compression hosiery extending up to the waist, thus helping to increase static pressure in the legs and decrease venous pooling in the lower extremities. Autonomic nervous system problems, conduction defect in heart. Take plenty of fluids with at least 3–5 g of common salt daily. Avoid standing for long hours. |
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Hello doctor, I have had POTS syndrome for 5 years and recently had loop recorder implanted. I have been told that I have atrial tachycardia and need ablation. Will ablation make POTS worse? [/INST] Hi. I assure you not to worry as everything is going to be fine soon. I have thoroughly gone through your case and can well understand your genuine concerns. No, cardiac ablation will not cause any derangements in your progressing disease of Postural Orthostatic Tachycardia Syndrome (POTS). It will rather help improve the symptoms of the disease and will lower the racing heart (tachycardia) feelings. I advise you to do aerobic exercise on a regular basis so that venous return from the lower extremities can be increased. If you experience feelings of dizziness to the extent of syncope (fainting), I advise you to wear graded compression hosiery extending up to the waist, thus helping to increase static pressure in the legs and decrease venous pooling in the lower extremities. Autonomic nervous system problems, conduction defect in heart. Take plenty of fluids with at least 3–5 g of common salt daily. Avoid standing for long hours. |
Q. Is it normal to have high pulse rate without breathlessness after a brisk walk? | Hello doctor, I am 40 years old male, obese, non-smoking, non-alcoholic, non-diabetic. My lipids and blood pressure are controlled with Rosuvastatin 5 mg and Olmesartan 20 mg. My query is that I walk regularly brisk and my pulse goes up to 145 and 150 without any breathlessness and recovery is also good as it drops around 25 points within one minute. Does this mean my heart does not have plaque and I am safe? After 150 pulse, slight discomfort or maybe anxiety but no breathlessness. I am very scared to do TMT test but also anxious to know that if I am able to touch 150 pulse without any issue that means my heart is in perfect condition? | Hello. Yes, if your heart rate is going above 150 without any chest pain or heaviness then the probability of significant blockages (more than 60 to 70 percent) is very low. However, this or even TMT will not help to rule out plaquing. TMT does not help in the diagnosis or ruling out plaquing as blood supply to the heart is not decreased even at very high heart rate. For plaques, CT coronary angiography is a good investigation. Although not absolutely necessary in you, you may undergo screening CT angiography or TMT in a few years just be on safer side considering the risk factors. Rest continue with a healthy lifestyle and medicines. |
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Hello doctor, I am 40 years old male, obese, non-smoking, non-alcoholic, non-diabetic. My lipids and blood pressure are controlled with Rosuvastatin 5 mg and Olmesartan 20 mg. My query is that I walk regularly brisk and my pulse goes up to 145 and 150 without any breathlessness and recovery is also good as it drops around 25 points within one minute. Does this mean my heart does not have plaque and I am safe? After 150 pulse, slight discomfort or maybe anxiety but no breathlessness. I am very scared to do TMT test but also anxious to know that if I am able to touch 150 pulse without any issue that means my heart is in perfect condition? [/INST] Hello. Yes, if your heart rate is going above 150 without any chest pain or heaviness then the probability of significant blockages (more than 60 to 70 percent) is very low. However, this or even TMT will not help to rule out plaquing. TMT does not help in the diagnosis or ruling out plaquing as blood supply to the heart is not decreased even at very high heart rate. For plaques, CT coronary angiography is a good investigation. Although not absolutely necessary in you, you may undergo screening CT angiography or TMT in a few years just be on safer side considering the risk factors. Rest continue with a healthy lifestyle and medicines. |
Q. Is it advisable to use birth control pills if I have a lung cyst? | Hi doctor, My doctor said that I have follicle cyst in my both sides. I finished my first pack and started the second pack after a week I cut using it. Now after seven days, I am having periods with cramps. I cut using it because I could not breathe. I went to emergency and they said I have a cyst in my right lung. My question is when should I start the new pack or continue the same pack? Can I use birth control pills if I had lung cyst? How is it going to effect? | Hi. Birth control pills generally do not affect the lungs. Still, confirm with your pulmonologist to double check. Follicle cysts subside in three months after the oral pills use. You can start the pills from the first day of periods itself, and continue the packs back to back, no gaps. First 24 tablets are hormonal ones, while the last four are placebo, giving you a hormone-free interval for withdrawal bleeding. |
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Hi doctor, My doctor said that I have follicle cyst in my both sides. I finished my first pack and started the second pack after a week I cut using it. Now after seven days, I am having periods with cramps. I cut using it because I could not breathe. I went to emergency and they said I have a cyst in my right lung. My question is when should I start the new pack or continue the same pack? Can I use birth control pills if I had lung cyst? How is it going to effect? [/INST] Hi. Birth control pills generally do not affect the lungs. Still, confirm with your pulmonologist to double check. Follicle cysts subside in three months after the oral pills use. You can start the pills from the first day of periods itself, and continue the packs back to back, no gaps. First 24 tablets are hormonal ones, while the last four are placebo, giving you a hormone-free interval for withdrawal bleeding. |
Q. I wake up after sleeping with high heart rate and breathing problems. Is it normal? | Hello doctor, I nearly wake up every night two to three hours after I go to bed. Symptoms are high heart rate (150 to 170) and breathing problems. My heart has been diagnosed and today I got an X-ray of my lung. What I think is strange. I only wake up, when I lie on my right side. I never woke up with these symptoms, when I lay on the left body side. I got the X-ray CD, but the diagnosis I will get in a few days. Could you please diagnose the uploaded DICOM files? | Hi. I have viewed your X-ray images (attachment removed to protect patient identity). X-ray chest PA view and X-ray chest lateral view. The lung markings are mildly prominent and it can be a normal finding in many individuals and some people with hyperactive airways due to mild flu or if they are smokers. There is a small area of haziness in the left lower zone along the lower part of the left heart border in the PA view but no significant abnormality is visualized in the lateral view. Therefore this might be an artefactual appearance due to fat in the area. There is no pleural effusion (no fluid in the chest cavity) and is a normal finding. The cardia is normal in size. Both the domes of the diaphragm are normal. The bones of the thoracic cage are normal. There is no serious abnormality in your chest X-ray. |
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Hello doctor, I nearly wake up every night two to three hours after I go to bed. Symptoms are high heart rate (150 to 170) and breathing problems. My heart has been diagnosed and today I got an X-ray of my lung. What I think is strange. I only wake up, when I lie on my right side. I never woke up with these symptoms, when I lay on the left body side. I got the X-ray CD, but the diagnosis I will get in a few days. Could you please diagnose the uploaded DICOM files? [/INST] Hi. I have viewed your X-ray images (attachment removed to protect patient identity). X-ray chest PA view and X-ray chest lateral view. The lung markings are mildly prominent and it can be a normal finding in many individuals and some people with hyperactive airways due to mild flu or if they are smokers. There is a small area of haziness in the left lower zone along the lower part of the left heart border in the PA view but no significant abnormality is visualized in the lateral view. Therefore this might be an artefactual appearance due to fat in the area. There is no pleural effusion (no fluid in the chest cavity) and is a normal finding. The cardia is normal in size. Both the domes of the diaphragm are normal. The bones of the thoracic cage are normal. There is no serious abnormality in your chest X-ray. |
Q. Why are there painful swellings near anus and vagina? | Hello doctor, There are swellings near anus and vagina with pain. I guess the wall was ruptured during the process of cleaning as the pressure from the pump was too high. | Hi. I need to know more details regarding the swelling. A picture of the swelling gives better information regarding its nature. When was it noticed? Any pus? Please revert with details so that I can give specific comments. |
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Hello doctor, There are swellings near anus and vagina with pain. I guess the wall was ruptured during the process of cleaning as the pressure from the pump was too high. [/INST] Hi. I need to know more details regarding the swelling. A picture of the swelling gives better information regarding its nature. When was it noticed? Any pus? Please revert with details so that I can give specific comments. |
Q. I get pain and bleeding after sex and pap smear shows CIN3. Kindly help. | Hello doctor, I have a history of back pain and pain during intercourse as well as bleeding after. My pap smear came back CIN3. What can I expect? | Hi. It depends on practices prevalent in your country and the prevalence of cervical cancer in your locality. Normally we would do colposcopic directed cervical biopsies to rule out cervical cancer and act according to the report of biopsy. Some doctors may prefer removing uterus after cancer is ruled out, especially if your age is more than or equal to 45 to 50 and if childbearing is complete. If there is a chance of cancer, extended surgery (for removal of the uterus) may be required. Kindly do not get frightened by the answer, as I have just mentioned possible treatment options we consider in our setup. All options may not be applicable in your case. |
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Hello doctor, I have a history of back pain and pain during intercourse as well as bleeding after. My pap smear came back CIN3. What can I expect? [/INST] Hi. It depends on practices prevalent in your country and the prevalence of cervical cancer in your locality. Normally we would do colposcopic directed cervical biopsies to rule out cervical cancer and act according to the report of biopsy. Some doctors may prefer removing uterus after cancer is ruled out, especially if your age is more than or equal to 45 to 50 and if childbearing is complete. If there is a chance of cancer, extended surgery (for removal of the uterus) may be required. Kindly do not get frightened by the answer, as I have just mentioned possible treatment options we consider in our setup. All options may not be applicable in your case. |
Q. Kindly have a look on MRI of aorta and explain about the false lumen. | Hello doctor, I am taking an MRI of my aorta once a year to check for the development of dissections, aneurysms, and enlargement of my aortic root. This is because my family can have connective tissue disorder (not yet diagnosed). I just got back from my MRI, and doing this every year. I have a habit of checking my images myself. If you could take an overall look and see if there is anything unusual. More specifically, measurement of the sinuses of Valsalva. The most pressing thing is that I saw what I think is a false lumen, but I am no radiologist and might very well be very wrong, but I would like this to be checked. I am waiting for my results to come back. | Hi. I am glad that you are an aware patient and getting yourself screened annually for aortic pathologies. The aortic origin, arch, and descending thoracic aorta show normal caliber lumen (attachment removed to protect patient identity). Abdominal aorta and its branches appear normal. No significant intimal thickening or plaque disease is seen. No intra-luminal filling defects seen. No sub-intimal collection or double lumen (to suggest aortic dissection) seen in the present scan. Flow and pulsation movement-related artifacts seen within the lumen are unavoidable in dynamic MRI scans (as seen in the reference images attachments sent by you). The measurements of the aorta at sino-tubular junction and sinus are within normal limits. Impression: Essentially normal aortic study. Regarding your pulse, I would request you for an ECG as ectopic beats and low volume pulses can be missed in manual or machine count but are well appreciated on ECG could indicate underlying arrhythmia. |
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Hello doctor, I am taking an MRI of my aorta once a year to check for the development of dissections, aneurysms, and enlargement of my aortic root. This is because my family can have connective tissue disorder (not yet diagnosed). I just got back from my MRI, and doing this every year. I have a habit of checking my images myself. If you could take an overall look and see if there is anything unusual. More specifically, measurement of the sinuses of Valsalva. The most pressing thing is that I saw what I think is a false lumen, but I am no radiologist and might very well be very wrong, but I would like this to be checked. I am waiting for my results to come back. [/INST] Hi. I am glad that you are an aware patient and getting yourself screened annually for aortic pathologies. The aortic origin, arch, and descending thoracic aorta show normal caliber lumen (attachment removed to protect patient identity). Abdominal aorta and its branches appear normal. No significant intimal thickening or plaque disease is seen. No intra-luminal filling defects seen. No sub-intimal collection or double lumen (to suggest aortic dissection) seen in the present scan. Flow and pulsation movement-related artifacts seen within the lumen are unavoidable in dynamic MRI scans (as seen in the reference images attachments sent by you). The measurements of the aorta at sino-tubular junction and sinus are within normal limits. Impression: Essentially normal aortic study. Regarding your pulse, I would request you for an ECG as ectopic beats and low volume pulses can be missed in manual or machine count but are well appreciated on ECG could indicate underlying arrhythmia. |
Q. Why am I getting palpitations frequently? | Hi doctor, I frequently get palpitations, usually a few times a day. I had a 24-hour ECG a couple of years ago. My general practitioner said it just showed some ectopics. However, I do get runs of palpitations lasting several seconds which make me feel light-headed. I can usually stop the run by coughing hard. Is this anything to worry about? My main concern is that I might pass out or that I might develop a fatal arrhythmia. | Hi. Yes, I would say palpitations with light-headedness likely indicates some serious kind of arrhythmia. You are lucky that in 30 years, you did not pass out but there is a risk that this kind of arrhythmia can be fatal. I would suggest visiting cardiologist. Repeat EKG and echocardiogram, you might need a Holter monitoring for 24 hours and ultimately might need medication or pacemaker depending on severity and type of arrhythmias. I am suspecting it to be SVT or VT runs. |
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Hi doctor, I frequently get palpitations, usually a few times a day. I had a 24-hour ECG a couple of years ago. My general practitioner said it just showed some ectopics. However, I do get runs of palpitations lasting several seconds which make me feel light-headed. I can usually stop the run by coughing hard. Is this anything to worry about? My main concern is that I might pass out or that I might develop a fatal arrhythmia. [/INST] Hi. Yes, I would say palpitations with light-headedness likely indicates some serious kind of arrhythmia. You are lucky that in 30 years, you did not pass out but there is a risk that this kind of arrhythmia can be fatal. I would suggest visiting cardiologist. Repeat EKG and echocardiogram, you might need a Holter monitoring for 24 hours and ultimately might need medication or pacemaker depending on severity and type of arrhythmias. I am suspecting it to be SVT or VT runs. |
Q. What does passage of a clot followed by continuous vaginal bleeding indicate? | Hello doctor, My period came on the first of last month. 22 days later, my breasts were hurting. I was cramping but there was no period. Five days later, I went to the restroom and I wiped and there was light pink blood. The next day still no period or spotting. Two days later, I woke up and blood was everywhere but I did not bleed. Next day, there was nothing. Then, I used the restroom and a big blood clot came out of me and I have been bleeding all night. What could it be? My pregnancy test came back negative. | Hi. I have read your concern. It is good you have already ruled out pregnancy because, in any type of abnormal bleeding among reproductive age, pregnancy is one of the first condition that should be ruled out. The second most common cause of these types of bleeding is a hormonal imbalance. Theoretically, your progesterone hormone should be elevated on the second half of your cycle and decreases when you are nearing the start of your period. So the amount of this hormone is critical in making you bleed. If there is too slow of a decrease or too abrupt or most the time insufficient amount, then it will affect the timing of the bleeding and will cause heavy bleeding. The treatment for this is oral Progesterone or in the form of birth control pills. The third common cause would be a structural problem, the presence of a polyp, myoma or endometrial lining problem, infection, etc. These situations will need ultrasound and evaluation by an ob-gyn. For your case, I suggest you take first Ibuprofen thrice a day for the first 3 to 4 days of your period. This would help in decreasing the bleeding and at the same time avoid pain. You may opt to observe this cycle of bleeding for another month or it would be more helpful to have a scheduled appointment with your ob-gyn for the next month. |
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Hello doctor, My period came on the first of last month. 22 days later, my breasts were hurting. I was cramping but there was no period. Five days later, I went to the restroom and I wiped and there was light pink blood. The next day still no period or spotting. Two days later, I woke up and blood was everywhere but I did not bleed. Next day, there was nothing. Then, I used the restroom and a big blood clot came out of me and I have been bleeding all night. What could it be? My pregnancy test came back negative. [/INST] Hi. I have read your concern. It is good you have already ruled out pregnancy because, in any type of abnormal bleeding among reproductive age, pregnancy is one of the first condition that should be ruled out. The second most common cause of these types of bleeding is a hormonal imbalance. Theoretically, your progesterone hormone should be elevated on the second half of your cycle and decreases when you are nearing the start of your period. So the amount of this hormone is critical in making you bleed. If there is too slow of a decrease or too abrupt or most the time insufficient amount, then it will affect the timing of the bleeding and will cause heavy bleeding. The treatment for this is oral Progesterone or in the form of birth control pills. The third common cause would be a structural problem, the presence of a polyp, myoma or endometrial lining problem, infection, etc. These situations will need ultrasound and evaluation by an ob-gyn. For your case, I suggest you take first Ibuprofen thrice a day for the first 3 to 4 days of your period. This would help in decreasing the bleeding and at the same time avoid pain. You may opt to observe this cycle of bleeding for another month or it would be more helpful to have a scheduled appointment with your ob-gyn for the next month. |
Q. A stray dog's leg just touched my foot. Should I take a precautionary vaccination? | Hi doctor, My query is related to the necessity of rabies vaccine for me. I am a 27 year old healthy male. I am a student, staying in the large campus of my institute. This campus is filled with stray dogs and many other types of animals. People caressing those dogs is a very common scene here. One week ago, while I was walking, a dog ran in front of me. That time, its back leg touched my feet. I inspected that part well, but no visible break in the skin was observed. Should I approach a doctor for any treatment? As the disease is quite frightening, I request you to consider the minute risk too. | Hi. I understand your apprehension. As it is already one week since you had the dog touch your feet and there was no bleed or break of skin as such. No vaccination is required now. You should have thoroughly cleaned the region immediately after the dog had touched your leg. I would like to know if you have any idea about the present status of the dog? As a watch of the dog for 10 days post-bite would be ideal. Also, precautionary vaccination is not usually advised. Only, a post-exposure vaccine is advised in rabies. If anyone has a bite or break of the skin or if there is lick by a dog on a broken/cut skin or if there is any bleed from the site of bite then vaccine is recommended. For a lick or fondling on an intact skin, only cleaning and washing the wound in running tap water is sufficient. |
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Hi doctor, My query is related to the necessity of rabies vaccine for me. I am a 27 year old healthy male. I am a student, staying in the large campus of my institute. This campus is filled with stray dogs and many other types of animals. People caressing those dogs is a very common scene here. One week ago, while I was walking, a dog ran in front of me. That time, its back leg touched my feet. I inspected that part well, but no visible break in the skin was observed. Should I approach a doctor for any treatment? As the disease is quite frightening, I request you to consider the minute risk too. [/INST] Hi. I understand your apprehension. As it is already one week since you had the dog touch your feet and there was no bleed or break of skin as such. No vaccination is required now. You should have thoroughly cleaned the region immediately after the dog had touched your leg. I would like to know if you have any idea about the present status of the dog? As a watch of the dog for 10 days post-bite would be ideal. Also, precautionary vaccination is not usually advised. Only, a post-exposure vaccine is advised in rabies. If anyone has a bite or break of the skin or if there is lick by a dog on a broken/cut skin or if there is any bleed from the site of bite then vaccine is recommended. For a lick or fondling on an intact skin, only cleaning and washing the wound in running tap water is sufficient. |
Q. Every time I eat spicy food, I poop blood. Why? | Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I do not have a family history of colon cancer. I got blood tests done last night. Please find my reports attached. | Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online --> |
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Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I do not have a family history of colon cancer. I got blood tests done last night. Please find my reports attached. [/INST] Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online --> |
Q. How long should my husband and I wait to try for a baby if we did cocaine? | Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. | Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> |
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Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. [/INST] Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> |
Q. Can Yasmin birth control pill be used as an emergency contraceptive pill? | Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? | Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> |
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Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? [/INST] Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> |
Q. Please explain the poisonous effect of phenol ingestion. | Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. | Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> |
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Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. [/INST] Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> |
Q. For how long should I take Kalachikai powder to overcome PCOD problem? | Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? | Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> |
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Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? [/INST] Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> |
Q. Why do periods get delayed after first time sex? | Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? | Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> |
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Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? [/INST] Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> |
Q. I wish to know if there are any abnormalities in my chest radiograph. | Hello doctor, I would like to get a an opinion regarding the attached chest radiograph. I wish to know if there are any abnormalities like scarring. | Hi. I have gone through your attached chest radiograph (attachment removed to protect patient identity). Please find my observations below. The chest x-ray is essentially normal except for slightly prominent lung markings bilaterally and especially in right lower zone. However, there is no area of patchy opacity or scarring. Prominent lung markings might be associated with a mild cough or a hyperactive airway. It is also important to keep in mind that occasionally the lung markings might also appear prominently in a normal person when seeing a digital chest x-ray like the one sent by you. There is no fluid collection. The heart is normal in size. The bones are normal. The diaphragms are normal. I would like to know the reason for which the chest x-ray was taken, for more detailed discussion because symptoms of the patient are important while discussing a chest X-ray. Hope this answers your question. |
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Hello doctor, I would like to get a an opinion regarding the attached chest radiograph. I wish to know if there are any abnormalities like scarring. [/INST] Hi. I have gone through your attached chest radiograph (attachment removed to protect patient identity). Please find my observations below. The chest x-ray is essentially normal except for slightly prominent lung markings bilaterally and especially in right lower zone. However, there is no area of patchy opacity or scarring. Prominent lung markings might be associated with a mild cough or a hyperactive airway. It is also important to keep in mind that occasionally the lung markings might also appear prominently in a normal person when seeing a digital chest x-ray like the one sent by you. There is no fluid collection. The heart is normal in size. The bones are normal. The diaphragms are normal. I would like to know the reason for which the chest x-ray was taken, for more detailed discussion because symptoms of the patient are important while discussing a chest X-ray. Hope this answers your question. |
Q. Can tablet Percocet cause seizures? | Hello doctor, Can tablet Percocet cause seizures when taken in proper dose for pain? Will the seizures occur while I am sleeping? | Hello. Percocet is a tablet with a combination of two medications namely Acetaminophen and Oxycodone. This drug is commonly prescribed for the relief of moderate to severe pain. It is advisable to use this medication only in the prescribed dosage and for the prescribed time. The most common side effects of Percocet are: However, there are a few other rare side effects like (in such cases, it is advisable to visit the doctor immediately) A typical seizure would be something like this: A period of unconsciousness with uncontrolled contraction and relaxation of your muscles (often all of them) along with involuntary or unconscious passage of urine and stools and may also be associated with vomiting and often associated with tongue biting. One who has suffered the episode will usually have no recollection of the event. Once the person gains consciousness, he/she feels exhausted and only a witness could provide the observation of the symptoms. There may also be injuries over the body.If a seizure occurs during sleep, then it could be life threatening as the vomitus may be aspirated into the air passage (trachea and lungs) and may cause difficulty in breathing. However, if you have observed any such symptoms, it is advisable to visit your treating doctor and get your medication reviewed.If you are sure that it is a seizure that you had, then it would be a good idea to stop the medication right away and also get a complete evaluation by your doctor to identify the cause of the seizure. |
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Hello doctor, Can tablet Percocet cause seizures when taken in proper dose for pain? Will the seizures occur while I am sleeping? [/INST] Hello. Percocet is a tablet with a combination of two medications namely Acetaminophen and Oxycodone. This drug is commonly prescribed for the relief of moderate to severe pain. It is advisable to use this medication only in the prescribed dosage and for the prescribed time. The most common side effects of Percocet are: However, there are a few other rare side effects like (in such cases, it is advisable to visit the doctor immediately) A typical seizure would be something like this: A period of unconsciousness with uncontrolled contraction and relaxation of your muscles (often all of them) along with involuntary or unconscious passage of urine and stools and may also be associated with vomiting and often associated with tongue biting. One who has suffered the episode will usually have no recollection of the event. Once the person gains consciousness, he/she feels exhausted and only a witness could provide the observation of the symptoms. There may also be injuries over the body.If a seizure occurs during sleep, then it could be life threatening as the vomitus may be aspirated into the air passage (trachea and lungs) and may cause difficulty in breathing. However, if you have observed any such symptoms, it is advisable to visit your treating doctor and get your medication reviewed.If you are sure that it is a seizure that you had, then it would be a good idea to stop the medication right away and also get a complete evaluation by your doctor to identify the cause of the seizure. |
Q. My perineal area burns while urinating. What can I do to ease this? | Hello doctor, I am a 35 year old woman. My perineal area burns if my urine touches this area while I urinate. Having sex is also very painful. Should I be concerned and what can I do to ease this? | Hello. Your complaints are burning sensation around perineum whenever urine touches it, painful sexual intercourse and raw areas. It looks like that you might have a genital infection. To be more specific, if you have reddish colored lesions, erosions/vesicles over genitals, painful to touch, mucoid discharge along with above-mentioned complaints, then most likely you have contracted genital herpes. Genital herpes is caused by a virus named herpes simplex, contacted by having an unprotected vaginal/ anal/ oral sex. Usually, the first infection is severe as compared to recurrent infection. The frequency of recurrent infection is high. Diagnosis can be confirmed by ELISA detecting viral antigens. Treatment involves the following: I would suggest you consult a venereologist in person, before starting this treatment, to get a screening done for other sexually transmitted diseases as well. |
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Hello doctor, I am a 35 year old woman. My perineal area burns if my urine touches this area while I urinate. Having sex is also very painful. Should I be concerned and what can I do to ease this? [/INST] Hello. Your complaints are burning sensation around perineum whenever urine touches it, painful sexual intercourse and raw areas. It looks like that you might have a genital infection. To be more specific, if you have reddish colored lesions, erosions/vesicles over genitals, painful to touch, mucoid discharge along with above-mentioned complaints, then most likely you have contracted genital herpes. Genital herpes is caused by a virus named herpes simplex, contacted by having an unprotected vaginal/ anal/ oral sex. Usually, the first infection is severe as compared to recurrent infection. The frequency of recurrent infection is high. Diagnosis can be confirmed by ELISA detecting viral antigens. Treatment involves the following: I would suggest you consult a venereologist in person, before starting this treatment, to get a screening done for other sexually transmitted diseases as well. |
Q. Will candidiasis cause red bumps on penis after sex? | Hello doctor, I am 38 years old and I am 67 kg and 169 cm. I am half black with kind of light skin. Although I have my fiancee, I masturbate a lot before and sometimes I damage my skin under the gland. I can mention maybe since a year or so. I always associate because, in the new place where I live, the climate is far drier than in my home country. Since one month ago, my fiancee started taking estrogen due to fertility treatment and she got candidiasis and was treated but she was not told that I also should take the treatment. I have since some time an almost unnoticeable small red bump with kind of dried and bright appearance in the gland (in what I call the down part of my gland which is where the gland connects with the part of the skin that I do not see when I pee). At that time I did not have time for going to doctor and I did not know about icliniq. She advised me to use coconut cream and I used it and the swelling disappeared. However, I have it again in the same location. She recently received again the estrogen treatment. Like three weeks ago, when I had the first bump, once I had sex with my girlfriend and it was a little bit painful. In general, I do not know if it is because of my uneasiness, but I feel certain discomfort in the top of my gland but very little. These are all the symptoms I think. | Hi. It can be candidiasis or some allergic reaction. You can apply Miconazole cream locally twice daily for about 10 days and see. If it increases or recurs, see a doctor. Please use a condom until both of you are adequately treated, to prevent cross infection. The pain during sex could be due to stretching of the frenulum, the fold at 6 o'clock below glans. If it tears repeatedly, a minor corrective surgery helps. Take care. |
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Hello doctor, I am 38 years old and I am 67 kg and 169 cm. I am half black with kind of light skin. Although I have my fiancee, I masturbate a lot before and sometimes I damage my skin under the gland. I can mention maybe since a year or so. I always associate because, in the new place where I live, the climate is far drier than in my home country. Since one month ago, my fiancee started taking estrogen due to fertility treatment and she got candidiasis and was treated but she was not told that I also should take the treatment. I have since some time an almost unnoticeable small red bump with kind of dried and bright appearance in the gland (in what I call the down part of my gland which is where the gland connects with the part of the skin that I do not see when I pee). At that time I did not have time for going to doctor and I did not know about icliniq. She advised me to use coconut cream and I used it and the swelling disappeared. However, I have it again in the same location. She recently received again the estrogen treatment. Like three weeks ago, when I had the first bump, once I had sex with my girlfriend and it was a little bit painful. In general, I do not know if it is because of my uneasiness, but I feel certain discomfort in the top of my gland but very little. These are all the symptoms I think. [/INST] Hi. It can be candidiasis or some allergic reaction. You can apply Miconazole cream locally twice daily for about 10 days and see. If it increases or recurs, see a doctor. Please use a condom until both of you are adequately treated, to prevent cross infection. The pain during sex could be due to stretching of the frenulum, the fold at 6 o'clock below glans. If it tears repeatedly, a minor corrective surgery helps. Take care. |
Q. Can taking less Folic acid during pregnancy by Crohn's patient affect baby? | Hello doctor, I have Crohn's disease and am pregnant. The first day of my last period was before 40 days and I have been taking multivitamins which includes 400 micrograms of Folic acid for the past four months. I am now pregnant. The doctor said that I need 5 mg of Folic acid due to the Crohns which I have started from today. No one told me I need more Folic acid than average woman until today and I am now sick with worry. If I had been taking an insufficient amount of Folic acid and caused harm to the baby, then how or when will I know? | Hi. I have read your concern. You need not worry or be anxious about it. Although absorption of Folate may be disturbed because of your Crohns, taking 400 mcg for four months will be good enough. Meaning, you are not deficient from it from the very start but since you are now pregnant, additional Folic acid is needed to be used by the baby. I suggest you have your serum Folic acid test done so as to make sure that everything is not below normal. Because Chrons as you already may know effects the absorption of folic acid. |
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Hello doctor, I have Crohn's disease and am pregnant. The first day of my last period was before 40 days and I have been taking multivitamins which includes 400 micrograms of Folic acid for the past four months. I am now pregnant. The doctor said that I need 5 mg of Folic acid due to the Crohns which I have started from today. No one told me I need more Folic acid than average woman until today and I am now sick with worry. If I had been taking an insufficient amount of Folic acid and caused harm to the baby, then how or when will I know? [/INST] Hi. I have read your concern. You need not worry or be anxious about it. Although absorption of Folate may be disturbed because of your Crohns, taking 400 mcg for four months will be good enough. Meaning, you are not deficient from it from the very start but since you are now pregnant, additional Folic acid is needed to be used by the baby. I suggest you have your serum Folic acid test done so as to make sure that everything is not below normal. Because Chrons as you already may know effects the absorption of folic acid. |
Q. Will Kalarchikai cure multiple ovarian cysts in PCOD? | Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well. | Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help. |
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Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well. [/INST] Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help. |
Q. Why am I getting lumbar pain while lying on back with occasional acne? | Hello doctor, If I lie on my back for more than two minutes, I have quite severe lumbar pain when I try to get out of bed, mainly when I try to straighten up. It goes away once I manage to straighten up. I also have lumbar acne that comes and goes every few months but this is not so severe. | Hello. I read your concern. The pain what you describe could be due to flexibility issue. Less flexibility in hamstrings and less hip flexor muscles can cause this issue. This changes the biomechanics of low back altering the posture resulting in pain in the lower back. I would like to suggest you stretch hip flexor and hamstrings. Try sleeping with a pillow below the knees. Do lots of lower abdomen pelvic floor and core stabilization exercises. Dead bugs 30 seconds thrice, hundreds 10 BC thrice, air cycling 30 seconds thrice, bridging with pillow squeezing between legs 15 thrice, step ups 15 each thrice, clamshell 10 seconds hold six each thrice, superman reach 15 each thrice, back extension exercises 15 thrice. Kindly revert back to me after 10 days. Keep icing your back frequently. For 15 minutes once in two hours. |
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Hello doctor, If I lie on my back for more than two minutes, I have quite severe lumbar pain when I try to get out of bed, mainly when I try to straighten up. It goes away once I manage to straighten up. I also have lumbar acne that comes and goes every few months but this is not so severe. [/INST] Hello. I read your concern. The pain what you describe could be due to flexibility issue. Less flexibility in hamstrings and less hip flexor muscles can cause this issue. This changes the biomechanics of low back altering the posture resulting in pain in the lower back. I would like to suggest you stretch hip flexor and hamstrings. Try sleeping with a pillow below the knees. Do lots of lower abdomen pelvic floor and core stabilization exercises. Dead bugs 30 seconds thrice, hundreds 10 BC thrice, air cycling 30 seconds thrice, bridging with pillow squeezing between legs 15 thrice, step ups 15 each thrice, clamshell 10 seconds hold six each thrice, superman reach 15 each thrice, back extension exercises 15 thrice. Kindly revert back to me after 10 days. Keep icing your back frequently. For 15 minutes once in two hours. |
Q. Why am I having rashes in vagina that are multiplying? | Hello doctor, My vagina has got these rashes that are not going away but seem to be multiplying. Some are like three close together and some are single. It does not hurt or itch, it only hurts after sex. None of my previous or current sexual partners have these rashes. The rashes are really small and some have a small whitish thing on top. It started about a month ago as one but has multiplied and I feel very insecure right now. | Hi, Welcome to iclinq.com. I understand your concern. These lesions of yours appear to be small papules (attachment removed to protect patient identity) probably can be due to some viral infection superimposed with a little bit of fungal infection. You should apply Candid B cream locally twice for seven days. Tablet Fluconazole 150 mg OD for six weeks. I think this should help you. You should use a vaginal wash to wash the vaginal area. VDRL, slide examination from lesions. Candid cream locally twice for seven days, tablet Fluconazole 150 mg OD weekly for six weeks. Vaginal wash to wash vaginal area. Use barrier contraceptive. |
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Hello doctor, My vagina has got these rashes that are not going away but seem to be multiplying. Some are like three close together and some are single. It does not hurt or itch, it only hurts after sex. None of my previous or current sexual partners have these rashes. The rashes are really small and some have a small whitish thing on top. It started about a month ago as one but has multiplied and I feel very insecure right now. [/INST] Hi, Welcome to iclinq.com. I understand your concern. These lesions of yours appear to be small papules (attachment removed to protect patient identity) probably can be due to some viral infection superimposed with a little bit of fungal infection. You should apply Candid B cream locally twice for seven days. Tablet Fluconazole 150 mg OD for six weeks. I think this should help you. You should use a vaginal wash to wash the vaginal area. VDRL, slide examination from lesions. Candid cream locally twice for seven days, tablet Fluconazole 150 mg OD weekly for six weeks. Vaginal wash to wash vaginal area. Use barrier contraceptive. |
Q. What can be done to manage mental disturbance due to family stress and studies pressure? | Hello doctors,These days I get depressed a lot. I fear I am not worthy of anything. I want to study astrophysics and be a researcher but due to academic pressure, I get stressed. I am a good student and topper in my class but due to my parents' constant fights and arguments, I get disturbed mentally. I am totally down. I am not me. I can feel it and cannot do anything about it. I hate everyone. I do not want anyone. I feel like shouting from my lungs. I want to scream but I cannot. Sometimes, I get suicidal thoughts. I do not know what to do. | Hi. I can understand your difficult position due to stress in the family. Remember it is not your fault and it is common for young people to feel stressed and low in the mood when facing problems at home or outside. First, try to discuss your problems with either of your parents when they are in a calmer mood. You can also discuss with a trusted uncle, aunt or grandparent. Do not suffer alone at such a young age. When you are experiencing negative and suicidal thoughts, do not be alone. Discuss with a trusted member of the family who can understand and support you. Try to change things under your control and do not worry too much which you cannot control. Try to relax. You can try progressive muscle relaxation exercises, deep breathing exercises. Eat and sleep regularly. Do regular physical activities like walking, watch TV, listen to songs at least for 20 to 30 minutes daily. Do not get bogged down by studies alone. If your mood does not improve in 1 to 2 weeks, it will benefit to see your family doctor to rule out clinical depression. If depressed, you will need talking therapy or counseling, sometimes antidepressant medication will also be prescribed to make you feel better. Remember these difficulties are temporary. You will get better and I wish you are able to pursue a research career in astrophysics. Discuss with your parents. You can even show them this response. Family stress, academic pressure. |
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Hello doctors,These days I get depressed a lot. I fear I am not worthy of anything. I want to study astrophysics and be a researcher but due to academic pressure, I get stressed. I am a good student and topper in my class but due to my parents' constant fights and arguments, I get disturbed mentally. I am totally down. I am not me. I can feel it and cannot do anything about it. I hate everyone. I do not want anyone. I feel like shouting from my lungs. I want to scream but I cannot. Sometimes, I get suicidal thoughts. I do not know what to do. [/INST] Hi. I can understand your difficult position due to stress in the family. Remember it is not your fault and it is common for young people to feel stressed and low in the mood when facing problems at home or outside. First, try to discuss your problems with either of your parents when they are in a calmer mood. You can also discuss with a trusted uncle, aunt or grandparent. Do not suffer alone at such a young age. When you are experiencing negative and suicidal thoughts, do not be alone. Discuss with a trusted member of the family who can understand and support you. Try to change things under your control and do not worry too much which you cannot control. Try to relax. You can try progressive muscle relaxation exercises, deep breathing exercises. Eat and sleep regularly. Do regular physical activities like walking, watch TV, listen to songs at least for 20 to 30 minutes daily. Do not get bogged down by studies alone. If your mood does not improve in 1 to 2 weeks, it will benefit to see your family doctor to rule out clinical depression. If depressed, you will need talking therapy or counseling, sometimes antidepressant medication will also be prescribed to make you feel better. Remember these difficulties are temporary. You will get better and I wish you are able to pursue a research career in astrophysics. Discuss with your parents. You can even show them this response. Family stress, academic pressure. |
Q. What is causing foamy urine with dry mouth? | Hello doctor, I have been experiencing foamy urine since last six months. The froathing in the urine has considerably increased in last one week. I often also notice dry mouth symptom. I had undergone a kidney function test a couple of times and reports were normal. I am not diabetic nor any other history of medication. My age is 38 years and weight 88 kg, height 171 cm. | Hi. I have gone through your query and the attached reports (attachment removed to protect patient identity). Your reports are mostly within normal limits, there is nothing to explain about the foamy urine in it. There are only two common possibilities for this, one is protein in the urine or could be dehydration. Ideally, I would like to examine you to see whether you have any signs of dehydration, I would strongly suggest you visit your local physician to have a check. If it was due to dehydration, I would suggest you increase your fluid intake by about a liter a day. If there is no response to that, then maybe you need further tests to definitely check whether there is any protein leak in the urine as the routine dipstick test is not always accurate. |
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Hello doctor, I have been experiencing foamy urine since last six months. The froathing in the urine has considerably increased in last one week. I often also notice dry mouth symptom. I had undergone a kidney function test a couple of times and reports were normal. I am not diabetic nor any other history of medication. My age is 38 years and weight 88 kg, height 171 cm. [/INST] Hi. I have gone through your query and the attached reports (attachment removed to protect patient identity). Your reports are mostly within normal limits, there is nothing to explain about the foamy urine in it. There are only two common possibilities for this, one is protein in the urine or could be dehydration. Ideally, I would like to examine you to see whether you have any signs of dehydration, I would strongly suggest you visit your local physician to have a check. If it was due to dehydration, I would suggest you increase your fluid intake by about a liter a day. If there is no response to that, then maybe you need further tests to definitely check whether there is any protein leak in the urine as the routine dipstick test is not always accurate. |
Q. I have stretch marks on my breast. What does that mean? | Hello doctor, I am 18 years old and I am starting to get stretch marks on my breast. Does that mean they will grow? I am currently a 34D cup and my mom is a 36DD. | Hi. It is your teenage and you are in growing and developmental phase of life still. The reproductive system is still under the process of growth and that is why you could experience different changes. Breast could have effects of menstrual cycles hormones that can give you strech like feeling. During ovulation, fertilization, excitement, stress, hormonal change, pregnancy, near periods, hormonal effects can affect breast and can give you a better feeling of engorgement, fullness, and heaviness. As soon as hormones come back to normal level, the feeling subsides. I hope you get my point. You can have hot fomentation if you feel irritation or warm baths or warm water swimming can help you. Check on other symptoms and report if breast symptoms persist more then a month further. Hormonal changes. Hot and cold fomentation. A balanced diet, cycling, BMI, swimming, and bath in warm water. |
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Hello doctor, I am 18 years old and I am starting to get stretch marks on my breast. Does that mean they will grow? I am currently a 34D cup and my mom is a 36DD. [/INST] Hi. It is your teenage and you are in growing and developmental phase of life still. The reproductive system is still under the process of growth and that is why you could experience different changes. Breast could have effects of menstrual cycles hormones that can give you strech like feeling. During ovulation, fertilization, excitement, stress, hormonal change, pregnancy, near periods, hormonal effects can affect breast and can give you a better feeling of engorgement, fullness, and heaviness. As soon as hormones come back to normal level, the feeling subsides. I hope you get my point. You can have hot fomentation if you feel irritation or warm baths or warm water swimming can help you. Check on other symptoms and report if breast symptoms persist more then a month further. Hormonal changes. Hot and cold fomentation. A balanced diet, cycling, BMI, swimming, and bath in warm water. |
Q. How long should my husband and I wait to try for a baby if we did cocaine? | Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. | Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> |
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Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. [/INST] Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> |
Q. Can Yasmin birth control pill be used as an emergency contraceptive pill? | Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? | Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> |
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Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? [/INST] Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> |
Q. Please explain the poisonous effect of phenol ingestion. | Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. | Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> |
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Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. [/INST] Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> |
Q. For how long should I take Kalachikai powder to overcome PCOD problem? | Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? | Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> |
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Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? [/INST] Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> |
Q. Why do periods get delayed after first time sex? | Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? | Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> |
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Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? [/INST] Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> |
Q. I masturbate only by rubbing the tip of the penis. Is it a wrong way? | Hi doctor, During masturbation I just rub the tip of the penis and not the entire penis. Is it a wrong way of doing? I do not get excited during sex and unable to ejaculate. Only, rubbing the tip of the penis gives me excitement. Also, two weeks ago, I have undergone circumcision as my foreskin did not retract. Before circumcision too, I have the same problem. Please help. | Hi. For further doubts consult a sexologist online --> |
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Hi doctor, During masturbation I just rub the tip of the penis and not the entire penis. Is it a wrong way of doing? I do not get excited during sex and unable to ejaculate. Only, rubbing the tip of the penis gives me excitement. Also, two weeks ago, I have undergone circumcision as my foreskin did not retract. Before circumcision too, I have the same problem. Please help. [/INST] Hi. For further doubts consult a sexologist online --> |
Q. Is clubbing in chronic smoker something serious? | Hello doctor, I am 27 years old, female. 130 lbs. Have a history of smoking slightly less than one pack a day for 10 years. Quit a month ago. I am concerned about finger clubbing. I have noticed a new curvature in my nail over the last few months that was not present before. It is mostly in my index fingers and slightly in middle fingers. According to the Schamroth's test, I have a very small window. I am really concerned. Could this be early signs? | Hi. This is mild clubbing and it is normal in young females. It is due to estrogen hormone in females. Please keep yourself miles apart from tobacco and alcohol. To be on the safe side, have a chest X-ray done and send me here to look for any pulmonary cause, as you have 10 years of smoking history. Usually, smokers develop clubbing when they have cyanosis, that is more concentration of deoxygenated blood in vessels but your fingers do not seem to be cyanosed. Cyanosis means the bluish appearance of nails, tongue and lips, etc. Your fingers and nails appear pink means no cyanosis. Again I emphasize to avoid smoking. Chest X-ray. |
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Hello doctor, I am 27 years old, female. 130 lbs. Have a history of smoking slightly less than one pack a day for 10 years. Quit a month ago. I am concerned about finger clubbing. I have noticed a new curvature in my nail over the last few months that was not present before. It is mostly in my index fingers and slightly in middle fingers. According to the Schamroth's test, I have a very small window. I am really concerned. Could this be early signs? [/INST] Hi. This is mild clubbing and it is normal in young females. It is due to estrogen hormone in females. Please keep yourself miles apart from tobacco and alcohol. To be on the safe side, have a chest X-ray done and send me here to look for any pulmonary cause, as you have 10 years of smoking history. Usually, smokers develop clubbing when they have cyanosis, that is more concentration of deoxygenated blood in vessels but your fingers do not seem to be cyanosed. Cyanosis means the bluish appearance of nails, tongue and lips, etc. Your fingers and nails appear pink means no cyanosis. Again I emphasize to avoid smoking. Chest X-ray. |
Q. Does brown spotting a few days after withdrawal method of sex mean pregnancy? | Hello doctor, The last day of my period was 25 days back. My partner and I had unprotected sex a week later using the withdrawal method. Last day, I experienced having a light brown spot. My next period is due in a few days. I am 18 years old. Am I pregnant? | Hi. Drops of semen if by chance transfer to the vagina, then just a single sperm is enough to have conception but this process is not so simple as it seems. You are scared even without penetrative sex but as it was done around fertile period so that is why thinking of the possibility. Have serum beta hCG (blood pregnancy test) to check pregnancy status. If by chance it comes positive, then report to gynecologist emergency in case of any symptoms appear like bleeding, pain, etc. Have Folic acid, balanced diet, if the pregnancy test comes positive. Check for abnormality in vaginal swab like a smell, irritation. If yes, then you might need a high vaginal swab to check vaginal infection. In case of a negative pregnancy test, better to have combined oral contraceptives so you could be comfortable. 1. Beta hCG. 2. HVS if vaginal discharge is irritating and smelly. COCP cyclically if the pregnancy test is negative. COCP. |
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Hello doctor, The last day of my period was 25 days back. My partner and I had unprotected sex a week later using the withdrawal method. Last day, I experienced having a light brown spot. My next period is due in a few days. I am 18 years old. Am I pregnant? [/INST] Hi. Drops of semen if by chance transfer to the vagina, then just a single sperm is enough to have conception but this process is not so simple as it seems. You are scared even without penetrative sex but as it was done around fertile period so that is why thinking of the possibility. Have serum beta hCG (blood pregnancy test) to check pregnancy status. If by chance it comes positive, then report to gynecologist emergency in case of any symptoms appear like bleeding, pain, etc. Have Folic acid, balanced diet, if the pregnancy test comes positive. Check for abnormality in vaginal swab like a smell, irritation. If yes, then you might need a high vaginal swab to check vaginal infection. In case of a negative pregnancy test, better to have combined oral contraceptives so you could be comfortable. 1. Beta hCG. 2. HVS if vaginal discharge is irritating and smelly. COCP cyclically if the pregnancy test is negative. COCP. |
Q. Why are there pain in lower stomach with gas and burning sensation during urination? | Hello doctor, Pain in lower right stomach and gas passes many times a day. And some time low burning in urine. No fever or any other problem. | Hi. Please drink a lot of water for the urinary problem. Take the following medications for the stomach problem. 1. Capsule Esomeprazole 40 mg once daily before breakfast for four weeks. 2. Tablet Mebeverine 135 mg thrice a day before meals for two weeks. 3. Tablet Rifaxamin 550 mg twice a day before meals for two weeks. Avoid spicy food, bakery items, fast food, and caffeine. |
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Hello doctor, Pain in lower right stomach and gas passes many times a day. And some time low burning in urine. No fever or any other problem. [/INST] Hi. Please drink a lot of water for the urinary problem. Take the following medications for the stomach problem. 1. Capsule Esomeprazole 40 mg once daily before breakfast for four weeks. 2. Tablet Mebeverine 135 mg thrice a day before meals for two weeks. 3. Tablet Rifaxamin 550 mg twice a day before meals for two weeks. Avoid spicy food, bakery items, fast food, and caffeine. |
Q. What can be done to manage itchy red dots due to bug bites? | Hello doctor, I have bug bites that appeared as small red dots first and then turned into bigger, more normal bug bites within two days. I have washed my bed sheets twice and got more when I was away in another city for two nights. They are itchy, but there is no pus or anything. I have about a dozen of them. Do I need to go to a doctor? | Hi. I have read your query in detail and viewed the attached pictures (attachment removed to protect patient identity). The condition seems to be papular urticaria, which is due to an allergic reaction to an insect bite, fleas or bed bugs. 1. Continue with Loratidine 10 mg, you can take it twice a day for a week. 2. A combination of steroids like Mometasone and an antibiotic like Fusidic acid to be applied over the lesions twice daily for one week. Wearing fully covering clothing will help. Insect repellants or sprays in your home or office. |
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Hello doctor, I have bug bites that appeared as small red dots first and then turned into bigger, more normal bug bites within two days. I have washed my bed sheets twice and got more when I was away in another city for two nights. They are itchy, but there is no pus or anything. I have about a dozen of them. Do I need to go to a doctor? [/INST] Hi. I have read your query in detail and viewed the attached pictures (attachment removed to protect patient identity). The condition seems to be papular urticaria, which is due to an allergic reaction to an insect bite, fleas or bed bugs. 1. Continue with Loratidine 10 mg, you can take it twice a day for a week. 2. A combination of steroids like Mometasone and an antibiotic like Fusidic acid to be applied over the lesions twice daily for one week. Wearing fully covering clothing will help. Insect repellants or sprays in your home or office. |
Q. Will taking contraceptive pill an hour before sex prevent pregnancy? | Hello doctor, I and my fiancee had intercourse a month back with a condom and also she had an emergency contraceptive pill. I bought it from a medical. They asked her to take it before one hour of intercourse. She had a regular period. Her last period was on 7th of last month but it is 11th of next month now and till now she did not get her periods. She does not want to get pregnant now as she has her exams in a few months. She is doing heavy exercise like cycling, spot jogging, sit ups. And also she has taken two raw papayas, four pineapples and three times ginger syrup. I am sure that condom did not get broken. My doubts are will she get pregnant? Is there really a pill available to be taken before intercourse. Is that pill true? What she can do further to get her periods? Can she take Probers tablet for getting it? | Hi. Stress plays important role in periods. She might be freaking out with the fear of getting pregnant, with exams on the head causing a delay in her periods. Please consider doing a pregnancy test, most likely, it will be negative, and that will help her relax. Periods will gradually occur. No need to worry. Yes, there are medicines for getting periods, but they might worsen her condition by causing mood swings, as she already has taken an emergency contraceptive. Secondly, emergency contraceptives should be taken within 72 hours of unprotected intercourse, the earlier, the better effect. She has taken it quite early even before intercourse, so chances of pregnancy are nil. |
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Hello doctor, I and my fiancee had intercourse a month back with a condom and also she had an emergency contraceptive pill. I bought it from a medical. They asked her to take it before one hour of intercourse. She had a regular period. Her last period was on 7th of last month but it is 11th of next month now and till now she did not get her periods. She does not want to get pregnant now as she has her exams in a few months. She is doing heavy exercise like cycling, spot jogging, sit ups. And also she has taken two raw papayas, four pineapples and three times ginger syrup. I am sure that condom did not get broken. My doubts are will she get pregnant? Is there really a pill available to be taken before intercourse. Is that pill true? What she can do further to get her periods? Can she take Probers tablet for getting it? [/INST] Hi. Stress plays important role in periods. She might be freaking out with the fear of getting pregnant, with exams on the head causing a delay in her periods. Please consider doing a pregnancy test, most likely, it will be negative, and that will help her relax. Periods will gradually occur. No need to worry. Yes, there are medicines for getting periods, but they might worsen her condition by causing mood swings, as she already has taken an emergency contraceptive. Secondly, emergency contraceptives should be taken within 72 hours of unprotected intercourse, the earlier, the better effect. She has taken it quite early even before intercourse, so chances of pregnancy are nil. |
Q. Am I having forgetfulness because of Alzheimer? | Hello doctor, I am an 18-year-old, and I have experienced forgetfulness ever since I was in elementary. I usually ace my tests because I have a very short term memory, so cramming often makes do. But, I often tend to forget things when my body takes the so-called auto-pilot mode. During these times, I tend to do things with me, not really focusing on doing it because I was thinking of something else. I cannot really recall what exactly happened in a day when nothing special has occurred. I often forget where I put things, even when they are already in front of me, or in my hand. I seem to misplace habitually and it has pertrubed my parents. Now I am wandering if these are early symptoms of Alzheimer's. Please reply, and if you want to ask questions about me,feel free. | Hello. I understand your concern and would explain that your symptoms are not related to dementia or Alzheimer. At your age, considering the description of your complaints, I would think about a concentration disorder (attention disorder). This could be related to ADHD or anxiety. For this reason, I would recommend consulting with a psychiatrist or psychologist to help determine the right cause. It is also important checking complete blood count for anemia and thyroid hormone levels for thyroid gland dysfunction. |
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Hello doctor, I am an 18-year-old, and I have experienced forgetfulness ever since I was in elementary. I usually ace my tests because I have a very short term memory, so cramming often makes do. But, I often tend to forget things when my body takes the so-called auto-pilot mode. During these times, I tend to do things with me, not really focusing on doing it because I was thinking of something else. I cannot really recall what exactly happened in a day when nothing special has occurred. I often forget where I put things, even when they are already in front of me, or in my hand. I seem to misplace habitually and it has pertrubed my parents. Now I am wandering if these are early symptoms of Alzheimer's. Please reply, and if you want to ask questions about me,feel free. [/INST] Hello. I understand your concern and would explain that your symptoms are not related to dementia or Alzheimer. At your age, considering the description of your complaints, I would think about a concentration disorder (attention disorder). This could be related to ADHD or anxiety. For this reason, I would recommend consulting with a psychiatrist or psychologist to help determine the right cause. It is also important checking complete blood count for anemia and thyroid hormone levels for thyroid gland dysfunction. |
Q. Is it advisable to take Duphaston for ovarian cyst? | Hello doctor, Today, I had an appointment with a doctor. It looks like I have a small cyst in my ovary. The doctor said, nothing is special but somehow told me to get Duphaston 10 mg for 10 days. Can it cause weight gain? What can be side effects? And if I do not get it and the cyst is not dangerous, can it affect my fertility? | Hi. It would be better if you could send me your detailed gynecology, obstetrics, medical, surgical, and drug history. The cyst is a developing large size follicle. If it is less then 4 to 5 mm then it should resolve by itself in the next few months gradually. If you do not have multiple cysts, then you can avoid medication. Duphaston is Progesterone and its side-effect is weight gain if taken for a long time. If you are observing weight gain, abnormal weight gain along with irregular or scanty periods, then you need only blood tests. So observe for these as well. In the case of multiple ovarian cysts with or without the above symptoms also, you need to have a blood test. Have a balanced diet, weight, and BMI to avoid polycystic ovary. Ovarian cyst. Have exercise, yoga, and swimming or exercise to have balanced weight and BMI. More fruits, vegetables, and plenty of water and reduce salt, sugar, oil, and spice. |
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Hello doctor, Today, I had an appointment with a doctor. It looks like I have a small cyst in my ovary. The doctor said, nothing is special but somehow told me to get Duphaston 10 mg for 10 days. Can it cause weight gain? What can be side effects? And if I do not get it and the cyst is not dangerous, can it affect my fertility? [/INST] Hi. It would be better if you could send me your detailed gynecology, obstetrics, medical, surgical, and drug history. The cyst is a developing large size follicle. If it is less then 4 to 5 mm then it should resolve by itself in the next few months gradually. If you do not have multiple cysts, then you can avoid medication. Duphaston is Progesterone and its side-effect is weight gain if taken for a long time. If you are observing weight gain, abnormal weight gain along with irregular or scanty periods, then you need only blood tests. So observe for these as well. In the case of multiple ovarian cysts with or without the above symptoms also, you need to have a blood test. Have a balanced diet, weight, and BMI to avoid polycystic ovary. Ovarian cyst. Have exercise, yoga, and swimming or exercise to have balanced weight and BMI. More fruits, vegetables, and plenty of water and reduce salt, sugar, oil, and spice. |
Q. I am suffering from erectile dysfunction due to atherosclerosis. Is it manageable through siddha medicines? | Hello doctor, I am suffering from erectile dysfunction due to atherosclerosis causing less blood flow to the penis, this may be due to family history of high cholesterol. The allopathy medicine suggested for this is Tadalafil 5 mg every day (vasodilator). Is it manageable through Siddha medicines? I am 33 years old. My height is 176 cm, and I weigh 76 kg. I have borderline high cholesterol, and I do not have high blood pressure or diabetes. I do not have the habit of smoking or drinking. Please go through my blood reports. | Hi,Welcome to icliniq.com. I have gone through your reports (attachment removed to protect patient identity). As per your blood report, your cholesterol profile is above the upper limit. This might be the cause for the penile artery blockage (atherosclerosis plaque). But, I think the other possible reasons for erectile dysfunction may be: For cholesterol, you consult a general physician and they would prescribe Simvastatin. This will reduce your cholesterol and reduce the plaque. If you wish to have sexual intercourse, on that day, take one tablet of Tadalafil before sexual activity. Otherwise, do not consume it regularly. It has many side effects. In Siddha, cholesterol, trauma or unknown cause induced erectile dysfunction can be treated using the following drugs: Last two drugs can improve the vascularity to the penis and reduce further worsening of atherosclerosis complications. |
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Hello doctor, I am suffering from erectile dysfunction due to atherosclerosis causing less blood flow to the penis, this may be due to family history of high cholesterol. The allopathy medicine suggested for this is Tadalafil 5 mg every day (vasodilator). Is it manageable through Siddha medicines? I am 33 years old. My height is 176 cm, and I weigh 76 kg. I have borderline high cholesterol, and I do not have high blood pressure or diabetes. I do not have the habit of smoking or drinking. Please go through my blood reports. [/INST] Hi,Welcome to icliniq.com. I have gone through your reports (attachment removed to protect patient identity). As per your blood report, your cholesterol profile is above the upper limit. This might be the cause for the penile artery blockage (atherosclerosis plaque). But, I think the other possible reasons for erectile dysfunction may be: For cholesterol, you consult a general physician and they would prescribe Simvastatin. This will reduce your cholesterol and reduce the plaque. If you wish to have sexual intercourse, on that day, take one tablet of Tadalafil before sexual activity. Otherwise, do not consume it regularly. It has many side effects. In Siddha, cholesterol, trauma or unknown cause induced erectile dysfunction can be treated using the following drugs: Last two drugs can improve the vascularity to the penis and reduce further worsening of atherosclerosis complications. |
Q. I am facing a problem of delusion. Is there any other solution for it? | Hello doctor, I am facing a problem with delusion. It is like an attack and I start thinking that my family members or my friends want to do something wrong with me and I suddenly get very angry and start shouting. The base of this problem is around 12 years ago when I spoke wrong about a female member of my family to a friend of mine. So, whenever I get an attack, I think that my friend had told everything to my family. I faced this problem for the first time around 6 years ago. Currently, I am taking Soltus 50 mg daily which was 100 mg earlier. So, I want to know what problem is this and do I have to take this tablet for a lifetime or is there any other solution for it? | Hi. Delusion is a false belief, which is very firm and unshakeable. It is a symptom of psychosis, which is found in schizophrenia, bipolar disorder, depression, mania, etc. It is due to increased dopamine chemical in the brain. Other causes are genetic, sociocultural and psychological. If you had shown a complete response on Soltus 100 mg in the past, then you can again start Soltus 100 mg now. Soltus (Amisulpride) is a antipsychotic medication, whose dose can be increased up to 400 mg. If you have continuous illness for the last 12 years, then you have to take medicine for a lifetime because chances of recurrence of these illnesses are very high. What is your height, your other symptoms, current sleep, appetite, your work? |
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Hello doctor, I am facing a problem with delusion. It is like an attack and I start thinking that my family members or my friends want to do something wrong with me and I suddenly get very angry and start shouting. The base of this problem is around 12 years ago when I spoke wrong about a female member of my family to a friend of mine. So, whenever I get an attack, I think that my friend had told everything to my family. I faced this problem for the first time around 6 years ago. Currently, I am taking Soltus 50 mg daily which was 100 mg earlier. So, I want to know what problem is this and do I have to take this tablet for a lifetime or is there any other solution for it? [/INST] Hi. Delusion is a false belief, which is very firm and unshakeable. It is a symptom of psychosis, which is found in schizophrenia, bipolar disorder, depression, mania, etc. It is due to increased dopamine chemical in the brain. Other causes are genetic, sociocultural and psychological. If you had shown a complete response on Soltus 100 mg in the past, then you can again start Soltus 100 mg now. Soltus (Amisulpride) is a antipsychotic medication, whose dose can be increased up to 400 mg. If you have continuous illness for the last 12 years, then you have to take medicine for a lifetime because chances of recurrence of these illnesses are very high. What is your height, your other symptoms, current sleep, appetite, your work? |
Q. I am having severe pain in breast while breastfeeding. Please advice. | Hello doctor, I am having severe pain in breast while breastfeeding. The pain is present only in the right breast while feeding. My son is 24 days old and I had started feeding since day 3. From then, I have been suffering from this pain. Though it is painful, I am still feeding him. Please advice. | Hello. You have not mentioned the specific site where you get the pain. Is it in and around the nipple or is it deep inside? If the pain is in and around the nipple, then it is most likely due to faulty technique while feeding. These are the instructions for proper breastfeeding technique: Now considering that you are not doing any faulty technique or posture and still getting the pain deep inside: In any of the above reasons, you have to visit a gynecologist as soon as possible. |
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Hello doctor, I am having severe pain in breast while breastfeeding. The pain is present only in the right breast while feeding. My son is 24 days old and I had started feeding since day 3. From then, I have been suffering from this pain. Though it is painful, I am still feeding him. Please advice. [/INST] Hello. You have not mentioned the specific site where you get the pain. Is it in and around the nipple or is it deep inside? If the pain is in and around the nipple, then it is most likely due to faulty technique while feeding. These are the instructions for proper breastfeeding technique: Now considering that you are not doing any faulty technique or posture and still getting the pain deep inside: In any of the above reasons, you have to visit a gynecologist as soon as possible. |
Q. Is it normal to feel hot over the hands and vagina with sharp abdominal pain during pregnancy? | Hello doctor, I am four months pregnant. My hand and leg palms feel like burning and become very hot, and I have the same feeling in my vagina too. I also get an occasional sharp pain in my lower abdomen for a few seconds. Is this normal in pregnancy? Kindly suggest. I have attached my reports and I am currently taking Fol 123, Duvadilan, Duphaston 10 mg, Udiliv 300 mg, Pan-D, Thyroxine 12.5, and Eltroxin 75. | Hello. I read your examination. (attachment removed to protect patient identity). They are all normal. The symptoms that you prescribe above are common during pregnancy. Burning sensation in palms and hand is called Carpal Syndrome, it happens in pregnancy due to swelling of tissues. The burning sensation in the vagina is because your sexual organs are more vasculated (more blood comes to them) during pregnancy. To exclude vaginal infection you can perform a vaginal swab and urinary analysis. Your cervical length is 31 mm, so you do not have to worry about abdominal pain, that does not seem to be a uterine contraction. Countinue your medication and especially you have to consult with an endocrinologist to secure that the thyroid hormone levels are normal. |
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Hello doctor, I am four months pregnant. My hand and leg palms feel like burning and become very hot, and I have the same feeling in my vagina too. I also get an occasional sharp pain in my lower abdomen for a few seconds. Is this normal in pregnancy? Kindly suggest. I have attached my reports and I am currently taking Fol 123, Duvadilan, Duphaston 10 mg, Udiliv 300 mg, Pan-D, Thyroxine 12.5, and Eltroxin 75. [/INST] Hello. I read your examination. (attachment removed to protect patient identity). They are all normal. The symptoms that you prescribe above are common during pregnancy. Burning sensation in palms and hand is called Carpal Syndrome, it happens in pregnancy due to swelling of tissues. The burning sensation in the vagina is because your sexual organs are more vasculated (more blood comes to them) during pregnancy. To exclude vaginal infection you can perform a vaginal swab and urinary analysis. Your cervical length is 31 mm, so you do not have to worry about abdominal pain, that does not seem to be a uterine contraction. Countinue your medication and especially you have to consult with an endocrinologist to secure that the thyroid hormone levels are normal. |
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 getting a blood clot after taking Mifepristone for missed period normal? | Hi doctor, I am 25 years old and unmarried. My last period was a month back. After that, I had unprotected intercourse. This month I missed my periods and found positive results on the test kit twice. I took Mifegest kit's Mifepristone tablet yesterday night at 8.30 PM. After that, today morning I just saw a small blood clot like as of periods, later I got none of the symptoms, neither any other symptom. Just sometimes a bit abdominal cramps as experienced at the time of periods. Is everything normal? Is the medicine working? Please help and give me a further suggestion. | Hi. First of all, have you done a USG pelvis to know about the size and site of pregnancy? Once intrauterine pregnancy less than seven weeks is confirmed, only then you should use Mifegest kit, otherwise, it may cause you serious bleeding, with a need of hospitalization and blood transfusion. You need to complete the course first, that is, four Misoprostol tablets to be taken after 48 hours of Mifepristone. The final result can be known only after USG after 14 days. |
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Hi doctor, I am 25 years old and unmarried. My last period was a month back. After that, I had unprotected intercourse. This month I missed my periods and found positive results on the test kit twice. I took Mifegest kit's Mifepristone tablet yesterday night at 8.30 PM. After that, today morning I just saw a small blood clot like as of periods, later I got none of the symptoms, neither any other symptom. Just sometimes a bit abdominal cramps as experienced at the time of periods. Is everything normal? Is the medicine working? Please help and give me a further suggestion. [/INST] Hi. First of all, have you done a USG pelvis to know about the size and site of pregnancy? Once intrauterine pregnancy less than seven weeks is confirmed, only then you should use Mifegest kit, otherwise, it may cause you serious bleeding, with a need of hospitalization and blood transfusion. You need to complete the course first, that is, four Misoprostol tablets to be taken after 48 hours of Mifepristone. The final result can be known only after USG after 14 days. |
Q. Will Lulifin lotion dropped into eyes accidentally cause any problem? | Hi doctor, My mom accidentally dropped the Lulifin lotion into my eyes. Is there any first aid treatment or should I contact the doctor? Please tell me. I am scared. | Hi. Lulifin is an antifungal lotion. You should immediately do an eye wash with clean water, and continue this for at least 20 to 30 minutes. You can get some antibiotics steroid eye drops and apply for three times a day for 4 to 5 days. Please remember that if your vision is affected then it is better to see an eye doctor. |
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Hi doctor, My mom accidentally dropped the Lulifin lotion into my eyes. Is there any first aid treatment or should I contact the doctor? Please tell me. I am scared. [/INST] Hi. Lulifin is an antifungal lotion. You should immediately do an eye wash with clean water, and continue this for at least 20 to 30 minutes. You can get some antibiotics steroid eye drops and apply for three times a day for 4 to 5 days. Please remember that if your vision is affected then it is better to see an eye doctor. |
Q. Will taking Caverta for recreational purposes cause any side-effects? | Hello doctor, I have used Caverta for recreational purposes for the past one and a half years. I used to have it once in 1 or 2 months and the dose used to be about 10 mg. What are the side-effects? | Hi. Using this for such a long time and at a young age can produce pronounced side effects like erectile dysfunction at a later stage, and low BP problems. I would advise to avoid the drug and try a more natural way of life. Use a barrier contraceptive that enhances the duration of sex and you can successfully wean off the drug. You can take it occasionally but it will be at your own risk. Besides, it produces short-term side effects also like dryness of respiratory tract and retention of alcohol. So avoid taking it with alcohol. Take care and keep healthy. |
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Hello doctor, I have used Caverta for recreational purposes for the past one and a half years. I used to have it once in 1 or 2 months and the dose used to be about 10 mg. What are the side-effects? [/INST] Hi. Using this for such a long time and at a young age can produce pronounced side effects like erectile dysfunction at a later stage, and low BP problems. I would advise to avoid the drug and try a more natural way of life. Use a barrier contraceptive that enhances the duration of sex and you can successfully wean off the drug. You can take it occasionally but it will be at your own risk. Besides, it produces short-term side effects also like dryness of respiratory tract and retention of alcohol. So avoid taking it with alcohol. Take care and keep healthy. |
Q. Will taking Gestone one day earlier after frozen embryo transfer cause any problem? | Hi doctor, My frozen embryo day five transfer was on 16th at 1 PM, which was my day six of Gestone 100 injection. Post FET, I was advised to take Gestone injection on 19th, 22th, 25th, 28th of this month. The due date for blood test being 27th. By mistake, I took the injection today which is 18th, a day prior to the prescribed day. What to do? Is it going to affect the result? | Hi. From your query, it is understood that you have gone through the IVF cycle and Progesterone injection are just to maintain the pregnancy. So it does not matter much if you have taken one day before the scheduled dose. Now, subsequently, you take these weekly, meaning, all the doses one day beforehand the scheduled one. No need to worry. There would be no side effect surely. You be in touch for your pregnancy and have a safe pregnancy. |
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Hi doctor, My frozen embryo day five transfer was on 16th at 1 PM, which was my day six of Gestone 100 injection. Post FET, I was advised to take Gestone injection on 19th, 22th, 25th, 28th of this month. The due date for blood test being 27th. By mistake, I took the injection today which is 18th, a day prior to the prescribed day. What to do? Is it going to affect the result? [/INST] Hi. From your query, it is understood that you have gone through the IVF cycle and Progesterone injection are just to maintain the pregnancy. So it does not matter much if you have taken one day before the scheduled dose. Now, subsequently, you take these weekly, meaning, all the doses one day beforehand the scheduled one. No need to worry. There would be no side effect surely. You be in touch for your pregnancy and have a safe pregnancy. |
Q. I am feeling uncomfortable with my sports goggles. Please advise. | Hello doctor, Why does everything look different or trippy? I recently got sports goggles for soccer with the same prescription as with my regular glasses. I feel so much more comfortable with my regular glasses that I almost want to keep playing sports with those glasses. I got the sports goggles so they won't break (I have broken pairs of glasses in the past with sports) and so they will not fall off. Now I am scared to use them because it is almost as if I am in an adjustment period again. I know that happens when you have a different prescription but I know this is the same exact one. Will this continue to bother me when I am practicing or playing? Any tips? | Hi. It is very common for everyone to get these kinds of experience when they change glasses even with the same power glasses. This is because our eyes get adjusted to the glasses, even minor changes like the shape of the glasses, frames, interpupillary distance, a gap between glasses and eyes. After you use these glasses for a month your eyes get adjusted to the new one. You can use the sports goggles during sport and normal glass during other times. |
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Hello doctor, Why does everything look different or trippy? I recently got sports goggles for soccer with the same prescription as with my regular glasses. I feel so much more comfortable with my regular glasses that I almost want to keep playing sports with those glasses. I got the sports goggles so they won't break (I have broken pairs of glasses in the past with sports) and so they will not fall off. Now I am scared to use them because it is almost as if I am in an adjustment period again. I know that happens when you have a different prescription but I know this is the same exact one. Will this continue to bother me when I am practicing or playing? Any tips? [/INST] Hi. It is very common for everyone to get these kinds of experience when they change glasses even with the same power glasses. This is because our eyes get adjusted to the glasses, even minor changes like the shape of the glasses, frames, interpupillary distance, a gap between glasses and eyes. After you use these glasses for a month your eyes get adjusted to the new one. You can use the sports goggles during sport and normal glass during other times. |
Q. I have ringworm on left side of my stomach. Will it spread to other parts of the body? | Hello doctor, I think I may have ringworm. It is located on the left side of my stomach (almost hip). I have tried putting Clotrimozol and Daktarin on it. I am afraid that it may spread to other parts of my body. Please help. | Hello. How long it has been there? What are the symptoms of it? Any other area affected? Any other family members affected? Any history of hypertension, diabetes mellitus, or thyroid disorder? Any known drug reaction? Looking forward to your response in order to help you. |
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Hello doctor, I think I may have ringworm. It is located on the left side of my stomach (almost hip). I have tried putting Clotrimozol and Daktarin on it. I am afraid that it may spread to other parts of my body. Please help. [/INST] Hello. How long it has been there? What are the symptoms of it? Any other area affected? Any other family members affected? Any history of hypertension, diabetes mellitus, or thyroid disorder? Any known drug reaction? Looking forward to your response in order to help you. |
Q. Why are there two ways in vagina with clot in between? | Hello doctor, I have a problem that I am a newly married person and having ambiguity with the vagina. There are two ways in the vagina of my wife and between this way, there is just a little bit clot in the vagina. How can I remove it? | Hi. If you are certain that there are two passages in the vagina, it could just be a minor vaginal septum, which is common and can be removed surgically. There are no complications. Or in some rare cases, your wife may be having two sets of a uterovaginal canal, also known as uterine didelphis. In that case, I do not want to scare you, but your wife is at risk of recurrent miscarriages, premature birth, kidney abnormalities, etc. Physical examination and USG pelvis or MRI pelvis for your wife will rule out such condition. |
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Hello doctor, I have a problem that I am a newly married person and having ambiguity with the vagina. There are two ways in the vagina of my wife and between this way, there is just a little bit clot in the vagina. How can I remove it? [/INST] Hi. If you are certain that there are two passages in the vagina, it could just be a minor vaginal septum, which is common and can be removed surgically. There are no complications. Or in some rare cases, your wife may be having two sets of a uterovaginal canal, also known as uterine didelphis. In that case, I do not want to scare you, but your wife is at risk of recurrent miscarriages, premature birth, kidney abnormalities, etc. Physical examination and USG pelvis or MRI pelvis for your wife will rule out such condition. |
Q. Kindly tell me the management of bad taste with tooth infection. | Hello doctor, My dentist told me I have a tooth infection, but did not seem too worried and said I could wait until next month to extract it as that is when I will have insurance. This was a week ago. Since then I have been having moderate sinus headaches. Is this something that I should be worried about? There is a gross taste in my mouth from the tooth as well. | Hi. I had gone through your question, I can understand your concern. The taste may be because of the pus discharge from the draining sinus into the mouth. In case there are such symptoms, you need to take a course of antibiotics and you can wait till next month and if the symptoms are not so much you can wait as you do. In case you need any medication or treatment for any particular symptoms, mention it in next query. You can also use mouthwash Chlorhexidine. |
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Hello doctor, My dentist told me I have a tooth infection, but did not seem too worried and said I could wait until next month to extract it as that is when I will have insurance. This was a week ago. Since then I have been having moderate sinus headaches. Is this something that I should be worried about? There is a gross taste in my mouth from the tooth as well. [/INST] Hi. I had gone through your question, I can understand your concern. The taste may be because of the pus discharge from the draining sinus into the mouth. In case there are such symptoms, you need to take a course of antibiotics and you can wait till next month and if the symptoms are not so much you can wait as you do. In case you need any medication or treatment for any particular symptoms, mention it in next query. You can also use mouthwash Chlorhexidine. |
Q. Is it possible to get irregular periods with ovulation issues due to hormonal problems? | Hello doctor, I am 24 years old woman. My weight is 95 kg and height 165. I have irregular periods, ovulation problem. I consulted a doctor, she says hormonal problem, I have not produced an ovum, so the ovulation has stopped. | Hi. Your condition is known as PCOD (polycystic ovarian disease). It has the following features: Ovarian follicles are not fully functional and they do not produce the adequate hormone. This disease also has insulin resistance (a hormone which decreases glucose by increasing its breakdown) which leads to an increase in weight of the patient. Your doctor might be giving you a course of oral contraceptive pills for irregular menses. You should focus on weight loss by a healthy diet and exercise. Your weight loss will increase insulin sensitivity in your body. Please think about marriage and pregnancy before 30 years because PCOD is commonly associated with infertility. Infertility has better results if diagnosed and treated at an earlier age. |
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Hello doctor, I am 24 years old woman. My weight is 95 kg and height 165. I have irregular periods, ovulation problem. I consulted a doctor, she says hormonal problem, I have not produced an ovum, so the ovulation has stopped. [/INST] Hi. Your condition is known as PCOD (polycystic ovarian disease). It has the following features: Ovarian follicles are not fully functional and they do not produce the adequate hormone. This disease also has insulin resistance (a hormone which decreases glucose by increasing its breakdown) which leads to an increase in weight of the patient. Your doctor might be giving you a course of oral contraceptive pills for irregular menses. You should focus on weight loss by a healthy diet and exercise. Your weight loss will increase insulin sensitivity in your body. Please think about marriage and pregnancy before 30 years because PCOD is commonly associated with infertility. Infertility has better results if diagnosed and treated at an earlier age. |
Q. What can be done to come out of virtual world and stop imagining things? | Hello doctor, I do not know why but I make a virtual world for myself. I always fake things about myself, tell untrue stories. When I remember people, like my ex-boyfriend, I imagine a conversation between me and him that had never happened and I feel happy. I keep imagining all that I wanted to do but have never done. I talk to people in my mind. I meet them, I see them, I laugh and cry in my mind. I am tired of imagining and failing in everything in real life. I even sometimes imagine the conversations with dead people. | Hi. People use imagination as a defense or escape from reality. Some degree of imagination is alright because it makes us imagine a goal, feeling of happiness, if achieved, hence motivate a person for a target or goal but the use of excessive imagination can lead to wastage of time and serve as a distraction from your real life goals. You can reduce this by giving some aversive stimulation to yourself like a tyre rubber band in the hand bullet as much as possible so that you feel pain when you will stop doing this. Set a goal in real life and be passionate about it. Try to achieve it at any cost. If you still find it hard to overcome, then I would advise you to consult a local psychiatrist. |
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Hello doctor, I do not know why but I make a virtual world for myself. I always fake things about myself, tell untrue stories. When I remember people, like my ex-boyfriend, I imagine a conversation between me and him that had never happened and I feel happy. I keep imagining all that I wanted to do but have never done. I talk to people in my mind. I meet them, I see them, I laugh and cry in my mind. I am tired of imagining and failing in everything in real life. I even sometimes imagine the conversations with dead people. [/INST] Hi. People use imagination as a defense or escape from reality. Some degree of imagination is alright because it makes us imagine a goal, feeling of happiness, if achieved, hence motivate a person for a target or goal but the use of excessive imagination can lead to wastage of time and serve as a distraction from your real life goals. You can reduce this by giving some aversive stimulation to yourself like a tyre rubber band in the hand bullet as much as possible so that you feel pain when you will stop doing this. Set a goal in real life and be passionate about it. Try to achieve it at any cost. If you still find it hard to overcome, then I would advise you to consult a local psychiatrist. |
Q. Please give a suitable advise to enlarge my penis size? | Hello doctor, I am 25 years old. I got married six months back but I am not satisfied with my sex relationships because my penis is so small and not getting up for more time. So, please give me any suitable advice which can help my penis to get large and satisfy me and my partner. | Hi. I have read your problems carefully. Your complaints are of small penis and less pleasure in sex. At first, you have to know details about sex and female orgasm. Normal sexual time is 2 to 5 minutes. Sometimes, it may be more or less. And sexual pleasure not depends on time and size of the penis. It is a myth that a large penis is good. But it is not true. A large penis may be troublesome for your partner. Now coming to the solution. 1. Small penis: there is some exercise which may help. But do not expect more. Do not use the device. It may harm. 2. Sexual pleasure: sexual pleasure mainly depends on foreplay rather than sex. More foreplay gives your partner more pleasure. Even only with foreplay, fingering and oral sex can make your partner pleased. So concentrate on those. 3. Less time: time may be low or high. You should mind it that, anxiety make your sexual time low and less pleasurable. So do not be anxious. There is some way to make your sex lengthy. Such as coitus interrupts. When you think cum is coming, just withdraw, take some pause and start again. Make more foreplay in coitus. Doing sex slowly. Do not be in a hurry. You can try Duloxetine 20 to 30 mg, 30 minutes before bedtime. It may help. But you should keep in mind that, there is some side effect of Duloxetine such as nausea, dizziness. Do not worry about that. |
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Hello doctor, I am 25 years old. I got married six months back but I am not satisfied with my sex relationships because my penis is so small and not getting up for more time. So, please give me any suitable advice which can help my penis to get large and satisfy me and my partner. [/INST] Hi. I have read your problems carefully. Your complaints are of small penis and less pleasure in sex. At first, you have to know details about sex and female orgasm. Normal sexual time is 2 to 5 minutes. Sometimes, it may be more or less. And sexual pleasure not depends on time and size of the penis. It is a myth that a large penis is good. But it is not true. A large penis may be troublesome for your partner. Now coming to the solution. 1. Small penis: there is some exercise which may help. But do not expect more. Do not use the device. It may harm. 2. Sexual pleasure: sexual pleasure mainly depends on foreplay rather than sex. More foreplay gives your partner more pleasure. Even only with foreplay, fingering and oral sex can make your partner pleased. So concentrate on those. 3. Less time: time may be low or high. You should mind it that, anxiety make your sexual time low and less pleasurable. So do not be anxious. There is some way to make your sex lengthy. Such as coitus interrupts. When you think cum is coming, just withdraw, take some pause and start again. Make more foreplay in coitus. Doing sex slowly. Do not be in a hurry. You can try Duloxetine 20 to 30 mg, 30 minutes before bedtime. It may help. But you should keep in mind that, there is some side effect of Duloxetine such as nausea, dizziness. Do not worry about that. |
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 am 23 years old with a habit of urinating in bed still. Please suggest medication. | Hello doctor, I am a 23-year-old female. I used to urinate on the bed since childhood. Please suggest me some medicines. | Hello. Have you tried any medication before also? Do you have a dry period anytime until these 23 years? You still do bed-wetting on a daily basis or it is just when you cough or sneeze? Do you have any history of diabetes or hypertension or any medications? Kindly elaborate on how many times at night you wet and how many times you get up to urinate? |
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Hello doctor, I am a 23-year-old female. I used to urinate on the bed since childhood. Please suggest me some medicines. [/INST] Hello. Have you tried any medication before also? Do you have a dry period anytime until these 23 years? You still do bed-wetting on a daily basis or it is just when you cough or sneeze? Do you have any history of diabetes or hypertension or any medications? Kindly elaborate on how many times at night you wet and how many times you get up to urinate? |
Q. Can a young adult get type 2 diabetes? | Hello doctor, I am 20 years old, type 2 diabetes patient. Please give me information about diabetes. Every morning, I do running around 2 to 3 km. | Hello. I have seen your attached details (attachment removed to protect patient identity), which show you are on multiple drugs to control blood glucose and your blood glucose levels seem to be in very good control. However, if levels drop too low that is less than 70 mg or so, there is a possibility of developing hypoglycemia. So please take care not to have too low levels. Regarding what is diabetes and details about it, it is very difficult to explain here. However, some points are being given: 1. Diabetes is a hormone (insulin) deficiency disease, plus there may be resistance to its action, mainly in fat or overweight person. In some persons both these situations are responsible. Excess weight and physical inactivity are major culprits. 2. Once diabetes develops, there is a derangement of metabolism of carbohydrates, fats, and proteins. But the major visible problem is high glucose levels and HbA1c. 3. This leads to an effect on microvasculature (small blood vessels) supplying retina, kidney, and nerves. Secondly, damage to macrovasculature (large vessels) like coronary arteries supplying the heart and large vessels supplying lower limbs. These actions lead to retinal damage (retinopathy, kidney damage and neuropathy and sexual problems in male). Large vessel damage causes heart-related issues, damage to the blood supply to lower limbs and ulceration at times leading to loss of limbs. Type 2 diabetes was earlier seen in persons above 40 years. However, nowadays it is seen more often in much younger age group, even in teen age. Strict blood glucose control with fasting less than 100 mg, PP (postprandial) 150 to 160 mg and HbA1c less than 6.8 should be maintained. Apart from taking specific medications, it is essential to take properly planned restricted diet, no sweets, no deep fried foods, no bakery items, no foods made of maida and avoid colas. Increase the intake of green leafy vegetables and salads. Plus regular exercise of over one hour and maintaining a near normal weight are important aspects of the treatment. |
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Hello doctor, I am 20 years old, type 2 diabetes patient. Please give me information about diabetes. Every morning, I do running around 2 to 3 km. [/INST] Hello. I have seen your attached details (attachment removed to protect patient identity), which show you are on multiple drugs to control blood glucose and your blood glucose levels seem to be in very good control. However, if levels drop too low that is less than 70 mg or so, there is a possibility of developing hypoglycemia. So please take care not to have too low levels. Regarding what is diabetes and details about it, it is very difficult to explain here. However, some points are being given: 1. Diabetes is a hormone (insulin) deficiency disease, plus there may be resistance to its action, mainly in fat or overweight person. In some persons both these situations are responsible. Excess weight and physical inactivity are major culprits. 2. Once diabetes develops, there is a derangement of metabolism of carbohydrates, fats, and proteins. But the major visible problem is high glucose levels and HbA1c. 3. This leads to an effect on microvasculature (small blood vessels) supplying retina, kidney, and nerves. Secondly, damage to macrovasculature (large vessels) like coronary arteries supplying the heart and large vessels supplying lower limbs. These actions lead to retinal damage (retinopathy, kidney damage and neuropathy and sexual problems in male). Large vessel damage causes heart-related issues, damage to the blood supply to lower limbs and ulceration at times leading to loss of limbs. Type 2 diabetes was earlier seen in persons above 40 years. However, nowadays it is seen more often in much younger age group, even in teen age. Strict blood glucose control with fasting less than 100 mg, PP (postprandial) 150 to 160 mg and HbA1c less than 6.8 should be maintained. Apart from taking specific medications, it is essential to take properly planned restricted diet, no sweets, no deep fried foods, no bakery items, no foods made of maida and avoid colas. Increase the intake of green leafy vegetables and salads. Plus regular exercise of over one hour and maintaining a near normal weight are important aspects of the treatment. |
Q. Can fever, sore throat and headache after sex be due to HIV? | Hello doctor, I had sex with my office colleague 15 days back and he looks healthy and happy, but within two weeks of that incident, I got cold, fever 99.8 Farenhite, sore throat, toothache, and severe cough like never before. I am very scared. I got my period four days after sex. I am worried about HIV. I asked him if the condom was intact and not broken he said it was all intact, and I should not be worrying about HIV. Still, I am getting paranoid. Please advise. | Hi. If the condom was intact, then there is nothing to worry. Nevertheless, you can go for HIV testing at four weeks. |
<s>[INST]
Hello doctor, I had sex with my office colleague 15 days back and he looks healthy and happy, but within two weeks of that incident, I got cold, fever 99.8 Farenhite, sore throat, toothache, and severe cough like never before. I am very scared. I got my period four days after sex. I am worried about HIV. I asked him if the condom was intact and not broken he said it was all intact, and I should not be worrying about HIV. Still, I am getting paranoid. Please advise. [/INST] Hi. If the condom was intact, then there is nothing to worry. Nevertheless, you can go for HIV testing at four weeks. |
Q. Is there any chance of getting pregnant after taking Unwanted 72? | Hello doctor, I am 22 years old and I had sex a week back. My partner ejaculated outside the vagina and I took unwanted 72 the other day. Is there any chance of getting pregnant? | Hi. I have gone through your history and understand your concern. As you took Ipill on time, there is no chance of pregnancy in your case. Delayed menses can be due to hormonal imbalance caused by Ipill. Get your home urine test if you missed your period by seven days. |
<s>[INST]
Hello doctor, I am 22 years old and I had sex a week back. My partner ejaculated outside the vagina and I took unwanted 72 the other day. Is there any chance of getting pregnant? [/INST] Hi. I have gone through your history and understand your concern. As you took Ipill on time, there is no chance of pregnancy in your case. Delayed menses can be due to hormonal imbalance caused by Ipill. Get your home urine test if you missed your period by seven days. |
Q. Kindly advise treatment other than medicines for AFib, thick spot and fluid in heart. | Hello doctor, What medications would you prescribe if someone has a part of their heart that is not working, AFib, an EF of 25, a thick spot in the heart and is having fluid build up? Is medication the only hope? | Hi. From your query, it appears as if the patient has severe LV dysfunction and on top of that atrial fibrillation. Hence, I would prescribe drugs like beta blockers, ACE inhibitors, aldosterone antagonists and also Amiodarone if the atrial fibrillation is running at a fast rate. I would also like to rule out any reversible cause of the poorly functioning heart like blocks in the blood vessels supplying the heart, alcohol abuse, and rectify that, if possible. Beyond medication, there are devices like cardiac resynchronization therapy, but only a few patients are suitable for that, and finally heart transplantation. |
<s>[INST]
Hello doctor, What medications would you prescribe if someone has a part of their heart that is not working, AFib, an EF of 25, a thick spot in the heart and is having fluid build up? Is medication the only hope? [/INST] Hi. From your query, it appears as if the patient has severe LV dysfunction and on top of that atrial fibrillation. Hence, I would prescribe drugs like beta blockers, ACE inhibitors, aldosterone antagonists and also Amiodarone if the atrial fibrillation is running at a fast rate. I would also like to rule out any reversible cause of the poorly functioning heart like blocks in the blood vessels supplying the heart, alcohol abuse, and rectify that, if possible. Beyond medication, there are devices like cardiac resynchronization therapy, but only a few patients are suitable for that, and finally heart transplantation. |
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