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Q. Will Kalarchikai choornam help in curing irregular periods? | Hello doctor, I am having irregular periods. Shall I take kalarchikai choornam? | Hi. There are several causes for irregular menstruation. PCOD is one of them. If you do have this issue then you can take kalarchikai choornam 3 gm twice a day with warm water after meals for three months regularly. To rule out this issue, once you should go for USG abdomen. PCOD, hypothyroidism, taking contraceptive or emergency pills, inflammatory pelvic diseases, climatic changes, food changes, etc. USG abdomen, thyroid profile. If you have an irregular period due to PCOD, then you can go through Kalarchikai choornam as the above-mentioned dose. Avoid spicy and fried junk foods, do regular kapalbhati, mandukasana and ardhamatsyendrasana. |
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Hello doctor, I am having irregular periods. Shall I take kalarchikai choornam? [/INST] Hi. There are several causes for irregular menstruation. PCOD is one of them. If you do have this issue then you can take kalarchikai choornam 3 gm twice a day with warm water after meals for three months regularly. To rule out this issue, once you should go for USG abdomen. PCOD, hypothyroidism, taking contraceptive or emergency pills, inflammatory pelvic diseases, climatic changes, food changes, etc. USG abdomen, thyroid profile. If you have an irregular period due to PCOD, then you can go through Kalarchikai choornam as the above-mentioned dose. Avoid spicy and fried junk foods, do regular kapalbhati, mandukasana and ardhamatsyendrasana. |
Q. I have chronic nasal congestion. Kindly suggest some natural remedy. | Hello doctor, I have a runny nose, chronic nasal congestion, chills when cold, sneezing triggered by scents, cat, stress, cold, cigarette smoke and cleaning products. An occasional sore throat, warm body temperature, and clear nasal drip. This has been going on for over six months. Prescribed antibiotics Amoxicillin. Tried eucalyptus and wild oregano oil. Considering echinacea and goldenseal. Would like to know what else may help to move this stubborn nasal condition? | Hi. For your issue, take turmeric tablets two in the morning and two at night or turmeric powder (2 gm) morning and 2 gm evening after food. Take long pepper powder 1 gm. Mix this with cow milk and boil, then drink it. Daily two times this has to be done or one gram of long pepper powder can be mixed with honey and be consumed. Twice daily. Anu thailam is the ayurvedic nasal drop for this issue. If you could get it, apply two drops in each nostril, morning, evening and night before going to bed. This will solve your issues. Eucalyptus oil few drops (or the capsule) can be added in boiling water, and the steam should be inhaled (exposed on your face). This also relieves nasal congestion. Regular pranayama (naadi suddhi pranayama) will be helpful for you. Simply antibiotics alone cannot work here. Antihistamines and mast cell stabilizers should be used in western medicine, that also cannot afford the complete cure. Follow naturopathy (my suggestions above) and get permanent relief. |
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Hello doctor, I have a runny nose, chronic nasal congestion, chills when cold, sneezing triggered by scents, cat, stress, cold, cigarette smoke and cleaning products. An occasional sore throat, warm body temperature, and clear nasal drip. This has been going on for over six months. Prescribed antibiotics Amoxicillin. Tried eucalyptus and wild oregano oil. Considering echinacea and goldenseal. Would like to know what else may help to move this stubborn nasal condition? [/INST] Hi. For your issue, take turmeric tablets two in the morning and two at night or turmeric powder (2 gm) morning and 2 gm evening after food. Take long pepper powder 1 gm. Mix this with cow milk and boil, then drink it. Daily two times this has to be done or one gram of long pepper powder can be mixed with honey and be consumed. Twice daily. Anu thailam is the ayurvedic nasal drop for this issue. If you could get it, apply two drops in each nostril, morning, evening and night before going to bed. This will solve your issues. Eucalyptus oil few drops (or the capsule) can be added in boiling water, and the steam should be inhaled (exposed on your face). This also relieves nasal congestion. Regular pranayama (naadi suddhi pranayama) will be helpful for you. Simply antibiotics alone cannot work here. Antihistamines and mast cell stabilizers should be used in western medicine, that also cannot afford the complete cure. Follow naturopathy (my suggestions above) and get permanent relief. |
Q. Is there any difference between Sjogren's syndrome and SLE? | Hi doctor,I have got a form of lupus called Sjogren's syndrome but I want to know if it is the same as SLE lupus or not as some hospitals say it is and some say it is not and I am very confused. | Hi. Sjogren's syndrome (SS) and SLE are two different forms of autoimmune inflammatory disorders which affect the joints, skin, glandular tissue. There are certain similarities between the two but generally, Sjogren's is characterized by decreased secretions from the lacrimal gland (tear producing) and salivary glands. Because of these, the patient has a gritty feeling in the eyes most of the day and difficulty in chewing and deglutition of food. Other than glands, there is some extraglandular manifestation of SS which are similar to SLE in many forms. Sjogren's when present alone is called primary Sjogren's. There is a term used for Sjogren's occurring along with either rheumatoid arthritis or SLE, which is known as secondary Sjogren's. Coming on to SLE, which is systemic lupus erythematosus. Going by the name it can involve any organ system in the body. Unlike SS, which majorly involves glands, SLE is potentially more dangerous than SS due to renal, hematological and CNS involvement. The renal, CNS and other systems are less frequently involved in SS. Both SLE and SS are a type to autoimmune inflammatory diseases in which anti-nuclear antibodies are formed in the body, the antibodies for SS and SLE. SS has anti-Ro and anti-La antibodies, while the SLE has a long list of antibodies like anti-dsDNA, anti-smith, antiphospholipid antibodies, etc., are present. One thing to note here is anti-Ro and anti-La are specific to SS but can also be seen in SLE. |
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Hi doctor,I have got a form of lupus called Sjogren's syndrome but I want to know if it is the same as SLE lupus or not as some hospitals say it is and some say it is not and I am very confused. [/INST] Hi. Sjogren's syndrome (SS) and SLE are two different forms of autoimmune inflammatory disorders which affect the joints, skin, glandular tissue. There are certain similarities between the two but generally, Sjogren's is characterized by decreased secretions from the lacrimal gland (tear producing) and salivary glands. Because of these, the patient has a gritty feeling in the eyes most of the day and difficulty in chewing and deglutition of food. Other than glands, there is some extraglandular manifestation of SS which are similar to SLE in many forms. Sjogren's when present alone is called primary Sjogren's. There is a term used for Sjogren's occurring along with either rheumatoid arthritis or SLE, which is known as secondary Sjogren's. Coming on to SLE, which is systemic lupus erythematosus. Going by the name it can involve any organ system in the body. Unlike SS, which majorly involves glands, SLE is potentially more dangerous than SS due to renal, hematological and CNS involvement. The renal, CNS and other systems are less frequently involved in SS. Both SLE and SS are a type to autoimmune inflammatory diseases in which anti-nuclear antibodies are formed in the body, the antibodies for SS and SLE. SS has anti-Ro and anti-La antibodies, while the SLE has a long list of antibodies like anti-dsDNA, anti-smith, antiphospholipid antibodies, etc., are present. One thing to note here is anti-Ro and anti-La are specific to SS but can also be seen in SLE. |
Q. Swaddle got undone and covered baby's face. Will this cause any brain damage? | Hello doctor,When my son was about three weeks old, I woke up to see that his swaddle had come undone and was resting over his face. When I picked him up he was beat red in the face and sleeping. It took him a little to wake up but was fine when he did. I did not check for breathing at that exact moment because I was so anxious to wake him. I am very worried I may have caused him brain damage. Can a baby get brain damage from this kind of incident? I feel misinformed and uneducated on this topic. Like how it occurs and when it occurs. Also, how do you know if it had occurred? Please help me. | Hi. If the child has reduced oxygen supply due to such an incident, it may lead to brain damage which will be manifested in a day or two post this incident as a convulsion. That is how you will come to know that this kind of event has taken place. When a baby rests over his face, the nose and mouth may become blocked which will lead to air hunger which causes hypoxia which may cause damage to the brain. |
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Hello doctor,When my son was about three weeks old, I woke up to see that his swaddle had come undone and was resting over his face. When I picked him up he was beat red in the face and sleeping. It took him a little to wake up but was fine when he did. I did not check for breathing at that exact moment because I was so anxious to wake him. I am very worried I may have caused him brain damage. Can a baby get brain damage from this kind of incident? I feel misinformed and uneducated on this topic. Like how it occurs and when it occurs. Also, how do you know if it had occurred? Please help me. [/INST] Hi. If the child has reduced oxygen supply due to such an incident, it may lead to brain damage which will be manifested in a day or two post this incident as a convulsion. That is how you will come to know that this kind of event has taken place. When a baby rests over his face, the nose and mouth may become blocked which will lead to air hunger which causes hypoxia which may cause damage to the brain. |
Q. My mother has chest pain and breathlessness. What do we do? | Hello doctor, My mother has the following complaints. She is feeling rotating chest pain. She has breathing difficulties while walking. I have uploaded her ECG for further investigations. | Hello. I have studied her ECG (attachment removed to protect patient identity) and there is no significant abnormality. I would like to know the following details regarding breathlessness and chest pain that she gets: |
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Hello doctor, My mother has the following complaints. She is feeling rotating chest pain. She has breathing difficulties while walking. I have uploaded her ECG for further investigations. [/INST] Hello. I have studied her ECG (attachment removed to protect patient identity) and there is no significant abnormality. I would like to know the following details regarding breathlessness and chest pain that she gets: |
Q. I have been suffering from social anxiety. Is there any treatment to get rid of these problems? | Hello doctor, I am a 29 year old male. I have been suffering from social anxiety. Following are the consequences that I am facing through in my daily life: I am not at all confident to talk with new persons, especially in group meetings. My heartbeat used to raise and I will forget things to be discussed. I cannot remember and pronounce properly even with the people whom I meet daily. I do not know how to react when they wish me or when they talk to me. I am trying my level best to get rid of this anxiety by facing it but once in a while, only I could handle these situations up to my expectations. Also, I have intrusive thoughts especially when I go to the temple or when I see the photographs of god, I will feel like something bad would happen to me. If I read a book and implement that in a big project also, I could not remember even the titles. Somewhere I have read, social anxiety can cause memory loss. Recently I forgot my card pin number which I used 2 months back. My concentration power is very poor too. The other problem that I am coming through is uncontrollable daydreaming, even though if I try to keep my mind busy I will get into it unknowingly. I could not do anything to improve my career because of these problems. I am not sure whether it is any disorder or normal behavior of people. Please suggest me if I require any treatment to get rid of these problems. | Hello. You have Obsessive Compulsive Disorder (OCD) and social phobia. I can understand your concern. I have read through your history and from that, it is clearly evident that you have anxiety spectrum disorder. The symptoms like difficulty in talking with persons, increase in heart rate, forgetting things easily, inability to pronounce things properly, difficulty in reacting to others, difficulty to talk in arguments, etc., are due to social anxiety. The symptoms like daydreaming, poor concentration, inability to divert thoughts, etc., are due to anxiety only. The intrusive thoughts, repugnant thoughts like bad thoughts when you go to the temple, etc., are related to obsessive thoughts, and this needs proper evaluation. Social anxiety does not cause memory loss but due to persisting distraction and lack of concentration individuals find it difficult to focus and concentrate. This will cause feelings like loss of memory. Considering your history, I would suggest you visit a psychiatrist for evaluation. Medicines like SSRIs such as Fluoxetine, Paroxetine, Sertraline, etc., can help to reduce these symptoms and you will feel better. These medicines are free of serious side effects and are better tolerated. Apart from medicines, relaxation exercises like yoga, progressive muscle relaxation exercises are also equally helpful in anxiety and obsessive-compulsive disorder. |
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Hello doctor, I am a 29 year old male. I have been suffering from social anxiety. Following are the consequences that I am facing through in my daily life: I am not at all confident to talk with new persons, especially in group meetings. My heartbeat used to raise and I will forget things to be discussed. I cannot remember and pronounce properly even with the people whom I meet daily. I do not know how to react when they wish me or when they talk to me. I am trying my level best to get rid of this anxiety by facing it but once in a while, only I could handle these situations up to my expectations. Also, I have intrusive thoughts especially when I go to the temple or when I see the photographs of god, I will feel like something bad would happen to me. If I read a book and implement that in a big project also, I could not remember even the titles. Somewhere I have read, social anxiety can cause memory loss. Recently I forgot my card pin number which I used 2 months back. My concentration power is very poor too. The other problem that I am coming through is uncontrollable daydreaming, even though if I try to keep my mind busy I will get into it unknowingly. I could not do anything to improve my career because of these problems. I am not sure whether it is any disorder or normal behavior of people. Please suggest me if I require any treatment to get rid of these problems. [/INST] Hello. You have Obsessive Compulsive Disorder (OCD) and social phobia. I can understand your concern. I have read through your history and from that, it is clearly evident that you have anxiety spectrum disorder. The symptoms like difficulty in talking with persons, increase in heart rate, forgetting things easily, inability to pronounce things properly, difficulty in reacting to others, difficulty to talk in arguments, etc., are due to social anxiety. The symptoms like daydreaming, poor concentration, inability to divert thoughts, etc., are due to anxiety only. The intrusive thoughts, repugnant thoughts like bad thoughts when you go to the temple, etc., are related to obsessive thoughts, and this needs proper evaluation. Social anxiety does not cause memory loss but due to persisting distraction and lack of concentration individuals find it difficult to focus and concentrate. This will cause feelings like loss of memory. Considering your history, I would suggest you visit a psychiatrist for evaluation. Medicines like SSRIs such as Fluoxetine, Paroxetine, Sertraline, etc., can help to reduce these symptoms and you will feel better. These medicines are free of serious side effects and are better tolerated. Apart from medicines, relaxation exercises like yoga, progressive muscle relaxation exercises are also equally helpful in anxiety and obsessive-compulsive disorder. |
Q. I have severe neck and shoulder pain with numbness and tingling. Please help. | Hello doctor, I have severe pain in the neck and shoulders often accompanied by numbness and tingling. I also have frequent migraines and some times dizziness as well with occasional fainting which is exacerbated by loud sounds and harsh lighting. I used to be a professional bass player (20 years) but no longer performing live for the past two years due to worsening conditions. I am currently taking OTC painkillers and homeopathy medicine for migraines. | Hello. It would have been better if you had included the MRI and X-ray films or at least the report as I believe it is your cervical spondylosis that may be the cause of your current symptoms. I will recommend you to do neck strengthening exercises, shoulder elevation exercise, and take Pregabalin tablets for nerve pain along with Duloxetine and take antiinflammatory tablets for a couple of weeks to see the response. As your are getting twitching and this may be viral in nature or may be myoclonus. I will not to ignore that and perhaps see a neurologist at the next opportunity. |
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Hello doctor, I have severe pain in the neck and shoulders often accompanied by numbness and tingling. I also have frequent migraines and some times dizziness as well with occasional fainting which is exacerbated by loud sounds and harsh lighting. I used to be a professional bass player (20 years) but no longer performing live for the past two years due to worsening conditions. I am currently taking OTC painkillers and homeopathy medicine for migraines. [/INST] Hello. It would have been better if you had included the MRI and X-ray films or at least the report as I believe it is your cervical spondylosis that may be the cause of your current symptoms. I will recommend you to do neck strengthening exercises, shoulder elevation exercise, and take Pregabalin tablets for nerve pain along with Duloxetine and take antiinflammatory tablets for a couple of weeks to see the response. As your are getting twitching and this may be viral in nature or may be myoclonus. I will not to ignore that and perhaps see a neurologist at the next opportunity. |
Q. How long should my husband and I wait to try for a baby if we did cocaine? | Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. | Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> |
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Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. [/INST] Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> |
Q. Can Yasmin birth control pill be used as an emergency contraceptive pill? | Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? | Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> |
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Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? [/INST] Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> |
Q. Please explain the poisonous effect of phenol ingestion. | Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. | Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> |
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Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. [/INST] Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> |
Q. For how long should I take Kalachikai powder to overcome PCOD problem? | Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? | Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> |
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Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? [/INST] Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> |
Q. Why do periods get delayed after first time sex? | Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? | Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> |
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Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? [/INST] Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> |
Q. Is it safe to give measles vaccine when my child has chickenpox already? | Hello doctor, My baby is 9 months old. His measles vaccine is pending and he got chickenpox just 10 days before. Is it safe to give measles vaccine today? | Hello. Chickenpox and measles are similar kind of diseases, categorized as viral infections with a rash. In such a scenario, it is better to give measles vaccine one month after full recovery from chickenpox. It is not a problem to give measles vaccine after a month. Until then see that your child is not exposed in public places, or other kids with infection do not come near him. Nowadays, the vaccination schedule has changed to MMR, instead of measles vaccine at 9 months. |
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Hello doctor, My baby is 9 months old. His measles vaccine is pending and he got chickenpox just 10 days before. Is it safe to give measles vaccine today? [/INST] Hello. Chickenpox and measles are similar kind of diseases, categorized as viral infections with a rash. In such a scenario, it is better to give measles vaccine one month after full recovery from chickenpox. It is not a problem to give measles vaccine after a month. Until then see that your child is not exposed in public places, or other kids with infection do not come near him. Nowadays, the vaccination schedule has changed to MMR, instead of measles vaccine at 9 months. |
Q. I have testicle pain and low sperm count. Kindly suggest siddha medicines. | Hello doctor, I have testicle pain on both sides (more pain felt on the right side). Sperm count is also low. What to do? | Hi. You have not mentioned your age, marital status, body weight, occupation, how long the testis pain has been there and any swelling in testis. With the available information, the answer is as follows: Kindly follow the below advice: |
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Hello doctor, I have testicle pain on both sides (more pain felt on the right side). Sperm count is also low. What to do? [/INST] Hi. You have not mentioned your age, marital status, body weight, occupation, how long the testis pain has been there and any swelling in testis. With the available information, the answer is as follows: Kindly follow the below advice: |
Q. I don't get wet and I do not experience any sexual feeling. Please help. | Hello doctor, I am a 27 year old female. Actually, my problem is I do not get wet, and I do not experience any sexual feeling whatever I watch or whatever I do (I mean sexual act or masturbation). Why is it so? | Hello. I can understand what you are going through at present. Sexuality is such a topic that most of the people especially females do not discuss. Due to the stigma attached, they do not even come out with their sexual problems. So, I would like to appreciate your initiative to come up with your problem. As you told that you have difficulty in getting wet or stimulated after watching any intimate stimuli and also have difficulty in having sexual activities as you do not get pleasure from them. What you are suffering from is called "female sexual interest/arousal disorder" (FSIAD).FSIAD is characterized by: It can be caused by endocrine dysfunction, metabolic disturbances, cardiovascular disorders, CNS pathologies, spinal cord injuries, urogenital pathologies, medications, hormonal disturbances, relational issues, emotional disturbances, physical/sexual abuse, and violence.It needs a detailed evaluation to rule out the above-mentioned causes, to plan management for the same. Management includes both pharmacological in the form of hormonal treatment; and psychosocial interventions such as sensate focus therapy, sexual skill training, communication skill training. |
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Hello doctor, I am a 27 year old female. Actually, my problem is I do not get wet, and I do not experience any sexual feeling whatever I watch or whatever I do (I mean sexual act or masturbation). Why is it so? [/INST] Hello. I can understand what you are going through at present. Sexuality is such a topic that most of the people especially females do not discuss. Due to the stigma attached, they do not even come out with their sexual problems. So, I would like to appreciate your initiative to come up with your problem. As you told that you have difficulty in getting wet or stimulated after watching any intimate stimuli and also have difficulty in having sexual activities as you do not get pleasure from them. What you are suffering from is called "female sexual interest/arousal disorder" (FSIAD).FSIAD is characterized by: It can be caused by endocrine dysfunction, metabolic disturbances, cardiovascular disorders, CNS pathologies, spinal cord injuries, urogenital pathologies, medications, hormonal disturbances, relational issues, emotional disturbances, physical/sexual abuse, and violence.It needs a detailed evaluation to rule out the above-mentioned causes, to plan management for the same. Management includes both pharmacological in the form of hormonal treatment; and psychosocial interventions such as sensate focus therapy, sexual skill training, communication skill training. |
Q. Are the white bumps near vaginal opening due to yeast infection? | Hello doctor, I thought I had a yeast infection. So, used Monistat injectable and cream. Itching and discharge have gone but I just noticed raised bumps near vagina opening. I am terrified. | Hi. The lesions appear to be genital herpes. But, do not worry, they are not here to stay. These bumps will gradually fade away within a week. If you are in pain, sit in a saltwater bath, apply ice packs, take Paracetamol. Most of the time, it can be confirmed with a swab test. How old are the bumps? You may take the following medicine. If less than 72 hours, they will prevent the spread. If more than that, do not worry, your body will make antibodies itself and heal you. Since it is a sexually transmitted disease, my suggestion is to avoid any kind of sexual activity while the lesions are active. Swab test from lesions for HSV 1 and 2. Genital herpes. Tablet Acyclovir 200 mg five times a day for five days. Regular use of condom, avoid multiple sexual partners. If recurrent lesions occur, other STDs may be needed to be ruled out. |
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Hello doctor, I thought I had a yeast infection. So, used Monistat injectable and cream. Itching and discharge have gone but I just noticed raised bumps near vagina opening. I am terrified. [/INST] Hi. The lesions appear to be genital herpes. But, do not worry, they are not here to stay. These bumps will gradually fade away within a week. If you are in pain, sit in a saltwater bath, apply ice packs, take Paracetamol. Most of the time, it can be confirmed with a swab test. How old are the bumps? You may take the following medicine. If less than 72 hours, they will prevent the spread. If more than that, do not worry, your body will make antibodies itself and heal you. Since it is a sexually transmitted disease, my suggestion is to avoid any kind of sexual activity while the lesions are active. Swab test from lesions for HSV 1 and 2. Genital herpes. Tablet Acyclovir 200 mg five times a day for five days. Regular use of condom, avoid multiple sexual partners. If recurrent lesions occur, other STDs may be needed to be ruled out. |
Q. Why is there reinfection of otomycosis after surgical ear cleaning and tympanoplasty? | Hi doctor, My wife is suffering from Aspergillus otomycosis. She has had tympanoplasty surgery. She then had a surgical ear cleaning, removing the infected skin in her middle ear. This initially worked to remove the fungus, but now her ear seems to be infected again. I am not sure if it is a fungus, but her ear seems to be infected again. She has taken Clotrimazole, and she is currently taking an alcohol or borax solution. | Hello. In one of the pictures (attachment removed to protect patient identity) sporangia seem to be there, but in the rest of the pictures, it is just wax. However, it is not likely to require debridement. It should go with the medications she is using. |
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Hi doctor, My wife is suffering from Aspergillus otomycosis. She has had tympanoplasty surgery. She then had a surgical ear cleaning, removing the infected skin in her middle ear. This initially worked to remove the fungus, but now her ear seems to be infected again. I am not sure if it is a fungus, but her ear seems to be infected again. She has taken Clotrimazole, and she is currently taking an alcohol or borax solution. [/INST] Hello. In one of the pictures (attachment removed to protect patient identity) sporangia seem to be there, but in the rest of the pictures, it is just wax. However, it is not likely to require debridement. It should go with the medications she is using. |
Q. Will Kalarchikai cure multiple ovarian cysts in PCOD? | Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well. | Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help. |
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Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well. [/INST] Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help. |
Q. I have diffculty in bowel movement without laxatives. Why? | Hello doctor, I am 16 years old. My weight 87 kg and 1.73 cm tall. It has been a year since I am not comfortable having bowel movements. I go to the toilet once a week and the stool is usually hard to pass without a natural laxative and I use AgioLax. I do not know if the use of this laxative is safe or not but it is working every time whenever I use it. | Hello, Welcome to icliniq.com. You have chronic constipation. There is possibility that your large bowel is functioning slow, or it may be a problem with the ejection of stools and not necessarily slow bowel. To differentiate between I need to have more information. The laxative you use is safe, but it has the potential to develop tolerance i.e. it can lose its effect if uses for a long time. So as far as it is working fine you can use it. The other complaint you mention of bloating and fullness after a small meal are secondary to constipation. Recently the FDA (Food and Drug administration) has approved some newer medications for primary constipation, you can use it. Take tablet Prucalopride 2 mg daily. You can stop other medications for constipation. Let me know in a few days how you respond. If no improvement we can increase the dose or add some other medicines. I hope this helps. Chronic idiopathic constipation. Defecatory disorder. Tablet Prucalopride 2 mg daily. Follow up in one week. |
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Hello doctor, I am 16 years old. My weight 87 kg and 1.73 cm tall. It has been a year since I am not comfortable having bowel movements. I go to the toilet once a week and the stool is usually hard to pass without a natural laxative and I use AgioLax. I do not know if the use of this laxative is safe or not but it is working every time whenever I use it. [/INST] Hello, Welcome to icliniq.com. You have chronic constipation. There is possibility that your large bowel is functioning slow, or it may be a problem with the ejection of stools and not necessarily slow bowel. To differentiate between I need to have more information. The laxative you use is safe, but it has the potential to develop tolerance i.e. it can lose its effect if uses for a long time. So as far as it is working fine you can use it. The other complaint you mention of bloating and fullness after a small meal are secondary to constipation. Recently the FDA (Food and Drug administration) has approved some newer medications for primary constipation, you can use it. Take tablet Prucalopride 2 mg daily. You can stop other medications for constipation. Let me know in a few days how you respond. If no improvement we can increase the dose or add some other medicines. I hope this helps. Chronic idiopathic constipation. Defecatory disorder. Tablet Prucalopride 2 mg daily. Follow up in one week. |
Q. I have swelling in knee after four months of ACL meniscus surgery. Why? | Hi doctor, I had an ACL meniscus repair surgery four months ago. I still have some swelling in my knee and still feel weakness in my leg. Is that normal? Can I run now? What to do? | Hello. The knee swelling can even persist till six months after surgery, the more physiotherapy you do and the earlier you achieve full range of movements of the knee, the better it is and faster the swelling will reduce. Weakness can be overcome by physiotherapy again to strengthen your quadriceps and hamstring muscles. Running will depend on your physical follow up with your doctor and also will depend on your physio. Ideally, by now you should have started running but your physio and doctor will decide that as every case is different. ACL post-surgery rehabilitation. |
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Hi doctor, I had an ACL meniscus repair surgery four months ago. I still have some swelling in my knee and still feel weakness in my leg. Is that normal? Can I run now? What to do? [/INST] Hello. The knee swelling can even persist till six months after surgery, the more physiotherapy you do and the earlier you achieve full range of movements of the knee, the better it is and faster the swelling will reduce. Weakness can be overcome by physiotherapy again to strengthen your quadriceps and hamstring muscles. Running will depend on your physical follow up with your doctor and also will depend on your physio. Ideally, by now you should have started running but your physio and doctor will decide that as every case is different. ACL post-surgery rehabilitation. |
Q. Can I take Flucloxacillin for pain after wisdom tooth removal? | Hi doctor, I have just had a wisdom tooth removed a few days ago and the pain is still present but manageable. The pain has also spread a little around the jaw and up my face slightly which makes me think I have an infection. I am doing saline rinses a few times a day. My question is I have some Flucloxacillin at home. I am wondering if that would help as I think I had Amoxicillin last time. I was allergic to Aspirin when I was very young but have taken Ibuprofen since and been fine. Do you think Flucloxacillin will help and be fine to take? | Hello. After third molar surgery, the swelling in jaw bone is common, and cure after 3 to 4 days. It is not due to infection but it is due to body defense reaction. So do not worry about this and wait at least four days after extraction. Amoxicillin is a most popular prescribed medicine by the dentist after extraction. So I suggest you take medicine as advised by your dentist. If you want to change any medication you should take permission from your dental surgeon. |
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Hi doctor, I have just had a wisdom tooth removed a few days ago and the pain is still present but manageable. The pain has also spread a little around the jaw and up my face slightly which makes me think I have an infection. I am doing saline rinses a few times a day. My question is I have some Flucloxacillin at home. I am wondering if that would help as I think I had Amoxicillin last time. I was allergic to Aspirin when I was very young but have taken Ibuprofen since and been fine. Do you think Flucloxacillin will help and be fine to take? [/INST] Hello. After third molar surgery, the swelling in jaw bone is common, and cure after 3 to 4 days. It is not due to infection but it is due to body defense reaction. So do not worry about this and wait at least four days after extraction. Amoxicillin is a most popular prescribed medicine by the dentist after extraction. So I suggest you take medicine as advised by your dentist. If you want to change any medication you should take permission from your dental surgeon. |
Q. How can I avoid getting withdrawal bleeding during weekend while taking Larin Fe? | Hi doctor, I am taking Larin Fe as a birth control pill. It is a combined monophasic pill with three weeks of active pills and one week of inactive pills. I currently started pill packs a week back but wanted to change it to a weekend to avoid weekend withdrawal bleeding. How can I do so without losing the effectiveness of the pill? My idea was to wait until my placebo week which starts on a weekday and then to take the placebos only up until weekend and start a new pack then. Would this work without changing the effectiveness of my pill? | Hi. You can stop the active pill on Wednesday instead. Take placebo pill on Thursday, Friday, Saturday and start a new pack from Sunday. The plan of preponding periods is bewildering to the body. It might take you a few (2 to 3) cycles to tune your periods in a new cycle. Repeat the same thing in the next cycle by stopping the active pills one day prior, that is, 20th day, while starting the new pack on Sundays every time. So in four cycles, your dates will be as per your schedule with stable efficacy of the pills too. I hope, I could help you with your query. Please revert back, if want a shorter alternative. |
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Hi doctor, I am taking Larin Fe as a birth control pill. It is a combined monophasic pill with three weeks of active pills and one week of inactive pills. I currently started pill packs a week back but wanted to change it to a weekend to avoid weekend withdrawal bleeding. How can I do so without losing the effectiveness of the pill? My idea was to wait until my placebo week which starts on a weekday and then to take the placebos only up until weekend and start a new pack then. Would this work without changing the effectiveness of my pill? [/INST] Hi. You can stop the active pill on Wednesday instead. Take placebo pill on Thursday, Friday, Saturday and start a new pack from Sunday. The plan of preponding periods is bewildering to the body. It might take you a few (2 to 3) cycles to tune your periods in a new cycle. Repeat the same thing in the next cycle by stopping the active pills one day prior, that is, 20th day, while starting the new pack on Sundays every time. So in four cycles, your dates will be as per your schedule with stable efficacy of the pills too. I hope, I could help you with your query. Please revert back, if want a shorter alternative. |
Q. What can be done for a painful lump along jawbone after wisdom tooth removal? | Hello doctor, I have wisdom tooth extraction pain. I got my wisdom tooth removed a month ago. I feel a lump along my jawbone that hurts on and off. | Hello. Get an X-ray done to find out if the wound is healing fine or some root is remaining inside. Usually, after a week, the wound should have healed adequately and there should be no swelling or pain unless it is infected. Start taking an antibiotic and painkillers for a week to reduce infection. Use warm salt water gargle twice a day for a week or two. |
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Hello doctor, I have wisdom tooth extraction pain. I got my wisdom tooth removed a month ago. I feel a lump along my jawbone that hurts on and off. [/INST] Hello. Get an X-ray done to find out if the wound is healing fine or some root is remaining inside. Usually, after a week, the wound should have healed adequately and there should be no swelling or pain unless it is infected. Start taking an antibiotic and painkillers for a week to reduce infection. Use warm salt water gargle twice a day for a week or two. |
Q. I have yeast infection. Is it fine to have sex with condom? | Hello doctor, I have a yeast infection. Can I still have sex if my partner uses a condom? | Hi. Yeast is not a sexually transmitted disease. It is present everywhere, just that it shows its presence when the good bacteria cannot keep its growth in check. It is fine to have intercourse with your partner. My suggestion would be using a condom during every coitus, as it reduces the risk of other STDs. Some infections cannot be seen but may get transmitted, like herpes, syphilis, HIV, etc. Please reply, if you have the following: 1. Washing the private parts often with intimate washes. 2. Using some deodorant. 3. Using tampons for a long stretch. 4. Recent use of antibiotics. 5. Eating sugary items very often. |
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Hello doctor, I have a yeast infection. Can I still have sex if my partner uses a condom? [/INST] Hi. Yeast is not a sexually transmitted disease. It is present everywhere, just that it shows its presence when the good bacteria cannot keep its growth in check. It is fine to have intercourse with your partner. My suggestion would be using a condom during every coitus, as it reduces the risk of other STDs. Some infections cannot be seen but may get transmitted, like herpes, syphilis, HIV, etc. Please reply, if you have the following: 1. Washing the private parts often with intimate washes. 2. Using some deodorant. 3. Using tampons for a long stretch. 4. Recent use of antibiotics. 5. Eating sugary items very often. |
Q. How long should my husband and I wait to try for a baby if we did cocaine? | Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. | Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> |
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Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. [/INST] Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> |
Q. Can Yasmin birth control pill be used as an emergency contraceptive pill? | Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? | Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> |
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Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? [/INST] Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> |
Q. Please explain the poisonous effect of phenol ingestion. | Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. | Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> |
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Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. [/INST] Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> |
Q. For how long should I take Kalachikai powder to overcome PCOD problem? | Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? | Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> |
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Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? [/INST] Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> |
Q. Why do periods get delayed after first time sex? | Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? | Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> |
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Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? [/INST] Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> |
Q. My 10-month-old baby is having irritation in her ears with persistent itching. Please help. | Hello doctor, My 10-month-old baby is facing irritation in her ear with persistent itching. | Hello. I would like to know is there fever or any other complaints? |
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Hello doctor, My 10-month-old baby is facing irritation in her ear with persistent itching. [/INST] Hello. I would like to know is there fever or any other complaints? |
Q. I am not able to penetrate vagina due to insufficient erection. Please help. | Hello doctor, I am a male, 23 years old, weight is 65 kg, height is 5'9". My penis is not getting hard for sex. The penis is getting erect but not getting hard enough. Due to this, I am not able to put my penis inside the vagina. Also, I ejaculate within 10 to 15 seconds (3 to 4 stock). And now I am avoiding sex because of this problem and getting less interest day by day. I do smoke regularly and drink occasionally also. I used to watch porn in excess and masturbate regularly. Please help me out. I am very much tensed about my future sex life. Please consult me what to do I want to get rid of this major issue. I cannot tell this issue to my family or friends also. I do not have enough money to consult a doctor privately. Please look into the matter. | Hi. I have read your problems carefully. After getting above mentioned history, my assumption is that your problem is psychological rather than organic. But I need some information and investigation reports to confirm it further. If you want to visit any physician, I advise to consult with endocrinologist first and after excluding organic disease, you need a psychiatrist. Masturbation and doing sex are different issues. In the case of masturbation, we try to ejaculate as soon as possible. But in case of doing sex, we try to do sex as long as possible. So there is a psychological issue. Besides this, anxiety also can precipitate this problem. So after doing some investigation and excluding organic cause, I think you need some psychological counseling. |
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Hello doctor, I am a male, 23 years old, weight is 65 kg, height is 5'9". My penis is not getting hard for sex. The penis is getting erect but not getting hard enough. Due to this, I am not able to put my penis inside the vagina. Also, I ejaculate within 10 to 15 seconds (3 to 4 stock). And now I am avoiding sex because of this problem and getting less interest day by day. I do smoke regularly and drink occasionally also. I used to watch porn in excess and masturbate regularly. Please help me out. I am very much tensed about my future sex life. Please consult me what to do I want to get rid of this major issue. I cannot tell this issue to my family or friends also. I do not have enough money to consult a doctor privately. Please look into the matter. [/INST] Hi. I have read your problems carefully. After getting above mentioned history, my assumption is that your problem is psychological rather than organic. But I need some information and investigation reports to confirm it further. If you want to visit any physician, I advise to consult with endocrinologist first and after excluding organic disease, you need a psychiatrist. Masturbation and doing sex are different issues. In the case of masturbation, we try to ejaculate as soon as possible. But in case of doing sex, we try to do sex as long as possible. So there is a psychological issue. Besides this, anxiety also can precipitate this problem. So after doing some investigation and excluding organic cause, I think you need some psychological counseling. |
Q. I have a tooth growing out of gums in abnormal position and causes pain. Why? | Hello doctor, My teeth are all over the place and I have wanted a brace for years but the dentists keep telling me I need to wait till my teeth fall out as they will not put me to sleep to take them all out but they have not even noticed that I have a tooth which grows out of the gum to separate ways and it causes me a lot of pain. Currently, I am taking Quetiapine, Fluoxetine. | Hi. Usually, by 13 years of age, all milk teeth should have fallen out. If not, then you can ask them to be removed. Also, as the permanent canines are growing out from sideways you can ask your dentist to remove the milk tooth directly below it as soon as possible to allow it space to grow. If your dentist is not doing it, then go find another one. Braces can be put after all milk teeth are removed. |
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Hello doctor, My teeth are all over the place and I have wanted a brace for years but the dentists keep telling me I need to wait till my teeth fall out as they will not put me to sleep to take them all out but they have not even noticed that I have a tooth which grows out of the gum to separate ways and it causes me a lot of pain. Currently, I am taking Quetiapine, Fluoxetine. [/INST] Hi. Usually, by 13 years of age, all milk teeth should have fallen out. If not, then you can ask them to be removed. Also, as the permanent canines are growing out from sideways you can ask your dentist to remove the milk tooth directly below it as soon as possible to allow it space to grow. If your dentist is not doing it, then go find another one. Braces can be put after all milk teeth are removed. |
Q. Will taking Microgynon 30 on the first day of my period be effective? | Hi doctor, I took the Ellaone emergency contraceptive pill two days ago and have started my period today. So I would like to start taking the combined contractive pill Microgynon 30 today. Will that be fine? And will it be effective straight away? | Hi. Ellaone (Ulipristal) stays in the body for around 36 to 72 hours after ingestion. So hormonal oral contraceptives should be started only after five days, to be assured that there is no reduced effect of combined oral contraceptives due to Ulipristal, which is a selective progesterone receptor modulator. Combined OCPs (oral contraceptive pills) are fully effective after seven days of continuous hormone usage, so you need to take an additional method of contraception like condoms for these days. Please revert back if you have any liver impairment, gall bladder disease, migraine, diabetes, hypertension, hyperlipidemia, breast condition. |
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Hi doctor, I took the Ellaone emergency contraceptive pill two days ago and have started my period today. So I would like to start taking the combined contractive pill Microgynon 30 today. Will that be fine? And will it be effective straight away? [/INST] Hi. Ellaone (Ulipristal) stays in the body for around 36 to 72 hours after ingestion. So hormonal oral contraceptives should be started only after five days, to be assured that there is no reduced effect of combined oral contraceptives due to Ulipristal, which is a selective progesterone receptor modulator. Combined OCPs (oral contraceptive pills) are fully effective after seven days of continuous hormone usage, so you need to take an additional method of contraception like condoms for these days. Please revert back if you have any liver impairment, gall bladder disease, migraine, diabetes, hypertension, hyperlipidemia, breast condition. |
Q. Is it normal to have erection for shorter period of time? | Hi doctor, I am a 29-year-old male. Recently, I got married and tried having sex with my wife two days ago. It was my first time and I got discharged during foreplay only and could not achieve erection throughout that night. Even when I got an erection, I tried penetration but just lost erection during penetration. I did not feel aroused and the same symptoms are continuing for the last three days. Either I am unable to penetrate due to weak erections or get discharged within seconds. But, before the marriage, I used to masturbate once or twice a week and always got a very hard erection. I was feeling fatigue and weakness in the body for the last one week and even done bp, blood and urine test and all reports came normal apart from a minor infection which could be due to kidney stone as I have one. So, I request you to suggest me on this matter. | Hi. For providing you the proper treatment I need to know the answers of following questions. What is your age? How long you had been in a physical relationship? Any sexual encounter with a commercial sex-worker? Any history of diabetes and hypertension? Is the condition persistent or deteriorating with time? Does the condition remain constant with other sexual partners, if any? Smoking or alcoholic? Hyperlipidemia? On any medications or hormonal therapy? Any marked curvature in the penis? Any history of trauma, surgery or neurological disorder? Do you have any of these features: Persistent low mood, loss of interest in work, low energy, lack of concentration, disturbed sleep, ideas of hopelessness, helpless, guilt or suicide, change in the appetite, headache, forgetfulness, excessive sweating, the shakiness of hands? |
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Hi doctor, I am a 29-year-old male. Recently, I got married and tried having sex with my wife two days ago. It was my first time and I got discharged during foreplay only and could not achieve erection throughout that night. Even when I got an erection, I tried penetration but just lost erection during penetration. I did not feel aroused and the same symptoms are continuing for the last three days. Either I am unable to penetrate due to weak erections or get discharged within seconds. But, before the marriage, I used to masturbate once or twice a week and always got a very hard erection. I was feeling fatigue and weakness in the body for the last one week and even done bp, blood and urine test and all reports came normal apart from a minor infection which could be due to kidney stone as I have one. So, I request you to suggest me on this matter. [/INST] Hi. For providing you the proper treatment I need to know the answers of following questions. What is your age? How long you had been in a physical relationship? Any sexual encounter with a commercial sex-worker? Any history of diabetes and hypertension? Is the condition persistent or deteriorating with time? Does the condition remain constant with other sexual partners, if any? Smoking or alcoholic? Hyperlipidemia? On any medications or hormonal therapy? Any marked curvature in the penis? Any history of trauma, surgery or neurological disorder? Do you have any of these features: Persistent low mood, loss of interest in work, low energy, lack of concentration, disturbed sleep, ideas of hopelessness, helpless, guilt or suicide, change in the appetite, headache, forgetfulness, excessive sweating, the shakiness of hands? |
Q. I get bleeding from back while passing stools. Is it something serious? | Hi doctor, I am 29 years old, male, suffering from blood bleeding from the back while passing stools in regular intervals. Initially, it bled in two months interval, and now it is one month. How serious is it? | Hello. Blood in stools can be from the upper gastrointestinal tract (UGI) or from the lower gastrointestinal tract (LGI). The dark altered blood is from upper GI bleed and fresh blood is mostly from the lower GI tract. We need to evaluate various possibilities that can cause such bleeding most commonly being hemorrhoids or piles, inflammatory bowel disease, acute dysentery. In such a scenario, I would advise you to see your doctor, who will perform a proctoscopy in his office. If any evidence of piles is found, you would be treated accordingly. If he feels suspicious for inflammatory bowel disease, he will post you for colonoscopy. Also, important here is that if you are having cramps, this might be some infection or dysentery. It is not necessary that it will always be associated with loose stools. In such a scenario, you would require antibiotics like Norfloxacin and Tinidazole. In case you are suffering from chronic constipation, you would require to use laxatives to prevent piles. See your doctor and share my opinion with him or her. I hope it helps. Stay healthy. |
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Hi doctor, I am 29 years old, male, suffering from blood bleeding from the back while passing stools in regular intervals. Initially, it bled in two months interval, and now it is one month. How serious is it? [/INST] Hello. Blood in stools can be from the upper gastrointestinal tract (UGI) or from the lower gastrointestinal tract (LGI). The dark altered blood is from upper GI bleed and fresh blood is mostly from the lower GI tract. We need to evaluate various possibilities that can cause such bleeding most commonly being hemorrhoids or piles, inflammatory bowel disease, acute dysentery. In such a scenario, I would advise you to see your doctor, who will perform a proctoscopy in his office. If any evidence of piles is found, you would be treated accordingly. If he feels suspicious for inflammatory bowel disease, he will post you for colonoscopy. Also, important here is that if you are having cramps, this might be some infection or dysentery. It is not necessary that it will always be associated with loose stools. In such a scenario, you would require antibiotics like Norfloxacin and Tinidazole. In case you are suffering from chronic constipation, you would require to use laxatives to prevent piles. See your doctor and share my opinion with him or her. I hope it helps. Stay healthy. |
Q. Is it normal to have sperm leakage from vagina post-sex after D and C procedure? | Hello doctor, I have been having the problem of sperm leakage from my vagina immediately after sex for some time now. It comes out in loads which were not like that in years back just before I had a D and C three years back. I have been trying to get pregnant but to no avail and I suspect this could be due to the D and C and the sperm leakage because the leakage is not normal. Though I had complications after the D and C, some fetal remnants which caused severe pain, came out on its own the next day but still bled for 10 days with the pain minimal. Please, do you have an idea about how this could be causing infertility problems. | Hi. Fertilisation of ova requires a single sperm, and a normal male ejaculate contains millions of them. So sperm leakage should not be the only concern causing your subfertility. You need to go through some tests for you and your partner to rule out other causes as well. D and C (dilatation and curettage) sometimes cause intrauterine adhesions or tubal block, which may be a cause in some cases of infertility. Husband's recent semen analysis, transvaginal scan to rule out PCOS, intrauterine pathology, fibroids, blood parameters: LH, FSH, TSH, prolactin on the third day of periods. |
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Hello doctor, I have been having the problem of sperm leakage from my vagina immediately after sex for some time now. It comes out in loads which were not like that in years back just before I had a D and C three years back. I have been trying to get pregnant but to no avail and I suspect this could be due to the D and C and the sperm leakage because the leakage is not normal. Though I had complications after the D and C, some fetal remnants which caused severe pain, came out on its own the next day but still bled for 10 days with the pain minimal. Please, do you have an idea about how this could be causing infertility problems. [/INST] Hi. Fertilisation of ova requires a single sperm, and a normal male ejaculate contains millions of them. So sperm leakage should not be the only concern causing your subfertility. You need to go through some tests for you and your partner to rule out other causes as well. D and C (dilatation and curettage) sometimes cause intrauterine adhesions or tubal block, which may be a cause in some cases of infertility. Husband's recent semen analysis, transvaginal scan to rule out PCOS, intrauterine pathology, fibroids, blood parameters: LH, FSH, TSH, prolactin on the third day of periods. |
Q. Will dipping hand in water by HIV patient cause HIV to those who drink it? | Hi doctor, I need help. Two weeks ago, I was at a friend's gathering or party. And we filled a barrel with glass bottle drinks and a lot of ice and a lot of water. Everyone picked up their drinks from the barrel. I had a cut on my finger and constantly dipped my hand in the barrel for a drink. I later got to know some colleagues at the party are HIV positive. But I did not see the water in the barrel bloody or anything of that sort. And I cannot tell if someone had cuts on their hands as well. A week after the incident, I got this mild cold. And I am worried. Please, is it possible for HIV to have survived in the water? Should it be the case that anyone had a cut on his or her hand? Is it possible to have gotten infected just like that? Please help me. | Hi. I have read your query carefully. You are tensed about your exposure to HIV. Now I am explaining you everything. HIV infection is usually acquired through sexual intercourse, exposure to infected blood, or perinatal transmission. In your case, you are exposed to HIV by blood mixing fluid to drink. You have to keep in mind that the HIV virus does not survive for a long time outside the body. You also keep in mind that exposure through oral route is extremely rare. So there is very very little chance to be infected by this mean. But if you are worried after that explanation, you can go for a test named ELISA for HIV. But it needs minimum 2 to 3 weeks to be positive in the fourth generation test. And 7 to 8 weeks in the first generation ELISA todetect the virus after exposure. So you should wait. |
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Hi doctor, I need help. Two weeks ago, I was at a friend's gathering or party. And we filled a barrel with glass bottle drinks and a lot of ice and a lot of water. Everyone picked up their drinks from the barrel. I had a cut on my finger and constantly dipped my hand in the barrel for a drink. I later got to know some colleagues at the party are HIV positive. But I did not see the water in the barrel bloody or anything of that sort. And I cannot tell if someone had cuts on their hands as well. A week after the incident, I got this mild cold. And I am worried. Please, is it possible for HIV to have survived in the water? Should it be the case that anyone had a cut on his or her hand? Is it possible to have gotten infected just like that? Please help me. [/INST] Hi. I have read your query carefully. You are tensed about your exposure to HIV. Now I am explaining you everything. HIV infection is usually acquired through sexual intercourse, exposure to infected blood, or perinatal transmission. In your case, you are exposed to HIV by blood mixing fluid to drink. You have to keep in mind that the HIV virus does not survive for a long time outside the body. You also keep in mind that exposure through oral route is extremely rare. So there is very very little chance to be infected by this mean. But if you are worried after that explanation, you can go for a test named ELISA for HIV. But it needs minimum 2 to 3 weeks to be positive in the fourth generation test. And 7 to 8 weeks in the first generation ELISA todetect the virus after exposure. So you should wait. |
Q. Will fasting and lack of sleep cause delirium? | Hello doctor, Can delirium be caused by fasting and lack of sleep? My 25-year-old daughter is delirious. She does not know who she is, thinks she was in a coma, etc. Hospital ran blood and urine test and a cat scan, all were normal. No new medications. I thought it has to be something physical because it came on so quick, but nothing was found. How do we help her return to herself? Hospital advised Benedryl to help sleep and to encourage food and drink. | Hi. The answer to your query is yes. Prolonged fasting and no sleep can cause mental and physical symptoms similar to mania or delirium or coma. It would have been helpful if serum electrolytes, catecholamine levels, and urea levels were recorded or mentioned because BP is on higher side. The advice for adequate rest and a proper diet is also correct. It may be beneficial to visit a counselor to prevent such episodes in the future. |
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Hello doctor, Can delirium be caused by fasting and lack of sleep? My 25-year-old daughter is delirious. She does not know who she is, thinks she was in a coma, etc. Hospital ran blood and urine test and a cat scan, all were normal. No new medications. I thought it has to be something physical because it came on so quick, but nothing was found. How do we help her return to herself? Hospital advised Benedryl to help sleep and to encourage food and drink. [/INST] Hi. The answer to your query is yes. Prolonged fasting and no sleep can cause mental and physical symptoms similar to mania or delirium or coma. It would have been helpful if serum electrolytes, catecholamine levels, and urea levels were recorded or mentioned because BP is on higher side. The advice for adequate rest and a proper diet is also correct. It may be beneficial to visit a counselor to prevent such episodes in the future. |
Q. Can hypothyroidism cause intermittent palpitations? | Hello doctor, I am 28 years old. Experiencing intermittent palpitations from last three months. ECG, echo, TMT is normal. The lipid profile shows increased triglycerides in serum 189 mg/dl. Recently, I was diagnosed with subclinical hypothyroidism for which I am taking Levothyroxine from last one month. I feel my heart is beating fast and loud intermittently. | Hi. Please be advised that a normal ECG while you do not have the palpitation feeling, is not diagnostic of the palpitation. You need to have a cardiac monitor. If the palpitation happens every day, then a 24 hours cardiac monitor should pick them up. If they happen every 2 to 3 days, then you need a 72 hours monitor, then the cardiologist can look at the ECG at the time when the palpitation happened. It might be that you are just feeling the normal heart beats stronger. However, it still needs checking. |
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Hello doctor, I am 28 years old. Experiencing intermittent palpitations from last three months. ECG, echo, TMT is normal. The lipid profile shows increased triglycerides in serum 189 mg/dl. Recently, I was diagnosed with subclinical hypothyroidism for which I am taking Levothyroxine from last one month. I feel my heart is beating fast and loud intermittently. [/INST] Hi. Please be advised that a normal ECG while you do not have the palpitation feeling, is not diagnostic of the palpitation. You need to have a cardiac monitor. If the palpitation happens every day, then a 24 hours cardiac monitor should pick them up. If they happen every 2 to 3 days, then you need a 72 hours monitor, then the cardiologist can look at the ECG at the time when the palpitation happened. It might be that you are just feeling the normal heart beats stronger. However, it still needs checking. |
Q. Is it something serious to get a bad smell from vagina of a sexually active person? | Hello doctor, I am active in sex with no protection. Before three months, I had a boyfriend who had two other girls. They also have sex. I was there during every weekday and the other girl every weekend. And then, I had a new boyfriend. We had unprotected sex also. Then two weeks later, I met a guy. We had sex. So right now my vagina smells really bad. When I am at home, it does not smell but when I am at work, it really smells bad. Yeah, I know that the vagina really smells. But this one is different, it is like a mixture of rotten fish, or something expired. And I am using pH care every day. I am also using panty liner. What is happening? My other concern is that one week before my menstruation, I am experiencing spotting. Like one week also. Please help. | Hi, Welcome to iclinq.com. You seem to have contracted a vaginal infection and need to take a course of antibiotics. Your current partner also needs to take the medicines, otherwise, the infection will be recurrent. If you are in a flexible sexual relationship, kindly use condoms, it greatly reduces the chances of sexually transmitted diseases. Please take the following medications, as prescribed. 1. Tablet Fluconazole 150 mg once a week for four weeks after food orally for both partners. 2. Tablet Doxycycline 100 mg twice a day for 14 days after food orally for both partners. 3. Clindamycin with Clotrimazole pessary inside the vagina for six nights before going to bed for the girl. 4. You may have acidity with the oral medicines, So take tablet Pantoprazole 40 mg orally in empty stomach for two weeks. Please use condoms. |
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Hello doctor, I am active in sex with no protection. Before three months, I had a boyfriend who had two other girls. They also have sex. I was there during every weekday and the other girl every weekend. And then, I had a new boyfriend. We had unprotected sex also. Then two weeks later, I met a guy. We had sex. So right now my vagina smells really bad. When I am at home, it does not smell but when I am at work, it really smells bad. Yeah, I know that the vagina really smells. But this one is different, it is like a mixture of rotten fish, or something expired. And I am using pH care every day. I am also using panty liner. What is happening? My other concern is that one week before my menstruation, I am experiencing spotting. Like one week also. Please help. [/INST] Hi, Welcome to iclinq.com. You seem to have contracted a vaginal infection and need to take a course of antibiotics. Your current partner also needs to take the medicines, otherwise, the infection will be recurrent. If you are in a flexible sexual relationship, kindly use condoms, it greatly reduces the chances of sexually transmitted diseases. Please take the following medications, as prescribed. 1. Tablet Fluconazole 150 mg once a week for four weeks after food orally for both partners. 2. Tablet Doxycycline 100 mg twice a day for 14 days after food orally for both partners. 3. Clindamycin with Clotrimazole pessary inside the vagina for six nights before going to bed for the girl. 4. You may have acidity with the oral medicines, So take tablet Pantoprazole 40 mg orally in empty stomach for two weeks. Please use condoms. |
Q. My grandmother has purple spots on legs and arms resembling senile purpura. Please suggest solution. | Hi doctor, My grandmother has purple spots on her legs and arms. It looks like senile purpura, but I cannot be sure. The one on her leg is much larger and seems to spread a little over the course of a few days. The one on the arm is small. She is taking calcium and vitamin D for her osteoporosis and I have given her some vitamin K2 and D3 drops as well from time to time. She is 85 years old. | Hello, Welcome to icliniq.com. I can understand your concern. According to your statement your grandmother have been suffering from purple spots on leg and arm with osteoporosis. When small blood vessels are ruptured causing blood to pool under the skin and can create purple spots on the skin are known as purpura. Purpura may be resulted from illnesses such as bleeding disorder, recent history of blood transfusion, cancer, SLE (systemic lupus erythematosus), infections like HIV (human immunodeficiency virus), hepatitis C, CMV (cytomegalovirus), EBV (Epstein Barr virus), etc. It may also occur due to inflammation of blood vessels, blood stream infection, vitamin C deficiencies, medications like Heparin, Aspirin, Sulphonamide, steroid, chemotherapy, Digoxin, Hormone replacement therapy, etc. Purpura are usually benign and may resulted from above mentioned causes and it sizes can vary from small dots to large patches. Senile purpura is benign which affects older people as their skin and underlying blood vessels become more fragile with aging and may bleed from minor trauma. The treatment depends on causes and most of the purpura does not need any treatment and dissolved over time. It may take 4 to 6 weeks to heal. The treatment are only needed for those which are not disappeared over time. You can use topical retinoids along with her current medications. I want to add that according to the pictures (attachment removed to protect patient identity) that are shown here, your grandmother have been suffering from age-related senile purpura. Give her vitamin C and citrus foods like orange, lemon, etc., with application of sunscreen and sun-protective clothing along with previously mentioned medications. |
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Hi doctor, My grandmother has purple spots on her legs and arms. It looks like senile purpura, but I cannot be sure. The one on her leg is much larger and seems to spread a little over the course of a few days. The one on the arm is small. She is taking calcium and vitamin D for her osteoporosis and I have given her some vitamin K2 and D3 drops as well from time to time. She is 85 years old. [/INST] Hello, Welcome to icliniq.com. I can understand your concern. According to your statement your grandmother have been suffering from purple spots on leg and arm with osteoporosis. When small blood vessels are ruptured causing blood to pool under the skin and can create purple spots on the skin are known as purpura. Purpura may be resulted from illnesses such as bleeding disorder, recent history of blood transfusion, cancer, SLE (systemic lupus erythematosus), infections like HIV (human immunodeficiency virus), hepatitis C, CMV (cytomegalovirus), EBV (Epstein Barr virus), etc. It may also occur due to inflammation of blood vessels, blood stream infection, vitamin C deficiencies, medications like Heparin, Aspirin, Sulphonamide, steroid, chemotherapy, Digoxin, Hormone replacement therapy, etc. Purpura are usually benign and may resulted from above mentioned causes and it sizes can vary from small dots to large patches. Senile purpura is benign which affects older people as their skin and underlying blood vessels become more fragile with aging and may bleed from minor trauma. The treatment depends on causes and most of the purpura does not need any treatment and dissolved over time. It may take 4 to 6 weeks to heal. The treatment are only needed for those which are not disappeared over time. You can use topical retinoids along with her current medications. I want to add that according to the pictures (attachment removed to protect patient identity) that are shown here, your grandmother have been suffering from age-related senile purpura. Give her vitamin C and citrus foods like orange, lemon, etc., with application of sunscreen and sun-protective clothing along with previously mentioned medications. |
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 not getting erection unless I watch porn or masturbate. What should I do for this problem? | Hello doctor, My age is 29 years now and I am planning to marry in a year. Since my age of 14, I had a strong erection whenever I got tempted. Later, I started masturbating, thinking about fantasies, watching too much porn. But I get hard only during masturbation. I am not getting erection while seeing girls, watching porn or even during sensual touch. But I watch porn and masturbate and so I get erection. What should I do? I had undergone hernia surgery 15 years back. | Hi. I have read your problem carefully. I have some queries to know. Past sexual history and erection of penis in the early morning when you awake from sleep. Though I have some query, I am giving you explanation. Masturbation and real sex are totally opposite things and the maximum portion is psychological rather than physical. In case of masturbation, we do hurry to ejaculate. But during intercourse, we try to make it late as much as possible. So psychology is totally different. During masturbation, you give your total concentration in doing that. You want to make your penis erect. So it occurs. You told that your penis is being hard enough and you are satisfied with that. So there is little chance of having a physical or hormonal problem. So you can proceed to marry. I can assure you of your physical fitness. |
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Hello doctor, My age is 29 years now and I am planning to marry in a year. Since my age of 14, I had a strong erection whenever I got tempted. Later, I started masturbating, thinking about fantasies, watching too much porn. But I get hard only during masturbation. I am not getting erection while seeing girls, watching porn or even during sensual touch. But I watch porn and masturbate and so I get erection. What should I do? I had undergone hernia surgery 15 years back. [/INST] Hi. I have read your problem carefully. I have some queries to know. Past sexual history and erection of penis in the early morning when you awake from sleep. Though I have some query, I am giving you explanation. Masturbation and real sex are totally opposite things and the maximum portion is psychological rather than physical. In case of masturbation, we do hurry to ejaculate. But during intercourse, we try to make it late as much as possible. So psychology is totally different. During masturbation, you give your total concentration in doing that. You want to make your penis erect. So it occurs. You told that your penis is being hard enough and you are satisfied with that. So there is little chance of having a physical or hormonal problem. So you can proceed to marry. I can assure you of your physical fitness. |
Q. Is it normal to have a jerky septum in 2D echo? | Hello doctor, I had chest pain. In my 2D echo report, septum jerky is given. What does is it mean? The doctor said the heart is fine. | Hi. The echo is reassuring. A jerky septum means that there is slight dyssynchrony between the septum and the other left ventricle walls. Such thing is usually seen in left bundle branch block which needs to be confirmed on an ECG. If the ECG shows normal sinus rhythm, then nothing to worry about. The rest of the echo is reassuring. Please keep BP under well control to less than 130 mmHg. |
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Hello doctor, I had chest pain. In my 2D echo report, septum jerky is given. What does is it mean? The doctor said the heart is fine. [/INST] Hi. The echo is reassuring. A jerky septum means that there is slight dyssynchrony between the septum and the other left ventricle walls. Such thing is usually seen in left bundle branch block which needs to be confirmed on an ECG. If the ECG shows normal sinus rhythm, then nothing to worry about. The rest of the echo is reassuring. Please keep BP under well control to less than 130 mmHg. |
Q. What does bleeding after 16 days of taking emergency pill indicate? | Hello doctor, I had unprotected sex with my fiancee on the seventh day of ending her period and she took the emergency pill within 12 hours and her period cycle is around 33 days. After 16 to 17 days of having pill she got light bleeding that lasted for around five days. Are there any chances of pregnancy? | Hi. I just want to be clear that no birth control pill or any family planning method that can give 100 % assurance that you will not get pregnant. It only decreases a significant percentage of the chances. So yes, she can be pregnant but if she took an emergency pill then it gives her only 75 % chance of getting pregnant. The spotting after ECP (emergency contraceptive pills), usually 5 to 10 days after is what we call withdrawal bleeding. This is expected since the hormone Progesterone in the emergency pill is so high, it can cause spotting or bleeding after. I suggest you take a pregnancy test after one week and if it is negative, then you are safe. |
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Hello doctor, I had unprotected sex with my fiancee on the seventh day of ending her period and she took the emergency pill within 12 hours and her period cycle is around 33 days. After 16 to 17 days of having pill she got light bleeding that lasted for around five days. Are there any chances of pregnancy? [/INST] Hi. I just want to be clear that no birth control pill or any family planning method that can give 100 % assurance that you will not get pregnant. It only decreases a significant percentage of the chances. So yes, she can be pregnant but if she took an emergency pill then it gives her only 75 % chance of getting pregnant. The spotting after ECP (emergency contraceptive pills), usually 5 to 10 days after is what we call withdrawal bleeding. This is expected since the hormone Progesterone in the emergency pill is so high, it can cause spotting or bleeding after. I suggest you take a pregnancy test after one week and if it is negative, then you are safe. |
Q. I lost four teeth due to weakness and mobility. How to prevent further loss? | Hi doctor, I am 28 years old, and my teeth are weak. Till date, I have lost three molars and one premolar. I am using caps on that place. Now, I have a slight movement on my central incisor. Please suggest me a treatment or medicine to prevent myself from the early loss of a tooth. | Hi. I can understand your concern. It looks like a condition called chronic periodontitis, in case if you do not have a decayed tooth. For that, you need to take medication like Ofloxacin 200 mg twice daily for a week, tablet Metronidazole 400 mg three times daily for a week. Use mouthwash Chlorhexidine twice daily, and also, brush your teeth with an ultra-soft brush. If there is bleeding from your gums, you can also have vitamin C supplement. Consult a dentist and do oral prophylaxis for two to three times. If you upload a picture of the tooth, I can be able to provide you a better possible treatment plan. |
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Hi doctor, I am 28 years old, and my teeth are weak. Till date, I have lost three molars and one premolar. I am using caps on that place. Now, I have a slight movement on my central incisor. Please suggest me a treatment or medicine to prevent myself from the early loss of a tooth. [/INST] Hi. I can understand your concern. It looks like a condition called chronic periodontitis, in case if you do not have a decayed tooth. For that, you need to take medication like Ofloxacin 200 mg twice daily for a week, tablet Metronidazole 400 mg three times daily for a week. Use mouthwash Chlorhexidine twice daily, and also, brush your teeth with an ultra-soft brush. If there is bleeding from your gums, you can also have vitamin C supplement. Consult a dentist and do oral prophylaxis for two to three times. If you upload a picture of the tooth, I can be able to provide you a better possible treatment plan. |
Q. I have had this little bump on my stomach for a few years. What could this be? | Hello doctor, I have had this little bump on my stomach for a few years. I have attached a picture of the bump. I have shaved the area to give you a better picture. The bump is not growing or increasing in size. It has been the same size. What could this be? | Hi. I have seen the attached picture (attachment removed to protect patient identity). Since there are many causes of nodule and complete history with good clinical examination is necessary to diagnose the nodule, I would like to give a differential diagnosis of what could it be. Although it is looking more like a dermatofibroma, other possibilities are sebaceous cyst, pilomatrixoma, calcinosis cutis, folliculoma, and dermoid cyst. However, almost all these conditions are benign and simple surgical excision is the treatment of choice. I would suggest you visit a local dermatologist so that he could palpate the lesion and can reach the diagnosis. |
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Hello doctor, I have had this little bump on my stomach for a few years. I have attached a picture of the bump. I have shaved the area to give you a better picture. The bump is not growing or increasing in size. It has been the same size. What could this be? [/INST] Hi. I have seen the attached picture (attachment removed to protect patient identity). Since there are many causes of nodule and complete history with good clinical examination is necessary to diagnose the nodule, I would like to give a differential diagnosis of what could it be. Although it is looking more like a dermatofibroma, other possibilities are sebaceous cyst, pilomatrixoma, calcinosis cutis, folliculoma, and dermoid cyst. However, almost all these conditions are benign and simple surgical excision is the treatment of choice. I would suggest you visit a local dermatologist so that he could palpate the lesion and can reach the diagnosis. |
Q. Is there any chance for pregnancy even after taking Depo shot? | Hello doctor, I started the Depo shot before six months and I missed my second shot. I did not continue getting the shot, so I have been off birth control. It was my first Depo shot I have ever received and I am not sure how long it takes to be totally gone. But, I have been very sexually active with my boyfriend for the past few months. I have not started my period as I got the shot. Yesterday, I bled very lightly, but only for a couple of hours and then it stopped completely. I am wondering if this could be implantation bleeding? I have had a couple of bad headaches recently, but do not feel as crampy as I do when I am on a normal period. I was wondering that any chances to become pregnant or not. But I have not noticed any morning sickness or weird cravings. Please suggest me. | Hi. For further information consult an obstetrician and gynaecologist online --> |
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Hello doctor, I started the Depo shot before six months and I missed my second shot. I did not continue getting the shot, so I have been off birth control. It was my first Depo shot I have ever received and I am not sure how long it takes to be totally gone. But, I have been very sexually active with my boyfriend for the past few months. I have not started my period as I got the shot. Yesterday, I bled very lightly, but only for a couple of hours and then it stopped completely. I am wondering if this could be implantation bleeding? I have had a couple of bad headaches recently, but do not feel as crampy as I do when I am on a normal period. I was wondering that any chances to become pregnant or not. But I have not noticed any morning sickness or weird cravings. Please suggest me. [/INST] Hi. For further information consult an obstetrician and gynaecologist online --> |
Q. I am a diabetic. Help me control my blood sugar. | Hello doctor, I am a diabetic patient and under insulinfor the past 5 years. So, please help me to control it. I recently did a medical checkup. I have attached my reports here. I want you to suggest yoga remedies as well as home remedies (I am a pure vegetarian). | Hello. I have gone through your reports (attachment removed to protect patient identity) in detail, and my observations are: Your blood sugar level is much higher than normal. This can be seen from the HbA1c and average blood glucose values. It is important for you to get back to your doctor and start insulin on a sliding scale. You are a young person, and if you do not control from now, then there might be serious complications after 15 to 20 years. Blood counts and homocysteine are almost normal. Please do yoga or physical exercise for 30 minutes daily and maintain your body weight in the normal range. I hope your query been answered. |
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Hello doctor, I am a diabetic patient and under insulinfor the past 5 years. So, please help me to control it. I recently did a medical checkup. I have attached my reports here. I want you to suggest yoga remedies as well as home remedies (I am a pure vegetarian). [/INST] Hello. I have gone through your reports (attachment removed to protect patient identity) in detail, and my observations are: Your blood sugar level is much higher than normal. This can be seen from the HbA1c and average blood glucose values. It is important for you to get back to your doctor and start insulin on a sliding scale. You are a young person, and if you do not control from now, then there might be serious complications after 15 to 20 years. Blood counts and homocysteine are almost normal. Please do yoga or physical exercise for 30 minutes daily and maintain your body weight in the normal range. I hope your query been answered. |
Q. My fiance has noticed a small pink lump on the back of her calf. What could it be? | Hello doctor, My fiance has noticed a small pink lump (probably smaller than a pencil eraser) on the back of her calf. I have attached pictures of the same. She thinks it is only a few months old and may have grown in size to some extent. But she is not sure, and it could have been there longer. It looks like a pimple (or actually two tiny one's side by side) with some reddish outline. It is not painful at all. She does not know about her family history and considers herself medium in terms of skin shade. We are concerned because we read somewhere that the lower leg is the most common spot for a woman to develop a melanoma. We would like to have an opinion on this to know if we should have it checked. Thank you! | Hi. I have seen the pictures (attachment removed to protect patient identity). This is mostly a wart. Melanoma is generally black in color and is very rarely seen in young age. This lesion of hers has mostly no feature of melanoma. Wart occurs due to one of these reasons say pricking, thorn or from other people if the virus gets into your skin. The virus stays there and slowly grows. Also, a wart is infectious, i.e., after touching a wart if you touch anywhere else, you can get a wart there too. So the most important advice is "do not touch at all." Wart has to be removed as early as possible before it spreads much. It can be removed by radio frequency cautery which burns the wart and is removed. Many creams and acids are also there to use, but I consider cautery as the first line of treatment, as chances of recurrence are less with it and the wart is removed in one sitting. I advise her to get it removed by cautery as early as possible. |
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Hello doctor, My fiance has noticed a small pink lump (probably smaller than a pencil eraser) on the back of her calf. I have attached pictures of the same. She thinks it is only a few months old and may have grown in size to some extent. But she is not sure, and it could have been there longer. It looks like a pimple (or actually two tiny one's side by side) with some reddish outline. It is not painful at all. She does not know about her family history and considers herself medium in terms of skin shade. We are concerned because we read somewhere that the lower leg is the most common spot for a woman to develop a melanoma. We would like to have an opinion on this to know if we should have it checked. Thank you! [/INST] Hi. I have seen the pictures (attachment removed to protect patient identity). This is mostly a wart. Melanoma is generally black in color and is very rarely seen in young age. This lesion of hers has mostly no feature of melanoma. Wart occurs due to one of these reasons say pricking, thorn or from other people if the virus gets into your skin. The virus stays there and slowly grows. Also, a wart is infectious, i.e., after touching a wart if you touch anywhere else, you can get a wart there too. So the most important advice is "do not touch at all." Wart has to be removed as early as possible before it spreads much. It can be removed by radio frequency cautery which burns the wart and is removed. Many creams and acids are also there to use, but I consider cautery as the first line of treatment, as chances of recurrence are less with it and the wart is removed in one sitting. I advise her to get it removed by cautery as early as possible. |
Q. Will Botox injection 200 permanently cure urinary external sphincter void dysfunction? | Hello doctor, I have urinary external sphincter void dysfunctioning. The doctor had suggested Botox injection 200. Is this permanent cure or you suggest other medicine or tablets? | Hi. Hope you are fully evaluated with the urodynamic study. Botox injection for urinary external sphincter void dysfunction is not a permanent cure. It has a 70 to 90 % success rate with 5 to 12 months duration with a mean of nine months duration of action by various studies. Other drugs for urinary external sphincter void dysfunction depends upon the urodynamic reports and post void residue. In case of significant residual urine, self-catheterization may be the alternative. |
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Hello doctor, I have urinary external sphincter void dysfunctioning. The doctor had suggested Botox injection 200. Is this permanent cure or you suggest other medicine or tablets? [/INST] Hi. Hope you are fully evaluated with the urodynamic study. Botox injection for urinary external sphincter void dysfunction is not a permanent cure. It has a 70 to 90 % success rate with 5 to 12 months duration with a mean of nine months duration of action by various studies. Other drugs for urinary external sphincter void dysfunction depends upon the urodynamic reports and post void residue. In case of significant residual urine, self-catheterization may be the alternative. |
Q. What causes swollen tonsils with fever, body aches and runny nose? | Hello doctor,I need to know what I should do. I have been sick for four days now. I have two swollen tonsils (left side I noticed white spots on it). I have had fevers, body aches, body chills, runny or stuffy nose, vomiting and difficulty breathing. | Hello. With the details, you have provided you seem to be suffering from acute tonsillitis. It is an infection of the tonsils and the pharynx, mostly bacterial looking at the associated symptoms you have. You must take an appropriate antibiotic for the same and in my office, I usually empirically start my patients on Amoxicillin 500 mg thrice a day for five days. Also, I give them symptomatic treatment, Paracetamol 650 mg taken SOS for fever and pain, Levocetirizine 5 mg taken once a day for a runny nose, Phenylephrine 10 mg taken once or twice a day for the stuffy nose (Note: There are combinations of Paracetamol, Phenylephrine, and Levocetirizine). Good supportive treatment comprising hot water gargles, plenty of warm water to drink, avoidance of smoke, dust and cold foods, avoidance of oily-spicy foods during the course of treatment and a healthy nutritious diet will help remove the infection faster. The white or yellow spots on the tonsil are due to obstruction of small crypts due to the infection. It is a common finding in follicular variety of tonsillitis. You may also gargle the throat with dilute Chlorhexidine mouthwash if there is any bad smell emanating from the mouth. Do revert back to me for any further query or clarification. I will be happy to help you. Hope to find you in good health soon. |
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Hello doctor,I need to know what I should do. I have been sick for four days now. I have two swollen tonsils (left side I noticed white spots on it). I have had fevers, body aches, body chills, runny or stuffy nose, vomiting and difficulty breathing. [/INST] Hello. With the details, you have provided you seem to be suffering from acute tonsillitis. It is an infection of the tonsils and the pharynx, mostly bacterial looking at the associated symptoms you have. You must take an appropriate antibiotic for the same and in my office, I usually empirically start my patients on Amoxicillin 500 mg thrice a day for five days. Also, I give them symptomatic treatment, Paracetamol 650 mg taken SOS for fever and pain, Levocetirizine 5 mg taken once a day for a runny nose, Phenylephrine 10 mg taken once or twice a day for the stuffy nose (Note: There are combinations of Paracetamol, Phenylephrine, and Levocetirizine). Good supportive treatment comprising hot water gargles, plenty of warm water to drink, avoidance of smoke, dust and cold foods, avoidance of oily-spicy foods during the course of treatment and a healthy nutritious diet will help remove the infection faster. The white or yellow spots on the tonsil are due to obstruction of small crypts due to the infection. It is a common finding in follicular variety of tonsillitis. You may also gargle the throat with dilute Chlorhexidine mouthwash if there is any bad smell emanating from the mouth. Do revert back to me for any further query or clarification. I will be happy to help you. Hope to find you in good health soon. |
Q. What can be done for high ferritin levels in thalassemia major patient with factor 13 deficiency? | Hello doctor, I am thalassemia major with factor XIII decficiency, HCV+. I transfuse platelet or FFp daily and RCC weekly. All these things are reacting in my body. My ferritin level is 15000 after chelation therapy. This also reacts badly every time. I am 28 years old. How much time do I have to live more? | Hi. Based on your query, my opinion is as follows: The serum ferritin level of 15000 is definitely too high. Along with HCV, the prognosis is somewhat poor. However, without knowing the amount of iron deposition in tissues like the liver, heart, etc, and also the amount of damage to liver secondary to HCV infection, it is difficult to say anything. If all are functioning well, then 5 to 10 years should be easily managed well with therapy. Need to reduce ferritin levels, improve nutrition with protein rich diet and need to have a positive outlook. Liver biopsy for serum iron and amount of damage based on liver function tests and histopathology examination could be helpful in further management. |
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Hello doctor, I am thalassemia major with factor XIII decficiency, HCV+. I transfuse platelet or FFp daily and RCC weekly. All these things are reacting in my body. My ferritin level is 15000 after chelation therapy. This also reacts badly every time. I am 28 years old. How much time do I have to live more? [/INST] Hi. Based on your query, my opinion is as follows: The serum ferritin level of 15000 is definitely too high. Along with HCV, the prognosis is somewhat poor. However, without knowing the amount of iron deposition in tissues like the liver, heart, etc, and also the amount of damage to liver secondary to HCV infection, it is difficult to say anything. If all are functioning well, then 5 to 10 years should be easily managed well with therapy. Need to reduce ferritin levels, improve nutrition with protein rich diet and need to have a positive outlook. Liver biopsy for serum iron and amount of damage based on liver function tests and histopathology examination could be helpful in further management. |
Q. How long should my husband and I wait to try for a baby if we did cocaine? | Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. | Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> |
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Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. [/INST] Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> |
Q. Can Yasmin birth control pill be used as an emergency contraceptive pill? | Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? | Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> |
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Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? [/INST] Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> |
Q. Please explain the poisonous effect of phenol ingestion. | Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. | Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> |
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Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. [/INST] Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> |
Q. For how long should I take Kalachikai powder to overcome PCOD problem? | Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? | Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> |
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Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? [/INST] Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> |
Q. Why do periods get delayed after first time sex? | Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? | Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> |
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Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? [/INST] Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> |
Q. How to heal my broken ankle? | Hello doctor, My partner, who is 36 years old, broke his ankle (fibula break) before 7.5 weeks. I had been for his appointment where he had an x-ray and found that the bone has not knitted together. He smokes approximately 10 cigarettes per day. I have found through online research, that smoking hinders bone healing and have advised him to stop, even if short term to assist with the healing of the broken bone. He had cast for three weeks and then was transferred to a walking boot with vague instructions on how to deal with it. He is being told that he should be walking more on the ankle which is broken. But, he is worried as he will cause more damage as it is not yet aligned. Also, should he be wearing his walking boot at all times? He wears while sleeping and he removes it while bathing daily. Please explain to him that how the bone will heal and whether he should be wearing his boot all the time. | Hi. Revert back with the x-ray report to an orthopaedician and traumatologist online --> |
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Hello doctor, My partner, who is 36 years old, broke his ankle (fibula break) before 7.5 weeks. I had been for his appointment where he had an x-ray and found that the bone has not knitted together. He smokes approximately 10 cigarettes per day. I have found through online research, that smoking hinders bone healing and have advised him to stop, even if short term to assist with the healing of the broken bone. He had cast for three weeks and then was transferred to a walking boot with vague instructions on how to deal with it. He is being told that he should be walking more on the ankle which is broken. But, he is worried as he will cause more damage as it is not yet aligned. Also, should he be wearing his walking boot at all times? He wears while sleeping and he removes it while bathing daily. Please explain to him that how the bone will heal and whether he should be wearing his boot all the time. [/INST] Hi. Revert back with the x-ray report to an orthopaedician and traumatologist online --> |
Q. Is it normal to observe light spreading out on seeing bulb after wearing Toric lens? | Hello doctor,My site vision is -4. I have been using contacts for the last six years. This time, I tried the Toric lens. After using them for a week, I noticed the light used to spread out when I see the bulb. Now today my one eyeball color is a bit faded from the top. Also, I have a migraine. | Hi. From the information you have given, your vision prescription is -4. You have not specified whether it is a spherical, cylindrical, or a compound power. You are also using a Toric contact lens, for the first time. The reason for seeing light spreading can be due to a faulty fitting contact lens, because, the Toric lens has to be perfectly fitting, since they carry an axis power. The other reason could due to corneal edema, again due to a faulty fitting contact lens. Take care. |
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Hello doctor,My site vision is -4. I have been using contacts for the last six years. This time, I tried the Toric lens. After using them for a week, I noticed the light used to spread out when I see the bulb. Now today my one eyeball color is a bit faded from the top. Also, I have a migraine. [/INST] Hi. From the information you have given, your vision prescription is -4. You have not specified whether it is a spherical, cylindrical, or a compound power. You are also using a Toric contact lens, for the first time. The reason for seeing light spreading can be due to a faulty fitting contact lens, because, the Toric lens has to be perfectly fitting, since they carry an axis power. The other reason could due to corneal edema, again due to a faulty fitting contact lens. Take care. |
Q. How can I get rid of rough dry hands with deep cracks in palms? | Hello doctor, I am 18 years old and my hands are very dry and rough. There are very deep noticeable cracks in palms and the webbed skin between the thumb and the index finger is very dry and rough. No lotions help. It is a big self-conscious thing. It has been this way since I can remember. Any help would be appreciated. | Hi. I am glad you asked this. In my professional opinion, this could either be a worse case of dry hands (xerosis) or a localized form of palmar keratoderma, a close-up examination with regards to surface elasticity and color would be elemental in determining the diagnosis. The treatment for palmar keratoderma is different as many medications like retinoids and other medicines are not available over the counter. You will have to see your dermatologist to institute the treatment for the same. In either case, avoid excessive washing with soap. Avoid handling harsh chemicals like washing soda, detergents, bleach, car cleaners, etc., with bare hands. Use hand lotion regularly to keep the skin soft. Take omega 3 supplements to regulate the cholesterol environment in the skin. |
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Hello doctor, I am 18 years old and my hands are very dry and rough. There are very deep noticeable cracks in palms and the webbed skin between the thumb and the index finger is very dry and rough. No lotions help. It is a big self-conscious thing. It has been this way since I can remember. Any help would be appreciated. [/INST] Hi. I am glad you asked this. In my professional opinion, this could either be a worse case of dry hands (xerosis) or a localized form of palmar keratoderma, a close-up examination with regards to surface elasticity and color would be elemental in determining the diagnosis. The treatment for palmar keratoderma is different as many medications like retinoids and other medicines are not available over the counter. You will have to see your dermatologist to institute the treatment for the same. In either case, avoid excessive washing with soap. Avoid handling harsh chemicals like washing soda, detergents, bleach, car cleaners, etc., with bare hands. Use hand lotion regularly to keep the skin soft. Take omega 3 supplements to regulate the cholesterol environment in the skin. |
Q. I have hypothyroidism. Which diet plan is suitable? Is there any complication? | Hi doctor, My age is 28 and actually, I am suffering from hypothyroidism and my latest TSH is 11. I take Thyronorm 125 mcg daily empty stomach. Please suggest a proper diet plan along with the complications at this level. Once, My TSH had risen to 150, I am not gaining extra weight anymore. Please guide me. | Hi. Thanks for posting your query. Diet for hypothyroidism is to avoid cabbage, cauliflower, and spinach. Otherwise nothing extra diet is needed. Complications do not happen at any particular level. It happens if the TSH is high for years. Complications are heart problems, slowness in action, high cholesterol and in severe cases coma. I recommend you to increase the dose to 150 mcg and repeat TSH after two months. |
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Hi doctor, My age is 28 and actually, I am suffering from hypothyroidism and my latest TSH is 11. I take Thyronorm 125 mcg daily empty stomach. Please suggest a proper diet plan along with the complications at this level. Once, My TSH had risen to 150, I am not gaining extra weight anymore. Please guide me. [/INST] Hi. Thanks for posting your query. Diet for hypothyroidism is to avoid cabbage, cauliflower, and spinach. Otherwise nothing extra diet is needed. Complications do not happen at any particular level. It happens if the TSH is high for years. Complications are heart problems, slowness in action, high cholesterol and in severe cases coma. I recommend you to increase the dose to 150 mcg and repeat TSH after two months. |
Q. What is the papillary growth on my scalp? | Hi doctor, Two years ago, I went to a dermatologist to remove a lesion on my scalp. She told me it was a mole and it will regrow again. They checked it and it was not cancerous. So yes, it will regrow again and I am worried because of the aspect. I want to be sure it is a mole, not a wart because it looks to be having papillary tissue. HPV+ aggressive type (condyloma in the genital area) eight years back. No more episodes of HPV. HIV negative and no other diseases. | Hi. Thanks for posting your question on icliniq. As per the photograph you have sent me (attachment removed to protect patient identity), it does look like a wart, I will make the following points, to support my observation. As you have said, they checked it and it was not cancerous. Was this told you by performing a skin biopsy or just orally? To come to a definite diagnosis of a wart skin biopsy is a must. Warts are known to occur even after removal. Warts spread to other areas of the body as well as you have given a history of condyloma in the genital area. Was a viral typing done for the genital lesion eight years back? 1. HPV in care of wart. 2. Congenital in case of nevus. Skin biopsy. Verruca vulgaris, sebaceous nevus. Verruca vulgaris. Removal of the lesion surgically, or by using radiofrequency or Co2 laser. Try not to remove it with your fingernails, if it is a wart, it will spread to other areas. |
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Hi doctor, Two years ago, I went to a dermatologist to remove a lesion on my scalp. She told me it was a mole and it will regrow again. They checked it and it was not cancerous. So yes, it will regrow again and I am worried because of the aspect. I want to be sure it is a mole, not a wart because it looks to be having papillary tissue. HPV+ aggressive type (condyloma in the genital area) eight years back. No more episodes of HPV. HIV negative and no other diseases. [/INST] Hi. Thanks for posting your question on icliniq. As per the photograph you have sent me (attachment removed to protect patient identity), it does look like a wart, I will make the following points, to support my observation. As you have said, they checked it and it was not cancerous. Was this told you by performing a skin biopsy or just orally? To come to a definite diagnosis of a wart skin biopsy is a must. Warts are known to occur even after removal. Warts spread to other areas of the body as well as you have given a history of condyloma in the genital area. Was a viral typing done for the genital lesion eight years back? 1. HPV in care of wart. 2. Congenital in case of nevus. Skin biopsy. Verruca vulgaris, sebaceous nevus. Verruca vulgaris. Removal of the lesion surgically, or by using radiofrequency or Co2 laser. Try not to remove it with your fingernails, if it is a wart, it will spread to other areas. |
Q. What can be the cause for severe cramps during periods? | Hi doctor,When I was in high school, I had horrible periods. Very heavy bleeding, big clots and they would last longer than a week sometimes. I never told anyone because I was embarrassed and eventually, it calmed down and they were more normal. I still had awful, awful cramps every month though until about two years ago when I went on birth control. Since then they have been super easy, light, only lasting a few days with manageable cramps. But slowly every month my cramps are getting worse and worse again. Any idea, why? | Hi. Your symptoms can have two causes, one is low pain threshold (pain sensitivity varies among individuals) or endometriosis. Endometriosis is less likely in your case as oral contraceptives are known to suppress it. If you are taking low dose oral contraceptive (Estrogen 20/30 mcg), you can take a high dose (Estrogen 35/50 mcg) for two to three months (if your doctor permits or if you have no risk factor for high dose pill. You can see package insert for risk factors) and see if pain reduces or disappears. Other option would be to take same birth control pills continuously without a break for menses (it can be safely taken continuously for nine months) if it is acceptable to you. Normally, such pain of dysmenorrhoea reduces or disappears after childbirth. So you may have to bear some pain till then. |
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Hi doctor,When I was in high school, I had horrible periods. Very heavy bleeding, big clots and they would last longer than a week sometimes. I never told anyone because I was embarrassed and eventually, it calmed down and they were more normal. I still had awful, awful cramps every month though until about two years ago when I went on birth control. Since then they have been super easy, light, only lasting a few days with manageable cramps. But slowly every month my cramps are getting worse and worse again. Any idea, why? [/INST] Hi. Your symptoms can have two causes, one is low pain threshold (pain sensitivity varies among individuals) or endometriosis. Endometriosis is less likely in your case as oral contraceptives are known to suppress it. If you are taking low dose oral contraceptive (Estrogen 20/30 mcg), you can take a high dose (Estrogen 35/50 mcg) for two to three months (if your doctor permits or if you have no risk factor for high dose pill. You can see package insert for risk factors) and see if pain reduces or disappears. Other option would be to take same birth control pills continuously without a break for menses (it can be safely taken continuously for nine months) if it is acceptable to you. Normally, such pain of dysmenorrhoea reduces or disappears after childbirth. So you may have to bear some pain till then. |
Q. Why is there a continuous pain in my first molar? | Hi doctor,My first molar is paining. I am applying clove oil and had Aspirin. What is the treatment? | Hi. I have gone through the case and it seems you have an inflammation of the pulp tissue inside the tooth (the sensory area inside the molar). This condition is usually known as caries tooth, bacterial infection has broken the hard tissue of the outer layer of the molar and entered the middle area called dentin. It is the sensitivity area and so there is a constant pain. I suggest you to visit a dentist near to your place in order to clean your tooth from that bacterial infection and to seal it by permanent filling. |
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Hi doctor,My first molar is paining. I am applying clove oil and had Aspirin. What is the treatment? [/INST] Hi. I have gone through the case and it seems you have an inflammation of the pulp tissue inside the tooth (the sensory area inside the molar). This condition is usually known as caries tooth, bacterial infection has broken the hard tissue of the outer layer of the molar and entered the middle area called dentin. It is the sensitivity area and so there is a constant pain. I suggest you to visit a dentist near to your place in order to clean your tooth from that bacterial infection and to seal it by permanent filling. |
Q. I have periodontitis. Kindly advise the management without surgery. | Hi doctor, About three months ago, I was diagnosed with periodontitis. I am facing swelling of gums, gum bleeding and pus from gums. I would like to know available treatment options and can it be treated without any surgery. I am 26 years old. I am taking Vitamin C tablets. | Hi. There are two treatment options for periodontitis. First includes deep scaling and medications. Periodically scaling will be done of each quadrant of the jaw in two weeks and meanwhile, you should take following medications, capsule Doxycycline 100 mg one time a day for seven days (take two capsules together at first day then take one capsule from the second day). Tablet Metronidazole 400 mg, twice a day for five days, tablet Flurbiprofen 100 mg twice a day for three days. Meanwhile, keep doing saline water mouth rinses. Take a cup of water and add 1/4th teaspoon of salt in it and do its rinses five times a day at least. For one week, it is the best therapy for healing of gums. The second treatment option is for severe cases in which gum grafting surgery is done. If the first line of treatment does not affect you then go for the second option. Please provide your clinical pictures of teeth so I may suggest what should you opt for. Stay happy and blessed. |
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Hi doctor, About three months ago, I was diagnosed with periodontitis. I am facing swelling of gums, gum bleeding and pus from gums. I would like to know available treatment options and can it be treated without any surgery. I am 26 years old. I am taking Vitamin C tablets. [/INST] Hi. There are two treatment options for periodontitis. First includes deep scaling and medications. Periodically scaling will be done of each quadrant of the jaw in two weeks and meanwhile, you should take following medications, capsule Doxycycline 100 mg one time a day for seven days (take two capsules together at first day then take one capsule from the second day). Tablet Metronidazole 400 mg, twice a day for five days, tablet Flurbiprofen 100 mg twice a day for three days. Meanwhile, keep doing saline water mouth rinses. Take a cup of water and add 1/4th teaspoon of salt in it and do its rinses five times a day at least. For one week, it is the best therapy for healing of gums. The second treatment option is for severe cases in which gum grafting surgery is done. If the first line of treatment does not affect you then go for the second option. Please provide your clinical pictures of teeth so I may suggest what should you opt for. Stay happy and blessed. |
Q. What can cause the stool to float and change color? | Hello doctor, About 18 months ago, my stomach distended, and my stool turned from brown to light brown and eventually yellow. After that, I started to lose weight at a rapid rate, 40 lbs in 15 months. I was given multiple blood tests, an upper endoscopy, and abdominal ultrasounds. The only thing of significance was minor gastritis and some gallbladder sludge, nothing else. I have no hepatitis or autoimmune issues. I do not have Wilson's disease. 11 months ago, I had a blood test showing elevated ALT liver enzymes and slight liver enlargement. Total bilirubin was elevated as well. I had more ultrasounds, a liver biopsy, a colonoscopy, abdominal CT scan and MRI. Nothing was out of the ordinary with the imaging, except more sludge and possibly small stones. The biopsy showed 'minimal portal and lobular inflammation' with an indication of a resolving process. My liver enzymes continue to be elevated, my stool is constantly yellow and now for the last six months, it floats. At this point, the doctors continue to investigate, but cannot figure out what is happening. I do not drink, use drugs or anything of the sort. I am seeking advice as to what the doctors might not be seeing. I do not seem to have any type of GI or surrounding structure cancers. What else could cause ALT liver enzymes to elevate? Lastly, what would cause a sudden change in stool color and eventually floating? Is there any connection with the liver or vice versa? Could that help explain the weight loss? I cannot gain the weight back no matter what I do. I have stabilized at 196 lbs and I am 6 feet. Any help you can give would be much appreciated. | Hello. The cause of your weight loss could be maldigestion, malabsorption or systemic illness. Floating stools point toward fat malabsorption syndrome in your case. High liver enzymes can be due to fatty liver or infection of the liver. We need reports to differentiate between these disorders. Investigations to be done: I think you have already done the investigations. Kindly provide the details and reports. For more information consult a medical gastroenterologist online --> |
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Hello doctor, About 18 months ago, my stomach distended, and my stool turned from brown to light brown and eventually yellow. After that, I started to lose weight at a rapid rate, 40 lbs in 15 months. I was given multiple blood tests, an upper endoscopy, and abdominal ultrasounds. The only thing of significance was minor gastritis and some gallbladder sludge, nothing else. I have no hepatitis or autoimmune issues. I do not have Wilson's disease. 11 months ago, I had a blood test showing elevated ALT liver enzymes and slight liver enlargement. Total bilirubin was elevated as well. I had more ultrasounds, a liver biopsy, a colonoscopy, abdominal CT scan and MRI. Nothing was out of the ordinary with the imaging, except more sludge and possibly small stones. The biopsy showed 'minimal portal and lobular inflammation' with an indication of a resolving process. My liver enzymes continue to be elevated, my stool is constantly yellow and now for the last six months, it floats. At this point, the doctors continue to investigate, but cannot figure out what is happening. I do not drink, use drugs or anything of the sort. I am seeking advice as to what the doctors might not be seeing. I do not seem to have any type of GI or surrounding structure cancers. What else could cause ALT liver enzymes to elevate? Lastly, what would cause a sudden change in stool color and eventually floating? Is there any connection with the liver or vice versa? Could that help explain the weight loss? I cannot gain the weight back no matter what I do. I have stabilized at 196 lbs and I am 6 feet. Any help you can give would be much appreciated. [/INST] Hello. The cause of your weight loss could be maldigestion, malabsorption or systemic illness. Floating stools point toward fat malabsorption syndrome in your case. High liver enzymes can be due to fatty liver or infection of the liver. We need reports to differentiate between these disorders. Investigations to be done: I think you have already done the investigations. Kindly provide the details and reports. For more information consult a medical gastroenterologist online --> |
Q. I have oily skin with dark complexion. How can I treat it? | Hello doctor, My skin is a bit oily and I had a really fair complexion but nowadays it has become dark. So please tell me a solution to get fairer complexion. | Hi. You can do the following for tanning. Use a very good sunscreen. The proper method of using sunscreen is to use a sun protection cream. Sunscreen or sunblock with SPF of at least 30+ daily. If you are going to be outdoors for a long time you can use SPF of 50+. The sunscreen has to be applied every 3 to 4 hours, as the protection only lasts for 3 to 4 hours. The sunscreen has to be applied liberally onto areas of exposure from face, ears, and neck to arms and feet. Apply the sun protection at least 20 minutes before stepping out. Time is required for the absorption of the sun protection cream or lotion. The sun protection cream is the last layer to be applied. All other creams or lotions should be applied beneath this. You can apply a talcum powder over it if it appears too oily. There are many options available. Creams, lotions, gels. If you have oily skin, use a lighter formulation like lotion or gel, for normal to dry skin use a cream. You can also use an anti-tanning cream like BAN-A-TAN all over the face at night. |
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Hello doctor, My skin is a bit oily and I had a really fair complexion but nowadays it has become dark. So please tell me a solution to get fairer complexion. [/INST] Hi. You can do the following for tanning. Use a very good sunscreen. The proper method of using sunscreen is to use a sun protection cream. Sunscreen or sunblock with SPF of at least 30+ daily. If you are going to be outdoors for a long time you can use SPF of 50+. The sunscreen has to be applied every 3 to 4 hours, as the protection only lasts for 3 to 4 hours. The sunscreen has to be applied liberally onto areas of exposure from face, ears, and neck to arms and feet. Apply the sun protection at least 20 minutes before stepping out. Time is required for the absorption of the sun protection cream or lotion. The sun protection cream is the last layer to be applied. All other creams or lotions should be applied beneath this. You can apply a talcum powder over it if it appears too oily. There are many options available. Creams, lotions, gels. If you have oily skin, use a lighter formulation like lotion or gel, for normal to dry skin use a cream. You can also use an anti-tanning cream like BAN-A-TAN all over the face at night. |
Q. Period become irregular after taking Unwanted 72. What to do? | Hi doctor,After taking Unwanted 72, my wife got down within five days. But, her menses started again after five days though her actual time of menses not yet come. Why? | Hi. Unwanted 72 is an emergency contraceptive pill containing high amount of progesterone. These medicines have a severe side effect of heavy or irregular bleeding. Your wife had the same side effect. Please check her hemoglobin levels; she might turn anemic if she bleeds much. Continue taking iron pills. It might take one or two cycles to get her periods to get regular again. So, preferably maintain a regular regime with condoms or oral contraceptive pills like Novelon, Ovral L, etc., rather than an emergency contraceptive. They are way safer. |
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Hi doctor,After taking Unwanted 72, my wife got down within five days. But, her menses started again after five days though her actual time of menses not yet come. Why? [/INST] Hi. Unwanted 72 is an emergency contraceptive pill containing high amount of progesterone. These medicines have a severe side effect of heavy or irregular bleeding. Your wife had the same side effect. Please check her hemoglobin levels; she might turn anemic if she bleeds much. Continue taking iron pills. It might take one or two cycles to get her periods to get regular again. So, preferably maintain a regular regime with condoms or oral contraceptive pills like Novelon, Ovral L, etc., rather than an emergency contraceptive. They are way safer. |
Q. What can cause knee pain with swelling? | Hi doctor, I am 27 years old. I have knee pain in both the legs and it is paining alternatively for the past 1.5 years. Pain starts with swelling around the knee and stay for three to four hours and the pain will be at least once in one to two months. I feel like pinching with needle in the feet. I also get backbone pain in the early morning. I have consulted a specialist and he told to do the attached laboratory tests. I have ASO titer 800 IU/mL and I do not have any tiredness, headache, fever, history of jaundice, joint pain, etc. Please help. | Hello. I have noted your complaints and also gone through the reports carefully (attachment removed to protect patient identity). Anti-DNAse B and echocardiogram. Rheumatic fever. NSAIDs (nonsteroidal anti-inflammatory drugs) like Celecoxib 200 mg, Piroxicam 20 mg twice a day. It can help to reduce the symptoms of pain and swelling. For further information consult a general practitioner online.---> |
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Hi doctor, I am 27 years old. I have knee pain in both the legs and it is paining alternatively for the past 1.5 years. Pain starts with swelling around the knee and stay for three to four hours and the pain will be at least once in one to two months. I feel like pinching with needle in the feet. I also get backbone pain in the early morning. I have consulted a specialist and he told to do the attached laboratory tests. I have ASO titer 800 IU/mL and I do not have any tiredness, headache, fever, history of jaundice, joint pain, etc. Please help. [/INST] Hello. I have noted your complaints and also gone through the reports carefully (attachment removed to protect patient identity). Anti-DNAse B and echocardiogram. Rheumatic fever. NSAIDs (nonsteroidal anti-inflammatory drugs) like Celecoxib 200 mg, Piroxicam 20 mg twice a day. It can help to reduce the symptoms of pain and swelling. For further information consult a general practitioner 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. Getting pain in my horizontally impacted wisdom tooth. What is the next step of treatment? | Hello doctor, I have horizontally impacted wisdom tooth. I have an appointment to get them removed. But I started getting pain in the lower left base of my head. I think my tooth has got infected. I could see right into my lower left wisdom tooth, and I am keeping it as clean as possible with brushing and salt water gargle. | Hi. I can understand your concern regarding dental health. The occurrence of pain is very common in an impacted wisdom tooth. That is very good that you are keeping it clean as much as possible in multiple ways. But, if your pain is too much, then go for the dosage of antibiotics and analgesics under the prescription of your dentist only to relieve the pain and inflammation. Hope this information will be helpful to resolve your query, and further queries are always welcome. I will like to answer them. |
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Hello doctor, I have horizontally impacted wisdom tooth. I have an appointment to get them removed. But I started getting pain in the lower left base of my head. I think my tooth has got infected. I could see right into my lower left wisdom tooth, and I am keeping it as clean as possible with brushing and salt water gargle. [/INST] Hi. I can understand your concern regarding dental health. The occurrence of pain is very common in an impacted wisdom tooth. That is very good that you are keeping it clean as much as possible in multiple ways. But, if your pain is too much, then go for the dosage of antibiotics and analgesics under the prescription of your dentist only to relieve the pain and inflammation. Hope this information will be helpful to resolve your query, and further queries are always welcome. I will like to answer them. |
Q. I am worried about my anger and impulsive behavior. Please help. | Hi doctor, I am 18 and struggling with anger issues and impulsive behavior which I am unable to stop. I seriously think that I am quickly getting depressed and developing anxiety and repulsive behavior. I have had many past incidents which might have reflected upon my change in attitude change, and so I want to get rid of this. Please help me. | Hi. I can understand the difficulties faced by you because of the impulsivity. Since you are only 18 years old, I would not consider any medications right now. However, I would advise you first to appreciate the bodily changes that come when you become angry like clenching of teeth, feeling body muscles contracting and increased respiration. Secondly, I would advise you to leave the situation or place which makes you angry. Thirdly splash your face with cold water or take a bath and drink a glass of water. Then you can close your eyes and take deep slow breaths through your nose. While doing so kindly focus on your body muscles individually in a series like the first face then neck then trunk and so on. And also while taking deep breaths, you can count from 1 to 100. By doing so, you can manage your anger and thus your offensive behavior. Thank you. |
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Hi doctor, I am 18 and struggling with anger issues and impulsive behavior which I am unable to stop. I seriously think that I am quickly getting depressed and developing anxiety and repulsive behavior. I have had many past incidents which might have reflected upon my change in attitude change, and so I want to get rid of this. Please help me. [/INST] Hi. I can understand the difficulties faced by you because of the impulsivity. Since you are only 18 years old, I would not consider any medications right now. However, I would advise you first to appreciate the bodily changes that come when you become angry like clenching of teeth, feeling body muscles contracting and increased respiration. Secondly, I would advise you to leave the situation or place which makes you angry. Thirdly splash your face with cold water or take a bath and drink a glass of water. Then you can close your eyes and take deep slow breaths through your nose. While doing so kindly focus on your body muscles individually in a series like the first face then neck then trunk and so on. And also while taking deep breaths, you can count from 1 to 100. By doing so, you can manage your anger and thus your offensive behavior. Thank you. |
Q. My period is heavy after taking ECP in this cycle. Why? | Hi doctor, I had sex a week prior to my period and took EC pills immediately. I took a blood test the following week and it detected negative. On a day after my period, I woke up with a full pad and the blood was red with little clots and I washed up and changed so the second was almost filled up too. On the second day the flow was quite scanty with cramps. Today is the third day, my pad was filled and I saw clots and normal period tissue discharges, but there is no blood flow tonight. I am having a slight headache although I had a stressful day, but I am scared and worried. Could it be implantation bleeding? | Hi, Welcome to iclinig.com. Considering your periods to be regular in general, you had intercourse in a safe period. Secondly, you also took an emergency contraceptive pill and took a blood test to rule out pregnancy. There are nil chances of pregnancy. Your heavy periods are due to the EC (which contain high dose of progesterone) side effect. It should wane off gradually. You also have a chance of the next period to be a bit irregular and heavy. |
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Hi doctor, I had sex a week prior to my period and took EC pills immediately. I took a blood test the following week and it detected negative. On a day after my period, I woke up with a full pad and the blood was red with little clots and I washed up and changed so the second was almost filled up too. On the second day the flow was quite scanty with cramps. Today is the third day, my pad was filled and I saw clots and normal period tissue discharges, but there is no blood flow tonight. I am having a slight headache although I had a stressful day, but I am scared and worried. Could it be implantation bleeding? [/INST] Hi, Welcome to iclinig.com. Considering your periods to be regular in general, you had intercourse in a safe period. Secondly, you also took an emergency contraceptive pill and took a blood test to rule out pregnancy. There are nil chances of pregnancy. Your heavy periods are due to the EC (which contain high dose of progesterone) side effect. It should wane off gradually. You also have a chance of the next period to be a bit irregular and heavy. |
Q. I keep thinking about when will I die. I am stressed to the core. Please help. | Hello doctor, From the last year, I have been suffering fromheadache, but I neglected it. For the last one month, it has been increasing day by day. Six months back, I consulted a doctor and did an MRI scan and he told that there is nothing to worry. I think the reason is heavy thinking. Because, one night I got a panic attack before which I was a normal person but, then onwards heavy thinking started. I got scared as it is coming again and now I have started comparing with others. I feel I think different and crazy thoughts come to my mind. I cannot stop the thoughts like "when will I die?" I want go to work, but due to this stress, I am not able to. Why is my health like this? Please suggest what should I do to come out of that stress. | Hello. I can understand your situation. For you, this trouble could be heartbreaking. You need to understand what is anxiety and what is a panic attack. Anxiety is the body's natural defence mechanism. Without anxiety and related reflex action, our body cannot function properly. Your panic attack is based on an underlying anxiety disorder. You need to know what is your anxiety disorder. If you provide more details, I will be able to diagnose your proper basic underlying anxiety. You are worried about the panic attack symptoms. You are worried whether the same symptoms will come again. This also is natural. Every one will do so. But, there is nothing to worry. The repeated thinking here actually is expecting the panic attack and that is called obsession. Obsession brings anxiety and apprehension.You need to read a lot of articles about anxiety and panic attacks. Understanding them will ease your doubts. As a treatment measure, I will suggest rigorous exercise, engaging yourself in creative activities, engaging in hobbies, always being with friends or family members, concentrate more on education or career, etc. Take care. |
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Hello doctor, From the last year, I have been suffering fromheadache, but I neglected it. For the last one month, it has been increasing day by day. Six months back, I consulted a doctor and did an MRI scan and he told that there is nothing to worry. I think the reason is heavy thinking. Because, one night I got a panic attack before which I was a normal person but, then onwards heavy thinking started. I got scared as it is coming again and now I have started comparing with others. I feel I think different and crazy thoughts come to my mind. I cannot stop the thoughts like "when will I die?" I want go to work, but due to this stress, I am not able to. Why is my health like this? Please suggest what should I do to come out of that stress. [/INST] Hello. I can understand your situation. For you, this trouble could be heartbreaking. You need to understand what is anxiety and what is a panic attack. Anxiety is the body's natural defence mechanism. Without anxiety and related reflex action, our body cannot function properly. Your panic attack is based on an underlying anxiety disorder. You need to know what is your anxiety disorder. If you provide more details, I will be able to diagnose your proper basic underlying anxiety. You are worried about the panic attack symptoms. You are worried whether the same symptoms will come again. This also is natural. Every one will do so. But, there is nothing to worry. The repeated thinking here actually is expecting the panic attack and that is called obsession. Obsession brings anxiety and apprehension.You need to read a lot of articles about anxiety and panic attacks. Understanding them will ease your doubts. As a treatment measure, I will suggest rigorous exercise, engaging yourself in creative activities, engaging in hobbies, always being with friends or family members, concentrate more on education or career, etc. Take care. |
Q. I was diagnosed with systemic sclerosis. Could you please give advice on how to treat these symptoms? | Hello doctor, I am a 25 year old male. I was recently diagnosed with an autoimmune disease called systemic sclerosis. I have been experiencing a couple of symptoms along with this disease. Could you please give me some advice on how to treat these symptoms, which I could pass on to my regular doctor. First is the Raynaud's phenomenon, this is not crucial as I do not experience this as much anymore, making sure my hands are always kept warm. But, if you have any other suggestions I would like to hear them. The one symptom that I am most concerned with is the generalized edema. It has started about 4 years ago and has gotten severely worse. Since then, I have been prescribed diuretics from my doctor. But, whenever I take them I will go through a process of losing about 10-15 lbs in water weight, then after a week of no drug or diet change, I used to go back to the same state as I was before taking the diuretics and sometimes much worse. My doctors and I think that this may be due to my capillaries being "leaky" and this leaking protein might surround the body tissue area. When I take the diuretics, my body flushes out the water, but at the same time the protein in the area senses a loss of water and sucks in more from my bloodstream by replacing the water I had just lost. However, my doctors are not quite entirely sure that, if this is, in fact, the root problem with water retention. I have kept a very strict diet when it comes to sodium and other things of that nature. Anything of a personal nature that comes to solving this problem that I have tried, have had no successful outcomes. I wanted to know if this is a case you have seen in many other patients with an autoimmune disease, especially the patients with systemic sclerosis. If it is so, is there any effective treatments for the water retention other than diuretics? Is there anything that I can recommend my doctor that will aid me in dropping this water weight and keeping it off? | Hi. According to my opinion, Raynaud's phenomenon is a part of CREST syndrome of systemic sclerosis. In case that is troubling you, the best treatment that I have found very successful is the use of crushed Sorbitrate tablets in coconut oil and apply them to massage over the extremities. This is a very economic and effective treatment. Now, as far as water retention is considered, this can occur in two cases: So, I would recommend you to get the following tests done: I hope, these investigations will be of great help. |
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Hello doctor, I am a 25 year old male. I was recently diagnosed with an autoimmune disease called systemic sclerosis. I have been experiencing a couple of symptoms along with this disease. Could you please give me some advice on how to treat these symptoms, which I could pass on to my regular doctor. First is the Raynaud's phenomenon, this is not crucial as I do not experience this as much anymore, making sure my hands are always kept warm. But, if you have any other suggestions I would like to hear them. The one symptom that I am most concerned with is the generalized edema. It has started about 4 years ago and has gotten severely worse. Since then, I have been prescribed diuretics from my doctor. But, whenever I take them I will go through a process of losing about 10-15 lbs in water weight, then after a week of no drug or diet change, I used to go back to the same state as I was before taking the diuretics and sometimes much worse. My doctors and I think that this may be due to my capillaries being "leaky" and this leaking protein might surround the body tissue area. When I take the diuretics, my body flushes out the water, but at the same time the protein in the area senses a loss of water and sucks in more from my bloodstream by replacing the water I had just lost. However, my doctors are not quite entirely sure that, if this is, in fact, the root problem with water retention. I have kept a very strict diet when it comes to sodium and other things of that nature. Anything of a personal nature that comes to solving this problem that I have tried, have had no successful outcomes. I wanted to know if this is a case you have seen in many other patients with an autoimmune disease, especially the patients with systemic sclerosis. If it is so, is there any effective treatments for the water retention other than diuretics? Is there anything that I can recommend my doctor that will aid me in dropping this water weight and keeping it off? [/INST] Hi. According to my opinion, Raynaud's phenomenon is a part of CREST syndrome of systemic sclerosis. In case that is troubling you, the best treatment that I have found very successful is the use of crushed Sorbitrate tablets in coconut oil and apply them to massage over the extremities. This is a very economic and effective treatment. Now, as far as water retention is considered, this can occur in two cases: So, I would recommend you to get the following tests done: I hope, these investigations will be of great help. |
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 little bumps on my genital area. What could it be? | Hello doctor, I have little bumps on my genital area that could be genital warts. How do I know for sure, and what do I do to remove them and prevent infection? | Hello. I have read your query. I have seen the attached photograph also (attachment removed to protect patient identity). As per details, these are the following possibilities for your symptoms: The confirmation of diagnosis is done by clinical examination and if needed, a skin biopsy is done. Treatment depends on the diagnosis. Broadly, Radiofrequency ablation (RFA) works in all the above-mentioned conditions. You should visit your doctor for clinical examination. |
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Hello doctor, I have little bumps on my genital area that could be genital warts. How do I know for sure, and what do I do to remove them and prevent infection? [/INST] Hello. I have read your query. I have seen the attached photograph also (attachment removed to protect patient identity). As per details, these are the following possibilities for your symptoms: The confirmation of diagnosis is done by clinical examination and if needed, a skin biopsy is done. Treatment depends on the diagnosis. Broadly, Radiofrequency ablation (RFA) works in all the above-mentioned conditions. You should visit your doctor for clinical examination. |
Q. After examining,the doctor told VH in my left eye and gave injection Lucentis. What is VH? | Hello doctor, About forty days back, all of a sudden vision of left eye got blocked. After examining, the doctor told VH in my left eye and gave injection Lucentis. What is VH? After 30 days he again examined and told that blood in left eye has totally cleared. He also said that retina has to be arranged properly and for that surgery is required. Central vision is not clear, please advice. | Hi. VH is Vitreous Hemorrhage. Vitreous hemorrhage is common only in long-standing diabetes, which leads to proliferative diabetic retinopathy.If this happens, intravitreous Lucentis (Ranibizumab) is advisable. Another one is intravitreous Avastin (Bevacizumab), this costs almost one fourth of injection Lucentis, please ask your doctor for this. Remember that both these help only in preventing complications. They will not clear the blood. Blood clearance occurs over a period of months. But even after clearing, it may cause traction of the retina (not in all cases) and hence has to be operated and cleared and silicone oil has to be implanted in the eye. These are high risk surgeries and vision after surgery is guarded. Important part is to always keep diabetes and hypertension under control. |
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Hello doctor, About forty days back, all of a sudden vision of left eye got blocked. After examining, the doctor told VH in my left eye and gave injection Lucentis. What is VH? After 30 days he again examined and told that blood in left eye has totally cleared. He also said that retina has to be arranged properly and for that surgery is required. Central vision is not clear, please advice. [/INST] Hi. VH is Vitreous Hemorrhage. Vitreous hemorrhage is common only in long-standing diabetes, which leads to proliferative diabetic retinopathy.If this happens, intravitreous Lucentis (Ranibizumab) is advisable. Another one is intravitreous Avastin (Bevacizumab), this costs almost one fourth of injection Lucentis, please ask your doctor for this. Remember that both these help only in preventing complications. They will not clear the blood. Blood clearance occurs over a period of months. But even after clearing, it may cause traction of the retina (not in all cases) and hence has to be operated and cleared and silicone oil has to be implanted in the eye. These are high risk surgeries and vision after surgery is guarded. Important part is to always keep diabetes and hypertension under control. |
Q. I am severely anemic. Kindly help. | Hello doctor, I am a severely anemic patient. I have been on iron and B12 shots for three decades, but still, there is no improvement. I have got enlarged spleen, IBS, and also no absorption from the gut. I had undergone so many tests but nobody seems to have answers. I stay exhausted, dizzy and pale. Can anything help my severe anemia? | Hi. As you are on iron and vitamin B12 shots, I would assume that it could be nutritional. It is obvious that no absorption from the gut and also IBS will complicate it. Enlarged spleen could be due to increased destruction in spleen or production of cells in the spleen to improve anemia (extramedullary hematopoiesis). I would like to know the following details: |
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Hello doctor, I am a severely anemic patient. I have been on iron and B12 shots for three decades, but still, there is no improvement. I have got enlarged spleen, IBS, and also no absorption from the gut. I had undergone so many tests but nobody seems to have answers. I stay exhausted, dizzy and pale. Can anything help my severe anemia? [/INST] Hi. As you are on iron and vitamin B12 shots, I would assume that it could be nutritional. It is obvious that no absorption from the gut and also IBS will complicate it. Enlarged spleen could be due to increased destruction in spleen or production of cells in the spleen to improve anemia (extramedullary hematopoiesis). I would like to know the following details: |
Q. When should I expect ovulation if my cycle length differs each month? | Hi doctor,When should I expect ovulation to occur if my cycles are different each month? It has been ranging from 31-35 days. We are trying to conceive, and I take prenatal vitamins every day. We use Pre-seed lubricant and have been trying for eight months now with no luck. Can I have some advice on how to get pregnant? | Hi. Generally, the rule of thumb is that ovulation takes 14 days before the next periods. In your case, you can take an average of your last three cycles and check with ovulation kit available in the market, starting from two days before two days after the extrapolated date. For example, if your average comes to be 33 days, just minus 14 days on the calendar. So, it is the 19th day from your last period. Now start checking with ovulation kit from 17th day to 21st day. But, pregnancy is not just timed intercourse. For a successful pregnancy, both the partners need to be in their peak of fertility. Please mention your height, weight, previous significant history of medicines, surgery, hospitalization, any sudden weight gain, facial hair growth, husband's semen analysis, any hormonal test, and radiological tests, if done. After these answers, I will be in a better position to guide you. Please feel free to contact. |
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Hi doctor,When should I expect ovulation to occur if my cycles are different each month? It has been ranging from 31-35 days. We are trying to conceive, and I take prenatal vitamins every day. We use Pre-seed lubricant and have been trying for eight months now with no luck. Can I have some advice on how to get pregnant? [/INST] Hi. Generally, the rule of thumb is that ovulation takes 14 days before the next periods. In your case, you can take an average of your last three cycles and check with ovulation kit available in the market, starting from two days before two days after the extrapolated date. For example, if your average comes to be 33 days, just minus 14 days on the calendar. So, it is the 19th day from your last period. Now start checking with ovulation kit from 17th day to 21st day. But, pregnancy is not just timed intercourse. For a successful pregnancy, both the partners need to be in their peak of fertility. Please mention your height, weight, previous significant history of medicines, surgery, hospitalization, any sudden weight gain, facial hair growth, husband's semen analysis, any hormonal test, and radiological tests, if done. After these answers, I will be in a better position to guide you. Please feel free to contact. |
Q. How long should I take Kalarchikai Choornam to regularise my period? | Hi doctor, I am 22 years old. My height is 147 cm, and weight is 45 kg. I have pcod problem, but no thyroid. Now I missed my periods for three months. So, I am using kalarchikai with pepper everyday morning. I have been eating this for about 25 days now. How long should I take this for getting my period and make it regular? | Hi. I would like to help. Kalarchikai choornam is a well-known medicine to manage PCOD. Its dose and duration depend on the condition. You should take this choornam 3 g twice a day with warm water after meals for 90 days regularly. USG abdomen. PCOD. Kalarchikai choornam 3 g twice a day with warm water after meals. 1. Avoid spicy and fried junk foods. 2. Drink plenty of lukewarm water. 3. Do regular kapalbhati Mandukasana and Ardha Matsyendrasana as well as pranayama like anuloma viloma nadi shodhan and bhramari. |
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Hi doctor, I am 22 years old. My height is 147 cm, and weight is 45 kg. I have pcod problem, but no thyroid. Now I missed my periods for three months. So, I am using kalarchikai with pepper everyday morning. I have been eating this for about 25 days now. How long should I take this for getting my period and make it regular? [/INST] Hi. I would like to help. Kalarchikai choornam is a well-known medicine to manage PCOD. Its dose and duration depend on the condition. You should take this choornam 3 g twice a day with warm water after meals for 90 days regularly. USG abdomen. PCOD. Kalarchikai choornam 3 g twice a day with warm water after meals. 1. Avoid spicy and fried junk foods. 2. Drink plenty of lukewarm water. 3. Do regular kapalbhati Mandukasana and Ardha Matsyendrasana as well as pranayama like anuloma viloma nadi shodhan and bhramari. |
Q. How long should my husband and I wait to try for a baby if we did cocaine? | Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. | Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> |
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Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. [/INST] Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> |
Q. Can Yasmin birth control pill be used as an emergency contraceptive pill? | Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? | Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> |
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Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? [/INST] Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> |
Q. Please explain the poisonous effect of phenol ingestion. | Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. | Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> |
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Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. [/INST] Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> |
Q. For how long should I take Kalachikai powder to overcome PCOD problem? | Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? | Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> |
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Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? [/INST] Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> |
Q. Why do periods get delayed after first time sex? | Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? | Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> |
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Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? [/INST] Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> |
Q. Will Nano-Leo give permanent solution for erection problem? | Hello doctor, I am 48 years old. I am experiencing weak erection and difficulty in sustaining the same. This condition was observed 10 years back. Also, there is premature ejaculation. Other physical ailments that I have are, I am suffering from hypertension and taking Amlopres-L (Amlodipine and Lisinopril) for the last 10 years, high cholesterol and triglycerides. My cholesterol level is 225 and triglyceride is 200 for the last 12 years. I used to do frequent masturbation in early age. I do have erection during morning hours many times, particularly after sound sleep or if I had long walk previous day. I am having Sildenafil 25 mg or 5 mg Cialis, which is effective enough. But, I wish to get rid of tablet support and live natural way. I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days. I wish to have your second opinion on this. Please guide. | Hi. For further doubts consult a sexologist online --> |
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Hello doctor, I am 48 years old. I am experiencing weak erection and difficulty in sustaining the same. This condition was observed 10 years back. Also, there is premature ejaculation. Other physical ailments that I have are, I am suffering from hypertension and taking Amlopres-L (Amlodipine and Lisinopril) for the last 10 years, high cholesterol and triglycerides. My cholesterol level is 225 and triglyceride is 200 for the last 12 years. I used to do frequent masturbation in early age. I do have erection during morning hours many times, particularly after sound sleep or if I had long walk previous day. I am having Sildenafil 25 mg or 5 mg Cialis, which is effective enough. But, I wish to get rid of tablet support and live natural way. I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days. I wish to have your second opinion on this. Please guide. [/INST] Hi. For further doubts consult a sexologist online --> |
Q. What is the treatment for a broken back tooth of a 10-year-old? | Hi doctor, My 10-year-old daughter's back left tooth completely broke off on her gum, and it was hollow. I believe it is an adult tooth. How would a tooth be hollow? | Hi. If it is the second last tooth of the last side, then it is the last milk tooth that got broken, as it falls off in between age 9 to 11 years. If it is the last tooth of arch that got broken it is the permanent molar tooth. It is the only permanent molar in arch till 12 years of age. If it is molar, it is some serious issue. Get root canal treatment or filling done because this is the primary molar that will aid in chewing for your daughter's entire life. If it is deciduous or milk tooth then you need not to worry. A permanent tooth from beneath might have given pressure for the eruption, and so milk tooth will be wearing off after becoming hollow. A hollow tooth is caused by cavities or a broken part of tooth. I can tell you a better exact diagnosis if you can provide me with clinical picture of your daughter's teeth. If it is painful right now, you can give simple Brufen syrup (Ibuprofen) 8 hourly for three days. Stay happy and blessed. |
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Hi doctor, My 10-year-old daughter's back left tooth completely broke off on her gum, and it was hollow. I believe it is an adult tooth. How would a tooth be hollow? [/INST] Hi. If it is the second last tooth of the last side, then it is the last milk tooth that got broken, as it falls off in between age 9 to 11 years. If it is the last tooth of arch that got broken it is the permanent molar tooth. It is the only permanent molar in arch till 12 years of age. If it is molar, it is some serious issue. Get root canal treatment or filling done because this is the primary molar that will aid in chewing for your daughter's entire life. If it is deciduous or milk tooth then you need not to worry. A permanent tooth from beneath might have given pressure for the eruption, and so milk tooth will be wearing off after becoming hollow. A hollow tooth is caused by cavities or a broken part of tooth. I can tell you a better exact diagnosis if you can provide me with clinical picture of your daughter's teeth. If it is painful right now, you can give simple Brufen syrup (Ibuprofen) 8 hourly for three days. Stay happy and blessed. |
Q. What could be the reason for yellowish green chunky vaginal discharge? | Hi doctor, I have noticed that I have an extremely irritated vagina with chunky discharge that looks yellowish green. I am negative for trichomoniasis and waiting for gonorrhea and chlamydia results. | Hi. An irritated vagina with chunky discharge is a definite sign of vaginal infection. Most of the time, character, color and odor of discharge helps in identifying the type of infection. Since your discharge is yellowish green, have to keep in mind sexually transmitted diseases. Please wait for the further reports. All the vaginal infections can be treated well with antibiotics. So do not worry. If it is recurrent, please rule out diabetes. Please use condoms, and avoid multiple sexual partners. These two steps can help get rid of STDs forever. |
<s>[INST]
Hi doctor, I have noticed that I have an extremely irritated vagina with chunky discharge that looks yellowish green. I am negative for trichomoniasis and waiting for gonorrhea and chlamydia results. [/INST] Hi. An irritated vagina with chunky discharge is a definite sign of vaginal infection. Most of the time, character, color and odor of discharge helps in identifying the type of infection. Since your discharge is yellowish green, have to keep in mind sexually transmitted diseases. Please wait for the further reports. All the vaginal infections can be treated well with antibiotics. So do not worry. If it is recurrent, please rule out diabetes. Please use condoms, and avoid multiple sexual partners. These two steps can help get rid of STDs forever. |
Q. What is the treatment for SVT? | Hi doctor, I had a bad episode of SVT. It was the first major episode. The heart rate was above 200 bpm. I rushed to emergency, today is the fifth day, and still, I have tightness in the chest, shortness of breath and pain in the chest that come and go. Is this normal? I am a 30-year-old female. My weight is 70 kg and height is 165 cm. I am not on any medication yet. I have a history of high anxiety. I had a sudden onset of fast heart rate around once or twice a few years before. I have white coat hypertension. Blood tests taken in the Emergency Unit came back normal. | Hi. The definitive treatment is ablation of the pathway in the heart. An electrophysiology study is done to locate pathway, and radio frequency or cryoablation is done to cure SVT (supraventricular tachycardia). The symptomatic treatment before ablation is tablet Verapamil 480 mg per day. Some degree of fatigue is common after SVT which may last one to two days. |
<s>[INST]
Hi doctor, I had a bad episode of SVT. It was the first major episode. The heart rate was above 200 bpm. I rushed to emergency, today is the fifth day, and still, I have tightness in the chest, shortness of breath and pain in the chest that come and go. Is this normal? I am a 30-year-old female. My weight is 70 kg and height is 165 cm. I am not on any medication yet. I have a history of high anxiety. I had a sudden onset of fast heart rate around once or twice a few years before. I have white coat hypertension. Blood tests taken in the Emergency Unit came back normal. [/INST] Hi. The definitive treatment is ablation of the pathway in the heart. An electrophysiology study is done to locate pathway, and radio frequency or cryoablation is done to cure SVT (supraventricular tachycardia). The symptomatic treatment before ablation is tablet Verapamil 480 mg per day. Some degree of fatigue is common after SVT which may last one to two days. |
Q. Is there any treatment other than braces for relapse of orthodontic treatment? | Hello doctor, I have a complex case, as stated by my dentist. I had braces five years ago, but my teeth went back to their previous state, overlapped, like they were tightly fit into a small place, apparently because of the shape of my mouth. Also, I have fear from getting braces the second time, that it could cause harm to my teeth and still they would stay the same. Is there another solution? I am 18 years old now. | Hi. I can exactly tell you about your case on seeing radiographs and clinical pictures of teeth if you can provide. While, your query is telling me you had a relapse of orthodontic treatment. Now you have two options. 1. Go for invisible tray ortho treatment (in which invisible trays are given instead of metal brackets). This is an expensive one and treatment time is prolonged. Your teeth will not weaken in it as bracketing will not be done. 2. Go for conventional metal bracketing ortho treatment. Get it done and do get fixed retainers at the end of treatment, that is, the invisible wire at back side of teeth that prevents teeth to come back at their previous positions for your entire life. This is not expensive, a bit economical and treatment result is fast. If your teeth get weaken at end of treatment, get them veneeres or get filling of composites done on them. All will be fine then. |
<s>[INST]
Hello doctor, I have a complex case, as stated by my dentist. I had braces five years ago, but my teeth went back to their previous state, overlapped, like they were tightly fit into a small place, apparently because of the shape of my mouth. Also, I have fear from getting braces the second time, that it could cause harm to my teeth and still they would stay the same. Is there another solution? I am 18 years old now. [/INST] Hi. I can exactly tell you about your case on seeing radiographs and clinical pictures of teeth if you can provide. While, your query is telling me you had a relapse of orthodontic treatment. Now you have two options. 1. Go for invisible tray ortho treatment (in which invisible trays are given instead of metal brackets). This is an expensive one and treatment time is prolonged. Your teeth will not weaken in it as bracketing will not be done. 2. Go for conventional metal bracketing ortho treatment. Get it done and do get fixed retainers at the end of treatment, that is, the invisible wire at back side of teeth that prevents teeth to come back at their previous positions for your entire life. This is not expensive, a bit economical and treatment result is fast. If your teeth get weaken at end of treatment, get them veneeres or get filling of composites done on them. All will be fine then. |
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