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Q. I am having spotting randomly every few days after abortion. Please advise. | Hello doctor,I had an abortion four months back. My period returned seven weeks later and ever since then I have been spotting randomly every few days. I was 13 weeks pregnant at the time of the procedure. Is this normal? If not, what could it be? There are no other symptoms aside from very very light cramping. Previous history of the same issue: I did have the Nuvaring before I got pregnant and was taken off of it due to an estrogen-induced stroke. I then tried the mini pill. Current medications: Sertraline. | Hi. Please ensure if you had a complete abortion or there are still bits of retained products of conception in your uterus by doing a transvaginal scan. Since it was a second-trimester pregnancy, there may be chances of RPOC, which can lead to irregular spotting or bleeding. In such case, you may need a D and C (dilatation and curettage) to get rid of RPOC. Secondly, Sertraline reduced the efficacy of birth control pills, and hence failure rate increases. So ensure to take additional precaution using condoms, if possible. |
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Hello doctor,I had an abortion four months back. My period returned seven weeks later and ever since then I have been spotting randomly every few days. I was 13 weeks pregnant at the time of the procedure. Is this normal? If not, what could it be? There are no other symptoms aside from very very light cramping. Previous history of the same issue: I did have the Nuvaring before I got pregnant and was taken off of it due to an estrogen-induced stroke. I then tried the mini pill. Current medications: Sertraline. [/INST] Hi. Please ensure if you had a complete abortion or there are still bits of retained products of conception in your uterus by doing a transvaginal scan. Since it was a second-trimester pregnancy, there may be chances of RPOC, which can lead to irregular spotting or bleeding. In such case, you may need a D and C (dilatation and curettage) to get rid of RPOC. Secondly, Sertraline reduced the efficacy of birth control pills, and hence failure rate increases. So ensure to take additional precaution using condoms, if possible. |
Q. Found a hard nonmobile lump under my nipple. Is that an usual spot of breast cancer? | Hi doctor, I am a 25-year-old female. I found a quarter-sized hard nonmobile lump under my nipple a day ago. Is that an usual spot to get breast cancer? | Hi. It is usually uncommon to have breast cancer in this age group. It looks most likely a benign breast lesion or a localized infection. You have not given many details about this lump such as skin or nipple color change, any nipple discharge, whether you are married/unmarried or breastfeeding mother, any family history of breast or ovarian cancer which may be helpful in identifying high-risk breast lumps. Nothing to worry about, but it is recommended to visit a mammalogist or a General surgeon and let them examine this breast lesion. If needed they will put you on close follow up or investigate further with ultrasound breast or MRI breast. The significant risk factors for developing breast cancer are. 1. A family history of breast cancer.2. Obesity.3. Certain genetic syndromes.4. Any previous breast lump.5. Hormone replacement therapy, history of estrogen intake.6. Early menarche or late menopause. In case you have any family history of breast or ovarian cancer then you must go for genetic counseling also. |
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Hi doctor, I am a 25-year-old female. I found a quarter-sized hard nonmobile lump under my nipple a day ago. Is that an usual spot to get breast cancer? [/INST] Hi. It is usually uncommon to have breast cancer in this age group. It looks most likely a benign breast lesion or a localized infection. You have not given many details about this lump such as skin or nipple color change, any nipple discharge, whether you are married/unmarried or breastfeeding mother, any family history of breast or ovarian cancer which may be helpful in identifying high-risk breast lumps. Nothing to worry about, but it is recommended to visit a mammalogist or a General surgeon and let them examine this breast lesion. If needed they will put you on close follow up or investigate further with ultrasound breast or MRI breast. The significant risk factors for developing breast cancer are. 1. A family history of breast cancer.2. Obesity.3. Certain genetic syndromes.4. Any previous breast lump.5. Hormone replacement therapy, history of estrogen intake.6. Early menarche or late menopause. In case you have any family history of breast or ovarian cancer then you must go for genetic counseling also. |
Q. What is causing severe pain along with holes in teeth? | Hello doctor, I have too much pain in teeth and also getting tiny small type holes in teeth. I am a male, 18 years old. | Hi. Holes in teeth indicate cavities. If you are having severe pain in teeth this may indicate you are suffering from pulpitis and you need root canal treatment from your dentist. Meanwhile, start with the following medicines. Take Augmentin 625 mg two times a day, Gramex 400 mg (Metronidazole) two times a day, Ibuprofen 400 mg three times a day at every eight hours for three days. Take all these medicines for five days. This will relieve your pain for a while and visit your dentist as soon as possible for treatment. Take care. Stay happy and blessed. |
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Hello doctor, I have too much pain in teeth and also getting tiny small type holes in teeth. I am a male, 18 years old. [/INST] Hi. Holes in teeth indicate cavities. If you are having severe pain in teeth this may indicate you are suffering from pulpitis and you need root canal treatment from your dentist. Meanwhile, start with the following medicines. Take Augmentin 625 mg two times a day, Gramex 400 mg (Metronidazole) two times a day, Ibuprofen 400 mg three times a day at every eight hours for three days. Take all these medicines for five days. This will relieve your pain for a while and visit your dentist as soon as possible for treatment. Take care. Stay happy and blessed. |
Q. Why have I not got my periods for 10 months? | Hi doctor, I have recently started getting periods and I have not gotten my period for almost 10 months. I am not pregnant because I have never had sex, and I am also not on any contraceptives or medication. I am just wondering if I should be concerned? I read that this could be a hormonal issue thing that could lead to fertility issues in the future, but since irregular periods are common at this age, I just do not know what to do. | Hi. You are well informed. Adolescence does cause anovulation, that is, you are not ovulating every month. Hence, not getting regular periods. This is often due to an ever-changing hormonal axis in a girl's body. Give it some time to come into its own flow. You in the meanwhile have not got periods for the last 10 months, but need to get at least four periods in a year to prevent the risk of endometrial hyperplasia. Your BMI is on a lower range, so increase your protein intake to gain around 3 to 4 kg. Do you do very heavy exercise or have tubular vision or smell problems? That may add up to the issue. I would suggest you take the following medicines for now. Anovulatory cycles. USG abdomen pelvis to look for adrenals, ovaries, endometrial thickness. Tablet Medroxyprogesterone acetate 10 mg twice a day for five days. Periods shall start after 5 to 14 days of stopping the medicine. If the flow is heavy, as you did not have for long, take tablet Tranexamic acid 500 mg thrice a day for two days or as and when needed. |
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Hi doctor, I have recently started getting periods and I have not gotten my period for almost 10 months. I am not pregnant because I have never had sex, and I am also not on any contraceptives or medication. I am just wondering if I should be concerned? I read that this could be a hormonal issue thing that could lead to fertility issues in the future, but since irregular periods are common at this age, I just do not know what to do. [/INST] Hi. You are well informed. Adolescence does cause anovulation, that is, you are not ovulating every month. Hence, not getting regular periods. This is often due to an ever-changing hormonal axis in a girl's body. Give it some time to come into its own flow. You in the meanwhile have not got periods for the last 10 months, but need to get at least four periods in a year to prevent the risk of endometrial hyperplasia. Your BMI is on a lower range, so increase your protein intake to gain around 3 to 4 kg. Do you do very heavy exercise or have tubular vision or smell problems? That may add up to the issue. I would suggest you take the following medicines for now. Anovulatory cycles. USG abdomen pelvis to look for adrenals, ovaries, endometrial thickness. Tablet Medroxyprogesterone acetate 10 mg twice a day for five days. Periods shall start after 5 to 14 days of stopping the medicine. If the flow is heavy, as you did not have for long, take tablet Tranexamic acid 500 mg thrice a day for two days or as and when needed. |
Q. How can I get rid of chicken-pox scars? | Hello doctor, I am 18 years old. I had chicken pox before one and a half month. After the chicken box was gone, I had some scars. So I went to a dermatologist to give me a medicine to clear the scars, he gave me new gel E. I had some pimples on my forehead so he advised and wrote for me a face wash and an antibiotic and a day lotion and a night lotion. So, in the first five days I started using these, small pimples appeared in my cheek beside my nose and mouth so I stopped the medicines because I never had such thing and now there is like 10 of small pimples on my right cheek beside my mouth, what shall I do to get rid of them? What is the best medicine to get rid of scars (pimples and chicken pox scars)? Shall I stop from eating some kind of food to get rid of the pimples? Does dairies affect pimples? Is there a diet that would help me? It is really embarrassing and I become stressful from it. | Hi. Acne is a very common condition occurring in teenage years due to hormonal changes. There is no need to worry or be embarrassed by it. Chances are that even after treatment you may get another bout of acne. It will reduce with age. Acne (grade 1) and chicken pox scars. For acne: 1. Combination gel of Adapalene and Benzoyl peroxide gel on the pimples in a very small amount. 2. If dryness occurs, use a good moisturizer. 3. Dairies do not cause pimples, but you can avoid high sugar containing food. 4. Eat lots of fruits and vegetables and avoid junk food. 5. Do not fiddle or press the pimple, it may leave dark pigmentation and scars. For chicken pox scars: As you have not attached a clearer photograph, it is difficult to see the scars and give a definite treatment. Still, treatment of scar may range from scar revision, needling, chemical peeling, CO2 and Er YAG laser therapy, depending on the severity and depth of the scars. |
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Hello doctor, I am 18 years old. I had chicken pox before one and a half month. After the chicken box was gone, I had some scars. So I went to a dermatologist to give me a medicine to clear the scars, he gave me new gel E. I had some pimples on my forehead so he advised and wrote for me a face wash and an antibiotic and a day lotion and a night lotion. So, in the first five days I started using these, small pimples appeared in my cheek beside my nose and mouth so I stopped the medicines because I never had such thing and now there is like 10 of small pimples on my right cheek beside my mouth, what shall I do to get rid of them? What is the best medicine to get rid of scars (pimples and chicken pox scars)? Shall I stop from eating some kind of food to get rid of the pimples? Does dairies affect pimples? Is there a diet that would help me? It is really embarrassing and I become stressful from it. [/INST] Hi. Acne is a very common condition occurring in teenage years due to hormonal changes. There is no need to worry or be embarrassed by it. Chances are that even after treatment you may get another bout of acne. It will reduce with age. Acne (grade 1) and chicken pox scars. For acne: 1. Combination gel of Adapalene and Benzoyl peroxide gel on the pimples in a very small amount. 2. If dryness occurs, use a good moisturizer. 3. Dairies do not cause pimples, but you can avoid high sugar containing food. 4. Eat lots of fruits and vegetables and avoid junk food. 5. Do not fiddle or press the pimple, it may leave dark pigmentation and scars. For chicken pox scars: As you have not attached a clearer photograph, it is difficult to see the scars and give a definite treatment. Still, treatment of scar may range from scar revision, needling, chemical peeling, CO2 and Er YAG laser therapy, depending on the severity and depth of the scars. |
Q. I am not able to pass stools. What can be done for constipation? | Hello doctor, I am not getting the stool from three days and because of this, I am not able to eat food from three days. What is the reason behind this? Which disease symptom is that? What is the possible medical treatment for it? | Hello. You seem to be suffering from absolute constipation. If you are not even able to pass flatus, then you need evaluation for intestinal obstruction. I would advise you following: 1. To get a thyroid function test done as hypothyroidism might be the cause behind constipation that you are having. 2. To take Laxative like Lactulose in the night. 3. To increase fiber in the diet and to take fruits like Papaya which are bulk-forming. 4. You may alternatively take Cremalax in the night as you have been taking. 5. Another thing that you can take is Isabgulla Husk. You can take three teaspoons full in night time and as it is bulk-forming. It may help you with your constipation. In case you have already taken Creamalx and still not passing the stools, then Macrogol (Polyethylene Glycol) sachets help a lot. |
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Hello doctor, I am not getting the stool from three days and because of this, I am not able to eat food from three days. What is the reason behind this? Which disease symptom is that? What is the possible medical treatment for it? [/INST] Hello. You seem to be suffering from absolute constipation. If you are not even able to pass flatus, then you need evaluation for intestinal obstruction. I would advise you following: 1. To get a thyroid function test done as hypothyroidism might be the cause behind constipation that you are having. 2. To take Laxative like Lactulose in the night. 3. To increase fiber in the diet and to take fruits like Papaya which are bulk-forming. 4. You may alternatively take Cremalax in the night as you have been taking. 5. Another thing that you can take is Isabgulla Husk. You can take three teaspoons full in night time and as it is bulk-forming. It may help you with your constipation. In case you have already taken Creamalx and still not passing the stools, then Macrogol (Polyethylene Glycol) sachets help a lot. |
Q. Every time I eat spicy food, I poop blood. Why? | Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I do not have a family history of colon cancer. I got blood tests done last night. Please find my reports attached. | Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online --> |
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Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I do not have a family history of colon cancer. I got blood tests done last night. Please find my reports attached. [/INST] Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online --> |
Q. How long should my husband and I wait to try for a baby if we did cocaine? | Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. | Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> |
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Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. [/INST] Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> |
Q. Can Yasmin birth control pill be used as an emergency contraceptive pill? | Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? | Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> |
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Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? [/INST] Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> |
Q. Please explain the poisonous effect of phenol ingestion. | Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. | Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> |
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Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. [/INST] Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> |
Q. For how long should I take Kalachikai powder to overcome PCOD problem? | Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? | Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> |
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Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? [/INST] Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> |
Q. Why do periods get delayed after first time sex? | Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? | Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> |
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Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? [/INST] Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> |
Q. What exercises will lead to normal delivery in a person with small cervical length? | Hello doctor, I am 23-week pregnant with DCDA twin. My CL at week 19 was 28 mm and I was asked to take bed rest. Can I do any exercise because I prefer natural delivery? Currently, I am taking Progesterone tablets vaginally and also weekly Progesterone injection. | Hi, Welcome to iclinq.com. Cervical length needs to be checked again at 24 weeks for further advice. In general, twin pregnancy has a tendency for preterm labor. Your focus right now should be on preventing preterm labor rather than normal delivery. For normal delivery to happen, you do not need to do special exercises (though pelvic floor exercise is supposed to increase the chance of normal delivery). You can start exercises after 32 to 34 weeks when babies will be safe in the outside world. Till then, it is better to avoid strenuous exercise. You can continue routine household work (or maybe morning or evening walk after consulting your doctor). |
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Hello doctor, I am 23-week pregnant with DCDA twin. My CL at week 19 was 28 mm and I was asked to take bed rest. Can I do any exercise because I prefer natural delivery? Currently, I am taking Progesterone tablets vaginally and also weekly Progesterone injection. [/INST] Hi, Welcome to iclinq.com. Cervical length needs to be checked again at 24 weeks for further advice. In general, twin pregnancy has a tendency for preterm labor. Your focus right now should be on preventing preterm labor rather than normal delivery. For normal delivery to happen, you do not need to do special exercises (though pelvic floor exercise is supposed to increase the chance of normal delivery). You can start exercises after 32 to 34 weeks when babies will be safe in the outside world. Till then, it is better to avoid strenuous exercise. You can continue routine household work (or maybe morning or evening walk after consulting your doctor). |
Q. Will smoking once a day with 9 to 10 Nicotex gums cause nicotine overdose? | Hello doctor, I have smoked excessively (a pack a day) for six years now. I feel the need to quit now but nothing will give me the same feeling and hit that a cigarette gives me. So I have decided to gradually reduce the habit. I have bought a pack of Nicotex and instead of quitting cold turkey, I plan to have one smoke a day and have the recommended 9 to 10 Nicotex gums a day. I want to know if it is safe and hoping it will not cause Nicotine overdose. Please advise. | Hi. My recommendations would be not to take Nicotine on regular basis. Instead of that, take it whenever you have craving for it. You may take up to 8 to 10 tablets initially, but you have to reduce that also, as few people get addicted to that also. I would recommend you to discuss with your doctor to put you on a medicine known as Bupropion for short duration as it reduces the cravings of cigarettes. |
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Hello doctor, I have smoked excessively (a pack a day) for six years now. I feel the need to quit now but nothing will give me the same feeling and hit that a cigarette gives me. So I have decided to gradually reduce the habit. I have bought a pack of Nicotex and instead of quitting cold turkey, I plan to have one smoke a day and have the recommended 9 to 10 Nicotex gums a day. I want to know if it is safe and hoping it will not cause Nicotine overdose. Please advise. [/INST] Hi. My recommendations would be not to take Nicotine on regular basis. Instead of that, take it whenever you have craving for it. You may take up to 8 to 10 tablets initially, but you have to reduce that also, as few people get addicted to that also. I would recommend you to discuss with your doctor to put you on a medicine known as Bupropion for short duration as it reduces the cravings of cigarettes. |
Q. Will having 130 bpm during exercise increase the risk of stroke in heart patient? | Hello doctor, I am a 76-year-old woman, weigh 121 lbs, BMI 20. The exam results from annual wellness check-up are as follows: Coronary calcium scan: LMA 0, LAD 185, LCX 1, RCA 90, Total: 276. Routine wellness EKG summary: aortic valve thickened and calcified. Normal mitral valve with mild mitral regurgitation. Mild cuspid regurgitation. Mildly increased PASP. Physiologic pulmonic regurgitation. Arterial doppler of legs: Normal flow and pulse. Medication: Only Irbesartan 150 mg. Without medicines, BP varies between 120/70 to 155/80, is labile, so I take Irbesartan to stabilize it. With Irbesartan, it is nearly always 120/80. Additional data: Former smoker for 19 years, quit before 24 years. Genetic data analysis suggests a high risk for CHD. Exercise: I began exercising 2 to 3 times weekly about six months ago. 60 to 100 minutes aerobic, weight training. On a treadmill, I try to keep my pulse to 90 % of maximum (target 130) but it reaches that in six minutes walking at 3.73 mph and it often goes to 135 at which point I slow the walking speed to bring it back down. Recovery time to drop 12 BPM is 75 seconds. Question: Am I taking a risk of stroke by pushing myself beyond 130 bpm (90 %) even if only for a short time? Should I regularly see a cardiologist? | Hello. Firstly, answering your queries, you should visit a cardiologist regularly and avoid strenuous activities in order to reduce the risk of acute coronary syndrome. Your echo has some abnormalities which are age-related and there is no evidence of CAD. However, calcium score is elevated which implies there is a significant risk of coronary artery disease, which is probably in earlier stages as you do not get any symptoms on the treadmill. However, such minor plaques may rupture and give rise to ACS. So, you should avoid strenuous activity and should be on both antiplatelet like Aspirin and statins. Also, you should undergo a stress test like either stress thallium or stress echo or treadmill test. |
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Hello doctor, I am a 76-year-old woman, weigh 121 lbs, BMI 20. The exam results from annual wellness check-up are as follows: Coronary calcium scan: LMA 0, LAD 185, LCX 1, RCA 90, Total: 276. Routine wellness EKG summary: aortic valve thickened and calcified. Normal mitral valve with mild mitral regurgitation. Mild cuspid regurgitation. Mildly increased PASP. Physiologic pulmonic regurgitation. Arterial doppler of legs: Normal flow and pulse. Medication: Only Irbesartan 150 mg. Without medicines, BP varies between 120/70 to 155/80, is labile, so I take Irbesartan to stabilize it. With Irbesartan, it is nearly always 120/80. Additional data: Former smoker for 19 years, quit before 24 years. Genetic data analysis suggests a high risk for CHD. Exercise: I began exercising 2 to 3 times weekly about six months ago. 60 to 100 minutes aerobic, weight training. On a treadmill, I try to keep my pulse to 90 % of maximum (target 130) but it reaches that in six minutes walking at 3.73 mph and it often goes to 135 at which point I slow the walking speed to bring it back down. Recovery time to drop 12 BPM is 75 seconds. Question: Am I taking a risk of stroke by pushing myself beyond 130 bpm (90 %) even if only for a short time? Should I regularly see a cardiologist? [/INST] Hello. Firstly, answering your queries, you should visit a cardiologist regularly and avoid strenuous activities in order to reduce the risk of acute coronary syndrome. Your echo has some abnormalities which are age-related and there is no evidence of CAD. However, calcium score is elevated which implies there is a significant risk of coronary artery disease, which is probably in earlier stages as you do not get any symptoms on the treadmill. However, such minor plaques may rupture and give rise to ACS. So, you should avoid strenuous activity and should be on both antiplatelet like Aspirin and statins. Also, you should undergo a stress test like either stress thallium or stress echo or treadmill test. |
Q. Is getting touched by puppy's teeth without any wound or bleeding infectious? | Hello doctor, A 45-day-old street puppy's teeth touched my finger yesterday but there was no bleeding. Puppy is also fine. What should I do? Please advise me. | Hi. Just tell me whether the puppy's teeth just touched your finger or you got wound also? In case, you just got a touch, then nothing to do but in case, you got a wound then keep the wound clean. Keep a check on the dog also. Meet nearby doctor in case you have a wound. A person who is exposed and has never been vaccinated against rabies should get four doses of rabies vaccine: one dose right away, and additional doses on the third, seventh, and 14th days. They should also get another shot called rabies immune globulin at the same time as the first dose. Let me know as soon as possible. |
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Hello doctor, A 45-day-old street puppy's teeth touched my finger yesterday but there was no bleeding. Puppy is also fine. What should I do? Please advise me. [/INST] Hi. Just tell me whether the puppy's teeth just touched your finger or you got wound also? In case, you just got a touch, then nothing to do but in case, you got a wound then keep the wound clean. Keep a check on the dog also. Meet nearby doctor in case you have a wound. A person who is exposed and has never been vaccinated against rabies should get four doses of rabies vaccine: one dose right away, and additional doses on the third, seventh, and 14th days. They should also get another shot called rabies immune globulin at the same time as the first dose. Let me know as soon as possible. |
Q. What has to be done for hole in tooth with pain and swelling? | Hello doctor, My mother is 45 years old. She got a hole in teeth and she is complaining of a toothache for three days and from yesterday, she developed swelling on the right half of the face. Is this any sort of emergency? | Hello. After going through your query and image sent by you (attachment removed to protect patient identity), this seems to be a case of severe infection inside the right tooth. Tooth decay has resulted in infection in the innermost part of the tooth called pulp that contains nerves and blood vessels. Deep dental caries. Intraoral periapical radiograph (X- ray). Acute periapical abscess or buccal space infection. Acute exacerbation of chronic periapical abscess. 1. Treatment can be planned after analyzing the X-ray. 2. To reduce pain and swelling, antibiotics and anti-inflammatory drugs can be given for 3 to 5 days. 3. If infection beneath the root is not in excess, then root canal treatment can be done. 4. In case of excessive pus and infection, pus drainage followed by extraction should be done. 5. Immediate extraction is not advisable. 1. No hot fomentation should be done. 2. The face should not be covered. 3. No massage should be done. 4. Biting from the affected side should be avoided. |
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Hello doctor, My mother is 45 years old. She got a hole in teeth and she is complaining of a toothache for three days and from yesterday, she developed swelling on the right half of the face. Is this any sort of emergency? [/INST] Hello. After going through your query and image sent by you (attachment removed to protect patient identity), this seems to be a case of severe infection inside the right tooth. Tooth decay has resulted in infection in the innermost part of the tooth called pulp that contains nerves and blood vessels. Deep dental caries. Intraoral periapical radiograph (X- ray). Acute periapical abscess or buccal space infection. Acute exacerbation of chronic periapical abscess. 1. Treatment can be planned after analyzing the X-ray. 2. To reduce pain and swelling, antibiotics and anti-inflammatory drugs can be given for 3 to 5 days. 3. If infection beneath the root is not in excess, then root canal treatment can be done. 4. In case of excessive pus and infection, pus drainage followed by extraction should be done. 5. Immediate extraction is not advisable. 1. No hot fomentation should be done. 2. The face should not be covered. 3. No massage should be done. 4. Biting from the affected side should be avoided. |
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. Can I take Betnelan tablet and Mosegor syrup to stay healthy and gain weight? | Hello doctor,I am using Betnelan tablet and Mosegor syrup to stay healthy. Is it advisable to take it? I am using it for the past one year. Please advise. | Hi. I would not suggest you use them. These tablets and syrup are not going to help you to gain weight or muscle building. Betnelan is steroids and it will cause harm to your body in the long run. Steroid work by replacing the testosterone hormone that would normally be produced by the body. Suppression of natural hormones made in the body is the most common side effect of steroid use. Eventually, the body can no longer produce the necessary amounts of testosterone, leaving the body out of its equilibrium state. Long term use of steroid lower body's immunity and lead to infection and other diseases in your body. In order to build muscle and body there is no better way than joining a gym and supplementing it with a diet rich in proteins. Choose high calorific foods like milkshakes, fruits like banana, pineapple, chiku, pear, and dry fruits. Add more protein like peanut, soyabean, pulses, and meat in your diet. Egg and milk are wholesome food. Take them daily. Warm milk before going to bed brings in a healthy and considerable weight gain. Start with smaller proportions initially and gradually increase the intake. It is important to have a balance between exercise and diet for a healthy weight gain. |
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Hello doctor,I am using Betnelan tablet and Mosegor syrup to stay healthy. Is it advisable to take it? I am using it for the past one year. Please advise. [/INST] Hi. I would not suggest you use them. These tablets and syrup are not going to help you to gain weight or muscle building. Betnelan is steroids and it will cause harm to your body in the long run. Steroid work by replacing the testosterone hormone that would normally be produced by the body. Suppression of natural hormones made in the body is the most common side effect of steroid use. Eventually, the body can no longer produce the necessary amounts of testosterone, leaving the body out of its equilibrium state. Long term use of steroid lower body's immunity and lead to infection and other diseases in your body. In order to build muscle and body there is no better way than joining a gym and supplementing it with a diet rich in proteins. Choose high calorific foods like milkshakes, fruits like banana, pineapple, chiku, pear, and dry fruits. Add more protein like peanut, soyabean, pulses, and meat in your diet. Egg and milk are wholesome food. Take them daily. Warm milk before going to bed brings in a healthy and considerable weight gain. Start with smaller proportions initially and gradually increase the intake. It is important to have a balance between exercise and diet for a healthy weight gain. |
Q. What can be done to look healthy like earlier after C-section? | Hello doctor, I had two children with cesarian delivery at two years difference. In both cases, l had not got my earlier physique and stomach, as well as the navel, is in its previous place. So please help me in getting my physical touch as soon as possible. Is there any problem? | Hi. Pregnancy causes havoc changes in a woman's body due to loads of hormones flowing in the blood for long nine months. With an increasing girth of your bump, your abdominal skin and underlying muscles too get stretched and weakened, often leading to diastasis recti, which is not observed at first. Now once the pregnancy is over, those weakened and overstretched muscles are noticed as a lax abdomen and saggy belly. During pregnancy itself, we need to do work on our posture alignment, and some regular exercises (walking, swimming, yoga, belly breathing, squatting, abdominal bracing) to keep the core muscles strengthened. Physiotherapists can give the best idea. The same exercises need to be continued, immediately after delivery too to help regain the abdominal muscle tone. In your case, though it is not late, you can meet an experienced trainer, who can guide you to regain your inner core strength and tone. Otherwise, abdominoplasty or tummy tuck is a surgical method to get the things right. |
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Hello doctor, I had two children with cesarian delivery at two years difference. In both cases, l had not got my earlier physique and stomach, as well as the navel, is in its previous place. So please help me in getting my physical touch as soon as possible. Is there any problem? [/INST] Hi. Pregnancy causes havoc changes in a woman's body due to loads of hormones flowing in the blood for long nine months. With an increasing girth of your bump, your abdominal skin and underlying muscles too get stretched and weakened, often leading to diastasis recti, which is not observed at first. Now once the pregnancy is over, those weakened and overstretched muscles are noticed as a lax abdomen and saggy belly. During pregnancy itself, we need to do work on our posture alignment, and some regular exercises (walking, swimming, yoga, belly breathing, squatting, abdominal bracing) to keep the core muscles strengthened. Physiotherapists can give the best idea. The same exercises need to be continued, immediately after delivery too to help regain the abdominal muscle tone. In your case, though it is not late, you can meet an experienced trainer, who can guide you to regain your inner core strength and tone. Otherwise, abdominoplasty or tummy tuck is a surgical method to get the things right. |
Q. Is there any medicine available to relieve gum pain after scaling? | Hello doctor, My younger brother aged 18 years, is having teeth bleeding from a month. So I suggested him to consult a dentist and he went for it. As no one was there to guide him about what to do, he got into a trap by some brokers and they took him to their doctor. The doctor said it is pyorrhea and he started clearing it and did not even speak a single word about money. While cleaning his gum, my brother was having a lot of pain in his gums and his gums were receded. Although the doctor just cleaned his tooth and gums became too thin and he does not want to go there. Could you suggest some medicine which could relief his gum pain and make his gum strong like before? | Hi. The best therapy for healing of gums after scaling is as follows: 1. Saline water mouth rinses. Take a cup of lukewarm water, put 1/4th teaspoon of salt in it and do its rinses twice a day, mandatory for two weeks. New and healthy gums grow every 14 days so they will become better in two weeks hopefully. 2. Do Chlorhexidine or antibacterial mouthwash twice a day for two weeks. 3. Take tablet Froben 100 mg (Flurbiprofen) twice a day for three days. That will heal minor inflammation of gums. Kindly give me followup after a week. Avoid going to brokers because a proper doctor and sterilized instruments are very necessary for good oral hygiene. Take care. Stay happy and blessed. |
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Hello doctor, My younger brother aged 18 years, is having teeth bleeding from a month. So I suggested him to consult a dentist and he went for it. As no one was there to guide him about what to do, he got into a trap by some brokers and they took him to their doctor. The doctor said it is pyorrhea and he started clearing it and did not even speak a single word about money. While cleaning his gum, my brother was having a lot of pain in his gums and his gums were receded. Although the doctor just cleaned his tooth and gums became too thin and he does not want to go there. Could you suggest some medicine which could relief his gum pain and make his gum strong like before? [/INST] Hi. The best therapy for healing of gums after scaling is as follows: 1. Saline water mouth rinses. Take a cup of lukewarm water, put 1/4th teaspoon of salt in it and do its rinses twice a day, mandatory for two weeks. New and healthy gums grow every 14 days so they will become better in two weeks hopefully. 2. Do Chlorhexidine or antibacterial mouthwash twice a day for two weeks. 3. Take tablet Froben 100 mg (Flurbiprofen) twice a day for three days. That will heal minor inflammation of gums. Kindly give me followup after a week. Avoid going to brokers because a proper doctor and sterilized instruments are very necessary for good oral hygiene. Take care. Stay happy and blessed. |
Q. What does pain in hand starting from shoulder to elbow indicate? | Hello doctor, My mother got pain in the right hand, severe pain starting from shoulder backside to elbow for the past 4 to 5 months. She could not lift her hand, drag the things with her hand. | Hi. I have thoroughly gone through your case and can well understand your genuine concern. Pain and limited range of movement of the shoulder joint can be due to various reasons like fracture of the bones forming the joint, injury to the joint capsule, injury to ligaments of the joint or any muscular injury or spasm or injury to any nerve supplying the joint. The other causes are frozen shoulder, less frequent use of the joint due to pain or injury or some chronic disease. Your mother's symptoms appear to be like frozen shoulder where joint becomes stiff, painful and there is a limitation of the movements of the joint. Frozen shoulder can develop by less use of the joint because of pain, injury, after surgery, chronic diseases such as diabetes or stroke. Frozen shoulder is a self-limiting condition, it nearly always gets better with time. It is diagnosed by physical examination. X-ray can help to see whether symptoms are from other conditions like fracture or arthritis. I suggest you consult an orthopedician. You can follow the mentioned instructions. Apply hot water bag over the joint for 15 to 20 minutes 3 to 4 times a day. You can give her some analgesic, anti-inflammatory medicine like any of the NSAID. Physiotherapy will definitely help. Gentle stretching. It can be prevented by gentle stretching of the joint and using joint more often. Check her random blood sugar. Some severe cases may require surgery also, so I suggest you take orthopedic opinion also. Frozen shoulder or fracture of the humerus. X-ray right shoulder- AP and lateral. |
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Hello doctor, My mother got pain in the right hand, severe pain starting from shoulder backside to elbow for the past 4 to 5 months. She could not lift her hand, drag the things with her hand. [/INST] Hi. I have thoroughly gone through your case and can well understand your genuine concern. Pain and limited range of movement of the shoulder joint can be due to various reasons like fracture of the bones forming the joint, injury to the joint capsule, injury to ligaments of the joint or any muscular injury or spasm or injury to any nerve supplying the joint. The other causes are frozen shoulder, less frequent use of the joint due to pain or injury or some chronic disease. Your mother's symptoms appear to be like frozen shoulder where joint becomes stiff, painful and there is a limitation of the movements of the joint. Frozen shoulder can develop by less use of the joint because of pain, injury, after surgery, chronic diseases such as diabetes or stroke. Frozen shoulder is a self-limiting condition, it nearly always gets better with time. It is diagnosed by physical examination. X-ray can help to see whether symptoms are from other conditions like fracture or arthritis. I suggest you consult an orthopedician. You can follow the mentioned instructions. Apply hot water bag over the joint for 15 to 20 minutes 3 to 4 times a day. You can give her some analgesic, anti-inflammatory medicine like any of the NSAID. Physiotherapy will definitely help. Gentle stretching. It can be prevented by gentle stretching of the joint and using joint more often. Check her random blood sugar. Some severe cases may require surgery also, so I suggest you take orthopedic opinion also. Frozen shoulder or fracture of the humerus. X-ray right shoulder- AP and lateral. |
Q. Will taking Diane pills for polycystic ovary cause any side-effects? | Hi doctor, I am 25 years old with the polycystic left ovary. I have been taking Diane pills (Cyproterone Acetate or EthinylEstradiol) for about three years now. I would like to ask if it is okay for long term use? I mean does it have any severe complications of side effect on prolonged use? And I took the pill primarily to correct my hormonal imbalance and to correct my menstruation. But does this pill really have a contraceptive effect? | Hi. Diane pill is a fourth generation OCP (oral contraceptive pill), that is, an advanced generation pill. Apart from its contraceptive use, it is more often used for its wonderful non contraceptive use. As it is an OCP, it will definitely prevent pregnancy. For a young girl of your age (taken into consideration, that you are healthy in all aspects), it should not pose any problem. For ladies more than 35 years, smokers, ladies with a migraine, liver derangement, jaundice in last six months, gall bladder stones, hyperlipidemia, diabetics, hypertensives, any breast malignancy, history of stroke, etc., it can cause some serious issues like thrombosis, blood clots, deranged blood parameters. |
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Hi doctor, I am 25 years old with the polycystic left ovary. I have been taking Diane pills (Cyproterone Acetate or EthinylEstradiol) for about three years now. I would like to ask if it is okay for long term use? I mean does it have any severe complications of side effect on prolonged use? And I took the pill primarily to correct my hormonal imbalance and to correct my menstruation. But does this pill really have a contraceptive effect? [/INST] Hi. Diane pill is a fourth generation OCP (oral contraceptive pill), that is, an advanced generation pill. Apart from its contraceptive use, it is more often used for its wonderful non contraceptive use. As it is an OCP, it will definitely prevent pregnancy. For a young girl of your age (taken into consideration, that you are healthy in all aspects), it should not pose any problem. For ladies more than 35 years, smokers, ladies with a migraine, liver derangement, jaundice in last six months, gall bladder stones, hyperlipidemia, diabetics, hypertensives, any breast malignancy, history of stroke, etc., it can cause some serious issues like thrombosis, blood clots, deranged blood parameters. |
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 2. 5 month old kid has tongue tremors. Is this due to SMA? | Hello doctor, I have a 2.5-month-old who I recently noticed developed a tongue tremor. I looked up online for the causes and found them as SMA. She has great motor control, we were not doing tummy time as often because she did not like it but have increased it and have seen a big improvement. My doctor believes it is benign tongue tremor, unfortunately, we had a telehealth appointment due to COVID so he was unable to see her but he told me not to worry and to keep an eye if things get worse. I am so scared it is SMA, what else should I be looking for? | Hello, Welcome to icliniq.com. History noted as above, your 2.5-month-old has developed tongue tremors. Please provide me more detailed history such as preterm or full term, birth weight, normal delivery or LSCS. How is her weight? Is she gaining weight and let me know more about family history or any other in the family suffering from SMA (spinal muscular atrophy). SMA is confirmed only by Genetic testing or by muscle study. There are many types of SMA some of them develop symptoms later in life and a few develop in early life. Keep a watch on her development like head holds muscle tone and power and let me know me know if tongue fasciculation increases and the child becomes more hypotonic. |
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Hello doctor, I have a 2.5-month-old who I recently noticed developed a tongue tremor. I looked up online for the causes and found them as SMA. She has great motor control, we were not doing tummy time as often because she did not like it but have increased it and have seen a big improvement. My doctor believes it is benign tongue tremor, unfortunately, we had a telehealth appointment due to COVID so he was unable to see her but he told me not to worry and to keep an eye if things get worse. I am so scared it is SMA, what else should I be looking for? [/INST] Hello, Welcome to icliniq.com. History noted as above, your 2.5-month-old has developed tongue tremors. Please provide me more detailed history such as preterm or full term, birth weight, normal delivery or LSCS. How is her weight? Is she gaining weight and let me know more about family history or any other in the family suffering from SMA (spinal muscular atrophy). SMA is confirmed only by Genetic testing or by muscle study. There are many types of SMA some of them develop symptoms later in life and a few develop in early life. Keep a watch on her development like head holds muscle tone and power and let me know me know if tongue fasciculation increases and the child becomes more hypotonic. |
Q. I masturbate only by rubbing the tip of the penis. Is it a wrong way? | Hi doctor, During masturbation I just rub the tip of the penis and not the entire penis. Is it a wrong way of doing? I do not get excited during sex and unable to ejaculate. Only, rubbing the tip of the penis gives me excitement. Also, two weeks ago, I have undergone circumcision as my foreskin did not retract. Before circumcision too, I have the same problem. Please help. | Hi. For further doubts consult a sexologist online --> |
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Hi doctor, During masturbation I just rub the tip of the penis and not the entire penis. Is it a wrong way of doing? I do not get excited during sex and unable to ejaculate. Only, rubbing the tip of the penis gives me excitement. Also, two weeks ago, I have undergone circumcision as my foreskin did not retract. Before circumcision too, I have the same problem. Please help. [/INST] Hi. For further doubts consult a sexologist online --> |
Q. I masturbate only by rubbing the tip of the penis. Is it a wrong way? | Hi doctor, During masturbation I just rub the tip of the penis and not the entire penis. Is it a wrong way of doing? I do not get excited during sex and unable to ejaculate. Only, rubbing the tip of the penis gives me excitement. Also, two weeks ago, I have undergone circumcision as my foreskin did not retract. Before circumcision too, I have the same problem. Please help. | Hi. For further doubts consult a sexologist online --> |
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Hi doctor, During masturbation I just rub the tip of the penis and not the entire penis. Is it a wrong way of doing? I do not get excited during sex and unable to ejaculate. Only, rubbing the tip of the penis gives me excitement. Also, two weeks ago, I have undergone circumcision as my foreskin did not retract. Before circumcision too, I have the same problem. Please help. [/INST] Hi. For further doubts consult a sexologist online --> |
Q. Will using Percoset cause any side-effects? | Hello doctor, If prescribed Percoset (5/325) and reversion back to regular Acetaminophen, is there even a slight chance that the oxy component of the Percoset could be triggered since Percoset side effects can be permanent even with one use? | Hi. Acetaminophen is safe compared to Percoset. Single use of Percoset never causes permanent side effects. The side effect caused by a single dose (such as loss of appetite and difficulty in emptying bladder) will be for one day only. Once the amount of drug gets excreted from the body (now drug within the body becomes less gradually), automatically the effect or side effect (mentioned above) must disappear. Only for the usage more than 3 to 5 days, may lead to more side effects. If used for more than 10 days, the permanent side effects may come. Nothing to worry about vocal card swelling. This should appear as early as possible after the drug intake as it is the drug hypersensitivity reaction. If not occurred, it is not going to happen in the future. Do not worry about Percoset side effects. |
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Hello doctor, If prescribed Percoset (5/325) and reversion back to regular Acetaminophen, is there even a slight chance that the oxy component of the Percoset could be triggered since Percoset side effects can be permanent even with one use? [/INST] Hi. Acetaminophen is safe compared to Percoset. Single use of Percoset never causes permanent side effects. The side effect caused by a single dose (such as loss of appetite and difficulty in emptying bladder) will be for one day only. Once the amount of drug gets excreted from the body (now drug within the body becomes less gradually), automatically the effect or side effect (mentioned above) must disappear. Only for the usage more than 3 to 5 days, may lead to more side effects. If used for more than 10 days, the permanent side effects may come. Nothing to worry about vocal card swelling. This should appear as early as possible after the drug intake as it is the drug hypersensitivity reaction. If not occurred, it is not going to happen in the future. Do not worry about Percoset side effects. |
Q. What measures can be taken to control stress? | Hello doctor, I am taking too much stress and I know it is not correct. How can I control my stress? Please give me some solution to control my mind. | Hi. Stress is part of everybody's life today, but if you really want to enjoy your healthy life, you have to know how to deal with the stress. Note down all the things in your life which make you stressed. Try to solve them, so that they do not come in the way of your happy life. If there are certain things which you cannot change or not in your control, accept the reality and move on. After all, why to worry about things we cannot change. Similarly, make a list of things which makes you happy. Try to do these things whenever you get time, in fact, you have to take time out for these things. No medicine will work, believe me, it is you and only you responsible for your happiness. The key is with you. The door to happiness is not outside, it is inside us. It is our choice. |
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Hello doctor, I am taking too much stress and I know it is not correct. How can I control my stress? Please give me some solution to control my mind. [/INST] Hi. Stress is part of everybody's life today, but if you really want to enjoy your healthy life, you have to know how to deal with the stress. Note down all the things in your life which make you stressed. Try to solve them, so that they do not come in the way of your happy life. If there are certain things which you cannot change or not in your control, accept the reality and move on. After all, why to worry about things we cannot change. Similarly, make a list of things which makes you happy. Try to do these things whenever you get time, in fact, you have to take time out for these things. No medicine will work, believe me, it is you and only you responsible for your happiness. The key is with you. The door to happiness is not outside, it is inside us. It is our choice. |
Q. Why did I get bleeding after having beta hCG level of 15. 6? | Hi doctor, My last period was a month back. I got beta hCG done due to symptoms two days back and the result was 15.6. Today, I got bleeding. Do you think I was pregnant or not in the first place? | Hi. Beta hCG, if less then 3 miu/ml, then it is negative. If it is more then 10 miu/ml, then more likely to be pregnant but if beta hCG shows increase in 48 hours around 66 %, then it is gradually progressive pregnancy and if it is increasing but less than 60 %, then it could be ectopic pregnancy and if it shows a reduction in 48 hours, then it is miscarriage. If you have already got bleeding after hCG report, then it is better to have a repeat beta hCG and transvaginal scan to exclude any need of evacuation. In case of severe bleeding, you might need an urgent report to tertiary care gynecology emergency. Follow with beta hCG report and scan. Beta hCG. Conception. Beta hCG scan, report to tertiary care gynecology center. A balanced diet, weight, BMI. |
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Hi doctor, My last period was a month back. I got beta hCG done due to symptoms two days back and the result was 15.6. Today, I got bleeding. Do you think I was pregnant or not in the first place? [/INST] Hi. Beta hCG, if less then 3 miu/ml, then it is negative. If it is more then 10 miu/ml, then more likely to be pregnant but if beta hCG shows increase in 48 hours around 66 %, then it is gradually progressive pregnancy and if it is increasing but less than 60 %, then it could be ectopic pregnancy and if it shows a reduction in 48 hours, then it is miscarriage. If you have already got bleeding after hCG report, then it is better to have a repeat beta hCG and transvaginal scan to exclude any need of evacuation. In case of severe bleeding, you might need an urgent report to tertiary care gynecology emergency. Follow with beta hCG report and scan. Beta hCG. Conception. Beta hCG scan, report to tertiary care gynecology center. A balanced diet, weight, BMI. |
Q. What can be done to manage depression due to break-up? | Hello doctor, I am a broken heart. I am not eating or sleeping. I cannot live without him. What should I do? | Hello. A heartbreak or a fall out of a relationship is a saddening experience. There is a feeling of loss coupled with damage to self-esteem. But lots of people experience it at least once in life. Here are a few tips to cope with it. Sitting or lying down all day at home will not help and in fact, worsen depression. It is time to interact with friends as much as possible. Treat yourself to a movie with friends, a dinner, a visit to nearby holiday spot. If these sound difficult, at least interact on phone. Indulge in your hobby which you enjoy. Share your thoughts with a close family member or friend. Get active physically. Join a gym, start cycling, or maybe dancing if you like. Realize that it is better that it happened now rather than farther late in the relationship when you would have been more emotionally invested. It has been a while that you are used to being in a relationship. Do not be scared of being single for some time. It is worth enjoying too. Do not rush into your next relationship right away. Remember that time heals all heart trauma in a way that you emerge stronger and emotionally healthier out of it. If you feel that it is difficult to begin these activities, see a psychologist or psychiatrist. Sometimes an initial help is needed to get out of this cycle. Take care. |
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Hello doctor, I am a broken heart. I am not eating or sleeping. I cannot live without him. What should I do? [/INST] Hello. A heartbreak or a fall out of a relationship is a saddening experience. There is a feeling of loss coupled with damage to self-esteem. But lots of people experience it at least once in life. Here are a few tips to cope with it. Sitting or lying down all day at home will not help and in fact, worsen depression. It is time to interact with friends as much as possible. Treat yourself to a movie with friends, a dinner, a visit to nearby holiday spot. If these sound difficult, at least interact on phone. Indulge in your hobby which you enjoy. Share your thoughts with a close family member or friend. Get active physically. Join a gym, start cycling, or maybe dancing if you like. Realize that it is better that it happened now rather than farther late in the relationship when you would have been more emotionally invested. It has been a while that you are used to being in a relationship. Do not be scared of being single for some time. It is worth enjoying too. Do not rush into your next relationship right away. Remember that time heals all heart trauma in a way that you emerge stronger and emotionally healthier out of it. If you feel that it is difficult to begin these activities, see a psychologist or psychiatrist. Sometimes an initial help is needed to get out of this cycle. Take care. |
Q. What can cause pain in legs while walking and fatty lumps? | Hello doctor, I have pain in both legs when I walk fast. There is a fatty lump in both legs, not painful when pressed. | Hi. I would suggest getting a test called the ankle-brachial index (ABI). This is not done at laboratory but some doctor or especially a surgeon can do in his office. Those test will test if you have any vascular insufficiency. If positive, you might need to be started on some medication to help in pain. Also get blood lipid profile, vitamin D levels stat on capsule Vitamin D 50,000 units, one capsule every week for six weeks, then tablet Vitamin D 400 units daily. |
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Hello doctor, I have pain in both legs when I walk fast. There is a fatty lump in both legs, not painful when pressed. [/INST] Hi. I would suggest getting a test called the ankle-brachial index (ABI). This is not done at laboratory but some doctor or especially a surgeon can do in his office. Those test will test if you have any vascular insufficiency. If positive, you might need to be started on some medication to help in pain. Also get blood lipid profile, vitamin D levels stat on capsule Vitamin D 50,000 units, one capsule every week for six weeks, then tablet Vitamin D 400 units daily. |
Q. How can I delay periods? | Hello doctor,My date of the period was 10th of this month but I got it on 6th. Next month on 2nd, we have a religious function in the temple, so I want to delay my periods. Which medicine is better to use? Some say Primolut N or Ovral G or Ovral l. Please suggest me any medicine with proper dosage thanks. | Hi. Generally, to delay periods, Progesterone hormones have better performance. So take the following medications in given dosage, two days prior to expected next date of your periods, till the date you wish to delay. Delaying periods in once a blue moon is fine, but doing it frequently might cause irregularity in periods, or transient cysts in ovaries. Tablet Primolut N 5 mg twice a day after food. Start from two days prior to expected next date and take till the date your purpose is served. |
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Hello doctor,My date of the period was 10th of this month but I got it on 6th. Next month on 2nd, we have a religious function in the temple, so I want to delay my periods. Which medicine is better to use? Some say Primolut N or Ovral G or Ovral l. Please suggest me any medicine with proper dosage thanks. [/INST] Hi. Generally, to delay periods, Progesterone hormones have better performance. So take the following medications in given dosage, two days prior to expected next date of your periods, till the date you wish to delay. Delaying periods in once a blue moon is fine, but doing it frequently might cause irregularity in periods, or transient cysts in ovaries. Tablet Primolut N 5 mg twice a day after food. Start from two days prior to expected next date and take till the date your purpose is served. |
Q. Can I take protein powder to gain weight? | Hello doctor, I am 18 years old, weight is 55 kg, height is 5'11". I have a problem in gaining weight. The checkup shows that all things are normal. I am eating regularly. Kindly explain the problem in detail and tell whether taking protein powder has any side effect or not. | Hello. I just read your query. See gaining weight depends on metabolism, genes, and activity, etc. Metabolism of every person varies depending on thyroid gland functioning. Genes mean that if your parents are skinny then there are chances that you will be lean. Physical activity also determines weight gain. Without any indication, protein powder intake is not good. It may lead to health issues. Bodybuilders take it but they take it under the supervision and it is required in them. So I advise you to visit a nearby physician and ask for the supplies according to your requirement. |
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Hello doctor, I am 18 years old, weight is 55 kg, height is 5'11". I have a problem in gaining weight. The checkup shows that all things are normal. I am eating regularly. Kindly explain the problem in detail and tell whether taking protein powder has any side effect or not. [/INST] Hello. I just read your query. See gaining weight depends on metabolism, genes, and activity, etc. Metabolism of every person varies depending on thyroid gland functioning. Genes mean that if your parents are skinny then there are chances that you will be lean. Physical activity also determines weight gain. Without any indication, protein powder intake is not good. It may lead to health issues. Bodybuilders take it but they take it under the supervision and it is required in them. So I advise you to visit a nearby physician and ask for the supplies according to your requirement. |
Q. Why do I not get vaginal discharge after pregnancy? | Hello doctor, As a woman, we also have a water discharge after sex. But after my delivery, I lost this thing now. I do not discharge anything. Is it normal? | Hi. Vaginal secretions are exudate from vaginal wall secreted in response to different local, hormonal or emotional events. Few women have excessive secretions genetically and sometimes happen without sex, orgasm, ovulation, fertilization or implantation. But sometimes stress, childbirth, illness, mood variations can reduce sex desires and that causes reduce secretions, in old age after stopping menses woman can experience dry vagina. After childbirth, maybe you are not that much emotionally involved as previous but post-delivery anatomy and many hormonal variations could affect too. So, better to work on it. Have proper dressing, recreational activities, nice perfume, beautiful environment, light music to have a nice mood and proper orgasm before sex. You can use lubricant as well if unable to get secretions. Have complete check and treatment of any health issue you have. Have a better physical and mental health. I hope things would be better. Lack of proper orgasm after delivery. Recreational activities, better physical, mental and emotional well being. Complete treatment of any health issue you have. Proper orgasm. |
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Hello doctor, As a woman, we also have a water discharge after sex. But after my delivery, I lost this thing now. I do not discharge anything. Is it normal? [/INST] Hi. Vaginal secretions are exudate from vaginal wall secreted in response to different local, hormonal or emotional events. Few women have excessive secretions genetically and sometimes happen without sex, orgasm, ovulation, fertilization or implantation. But sometimes stress, childbirth, illness, mood variations can reduce sex desires and that causes reduce secretions, in old age after stopping menses woman can experience dry vagina. After childbirth, maybe you are not that much emotionally involved as previous but post-delivery anatomy and many hormonal variations could affect too. So, better to work on it. Have proper dressing, recreational activities, nice perfume, beautiful environment, light music to have a nice mood and proper orgasm before sex. You can use lubricant as well if unable to get secretions. Have complete check and treatment of any health issue you have. Have a better physical and mental health. I hope things would be better. Lack of proper orgasm after delivery. Recreational activities, better physical, mental and emotional well being. Complete treatment of any health issue you have. Proper orgasm. |
Q. What is the reason for stiff neck with cervical pain? | Hello doctor,I had X-ray done for shoulder bone. This was after a stiff neck and constant pain in the cervical region for the last six months. I did not take any medication. Also, there was a fracture in the lower back four years back. | Hello. I have gone through your report and the above query (attachment removed to protect patient identity). X-ray report does not mention any bony abnormalities except reduced cervical lordosis. This is usually due to spasm of neck muscles. Usually, these problems arise due to inappropriate posture during work, excessive bending of the neck or lifting heavy loads. In this case, I would recommend for physiotherapy and exercise of neck muscles along with proper posture maintenance. You would easily find the instruction for exercises to follow on net otherwise you can take the help of physiotherapist near your house. Avoid use of pillows while sleeping. Also along with this, you can take Vitamin D and Calcium supplements to increase bone strength. I would be happy to help you further if you have any questions. |
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Hello doctor,I had X-ray done for shoulder bone. This was after a stiff neck and constant pain in the cervical region for the last six months. I did not take any medication. Also, there was a fracture in the lower back four years back. [/INST] Hello. I have gone through your report and the above query (attachment removed to protect patient identity). X-ray report does not mention any bony abnormalities except reduced cervical lordosis. This is usually due to spasm of neck muscles. Usually, these problems arise due to inappropriate posture during work, excessive bending of the neck or lifting heavy loads. In this case, I would recommend for physiotherapy and exercise of neck muscles along with proper posture maintenance. You would easily find the instruction for exercises to follow on net otherwise you can take the help of physiotherapist near your house. Avoid use of pillows while sleeping. Also along with this, you can take Vitamin D and Calcium supplements to increase bone strength. I would be happy to help you further if you have any questions. |
Q. How can I manage severe dry cough and sore throat? | Hello doctor, My mother is 56 years old. For last one month or so she is suffering from a sore throat and dry cough. Cough is severe. Throat problem improves and detoriates periodically. She has a history of an asthmatic problem. We have consulted doctors and she has taken three courses of antibiotics. We did a lot of tests without any findings. The cough problem persists and due to prolonged courses of antibiotics she feels week now and has developed mouth ulcers as well. She is exhausted from a persistent cough. What should we do? | Hi. I have evaluated the history and reports (attachment removed to protect patient identity). It seems she is suffering from chronic allergic bronchitis. Now, her chest X-ray is non-specific. My recommendations would be first of all to get a CECT chest and a pulmonary function test (PFT). This needs to be correlated with the clinical findings. If CT does not reveal any infection or tuberculosis, then we would need to giver her inhalers and anti-allergic for a few months. So, before we start any treatment go for the mentioned tests and write back with the results. |
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Hello doctor, My mother is 56 years old. For last one month or so she is suffering from a sore throat and dry cough. Cough is severe. Throat problem improves and detoriates periodically. She has a history of an asthmatic problem. We have consulted doctors and she has taken three courses of antibiotics. We did a lot of tests without any findings. The cough problem persists and due to prolonged courses of antibiotics she feels week now and has developed mouth ulcers as well. She is exhausted from a persistent cough. What should we do? [/INST] Hi. I have evaluated the history and reports (attachment removed to protect patient identity). It seems she is suffering from chronic allergic bronchitis. Now, her chest X-ray is non-specific. My recommendations would be first of all to get a CECT chest and a pulmonary function test (PFT). This needs to be correlated with the clinical findings. If CT does not reveal any infection or tuberculosis, then we would need to giver her inhalers and anti-allergic for a few months. So, before we start any treatment go for the mentioned tests and write back with the results. |
Q. As I am short, I am worried about my son's height. What to do? | Hi doctor, My son is 9 years 1 month old. His height is 119.5 cm and weight is 25.5 kg. He is a very normal and healthy boy. My height is 5 feet 5 inches and my wife's height is 5 feet. I am worried about his height? Please explain me. | Hello. Genetic and nutritional. Thyroid profile and x-ray both wrist joints for bone age estimation. Constitutional or genetic short stature. For further information consult a paediatrician online.---> |
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Hi doctor, My son is 9 years 1 month old. His height is 119.5 cm and weight is 25.5 kg. He is a very normal and healthy boy. My height is 5 feet 5 inches and my wife's height is 5 feet. I am worried about his height? Please explain me. [/INST] Hello. Genetic and nutritional. Thyroid profile and x-ray both wrist joints for bone age estimation. Constitutional or genetic short stature. For further information consult a paediatrician online.---> |
Q. How long should my husband and I wait to try for a baby if we did cocaine? | Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. | Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> |
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Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. [/INST] Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> |
Q. Can Yasmin birth control pill be used as an emergency contraceptive pill? | Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? | Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> |
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Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? [/INST] Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> |
Q. Please explain the poisonous effect of phenol ingestion. | Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. | Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> |
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Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. [/INST] Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> |
Q. For how long should I take Kalachikai powder to overcome PCOD problem? | Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? | Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> |
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Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? [/INST] Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> |
Q. Why do periods get delayed after first time sex? | Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? | Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> |
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Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? [/INST] Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> |
Q. What are the ways to manage a combination skin? | Hello doctor, I am so depressed regarding my face. I have combination skin. It is dry and oily too. I am applying a petroleum jelly daily but after that, my face looks dull. No glow on face after washing with face wash. It glows but not after applying vaseline petrolium jelly. | Hello. I read your query and understood your concern. You have a combination skin which is a little difficult to take care of. In the morning, wash your face with Cutishine facewash and follow up with a good sunscreen like Suncros or Sunban ultra XL gel. Reapply sunscreen once more in the afternoon. In evening wash your face with Cutishine again and apply a moisturizer like Venusia Max while your skin is still damp. Just before sleeping wash moisturizer off with normal water and apply GlyAHA Koj cream all over your face. This should solve a lot of issues for you. Follow up with us after one month. |
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Hello doctor, I am so depressed regarding my face. I have combination skin. It is dry and oily too. I am applying a petroleum jelly daily but after that, my face looks dull. No glow on face after washing with face wash. It glows but not after applying vaseline petrolium jelly. [/INST] Hello. I read your query and understood your concern. You have a combination skin which is a little difficult to take care of. In the morning, wash your face with Cutishine facewash and follow up with a good sunscreen like Suncros or Sunban ultra XL gel. Reapply sunscreen once more in the afternoon. In evening wash your face with Cutishine again and apply a moisturizer like Venusia Max while your skin is still damp. Just before sleeping wash moisturizer off with normal water and apply GlyAHA Koj cream all over your face. This should solve a lot of issues for you. Follow up with us after one month. |
Q. Are there any other options than bypass or angioplasty for blocked heart valves? | Hello doctor, My father is 51 years old with normal weight (fit), yet he has diabetes and now a heart problem. Just got an angina attack. Doctors say bypass or angioplasty are the options since three of his heart valves are 70 to 80 % blocked. He is on a strict diet with no oil at all and only salad. We have recently heard that there is an option EECP, so we were thinking to jump in that instead of the surgery. Since we are scared and not ready for that mindset yet. My question is that is EECP a good option? My father is feeling alright since 3 to 4 days? | Hi. Science is based on evidence and experiment. As for as three-vessel disease and diabetes mellitus, the evidence favors CABG (bypass) if there are suitable targets (which means vessels can be attached as a bypass). There are many trials which support this decision. Another option is PCI (means angioplasty). So if talking about the treatment of choice in your case, it is CABG. If it is not possible or feasible or desired, then the next option is always PCI. Regarding EECP, it is usually reserved for those patients who are neither candidates for CABG nor for PCI, who are on maximum medical treatment and still have chest pain. In such patients, EECP can be an option. EECP is never the first option in those patients in which CABG or PC is possible. Yet medical ethics says always respect patients choice. If the patient does not want to undergo an invasive procedure, then non-invasive procedures such as EECP and medical management can be kept on top. No doubt, EECP is also effective in treating anginal pain. EECP, in fact, causes turbulence in blood in coronary vessels and speeds up the generation of new blood vessels in the heart, but does not open already blocked vessels. In my opinion, I will put CABG on top, PC on the second and EECP on third. But if the patient and his family want EECP, then I will respect their wish. |
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Hello doctor, My father is 51 years old with normal weight (fit), yet he has diabetes and now a heart problem. Just got an angina attack. Doctors say bypass or angioplasty are the options since three of his heart valves are 70 to 80 % blocked. He is on a strict diet with no oil at all and only salad. We have recently heard that there is an option EECP, so we were thinking to jump in that instead of the surgery. Since we are scared and not ready for that mindset yet. My question is that is EECP a good option? My father is feeling alright since 3 to 4 days? [/INST] Hi. Science is based on evidence and experiment. As for as three-vessel disease and diabetes mellitus, the evidence favors CABG (bypass) if there are suitable targets (which means vessels can be attached as a bypass). There are many trials which support this decision. Another option is PCI (means angioplasty). So if talking about the treatment of choice in your case, it is CABG. If it is not possible or feasible or desired, then the next option is always PCI. Regarding EECP, it is usually reserved for those patients who are neither candidates for CABG nor for PCI, who are on maximum medical treatment and still have chest pain. In such patients, EECP can be an option. EECP is never the first option in those patients in which CABG or PC is possible. Yet medical ethics says always respect patients choice. If the patient does not want to undergo an invasive procedure, then non-invasive procedures such as EECP and medical management can be kept on top. No doubt, EECP is also effective in treating anginal pain. EECP, in fact, causes turbulence in blood in coronary vessels and speeds up the generation of new blood vessels in the heart, but does not open already blocked vessels. In my opinion, I will put CABG on top, PC on the second and EECP on third. But if the patient and his family want EECP, then I will respect their wish. |
Q. Will taking Anardana tablets cause stomach pain in a child? | Hello doctor, My 4.5 years old son has taken 25 to 30 digestive Anardana tablets without our knowledge. From then, he complains about severe stomach pain after 1 to 2 hours. We have consulted the doctor and he gave an antibiotic course of four days which was completed. Problem is still there. We have done ultrasound, blood tests, urine test. All are fine except 1 to 2 pus cells in the urine. Then, we consulted alternative medicine doctor, he says that stop all medicines and only give a small quantity of milk mixed with water to him. Kindly suggest what to do. | Hi. I have read your question in detail and I know that you are very concerned about your child but do not worry. Since, it has been four days when your child has eaten Anardana tablets and the ultrasound and blood reports are normal, the child probably has developed acidity. Since you have already given antibiotics for four days, there is no point in continuing antibiotics. In my opinion, you should give Digene syrup 5 ml three times a day for seven days to child and syrup Cyclopam 5 ml for pain on SOS basis. 1 to 2 pus cells in urine is a normal finding and nothing needs to be done for it. A small amount of milk with water also helps in reducing acidity. In all, I think that you should not worry much as the ultrasound report is also normal. Review after two days. |
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Hello doctor, My 4.5 years old son has taken 25 to 30 digestive Anardana tablets without our knowledge. From then, he complains about severe stomach pain after 1 to 2 hours. We have consulted the doctor and he gave an antibiotic course of four days which was completed. Problem is still there. We have done ultrasound, blood tests, urine test. All are fine except 1 to 2 pus cells in the urine. Then, we consulted alternative medicine doctor, he says that stop all medicines and only give a small quantity of milk mixed with water to him. Kindly suggest what to do. [/INST] Hi. I have read your question in detail and I know that you are very concerned about your child but do not worry. Since, it has been four days when your child has eaten Anardana tablets and the ultrasound and blood reports are normal, the child probably has developed acidity. Since you have already given antibiotics for four days, there is no point in continuing antibiotics. In my opinion, you should give Digene syrup 5 ml three times a day for seven days to child and syrup Cyclopam 5 ml for pain on SOS basis. 1 to 2 pus cells in urine is a normal finding and nothing needs to be done for it. A small amount of milk with water also helps in reducing acidity. In all, I think that you should not worry much as the ultrasound report is also normal. Review after two days. |
Q. What are the two small symptom-less dots on the tip of penis? | Hello doctor, I have recently noticed two very tiny pin sized skin color or pinkish dots on the tip of my penis. I am sexually active but have not been for about four months which was protected. These dots seem to have no feeling when I put my finger over it. Never burns, itches or leaks, only a bother to my eyes. They never increased in size much. Sometimes, get slightly smaller. Do not inflate when engorged. They have been there for about a month and a half now and have not gotten any solutions. I am a 20-year-old male. | Hello. I have read your query and went through the pictures (attachment removed to protect patient identity), they look essentially harmless and if you do not have any itching and if it does not bother you much, you can let them be. They are either pearly penile papules or overgrowth of sweat glands (sebaceous hyperplasia) and they can be differentiated only on close viewing. That said, both are pretty harmless and are not STDs if that is what you are worried about, but if you do want to get them removed, you can consult your dermatologist and there are minor procedures like radiofrequency to get rid of them. |
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Hello doctor, I have recently noticed two very tiny pin sized skin color or pinkish dots on the tip of my penis. I am sexually active but have not been for about four months which was protected. These dots seem to have no feeling when I put my finger over it. Never burns, itches or leaks, only a bother to my eyes. They never increased in size much. Sometimes, get slightly smaller. Do not inflate when engorged. They have been there for about a month and a half now and have not gotten any solutions. I am a 20-year-old male. [/INST] Hello. I have read your query and went through the pictures (attachment removed to protect patient identity), they look essentially harmless and if you do not have any itching and if it does not bother you much, you can let them be. They are either pearly penile papules or overgrowth of sweat glands (sebaceous hyperplasia) and they can be differentiated only on close viewing. That said, both are pretty harmless and are not STDs if that is what you are worried about, but if you do want to get them removed, you can consult your dermatologist and there are minor procedures like radiofrequency to get rid of them. |
Q. I get cracks or pops while squeezing my shoulder. Is it due to muscle weakness? | Hello doctor, When I squeeze my shoulder blades together, my spine always cracks or pops (like cracking your knuckles). I do this maybe 20 times a day. I think it is becoming a habit. It helps to loosen it up. What causes this? Do I have muscle weakness? It has been an ongoing pain for three years and it is getting worse. It is very easy to pop and it is addicting. | Hello. The sounds coming from the spine is called as snapping of joints. A synovial joint is a joint where two bony surfaces are enclosed in a capsule with synovial fluid enclosed in it. It is like sound coming from two wet surfaces placed together and now separated. It is a normal physical property. You feel good or relaxed on repeatedly doing it because of your habit. You do not have any muscle weakness. You should avoid doing it repeatedly as repeated forces over a limited area of the spine will predispose it to degenerative changes over the long term. To avoid getting feeling of back stiffness, start to a regular spinal exercise programme. |
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Hello doctor, When I squeeze my shoulder blades together, my spine always cracks or pops (like cracking your knuckles). I do this maybe 20 times a day. I think it is becoming a habit. It helps to loosen it up. What causes this? Do I have muscle weakness? It has been an ongoing pain for three years and it is getting worse. It is very easy to pop and it is addicting. [/INST] Hello. The sounds coming from the spine is called as snapping of joints. A synovial joint is a joint where two bony surfaces are enclosed in a capsule with synovial fluid enclosed in it. It is like sound coming from two wet surfaces placed together and now separated. It is a normal physical property. You feel good or relaxed on repeatedly doing it because of your habit. You do not have any muscle weakness. You should avoid doing it repeatedly as repeated forces over a limited area of the spine will predispose it to degenerative changes over the long term. To avoid getting feeling of back stiffness, start to a regular spinal exercise programme. |
Q. Can childhood head injuries cause bad coordination later in life? | Hi doctor, For four years I have the really bad coordination. I fumble things a lot. I am very clumsy, weak, tired and I pee all the time. I drag my feet along the ground while walking and my legs do not work when I try to stand, but that is a rare thing for me. I have memory issues, moderate vertigo, blurry and double vision and often trouble using my hands. Severe anxiety and depression, but I do not have any emotions. My mood changes rapidly. Sometimes, while talking I slur my words and I often have jumbled speech. When I was 15, I was kicked and punched in the head while I was sitting down and I was unconscious for about 10 minutes. Also, when I was around 8 to 10 years old, I fell off from the roof and twisted my vertebrae. I have done my brain scan and spine scan. Please help me. | Hello. I read your query and understand your concerns. From the available description there are two possibilities which need proper evaluation. For further information consult a neurologist online --> |
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Hi doctor, For four years I have the really bad coordination. I fumble things a lot. I am very clumsy, weak, tired and I pee all the time. I drag my feet along the ground while walking and my legs do not work when I try to stand, but that is a rare thing for me. I have memory issues, moderate vertigo, blurry and double vision and often trouble using my hands. Severe anxiety and depression, but I do not have any emotions. My mood changes rapidly. Sometimes, while talking I slur my words and I often have jumbled speech. When I was 15, I was kicked and punched in the head while I was sitting down and I was unconscious for about 10 minutes. Also, when I was around 8 to 10 years old, I fell off from the roof and twisted my vertebrae. I have done my brain scan and spine scan. Please help me. [/INST] Hello. I read your query and understand your concerns. From the available description there are two possibilities which need proper evaluation. For further information consult a neurologist online --> |
Q. What causes lung congestion only at dawn? | Hello doctor, I am suffering from lung congestion at dawn. The condition is relieved during the day, persisting for a month. Kindly suggest the remedy. | Hi. Possibly, you might be having some mild infection in the lung that is causing the congestion towards early morning. When patients come with these complaints, I evaluate them and see if they have any infection or allergy. Symptoms suggesting infection are a cough, thick mucus, chest pain, mucus production while coughing, fever, a headache. Symptoms suggesting allergy or asthma are running nose, wheeze, a dry cough, sneezing. If you have any of the above kindly let me know details regarding each complaint. Like the time for which it is present, the aggravating or relieving factors. Also, general precautions that you can follow to relieve some of the issues are: 1. Steam inhalation with Carpol plus capsules put in the water, take steam through open mouth twice a day, once before sleep and then in the morning. 2. Avoidance of direct cold winds, AC blower, dust, smoke. 3. Avoidance of smoking and drinking. 4. Adequate nutritious food comprising all nutrients. Kindly revert back to me regarding your other complaints and we can make a decisive diagnosis and institute the right treatment. |
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Hello doctor, I am suffering from lung congestion at dawn. The condition is relieved during the day, persisting for a month. Kindly suggest the remedy. [/INST] Hi. Possibly, you might be having some mild infection in the lung that is causing the congestion towards early morning. When patients come with these complaints, I evaluate them and see if they have any infection or allergy. Symptoms suggesting infection are a cough, thick mucus, chest pain, mucus production while coughing, fever, a headache. Symptoms suggesting allergy or asthma are running nose, wheeze, a dry cough, sneezing. If you have any of the above kindly let me know details regarding each complaint. Like the time for which it is present, the aggravating or relieving factors. Also, general precautions that you can follow to relieve some of the issues are: 1. Steam inhalation with Carpol plus capsules put in the water, take steam through open mouth twice a day, once before sleep and then in the morning. 2. Avoidance of direct cold winds, AC blower, dust, smoke. 3. Avoidance of smoking and drinking. 4. Adequate nutritious food comprising all nutrients. Kindly revert back to me regarding your other complaints and we can make a decisive diagnosis and institute the right treatment. |
Q. Why is there recurrent cough, cold and wheeze in a child? | Hello doctor, I have a 2.8-year-old son suffering from recurrent attacks of cough, cold, wheeze. He has been prescribed Levolin, Budecort, Montair. Still, episodes continue. What should we do? | Hello. Your son seems to be suffering from asthma. It is a hypersensitive disorder where the airways are hyper-reactive. The lasting solution is avoidance of triggering factors. The hypersensitiveness cannot be cured by medicines but can be kept to a minimum using steroids and other medications. I suggest you take the medication as told by the doctor. Levolin inhaler is for acute episodes and Budecort is to be used for longer duration. Budecort contains steroid component which reduces airway inflammation, also it has to be tapered before stopping. Tapering means the reduction of dose gradually over days rather than an abrupt stoppage of medication. Montair contains Montelukast which is leukotriene inhibitor which reduces the concentration of pro-inflammatory substances. The drug is helpful during acute episodes. Try to avoid cold winds, dust, house dust, etc. After kid wakes up, remove the bed-spread and take it out of the house and vigorously shake it to remove all dead skin cells, dust, dirt, etc. Also during windy season construction material from construction sites may trigger asthma episodes. Pollen from the garden can also do the same. One must make a note of the triggering factors so that next time he can avoid those factors. Adequate nutrition which stresses building the right immunity for your child is very important. Foods rich in green leafy vegetables, carotenoids, ascorbic acid, and all vitamin B complex and minerals are important to build immunity. Taking a portion of amla everyday can help your kid get adequate vitamin C. Provide him with Iron and Potassium rich meal. A strong immunity can help avoid small offending agents. However, the best method is to avoid triggering factors. |
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Hello doctor, I have a 2.8-year-old son suffering from recurrent attacks of cough, cold, wheeze. He has been prescribed Levolin, Budecort, Montair. Still, episodes continue. What should we do? [/INST] Hello. Your son seems to be suffering from asthma. It is a hypersensitive disorder where the airways are hyper-reactive. The lasting solution is avoidance of triggering factors. The hypersensitiveness cannot be cured by medicines but can be kept to a minimum using steroids and other medications. I suggest you take the medication as told by the doctor. Levolin inhaler is for acute episodes and Budecort is to be used for longer duration. Budecort contains steroid component which reduces airway inflammation, also it has to be tapered before stopping. Tapering means the reduction of dose gradually over days rather than an abrupt stoppage of medication. Montair contains Montelukast which is leukotriene inhibitor which reduces the concentration of pro-inflammatory substances. The drug is helpful during acute episodes. Try to avoid cold winds, dust, house dust, etc. After kid wakes up, remove the bed-spread and take it out of the house and vigorously shake it to remove all dead skin cells, dust, dirt, etc. Also during windy season construction material from construction sites may trigger asthma episodes. Pollen from the garden can also do the same. One must make a note of the triggering factors so that next time he can avoid those factors. Adequate nutrition which stresses building the right immunity for your child is very important. Foods rich in green leafy vegetables, carotenoids, ascorbic acid, and all vitamin B complex and minerals are important to build immunity. Taking a portion of amla everyday can help your kid get adequate vitamin C. Provide him with Iron and Potassium rich meal. A strong immunity can help avoid small offending agents. However, the best method is to avoid triggering factors. |
Q. Why is there continuous cough in a child? | Hello doctor, My 9-month-old son is facing problems of the chest with a cough for the last four days. He coughs the whole day like he is going to vomit but nothing comes out. Please suggest the medicine to use so that his cough, sputum can come out. | Hi. I have read your question in detail and I know that you are very concerned about your child. It seems that your child probably has got a lower respiratory tract infection. Since you are already taking antibiotic Ofloxacin prescribed yesterday according to prescription attached (attachment removed to protect patient identity), it seems that your child is not responding to it and we have to change the antibiotic. According to the prescription attached, the weight of the child is 8.1 kg. In my opinion, you should take syrup Cefpodoxime (5 ml equals 50 mg) 2.5 ml three times a day for three days. Continue syrup Wikoryl 4 ml three times a day for three days. If wheezing episodes is present then give nebulization with Duolin on SOS basis. However, since this is a prescription medicine, I suggest you to meet the local doctor to confirm the diagnosis. Review back after two days. Take care. |
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Hello doctor, My 9-month-old son is facing problems of the chest with a cough for the last four days. He coughs the whole day like he is going to vomit but nothing comes out. Please suggest the medicine to use so that his cough, sputum can come out. [/INST] Hi. I have read your question in detail and I know that you are very concerned about your child. It seems that your child probably has got a lower respiratory tract infection. Since you are already taking antibiotic Ofloxacin prescribed yesterday according to prescription attached (attachment removed to protect patient identity), it seems that your child is not responding to it and we have to change the antibiotic. According to the prescription attached, the weight of the child is 8.1 kg. In my opinion, you should take syrup Cefpodoxime (5 ml equals 50 mg) 2.5 ml three times a day for three days. Continue syrup Wikoryl 4 ml three times a day for three days. If wheezing episodes is present then give nebulization with Duolin on SOS basis. However, since this is a prescription medicine, I suggest you to meet the local doctor to confirm the diagnosis. Review back after two days. Take care. |
Q. Will Minoxidil with Eclipta Alba help in hair regrowth? | Hello doctor,I am suffering from alopecia. Can I use Tugain Foam 10 % Minoxidil hair gain treatment as well as Morpheme Bhringraja (Eclipta Alba) for hair and skin care 500 mg extract 60 Veg capsules together for the better result? | Hello. I read your question but unable to understand what kind of alopecia are you having and how severe it is. If it is in the beginning stage, Minoxidil can reduce your hair fall. Use 5 % Minoxidil instead of 10, as 10 can be very irritating to the scalp. Eclipta alba has reported hair growth properties but research is more in favor of locally applied ether or ethanol-based extract rather than oral medication. But yes, there are reported benefits in grown factors seen with Eclipta alba, so you can continue taking that. Take supplements containing biotin like Follihair for augmenting the growth. If your hair growth is still not satisfactory, please discuss with your dermatologist about starting you on low dose Finasteride. (1 mg alternate days). Review with us after one month. |
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Hello doctor,I am suffering from alopecia. Can I use Tugain Foam 10 % Minoxidil hair gain treatment as well as Morpheme Bhringraja (Eclipta Alba) for hair and skin care 500 mg extract 60 Veg capsules together for the better result? [/INST] Hello. I read your question but unable to understand what kind of alopecia are you having and how severe it is. If it is in the beginning stage, Minoxidil can reduce your hair fall. Use 5 % Minoxidil instead of 10, as 10 can be very irritating to the scalp. Eclipta alba has reported hair growth properties but research is more in favor of locally applied ether or ethanol-based extract rather than oral medication. But yes, there are reported benefits in grown factors seen with Eclipta alba, so you can continue taking that. Take supplements containing biotin like Follihair for augmenting the growth. If your hair growth is still not satisfactory, please discuss with your dermatologist about starting you on low dose Finasteride. (1 mg alternate days). Review with us after one month. |
Q. How can anxiety attacks be managed? | Hello doctor, I am wondering about my friend's case. I have just known that he has been suffering from panic attacks, fear, and anxiety for a long time. As a friend of his, I want to know more tips to do if I was there when he has them or I am not around, more tips about daily life and so on. He is 21 while I am 18. What can we do to make him feel better or to reduce his attacks? What to say and how to behave (we are not a couple), also sometimes he avoids talking to me for long periods. Is that a normal thing? | Hi. Your friend is suffering from anxiety disorder and panic attacks (an extreme form of anxiety). Anxiety occurs when our brain starts sensing danger without any external cause following which body and brain come to the activated level and physical and mental symptoms of anxiety occur. The things you need to know about anxiety and panic attacks are as follows: 1. Do not panic. It will increase the anxiety and panic of the person suffering from it. 2. Treatment is the mainstay, both pharmacological and nonpharmacological. Ask your friend to get the regular follow up of his psychiatrist. 3. Whenever your friend suffers from the panic attacks, tell positive motivating things like, ask him to take a deep breath, relax, offer him a glass of water, tell him that this will go off and he needs to stay little calm and everything will be alright. Yes, people with anxiety and depression often start withdrawing from social work but with the treatment, this thing will improve. Treatment should always be the first priority. |
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Hello doctor, I am wondering about my friend's case. I have just known that he has been suffering from panic attacks, fear, and anxiety for a long time. As a friend of his, I want to know more tips to do if I was there when he has them or I am not around, more tips about daily life and so on. He is 21 while I am 18. What can we do to make him feel better or to reduce his attacks? What to say and how to behave (we are not a couple), also sometimes he avoids talking to me for long periods. Is that a normal thing? [/INST] Hi. Your friend is suffering from anxiety disorder and panic attacks (an extreme form of anxiety). Anxiety occurs when our brain starts sensing danger without any external cause following which body and brain come to the activated level and physical and mental symptoms of anxiety occur. The things you need to know about anxiety and panic attacks are as follows: 1. Do not panic. It will increase the anxiety and panic of the person suffering from it. 2. Treatment is the mainstay, both pharmacological and nonpharmacological. Ask your friend to get the regular follow up of his psychiatrist. 3. Whenever your friend suffers from the panic attacks, tell positive motivating things like, ask him to take a deep breath, relax, offer him a glass of water, tell him that this will go off and he needs to stay little calm and everything will be alright. Yes, people with anxiety and depression often start withdrawing from social work but with the treatment, this thing will improve. Treatment should always be the first priority. |
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. Are there any chances of pregnancy after using both condom and I-pill? | Hi doctor, I had my periods on the 31st of last month. Then, I had sex on the 26th with protection. I also used emergency pill. When will I get my next periods? Are there any chances of pregnancy? Please explain me. | Hi. Revert back with the answers to the above questions to an obstetrician and gynaecologist online --> |
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Hi doctor, I had my periods on the 31st of last month. Then, I had sex on the 26th with protection. I also used emergency pill. When will I get my next periods? Are there any chances of pregnancy? Please explain me. [/INST] Hi. Revert back with the answers to the above questions to an obstetrician and gynaecologist online --> |
Q. Kindly describe about the tests to be taken before having unprotected sex with lesbian partner? | Hello doctor, I would like to ask some questions that I am sort of afraid to ask my gynecologist because I am not sure if she is tolerant of homosexual people and that is holding me back. I would like to know what kind of health tests should I run to make sure I can safely have unprotected sex with my exclusive lesbian partner? During my last visit at the gynecologist I had cytology and now I am waiting for results. If that comes back clean, does it mean fully that I am free of any sexually transmitted diseases or HPV or do I still have to have some other tests to run? Is it appropriate to ask to have those tests made at a clinic or only if I show any worrying symptoms? I have had only one sexual partner before I engaged with my current girlfriend. We were each other's, first partners. The last question I have is, is it irresponsible to have unprotected lesbian sex in a committed relationship if both people are tested? Are there still any health risks? | Hi. Homosexuality is a choice of self-identity of sexuality, which does not need to be judged. It is always fine to ask questions. You are conscious about your health and that is commendable. Firstly, you need to rule out diseases like HIV, hepatitis B and C (HBsAg, anti-HCV), syphilis (VDRL), gonorrhea (smear test), chlamydia (smear test), herpes (IgM and IgG) which are commonly sexually transmitted via the respective blood tests. Cytology or pap smear is just screening for cervical cancer irrespective of HPV or any other sexually transmitted infection. You can check for HPV-DNA, chlamydia, gonorrhea test from the vaginal aspirate. as well as a throat swab. It is perfectly normal to have any kind of sexual relationship, keeping into account both partners are stable in their relationship and are tested for STD. It prevents any health risk. |
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Hello doctor, I would like to ask some questions that I am sort of afraid to ask my gynecologist because I am not sure if she is tolerant of homosexual people and that is holding me back. I would like to know what kind of health tests should I run to make sure I can safely have unprotected sex with my exclusive lesbian partner? During my last visit at the gynecologist I had cytology and now I am waiting for results. If that comes back clean, does it mean fully that I am free of any sexually transmitted diseases or HPV or do I still have to have some other tests to run? Is it appropriate to ask to have those tests made at a clinic or only if I show any worrying symptoms? I have had only one sexual partner before I engaged with my current girlfriend. We were each other's, first partners. The last question I have is, is it irresponsible to have unprotected lesbian sex in a committed relationship if both people are tested? Are there still any health risks? [/INST] Hi. Homosexuality is a choice of self-identity of sexuality, which does not need to be judged. It is always fine to ask questions. You are conscious about your health and that is commendable. Firstly, you need to rule out diseases like HIV, hepatitis B and C (HBsAg, anti-HCV), syphilis (VDRL), gonorrhea (smear test), chlamydia (smear test), herpes (IgM and IgG) which are commonly sexually transmitted via the respective blood tests. Cytology or pap smear is just screening for cervical cancer irrespective of HPV or any other sexually transmitted infection. You can check for HPV-DNA, chlamydia, gonorrhea test from the vaginal aspirate. as well as a throat swab. It is perfectly normal to have any kind of sexual relationship, keeping into account both partners are stable in their relationship and are tested for STD. It prevents any health risk. |
Q. I am unable to exercise after ACL surgery. Will it cause any complication? | Hello doctor, I am 21 years old and had ACL surgery six months ago in my left knee but I am not able to exercise for the previous two months. What will be the consequences? | Hi. Usually, it takes 1 to 2 months for recovery from surgery and 3 to 4 months for muscles to regain their usual strength after ACL surgery. Since you cannot exercise it means that your muscles have not reached their optimal strength till now. Arthrofibrosis is a common complication after such surgery that can prevent you from exercising. But to know the exact cause, I would suggest you have MRI or bone scan of the knee joint to know the exact cause. Also, I would advise you to have physiotherapy sessions. |
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Hello doctor, I am 21 years old and had ACL surgery six months ago in my left knee but I am not able to exercise for the previous two months. What will be the consequences? [/INST] Hi. Usually, it takes 1 to 2 months for recovery from surgery and 3 to 4 months for muscles to regain their usual strength after ACL surgery. Since you cannot exercise it means that your muscles have not reached their optimal strength till now. Arthrofibrosis is a common complication after such surgery that can prevent you from exercising. But to know the exact cause, I would suggest you have MRI or bone scan of the knee joint to know the exact cause. Also, I would advise you to have physiotherapy sessions. |
Q. What is causing sensitive penis, rectal pressure and pain after ejaculation? | Hello doctor, I am 35 years old male, with a long history of prostatitis, 3 to 4 years, no symptoms. Now a myriad of symptoms including all the following that come and go. Urgency, sensitive penis, rectal or prostate pressure, no pain but happens after ejaculation sometimes and from a bowel movement. Last urgent care said inflamed prostate on DRE and should take Flomax and antibiotics. Another doctor said maybe IC. The second opinion said he would treat for prostate within one month with Cipro. Not sure what to do. Please help. | Hi. From history and test report (attachment removed to protect patient identity), it appears as CPPS (chronic pelvic pain syndrome) and not to localize prostate as the source of the problem. I would like to add anticholinergic to your alpha-blocker (Flomax) and Psyllium Husk. CPPS (chronic pelvic pain syndrome). Capsule Roliflo OD 2 mg (Tamsulosin with Tolterodine 2 mg), Psyllium husk 3 tablespoon HS with one glass water over it, perineal exercises. Bahy Pranayam, Moolbandh regular two times a day will relax the painful focus in the perineum. |
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Hello doctor, I am 35 years old male, with a long history of prostatitis, 3 to 4 years, no symptoms. Now a myriad of symptoms including all the following that come and go. Urgency, sensitive penis, rectal or prostate pressure, no pain but happens after ejaculation sometimes and from a bowel movement. Last urgent care said inflamed prostate on DRE and should take Flomax and antibiotics. Another doctor said maybe IC. The second opinion said he would treat for prostate within one month with Cipro. Not sure what to do. Please help. [/INST] Hi. From history and test report (attachment removed to protect patient identity), it appears as CPPS (chronic pelvic pain syndrome) and not to localize prostate as the source of the problem. I would like to add anticholinergic to your alpha-blocker (Flomax) and Psyllium Husk. CPPS (chronic pelvic pain syndrome). Capsule Roliflo OD 2 mg (Tamsulosin with Tolterodine 2 mg), Psyllium husk 3 tablespoon HS with one glass water over it, perineal exercises. Bahy Pranayam, Moolbandh regular two times a day will relax the painful focus in the perineum. |
Q. Other than medicine, what are the available options for anxiety in a subclinical hyperthyroid person? | Hello doctor, I am a 52-year-old male that has suffered from anxiety and anxiety attacks for years. About a year ago during a stressful time, it got worse. It seemed I was nervous all the time, apprehensive, basically felt terrible. This only made anxiety worse, etc. I take a low dose of Klonopin and really do not like to take that. My doctor prescribed SSRI which seemed to make things worse. All the time affecting my functioning with my job and whole life. Recently, I was diagnosed with subclinical hyperthyroid. Scans and uptake all appear normal. She wants to put me on a low-dose of anti-thyroid medicine. I am so confused because I do not like taking medications but want to feel better. Will this help and can you ease my anxiety over taking the medicines? | Hi. I have read your query. Anxiety requires a two-way approach for its management- psychotherapy, and medication. You may benefit most from a combination of the two. It may take some trial and error to discover which treatments work best for you. Psychotherapy: This involves talking about your anxiety to a therapist so that you do not keep your fears to yourself. Not just a therapist, I feel you should talk about it with anyone you are comfortable with. You can make some lifestyle modifications too to help you. Be physically active. Develop a routine so that you are physically active most days of the week. Exercise is a powerful stress reducer. It may improve your mood and help you stay healthy. Start out slowly and gradually increase the amount and intensity of your activities. Quit smoking, cut down alcohol and drinking coffee. Both nicotine and caffeine can worsen anxiety. Use relaxation techniques like meditations. Keep calm and breathe. Self-talk helps too. Make sleep a priority. Eight hours of sleep is considered adequate. Eat healthy. Medications: This requires trial and error to choose a medicine that you can tolerate well. I feel SSRI's are a good choice. Please take the medicines for at least a month to see if you have adapted to it before switching to another one. And if you feel better with Klonopin, you can choose to take it. Subclinical hyperthyroid: It is caused when the thyroid startshyperfunctioning but it is not detected clinically. Symptoms include palpitations, tremor, heat intolerance, sweating, nervousness, anxiety, reduced feeling of well-being, fear, hostility, and inability to concentrate. I feel your symptoms of anxiety are aggravated because of subclinical hyperthyroidism. So I would advise you to start taking antithyroid medicines as they would control the level of thyroid in the body and hence help in reducing the symptom. |
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Hello doctor, I am a 52-year-old male that has suffered from anxiety and anxiety attacks for years. About a year ago during a stressful time, it got worse. It seemed I was nervous all the time, apprehensive, basically felt terrible. This only made anxiety worse, etc. I take a low dose of Klonopin and really do not like to take that. My doctor prescribed SSRI which seemed to make things worse. All the time affecting my functioning with my job and whole life. Recently, I was diagnosed with subclinical hyperthyroid. Scans and uptake all appear normal. She wants to put me on a low-dose of anti-thyroid medicine. I am so confused because I do not like taking medications but want to feel better. Will this help and can you ease my anxiety over taking the medicines? [/INST] Hi. I have read your query. Anxiety requires a two-way approach for its management- psychotherapy, and medication. You may benefit most from a combination of the two. It may take some trial and error to discover which treatments work best for you. Psychotherapy: This involves talking about your anxiety to a therapist so that you do not keep your fears to yourself. Not just a therapist, I feel you should talk about it with anyone you are comfortable with. You can make some lifestyle modifications too to help you. Be physically active. Develop a routine so that you are physically active most days of the week. Exercise is a powerful stress reducer. It may improve your mood and help you stay healthy. Start out slowly and gradually increase the amount and intensity of your activities. Quit smoking, cut down alcohol and drinking coffee. Both nicotine and caffeine can worsen anxiety. Use relaxation techniques like meditations. Keep calm and breathe. Self-talk helps too. Make sleep a priority. Eight hours of sleep is considered adequate. Eat healthy. Medications: This requires trial and error to choose a medicine that you can tolerate well. I feel SSRI's are a good choice. Please take the medicines for at least a month to see if you have adapted to it before switching to another one. And if you feel better with Klonopin, you can choose to take it. Subclinical hyperthyroid: It is caused when the thyroid startshyperfunctioning but it is not detected clinically. Symptoms include palpitations, tremor, heat intolerance, sweating, nervousness, anxiety, reduced feeling of well-being, fear, hostility, and inability to concentrate. I feel your symptoms of anxiety are aggravated because of subclinical hyperthyroidism. So I would advise you to start taking antithyroid medicines as they would control the level of thyroid in the body and hence help in reducing the symptom. |
Q. I am depressed and I am having headache. Kindly advice. | Hello doctor, I am preparing for MBBS for last three years but have not gotten selected till now. My friends got selected. So, I feel this is really harassing me. Because of this, I am very much depressed for the last year. My problem is not that I have not got selected in MBBS but my problem is that I am having headache for the past year. Sometimes it stays for four to five days. Before one year there was no problem when I travel in bus or four-wheeler but from last one year, I am having headache and vomiting feeling while traveling by four-wheeler or by bus. Because of this, I am getting more and more tension and depression. So, please suggest me if it is necessary to go to a neurologist. | Hi. You are having headache for the last one year, so definitely treatment is needed. There are two possibilities in this case. It may be a tension-type headache (as you are tensed due to preparation) or a migraine (of adolescent-onset). For making an exact diagnosis and prescribing treatment, I want to know about your headache in detail. |
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Hello doctor, I am preparing for MBBS for last three years but have not gotten selected till now. My friends got selected. So, I feel this is really harassing me. Because of this, I am very much depressed for the last year. My problem is not that I have not got selected in MBBS but my problem is that I am having headache for the past year. Sometimes it stays for four to five days. Before one year there was no problem when I travel in bus or four-wheeler but from last one year, I am having headache and vomiting feeling while traveling by four-wheeler or by bus. Because of this, I am getting more and more tension and depression. So, please suggest me if it is necessary to go to a neurologist. [/INST] Hi. You are having headache for the last one year, so definitely treatment is needed. There are two possibilities in this case. It may be a tension-type headache (as you are tensed due to preparation) or a migraine (of adolescent-onset). For making an exact diagnosis and prescribing treatment, I want to know about your headache in detail. |
Q. Is it advisable to carry on surgery for stage 4 breast cancer? | Hello doctor,Today my mother-in-law was diagnosed with breast cancer stage 4. She is having a fracture in the hip bone for two days and was admitted in hospital for that. Later, it was diagnosed as cancer. They are planning to do surgery for fracture and after that chemotherapy. Now she is unable to walk or sit. Is there any risk in doing surgery at this stage 4 of cancer? What are the treatment for this stage? What is the prognosis? Please give us a reply. | Hi. She needs PET-CT whole body scan to establish the sites of metastasis involved all over the body. Breast cancer only with bone metastasis has a good prognosis. She needs six cycles of chemotherapy first and then reassessment. Surgery is indicated for spine or bone for fixation of fracture and local radiotherapy. Surgery or radiation for breast is not warranted at present. If the spread involves liver, lung or brain other than bone, then prognosis will be bad. |
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Hello doctor,Today my mother-in-law was diagnosed with breast cancer stage 4. She is having a fracture in the hip bone for two days and was admitted in hospital for that. Later, it was diagnosed as cancer. They are planning to do surgery for fracture and after that chemotherapy. Now she is unable to walk or sit. Is there any risk in doing surgery at this stage 4 of cancer? What are the treatment for this stage? What is the prognosis? Please give us a reply. [/INST] Hi. She needs PET-CT whole body scan to establish the sites of metastasis involved all over the body. Breast cancer only with bone metastasis has a good prognosis. She needs six cycles of chemotherapy first and then reassessment. Surgery is indicated for spine or bone for fixation of fracture and local radiotherapy. Surgery or radiation for breast is not warranted at present. If the spread involves liver, lung or brain other than bone, then prognosis will be bad. |
Q. My mother is an epileptic patient. I want to know if her present treatment is right? | Hello doctor, My mother is a patient of epilepsy for 22 years. Earlier she was diagnosed as GTCS (generalized tonic-clonic seizures) and CPS (complex partial seizures) and given Eptoin 100mg BD at first, then Zeptol CR 400mg BD with Cloba 10mg for fits, convulsions, and senselessness. But still, it was going on. Now, for the last two years, we consulted another doctor, who diagnosed that her treatment was not in the right way. He said that the seizure was idiopathic generalized epilepsy with absence seizures and she was given Encorate Chrono 500mg BD with Cloba 10mg. After this, she was good for two years. Then she again developed fits, senselessness, and convulsions this year. So, we went to the doctor and this time the diagnosis is combination of multiple seizures with psychogenic non-epileptic seizure and was given Encorate Chrono 500mg BD, Levipil 500mg BD, Cloba 10mg HS, Nexito 10mg HS. But still fits and convulsion is going on after coming back from the hospital. Please advise what has to be done. Is the treatment going in the right way? Is there any need for medicines such as Topiramate or Lacosamide or Tiagabine medicines? | Hello. Your mother's situation seems to be very complicated. I would like to explain that it is true that Carbamazepine (Zeptol) can have no good effect or even worsen idiopathic generalized seizures. The valproate plasma levels should also be performed, to know if she is being treated with the right doses of Encorate Chrono. I would recommend performing a brain MRI and a careful EEG to establish any possible cause of these seizures, which could be treated by a possible brain intervention. I would also reconsider the treatment with Escitalopram (Nexito), as it is an SSRI(Selective Serotonin Reuptake Inhibitor) and in rare cases has been shown to aggravate the seizures. Hope it was helpful. |
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Hello doctor, My mother is a patient of epilepsy for 22 years. Earlier she was diagnosed as GTCS (generalized tonic-clonic seizures) and CPS (complex partial seizures) and given Eptoin 100mg BD at first, then Zeptol CR 400mg BD with Cloba 10mg for fits, convulsions, and senselessness. But still, it was going on. Now, for the last two years, we consulted another doctor, who diagnosed that her treatment was not in the right way. He said that the seizure was idiopathic generalized epilepsy with absence seizures and she was given Encorate Chrono 500mg BD with Cloba 10mg. After this, she was good for two years. Then she again developed fits, senselessness, and convulsions this year. So, we went to the doctor and this time the diagnosis is combination of multiple seizures with psychogenic non-epileptic seizure and was given Encorate Chrono 500mg BD, Levipil 500mg BD, Cloba 10mg HS, Nexito 10mg HS. But still fits and convulsion is going on after coming back from the hospital. Please advise what has to be done. Is the treatment going in the right way? Is there any need for medicines such as Topiramate or Lacosamide or Tiagabine medicines? [/INST] Hello. Your mother's situation seems to be very complicated. I would like to explain that it is true that Carbamazepine (Zeptol) can have no good effect or even worsen idiopathic generalized seizures. The valproate plasma levels should also be performed, to know if she is being treated with the right doses of Encorate Chrono. I would recommend performing a brain MRI and a careful EEG to establish any possible cause of these seizures, which could be treated by a possible brain intervention. I would also reconsider the treatment with Escitalopram (Nexito), as it is an SSRI(Selective Serotonin Reuptake Inhibitor) and in rare cases has been shown to aggravate the seizures. Hope it was helpful. |
Q. There are red spots on my thigh. What could it be? | Hello doctor, I found 8-10 red spots on my upper right thigh and a few weaker spots on the right and left leg. They are not itchy. I noticed them just this morning.The spots are red in color. Their size is about 1/16" to 1/8" diameter. I am taking Flonase since last week. Should I quit taking it? What could it be? | Hi. I have viewed the pictures (attachment removed to protect patient identity) It is a case of papular urticaria, a type of insect hypersensitivity reaction with irritant dermatitis. It is a very common problem and harmless too. It has nothing to do with Flonase (Fluticasone propionate). So, if you are using it for any other indication you can safely go for it. Just apply Mupirocin ointment twice daily. The spots will completely subside in 1 week. Please let me know if any new lesions are continuously appearing, as in that case you may need oral medication. |
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Hello doctor, I found 8-10 red spots on my upper right thigh and a few weaker spots on the right and left leg. They are not itchy. I noticed them just this morning.The spots are red in color. Their size is about 1/16" to 1/8" diameter. I am taking Flonase since last week. Should I quit taking it? What could it be? [/INST] Hi. I have viewed the pictures (attachment removed to protect patient identity) It is a case of papular urticaria, a type of insect hypersensitivity reaction with irritant dermatitis. It is a very common problem and harmless too. It has nothing to do with Flonase (Fluticasone propionate). So, if you are using it for any other indication you can safely go for it. Just apply Mupirocin ointment twice daily. The spots will completely subside in 1 week. Please let me know if any new lesions are continuously appearing, as in that case you may need oral medication. |
Q. How to perform CPR (Cardiopulmonary Resuscitation)? | Hello doctor, My mom recently died due to heart attack. She was an asthma patient and also had depression. She was having medicines for all these. One morning, I saw her biting her tongue and was unconscious. I rubbed her chest slowly that she breathed. When I stopped rubbing, she stopped breathing after some time. After sometime I again rubbed and she breathed and stopped breathing after I stopped rubbing. A doctor came home and confirmed her death and all that he asked was whether she had any heart disease. I guess it was a silent heart attack. Please let me know how could have I saved her life or the procedure of rubbing the chest was right or wrong? Also, if I had rubbed the chest continuously whether it could have helped? (or only CPR will help in this case). Just asking this question to help someone else in future. | Hi. First of all, I appreciate your interest to know the emergency life-saving procedure. Tongue bite usually occurs in seizures and not in heart attacks. There is a possibility of a seizure in her case. Many reasons can be there for such an incident. It can be due to fall in sugar levels, due to side effect of asthalin in medicines, due to missed drug, due to high potassium caused by respiratory drugs, due to high blood pressure causing brain stroke, etc. If there is a heart attack or cardiac arrest, then the best way is to give CPR (Cardiopulmonary Resuscitation). Do not rub, but compress the chest with your hand and release as if you are manually pumping blood. Also, you should have given mouth to mouth respiration if you thought she is intermittently breathing. This way you are pushing air into lungs manually. The purpose of CPR is to allow lungs and heart keep working till we can get the patient onto a machine. Since the diagnosis here is not clear, we would suggest that what you did was in the right direction but you should have applied more pressure and done it aggressively. Please learn basic CPR from any institute or doctor so that next time you know how to save someone!! |
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Hello doctor, My mom recently died due to heart attack. She was an asthma patient and also had depression. She was having medicines for all these. One morning, I saw her biting her tongue and was unconscious. I rubbed her chest slowly that she breathed. When I stopped rubbing, she stopped breathing after some time. After sometime I again rubbed and she breathed and stopped breathing after I stopped rubbing. A doctor came home and confirmed her death and all that he asked was whether she had any heart disease. I guess it was a silent heart attack. Please let me know how could have I saved her life or the procedure of rubbing the chest was right or wrong? Also, if I had rubbed the chest continuously whether it could have helped? (or only CPR will help in this case). Just asking this question to help someone else in future. [/INST] Hi. First of all, I appreciate your interest to know the emergency life-saving procedure. Tongue bite usually occurs in seizures and not in heart attacks. There is a possibility of a seizure in her case. Many reasons can be there for such an incident. It can be due to fall in sugar levels, due to side effect of asthalin in medicines, due to missed drug, due to high potassium caused by respiratory drugs, due to high blood pressure causing brain stroke, etc. If there is a heart attack or cardiac arrest, then the best way is to give CPR (Cardiopulmonary Resuscitation). Do not rub, but compress the chest with your hand and release as if you are manually pumping blood. Also, you should have given mouth to mouth respiration if you thought she is intermittently breathing. This way you are pushing air into lungs manually. The purpose of CPR is to allow lungs and heart keep working till we can get the patient onto a machine. Since the diagnosis here is not clear, we would suggest that what you did was in the right direction but you should have applied more pressure and done it aggressively. Please learn basic CPR from any institute or doctor so that next time you know how to save someone!! |
Q. I have been coughing for over 2 years. Can you please help me with ayurvedic means of getting better? | Hello doctor, I am a 39 year woman. I read about ayurveda on the internet and would like to use it as a means to find a lasting cure for my health problems. I have been coughing for over 2 years now and cough up blood and also have pain on the right upper side of my back. I also experience dizziness most of the times and irregular menstrual cycle and cannot lie on my back because I cough up blood a lot when I do. Can you please help me with ayurvedic means of getting better? Thank you. | Hi. Good to hear about ayurveda from you. But we cannot neglect chronic cough with blood. So, it is my humble request for you to visit a local physician immediately and get back to me with the reports like x-ray, blood test, etc. |
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Hello doctor, I am a 39 year woman. I read about ayurveda on the internet and would like to use it as a means to find a lasting cure for my health problems. I have been coughing for over 2 years now and cough up blood and also have pain on the right upper side of my back. I also experience dizziness most of the times and irregular menstrual cycle and cannot lie on my back because I cough up blood a lot when I do. Can you please help me with ayurvedic means of getting better? Thank you. [/INST] Hi. Good to hear about ayurveda from you. But we cannot neglect chronic cough with blood. So, it is my humble request for you to visit a local physician immediately and get back to me with the reports like x-ray, blood test, etc. |
Q. Please interpret my USG liver report. | Hello doctor, Four months before, I was diagnosed with fatty liver, slightly elevated fasting sugar and the level of total cholesterol. My current medications are tablet Viboliv 500 daily two times in a restricted diet and Nexpro RD. I had consumed spicy foods rarely. In the last four months, I lost 7 kg weight. However, today, I have repeated the same tests and all the blood tests are normal. But, there is something in my USG of the whole abdomen. My USG report of liver is as follows: Liver is enlarged. The echogenicity is diffusely increased without any focal lesion. The intrahepatic structures are normal and no focal area of altered echogenicity is noted. The hepatic ports are normal. The common duct at ports measures 3 mm and the portal vein measures 10 mm to porta. Final impression is hepatomegaly with fatty liver and this is my recent USG report. My other organs are normal and I feel pain in the RUQ and flatulence is present. Also, I tested for FBS, LFT and lipid profile. Is it a reversible condition? Also, please let me know how much time will it take. Will you please guide me about the seriousness of this condition? Thank you. | Hello. Revert back with report and answer to the above question to an internal medicine physician online --> |
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Hello doctor, Four months before, I was diagnosed with fatty liver, slightly elevated fasting sugar and the level of total cholesterol. My current medications are tablet Viboliv 500 daily two times in a restricted diet and Nexpro RD. I had consumed spicy foods rarely. In the last four months, I lost 7 kg weight. However, today, I have repeated the same tests and all the blood tests are normal. But, there is something in my USG of the whole abdomen. My USG report of liver is as follows: Liver is enlarged. The echogenicity is diffusely increased without any focal lesion. The intrahepatic structures are normal and no focal area of altered echogenicity is noted. The hepatic ports are normal. The common duct at ports measures 3 mm and the portal vein measures 10 mm to porta. Final impression is hepatomegaly with fatty liver and this is my recent USG report. My other organs are normal and I feel pain in the RUQ and flatulence is present. Also, I tested for FBS, LFT and lipid profile. Is it a reversible condition? Also, please let me know how much time will it take. Will you please guide me about the seriousness of this condition? Thank you. [/INST] Hello. Revert back with report and answer to the above question to an internal medicine physician online --> |
Q. How long should my husband and I wait to try for a baby if we did cocaine? | Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. | Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> |
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Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. [/INST] Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> |
Q. Can Yasmin birth control pill be used as an emergency contraceptive pill? | Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? | Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> |
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Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? [/INST] Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> |
Q. Please explain the poisonous effect of phenol ingestion. | Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. | Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> |
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Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. [/INST] Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> |
Q. For how long should I take Kalachikai powder to overcome PCOD problem? | Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? | Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> |
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Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? [/INST] Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> |
Q. Why do periods get delayed after first time sex? | Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? | Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> |
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Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? [/INST] Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> |
Q. What are the risk factors of sexual intercourse with type 1 herpes patient? | Hi doctor, I just recently started dating a man that informed me he has type 1 herpes. I want to know the risk factors and protective measures I can take if I choose to start a sexual relationship with him. | Hello. Type 1 herpes is a sexually transmitted virus. It spreads with contact with an infected person. It can lead to oro-genital infective lesions. To prevent it, avoid any kind of sexual contact with the infected person especially when the person is having active lesions. If you already had the contact, take precautionary prophylaxis of antiviral medications. Yes, you can have sexual contact with the person but there will be minimal chances of getting infected even if the partner is not running any active lesion. Condoms do not prevent the spread of infection in this case. |
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Hi doctor, I just recently started dating a man that informed me he has type 1 herpes. I want to know the risk factors and protective measures I can take if I choose to start a sexual relationship with him. [/INST] Hello. Type 1 herpes is a sexually transmitted virus. It spreads with contact with an infected person. It can lead to oro-genital infective lesions. To prevent it, avoid any kind of sexual contact with the infected person especially when the person is having active lesions. If you already had the contact, take precautionary prophylaxis of antiviral medications. Yes, you can have sexual contact with the person but there will be minimal chances of getting infected even if the partner is not running any active lesion. Condoms do not prevent the spread of infection in this case. |
Q. I want to cure premature ejaculation. Please help. | Hello doctor, I am having a premature ejaculation problem. I got married five months back. Initially two months back, I was able to do intercourse well but now before the start of the intercourse, I am getting the ejaculation. We are planning for a child now but I am much worried. My height is 187 cm and weight is 102 kg. | Hi. I can understand your situation. Premature ejaculation is not a disease of the body and it is seen in almost all men at some point. It occurs because of your tension and anxiety about performing sex or previous bad sexual experiences. Medicines can be taken initially to reduce your anxiety if you are married or having regular sex. Practicing exercises to strengthen the muscles which help in ejaculation and retraining penis to ejaculate late would be a permanent solution rather than medicine. No permanent cure with allopathy, ayurveda or any system. It happens because of so many factors like as follows: 1. You have been training your penis to ejaculate early all these days. 2. You will be very anxious about losing the erection and will hurry up for intercourse. 3. Glans of the penis may be very sensitive. 4. The desire may be too much. You can try tablet Duralast 30 mg two hours before sex only till you get confidence. |
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Hello doctor, I am having a premature ejaculation problem. I got married five months back. Initially two months back, I was able to do intercourse well but now before the start of the intercourse, I am getting the ejaculation. We are planning for a child now but I am much worried. My height is 187 cm and weight is 102 kg. [/INST] Hi. I can understand your situation. Premature ejaculation is not a disease of the body and it is seen in almost all men at some point. It occurs because of your tension and anxiety about performing sex or previous bad sexual experiences. Medicines can be taken initially to reduce your anxiety if you are married or having regular sex. Practicing exercises to strengthen the muscles which help in ejaculation and retraining penis to ejaculate late would be a permanent solution rather than medicine. No permanent cure with allopathy, ayurveda or any system. It happens because of so many factors like as follows: 1. You have been training your penis to ejaculate early all these days. 2. You will be very anxious about losing the erection and will hurry up for intercourse. 3. Glans of the penis may be very sensitive. 4. The desire may be too much. You can try tablet Duralast 30 mg two hours before sex only till you get confidence. |
Q. I have severe gum recession in a single tooth. Why? | Hi doctor, This afternoon I noticed some pretty severe gum recession on my left lower cuspid (approximately 5 mm). As far as I can tell, it is the only tooth with any signs of gum recession, and I think it might be due to crowding (my lateral incisor and first bicuspid are slightly behind and might well be pushing forward) because of that. Is this an urgent issue for a dentist or can it wait, and if so, is there anything I can do to help the issue? | Hi. It is okay. You do not need to rush to the dentist. The clinical scenario of teeth that you told indicates that most probably this gum recession is caused by yourself. You brush like giving a slight high power stroke on right and left bicuspids and then with normal force on rest of the teeth. Because of high-pressure stroke, gums in that particular area goes down, causing sensitivity of tooth. Another cause could be plaque or tartar around that particular tooth causing gums infection that results in receding gums. But still, I think it is your brushing technique that is the main cause of receding gum. Tell me about it. You just have to change your brushing technique, do not do harsh brushing in that area. Take a soft bristle tooth brush. Avoid severe hot or cold food stuff till you visit your dentist. Rest treatment will be done later by the dentist and that could be scaling or filling of abrasion. Stay happy and blessed. Take care. |
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Hi doctor, This afternoon I noticed some pretty severe gum recession on my left lower cuspid (approximately 5 mm). As far as I can tell, it is the only tooth with any signs of gum recession, and I think it might be due to crowding (my lateral incisor and first bicuspid are slightly behind and might well be pushing forward) because of that. Is this an urgent issue for a dentist or can it wait, and if so, is there anything I can do to help the issue? [/INST] Hi. It is okay. You do not need to rush to the dentist. The clinical scenario of teeth that you told indicates that most probably this gum recession is caused by yourself. You brush like giving a slight high power stroke on right and left bicuspids and then with normal force on rest of the teeth. Because of high-pressure stroke, gums in that particular area goes down, causing sensitivity of tooth. Another cause could be plaque or tartar around that particular tooth causing gums infection that results in receding gums. But still, I think it is your brushing technique that is the main cause of receding gum. Tell me about it. You just have to change your brushing technique, do not do harsh brushing in that area. Take a soft bristle tooth brush. Avoid severe hot or cold food stuff till you visit your dentist. Rest treatment will be done later by the dentist and that could be scaling or filling of abrasion. Stay happy and blessed. Take care. |
Q. What makes me getting suicidal thoughts and avoid marriage? | Hello doctor, I do not know what disease I am suffering from but it is killing me deep down. I do not want to get married, my parents are forcing me. Please help. It is going on from past 3 to 4 months. At times, I feel like going away from the house or to kill myself but then I see towards my family and the idea of dying gets ruled out. I was suffering from mild depression but my parents do not know about it. | Hello. Let us summarize your complaints, thoughts of running away from the current situation, occasional suicidal ideas, avoidance of marriage. Marriage is a cause of joy but it is a stress in itself. So, maybe you are trying to avoid further stress because you are overwhelmed with the stress of your current life. Besides, medical education is tremendously stressful and enough to cause depression in the vulnerable. Besides, you give a history of mild depression in the past. If you are having suicidal thoughts, even occasionally, it is a marker of severe depression and needs treatment by a psychiatrist. Other symptoms of depression include sadness, loss of interest in previously pleasurable activities, change in sleep, appetite, weight. Anxiety, guilt feelings, pessimistic thoughts, if you feel that you also have these symptoms, then it is likely to be a major depressive disorder. It can be treated with antidepressant medicines like Escitalopram or with counseling, psychotherapy with a psychologist. If you do not have these symptoms, then we will have to search for other causes of your current complaints. Send follow up to this query if you have any other symptoms. Take care. Consult a psychiatrist privately for more help, information, and guidance about depression and its treatment. |
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Hello doctor, I do not know what disease I am suffering from but it is killing me deep down. I do not want to get married, my parents are forcing me. Please help. It is going on from past 3 to 4 months. At times, I feel like going away from the house or to kill myself but then I see towards my family and the idea of dying gets ruled out. I was suffering from mild depression but my parents do not know about it. [/INST] Hello. Let us summarize your complaints, thoughts of running away from the current situation, occasional suicidal ideas, avoidance of marriage. Marriage is a cause of joy but it is a stress in itself. So, maybe you are trying to avoid further stress because you are overwhelmed with the stress of your current life. Besides, medical education is tremendously stressful and enough to cause depression in the vulnerable. Besides, you give a history of mild depression in the past. If you are having suicidal thoughts, even occasionally, it is a marker of severe depression and needs treatment by a psychiatrist. Other symptoms of depression include sadness, loss of interest in previously pleasurable activities, change in sleep, appetite, weight. Anxiety, guilt feelings, pessimistic thoughts, if you feel that you also have these symptoms, then it is likely to be a major depressive disorder. It can be treated with antidepressant medicines like Escitalopram or with counseling, psychotherapy with a psychologist. If you do not have these symptoms, then we will have to search for other causes of your current complaints. Send follow up to this query if you have any other symptoms. Take care. Consult a psychiatrist privately for more help, information, and guidance about depression and its treatment. |
Q. Is it something serious to have Hb and hematocrit at low level with high RDW-CV? | Hi doctor, I am 33 years old single female. My hemoglobin is 10.5, RDW-CV is 18.3, MCHC 39.6, hematocrit is 26.5. Any issues, let me know and what you prefer for me? Please let me know. | Hi. I have gone through your case and can well understand your genuine health concern. As per the values mentioned by you, the hemoglobin level is low which indicates anemia. RDW-CV is on the higher side (attachment removed to protect patient identity). Its normal value should be up to 15. A high RDW-CV favors iron deficiency anemia. But it can be seen in B12 and folate deficiency also. Hematocrit is low. The normal value should be between 37 to 48 % for women. All the three parameters are indicating towards iron deficiency anemia. Only MCHC is contradictory but in early stages, you can find normal or slightly high MCHC in iron deficiency anemia. To confirm it, I suggest you few blood tests like a peripheral smear, serum iron, total iron binding capacity, ferritin levels, serum B12, and folate. There are many causes of iron deficiency anemia like chronic blood loss from the gastrointestinal tract, menorrhagia, hookworm infestation, dietary deficiency, etc. In my opinion, you should consult a physician and get evaluated properly so that the cause of anemia could be found and proper treatment in the form of iron supplementation can be given. Iron deficiency anemia. Peripheral smear, serum iron, total iron binding capacity, serum ferritin, serum B12 and folate, stool occult blood. |
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Hi doctor, I am 33 years old single female. My hemoglobin is 10.5, RDW-CV is 18.3, MCHC 39.6, hematocrit is 26.5. Any issues, let me know and what you prefer for me? Please let me know. [/INST] Hi. I have gone through your case and can well understand your genuine health concern. As per the values mentioned by you, the hemoglobin level is low which indicates anemia. RDW-CV is on the higher side (attachment removed to protect patient identity). Its normal value should be up to 15. A high RDW-CV favors iron deficiency anemia. But it can be seen in B12 and folate deficiency also. Hematocrit is low. The normal value should be between 37 to 48 % for women. All the three parameters are indicating towards iron deficiency anemia. Only MCHC is contradictory but in early stages, you can find normal or slightly high MCHC in iron deficiency anemia. To confirm it, I suggest you few blood tests like a peripheral smear, serum iron, total iron binding capacity, ferritin levels, serum B12, and folate. There are many causes of iron deficiency anemia like chronic blood loss from the gastrointestinal tract, menorrhagia, hookworm infestation, dietary deficiency, etc. In my opinion, you should consult a physician and get evaluated properly so that the cause of anemia could be found and proper treatment in the form of iron supplementation can be given. Iron deficiency anemia. Peripheral smear, serum iron, total iron binding capacity, serum ferritin, serum B12 and folate, stool occult blood. |
Q. Before urine test, shall we start antibiotic for UTI? | Hi doctor, My son is 20 months old. He is suffering from UTI. Since yesterday, he cries while urinating in the morning. He has fever for two days and cough and running nose for five days. The general physician gave Cefpodoxime oral syrup, but urine test has to be done tomorrow morning only. Should we start the antibiotic? No pediatrician nearby and we have to drive six hours to another town for the pediatrician. Please suggest me? | Hi. Crying while voiding urine and fever might be due to urinary tract infection (UTI). Urine routine and microscopy needs to be done for screening and if it suggests infection, then urine sample for culture and sensitivity needs to be given and oral antibiotics has to be started. The culture report, which takes two to three days will guide the further use of antibiotics, if any infection positive. Antibiotics should be started only after giving off a sample for culture and sensitivity, if UTI is suspected. Giving urine sample for testing after taking antibiotics might alter the test report and delay the infection. For further information consult a child health specialist online --> |
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Hi doctor, My son is 20 months old. He is suffering from UTI. Since yesterday, he cries while urinating in the morning. He has fever for two days and cough and running nose for five days. The general physician gave Cefpodoxime oral syrup, but urine test has to be done tomorrow morning only. Should we start the antibiotic? No pediatrician nearby and we have to drive six hours to another town for the pediatrician. Please suggest me? [/INST] Hi. Crying while voiding urine and fever might be due to urinary tract infection (UTI). Urine routine and microscopy needs to be done for screening and if it suggests infection, then urine sample for culture and sensitivity needs to be given and oral antibiotics has to be started. The culture report, which takes two to three days will guide the further use of antibiotics, if any infection positive. Antibiotics should be started only after giving off a sample for culture and sensitivity, if UTI is suspected. Giving urine sample for testing after taking antibiotics might alter the test report and delay the infection. For further information consult a child health specialist online --> |
Q. Why is a 3-year-old stuttering suddenly? | Hello doctor, A 3-year-old just begins stuttering out of the clear blue. Should we be concerned? | Hi. I have read your query. Developmental stuttering is a common form of stuttering seen in children under 5 years. Stuttering occurs when a child is learning speech and language skills. It occurs because of the child's language and speech ability are unable to manage the child's verbal demands. They do not require any treatment as the stuttering stops as command over language and skills is obtained. A speech language pathologist can help diagnose stuttering. No invasive testing is necessary. Typically, you or your child can describe stuttering symptoms, and a speech language pathologist can evaluate the degree to which your child stutters. Not all children who stutter will require treatment because developmental stuttering usually resolves with time. Speech therapy is an option for some children. The best candidates for speech therapy include those who have stuttered for three to six months, have pronounced stuttering, struggle with stuttering or experience emotional difficulties because of stuttering, have a family history of stuttering. |
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Hello doctor, A 3-year-old just begins stuttering out of the clear blue. Should we be concerned? [/INST] Hi. I have read your query. Developmental stuttering is a common form of stuttering seen in children under 5 years. Stuttering occurs when a child is learning speech and language skills. It occurs because of the child's language and speech ability are unable to manage the child's verbal demands. They do not require any treatment as the stuttering stops as command over language and skills is obtained. A speech language pathologist can help diagnose stuttering. No invasive testing is necessary. Typically, you or your child can describe stuttering symptoms, and a speech language pathologist can evaluate the degree to which your child stutters. Not all children who stutter will require treatment because developmental stuttering usually resolves with time. Speech therapy is an option for some children. The best candidates for speech therapy include those who have stuttered for three to six months, have pronounced stuttering, struggle with stuttering or experience emotional difficulties because of stuttering, have a family history of stuttering. |
Q. Is it normal to hear voices continuously which others cannot hear? | Hello doctor, My father aged 83 years is physically healthy but he is hearing some of the old friends sound continuously which we cannot hear, for 10 days. So, kindly give us some advice as soon as possible. | Hello. This symptom of hearing things when there is no sound is known as an auditory hallucination. At his age, there could be a number of causes of the same as: 1. A stroke which has affected the blood supply of the part of the brain responsible for hearing. This is likely if he has untreated hypertension. 2. If there are other complaints like forgetfulness, not remembering names or recent events, or anger and sleep disturbances, along with this hallucination, then it could be dementia. 3. Old age psychosis or depression with psychotic features. This auditory hallucination is just a symptom caused by an underlying disorder. It is advisable that you see a neurologist who will be able to investigate and diagnose the underlying cause and treat accordingly. The treatment will differ depending upon the cause of this symptom. It is advisable that you take treatment from an experienced neurologist because, during this age, the patient is very sensitive to side-effects. Take care. |
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Hello doctor, My father aged 83 years is physically healthy but he is hearing some of the old friends sound continuously which we cannot hear, for 10 days. So, kindly give us some advice as soon as possible. [/INST] Hello. This symptom of hearing things when there is no sound is known as an auditory hallucination. At his age, there could be a number of causes of the same as: 1. A stroke which has affected the blood supply of the part of the brain responsible for hearing. This is likely if he has untreated hypertension. 2. If there are other complaints like forgetfulness, not remembering names or recent events, or anger and sleep disturbances, along with this hallucination, then it could be dementia. 3. Old age psychosis or depression with psychotic features. This auditory hallucination is just a symptom caused by an underlying disorder. It is advisable that you see a neurologist who will be able to investigate and diagnose the underlying cause and treat accordingly. The treatment will differ depending upon the cause of this symptom. It is advisable that you take treatment from an experienced neurologist because, during this age, the patient is very sensitive to side-effects. Take care. |
Q. What can cause pain in pinky finger while moving? | Hello doctor, My pinky finger on my left hand (which is my writing hand) is hurting a lot. I have to keep moving it so it will not go numb and it is going red like in the photos from my pinky down to the knuckle on the side of my hand, it feels strained or dislocated every time. I run cold water on my hand doing dishes or washing my hands. Sometimes, it feels like it has a severe cold burning or numbness. But every time I am moving it, it still really hurts so much. | Hi. The cause of redness with or without numbness in your pinky finger could be from Raynaud's phenomenon, nerve disease, vasculitis or rheumatoid arthritis. Since you are complaining it to be related to cold exposures, it is more likely to be Raynaud's phenomenon. This process is due to cold injury to the blood vessels which are contracted because of the chilling effect of cold. This is also to conserve the heat inside leading to cyanotic spells in the peripheral vasculature. It is quite common in some persons after exposure to cold there is progressive redness and then bluish to purple discoloration of the skin accompanied with warmth and pins and needle sensation at the affected area. I advise you to protect yourself from cold. Use of vasodilator drugs is part of a conservative regime that is advised in mild cases after consultation with a doctor. If the problem persists, I would suggest you consult a rheumatologist. |
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Hello doctor, My pinky finger on my left hand (which is my writing hand) is hurting a lot. I have to keep moving it so it will not go numb and it is going red like in the photos from my pinky down to the knuckle on the side of my hand, it feels strained or dislocated every time. I run cold water on my hand doing dishes or washing my hands. Sometimes, it feels like it has a severe cold burning or numbness. But every time I am moving it, it still really hurts so much. [/INST] Hi. The cause of redness with or without numbness in your pinky finger could be from Raynaud's phenomenon, nerve disease, vasculitis or rheumatoid arthritis. Since you are complaining it to be related to cold exposures, it is more likely to be Raynaud's phenomenon. This process is due to cold injury to the blood vessels which are contracted because of the chilling effect of cold. This is also to conserve the heat inside leading to cyanotic spells in the peripheral vasculature. It is quite common in some persons after exposure to cold there is progressive redness and then bluish to purple discoloration of the skin accompanied with warmth and pins and needle sensation at the affected area. I advise you to protect yourself from cold. Use of vasodilator drugs is part of a conservative regime that is advised in mild cases after consultation with a doctor. If the problem persists, I would suggest you consult a rheumatologist. |
Q. Why have I been asked to get dual marker and various other tests during second pregnancy? | Hello doctor, I am 12 weeks pregnant. My age is 38. My doctor prescribed dual marker test. My PAPP-A report is 1.88 mIU/ml, while FB-hCG is 28.2 ng/ml. NT is 0.90 mm (.65 MoM). Biochem risk +NT is 1:4730, age risk 1:189, trisomy 13/18 + NT is < 1:10000. I am worried about my reports, whether it is normal or is there any risk. My weight is 53 kg. It is my second pregnancy. I have 3 years old child and completely normal. However, no test of this type was done earlier. | Hi. Heartiest congratulations for your second pregnancy. Well, there is a generalized increased risk with increased age of mother. You are above 35 years, so considering it as an elderly pregnancy, increased surveillance for congenital or chromosomal abnormalities in the baby are mandatory. These tests are nowadays routinely done even in younger mothers. According to your blood tests and USG findings (attachment removed to protect patient identity), you are on lower risk, that is, 1 in 10000, while as per your age it is a bit high risk, which is why the test was offered. Preferably you can opt for second-trimester quadruple blood tests during 15 to 18 weeks as well to keep you relaxed and finally do an TIFFA scan at around 20 to 22 weeks. They rule out around 95 % chance of missing out any chromosomal defect, if all done together. But, I want to add at the end, no test has 100 % success rate in diagnosing all congenital defects. |
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Hello doctor, I am 12 weeks pregnant. My age is 38. My doctor prescribed dual marker test. My PAPP-A report is 1.88 mIU/ml, while FB-hCG is 28.2 ng/ml. NT is 0.90 mm (.65 MoM). Biochem risk +NT is 1:4730, age risk 1:189, trisomy 13/18 + NT is < 1:10000. I am worried about my reports, whether it is normal or is there any risk. My weight is 53 kg. It is my second pregnancy. I have 3 years old child and completely normal. However, no test of this type was done earlier. [/INST] Hi. Heartiest congratulations for your second pregnancy. Well, there is a generalized increased risk with increased age of mother. You are above 35 years, so considering it as an elderly pregnancy, increased surveillance for congenital or chromosomal abnormalities in the baby are mandatory. These tests are nowadays routinely done even in younger mothers. According to your blood tests and USG findings (attachment removed to protect patient identity), you are on lower risk, that is, 1 in 10000, while as per your age it is a bit high risk, which is why the test was offered. Preferably you can opt for second-trimester quadruple blood tests during 15 to 18 weeks as well to keep you relaxed and finally do an TIFFA scan at around 20 to 22 weeks. They rule out around 95 % chance of missing out any chromosomal defect, if all done together. But, I want to add at the end, no test has 100 % success rate in diagnosing all congenital defects. |
Q. My brother has been having pain on the left side of the chest. Kindly interpret his reports. | Hello doctor, My brother has been having these following symptoms: Rapid heart beat. Severe headaches especially at nights. Pain on the left side of the chest. Occassional nausea. He went for a CT scan and part of the results is, ''A large filling defect is seen within the infrarenal inferior vena cava with no opacifications of the vessel. The vessel is enlarged measuring approximately 25mm in diameter. The visualized osseous structures and lung bases are unremarkable.'' What do these results mean? Please help. | Hi. The findings suggestive by his CT scan report goes in favor of Inferior Vena Cava (IVC) Thrombosis. Assessing the clotting and fibrinolytic systems are required. The investigations required are protein C, protein S, antithrombin III and anticardiolipin studies. The goals of treatment are to manage the primary impact of the deep vein thrombosis (DVT) and the impact of embolization. Medical management can include anticoagulation therapy and thrombolytic agents. He definitely needs further investigations and work up. |
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Hello doctor, My brother has been having these following symptoms: Rapid heart beat. Severe headaches especially at nights. Pain on the left side of the chest. Occassional nausea. He went for a CT scan and part of the results is, ''A large filling defect is seen within the infrarenal inferior vena cava with no opacifications of the vessel. The vessel is enlarged measuring approximately 25mm in diameter. The visualized osseous structures and lung bases are unremarkable.'' What do these results mean? Please help. [/INST] Hi. The findings suggestive by his CT scan report goes in favor of Inferior Vena Cava (IVC) Thrombosis. Assessing the clotting and fibrinolytic systems are required. The investigations required are protein C, protein S, antithrombin III and anticardiolipin studies. The goals of treatment are to manage the primary impact of the deep vein thrombosis (DVT) and the impact of embolization. Medical management can include anticoagulation therapy and thrombolytic agents. He definitely needs further investigations and work up. |
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 --> |
<s>[INST]
Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? [/INST] Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> |
Q. Please explain the poisonous effect of phenol ingestion. | Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. | Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> |
<s>[INST]
Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. [/INST] Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> |
Q. For how long should I take Kalachikai powder to overcome PCOD problem? | Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? | Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> |
<s>[INST]
Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? [/INST] Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> |
Q. Why do periods get delayed after first time sex? | Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? | Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> |
<s>[INST]
Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? [/INST] Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> |
Q. Is it risky to undergo surgery with low blood pressure? | Hi doctor, My 19 year old daughter is having a benign tumor in the liver, predicted as FNH. It has been advised to be removed under surgery, since the tumor is growing in size although insignificantly. She is having a blood pressure reading of only 90/60 mmHg normally for months together. Can she go for surgery or is it risky? Her low blood pressure is the concern. | Hi. For further information consult an anesthesiologist online --> |
<s>[INST]
Hi doctor, My 19 year old daughter is having a benign tumor in the liver, predicted as FNH. It has been advised to be removed under surgery, since the tumor is growing in size although insignificantly. She is having a blood pressure reading of only 90/60 mmHg normally for months together. Can she go for surgery or is it risky? Her low blood pressure is the concern. [/INST] Hi. For further information consult an anesthesiologist online --> |
Q. I want to buy some medial device to prevent snoring during sleep. Please help. | Hello doctor, I want to buy some equipment or medial device to prevent snoring during sleep. It should be safe and be able to buy online, preferably FDA approved. | Hello. Snoring while sleeping is usually associated with sleep apnea syndrome. Sleep apnea is a sleep disorder in which pauses occur in breathing during sleep. Symptoms usually occur due to obstruction of the airway.For the treatment of snoring, we have to treat the sleep apnea first. Few such devices which I would suggest are: Before purchasing them, do consult a sleep medicine specialist in person for clinical examination. |
<s>[INST]
Hello doctor, I want to buy some equipment or medial device to prevent snoring during sleep. It should be safe and be able to buy online, preferably FDA approved. [/INST] Hello. Snoring while sleeping is usually associated with sleep apnea syndrome. Sleep apnea is a sleep disorder in which pauses occur in breathing during sleep. Symptoms usually occur due to obstruction of the airway.For the treatment of snoring, we have to treat the sleep apnea first. Few such devices which I would suggest are: Before purchasing them, do consult a sleep medicine specialist in person for clinical examination. |
Q. I take Quetiapine XR 400mg. How can I gradually withdraw? | Hello doctor, I take Quetiapine XR 400mg. How can I gradually withdraw? | Hello. Quetiapine is an atypical antipsychotic, with a half-life of less than 24 hours. It has a benefit of not causing extrapyramidal side effects. However, it can cause sedation, postural hypotension, and urinary complaints. Although it does not cause any withdrawal symptoms, it is recommended to stop gradually by tapering over a period of time. As you are taking 400 mg XR formulation of Quetiapine, you can taper it by 100 mg every 2 days until you reach a dose of 100 mg, when you reach 50 mg, take 50mg for one more day and then stop. However, if you are taking Quetiapine for some psychotic conditions or acute mania/ BPAD (Bipolar Affective Disorder), I would suggest you to consult your treating psychiatrist before tapering your medications, as at times unsupervised tapering can lead to the reappearance of the symptoms. |
<s>[INST]
Hello doctor, I take Quetiapine XR 400mg. How can I gradually withdraw? [/INST] Hello. Quetiapine is an atypical antipsychotic, with a half-life of less than 24 hours. It has a benefit of not causing extrapyramidal side effects. However, it can cause sedation, postural hypotension, and urinary complaints. Although it does not cause any withdrawal symptoms, it is recommended to stop gradually by tapering over a period of time. As you are taking 400 mg XR formulation of Quetiapine, you can taper it by 100 mg every 2 days until you reach a dose of 100 mg, when you reach 50 mg, take 50mg for one more day and then stop. However, if you are taking Quetiapine for some psychotic conditions or acute mania/ BPAD (Bipolar Affective Disorder), I would suggest you to consult your treating psychiatrist before tapering your medications, as at times unsupervised tapering can lead to the reappearance of the symptoms. |
Q. I underwent medical abortion. There was very less bleeding. Please help. | Hello doctor, My period was delayed. I had a pregnancy check which was positive. I consulted a gynecologist since I did not want a baby and hence decided to go for medical abortion (as my son is just 12 months). She prescribed me with medicine and after 48 hours she had asked me to place 4 medicines in my genitals before going to bed. My menstrual cycle started the very next morning and continued for 3 days. After 15 days, she had called me for an ultrasound to examine whether all was done perfectly. I had an ultrasound scan (reports attached). The doctor said that it has not come out completely and therefore prescribed medicine (prescription attached). She gave me two medicines to place in my genitals. Next morning, I had very less bleeding which gradually stopped at night. Doctor, I am very much confused as to what is happening. In no case, I want a medical abortion. Please suggest as to what should I do so that all gets fine. | Hello. I can understand your concerns. I have gone through your history and ultrasound scan and it is showing that the abortion is incomplete and there are a retained products of conception in the uterine cavity. (attachment removed to protect patient identity) Your doctor had given Cytolog (Misoprostol) to clear that product. As you had only minimal bleeding, the chances of retained products are there, so you can repeat your ultrasound scan. If it is still present, then you should consult a gynecologist and get D&C (Dilatation and Curettage) done to clear the retained products of conception. |
<s>[INST]
Hello doctor, My period was delayed. I had a pregnancy check which was positive. I consulted a gynecologist since I did not want a baby and hence decided to go for medical abortion (as my son is just 12 months). She prescribed me with medicine and after 48 hours she had asked me to place 4 medicines in my genitals before going to bed. My menstrual cycle started the very next morning and continued for 3 days. After 15 days, she had called me for an ultrasound to examine whether all was done perfectly. I had an ultrasound scan (reports attached). The doctor said that it has not come out completely and therefore prescribed medicine (prescription attached). She gave me two medicines to place in my genitals. Next morning, I had very less bleeding which gradually stopped at night. Doctor, I am very much confused as to what is happening. In no case, I want a medical abortion. Please suggest as to what should I do so that all gets fine. [/INST] Hello. I can understand your concerns. I have gone through your history and ultrasound scan and it is showing that the abortion is incomplete and there are a retained products of conception in the uterine cavity. (attachment removed to protect patient identity) Your doctor had given Cytolog (Misoprostol) to clear that product. As you had only minimal bleeding, the chances of retained products are there, so you can repeat your ultrasound scan. If it is still present, then you should consult a gynecologist and get D&C (Dilatation and Curettage) done to clear the retained products of conception. |
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