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Q. Is it normal to get pus and blood come out while plucking an ingrown hair in pubic area? | Hello doctor, I am a 20-year-old female. About a week ago, I noticed an ingrown hair in my pubic area. I left it for a couple of days and then put a hot compression on the area, exfoliated, and tried to free the hair. I used a pin to pull the end out of the skin so I could tweeze the hair out, but I ended up popping the pump and pus just started oozing out. It was sore the next morning and I let it go until tonight, I tried to free the hair again and just ended up squeezing the lump, this time it was a bit larger, again blood and pus came out, but I pulled a hair out with the tweezers and I believe that it was the ingrown hair. I just noticed that my right lymph node in my neck and my groin area are swollen. I would rather not go to see my doctor. Any advice? And the tweezers and pin were both sterilized both times. | Hi. After going through your history, I suppose you are having folliculitis. The lesion is filled with pus, then the best way to get rid of it completely is to incise and drain the pus completely. After draining the pus, you may have to apply antibacterial ointments like Mupirocin. This will take not more than three days to completely cure the infection there. Since you have enlarged lymph nodes, you may have to take a course of antibiotics like Azithromycin, Clarithromycin or Zifi 200 minimum for a week after consultation with a physician. |
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Hello doctor, I am a 20-year-old female. About a week ago, I noticed an ingrown hair in my pubic area. I left it for a couple of days and then put a hot compression on the area, exfoliated, and tried to free the hair. I used a pin to pull the end out of the skin so I could tweeze the hair out, but I ended up popping the pump and pus just started oozing out. It was sore the next morning and I let it go until tonight, I tried to free the hair again and just ended up squeezing the lump, this time it was a bit larger, again blood and pus came out, but I pulled a hair out with the tweezers and I believe that it was the ingrown hair. I just noticed that my right lymph node in my neck and my groin area are swollen. I would rather not go to see my doctor. Any advice? And the tweezers and pin were both sterilized both times. [/INST] Hi. After going through your history, I suppose you are having folliculitis. The lesion is filled with pus, then the best way to get rid of it completely is to incise and drain the pus completely. After draining the pus, you may have to apply antibacterial ointments like Mupirocin. This will take not more than three days to completely cure the infection there. Since you have enlarged lymph nodes, you may have to take a course of antibiotics like Azithromycin, Clarithromycin or Zifi 200 minimum for a week after consultation with a physician. |
Q. Kindly suggest some remedies to increase my breast size without any side effects. | Hi doctor, I am 24 years old but my breast size is small. Could you please suggest any medicine to increase my breast size without side effects? | Hi. I have read and understood your problem. Small breasts may be due to hormonal imbalance, genetics, poor nutrition, thyroid hormone problem. Take diet containing fats and soy products. Massage breast from below upwards and from side inwards using some coconut oil. Change your posture by standing straight and pushing your chest forward will make your breasts look bigger. Exercising the muscles beneath your breasts will make them appear more rounded, it can be done by push-ups done daily for few times increasing gradually. You can also check for PCOS by ultrasound of pelvis and also hormonal imbalance by doing serum (blood) estradiol and testosterone. If there is hormone imbalance then medicine will help you, sometimes oral contraceptive pills increase the size to some extent. |
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Hi doctor, I am 24 years old but my breast size is small. Could you please suggest any medicine to increase my breast size without side effects? [/INST] Hi. I have read and understood your problem. Small breasts may be due to hormonal imbalance, genetics, poor nutrition, thyroid hormone problem. Take diet containing fats and soy products. Massage breast from below upwards and from side inwards using some coconut oil. Change your posture by standing straight and pushing your chest forward will make your breasts look bigger. Exercising the muscles beneath your breasts will make them appear more rounded, it can be done by push-ups done daily for few times increasing gradually. You can also check for PCOS by ultrasound of pelvis and also hormonal imbalance by doing serum (blood) estradiol and testosterone. If there is hormone imbalance then medicine will help you, sometimes oral contraceptive pills increase the size to some extent. |
Q. What has caused a painless blood-shot eye in a child? | Hi doctor, My 5 years old daughter has a blood-shot eye and not sure if there is a lump in it. It is not sore. Please help. | Hello. From the pictures you have attached (attachment removed to protect patient identity), I can tell you that the most probable cause of this redness is a benign condition called nodular episcleritis. It is a form of allergic reaction of the body to certain substances and normally subsides over a few days to weeks. It is not contagious but does recur in a few patients. My advice to you is: 1. Do not rub or meddle with the eye, this only aggravates the condition. 2. Use over-the-counter lubricant eyedrops- Refresh tears 0.5 % four times a day until the redness goes away. 3. Avoid dusty, windy, sunny weather. You should see an ophthalmologist in case- 1. There is a sticky sensation in your eyelids which does not let you open them after sleep in the mornings. 2. There is a drop in the ability to see, this is best seen by closing one eye and trying to see with the other. 3. The redness increases or she starts developing new symptoms or the redness does not go away even after a week. |
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Hi doctor, My 5 years old daughter has a blood-shot eye and not sure if there is a lump in it. It is not sore. Please help. [/INST] Hello. From the pictures you have attached (attachment removed to protect patient identity), I can tell you that the most probable cause of this redness is a benign condition called nodular episcleritis. It is a form of allergic reaction of the body to certain substances and normally subsides over a few days to weeks. It is not contagious but does recur in a few patients. My advice to you is: 1. Do not rub or meddle with the eye, this only aggravates the condition. 2. Use over-the-counter lubricant eyedrops- Refresh tears 0.5 % four times a day until the redness goes away. 3. Avoid dusty, windy, sunny weather. You should see an ophthalmologist in case- 1. There is a sticky sensation in your eyelids which does not let you open them after sleep in the mornings. 2. There is a drop in the ability to see, this is best seen by closing one eye and trying to see with the other. 3. The redness increases or she starts developing new symptoms or the redness does not go away even after a week. |
Q. Kindly explain the reason for dull pain and pressure in lower right abdomen. | Hello doctor, I have dull pain and pressure in my lower right abdomen for about six months which worsens while sitting. There is kidney pain while running. | Hi. I have gone through your case and can well understand your genuine health concern. As you mentioned that you are having abdominal pain from a long time, I suggest you get evaluated properly. Chronic abdominal pain that too on right lower has many causes. It may be related to some disease of the gastrointestinal tract or urinary tract or some muscular problem. Disease of small intestine involving ileocaecal junction like ileitis, typhoid ulcers, inflammatory bowel diseases, a disease of large intestine like colitis, IBD, a disease of the kidney and urinary tract like stones in the kidney, ureter, etc., can cause pain in the right lower abdomen. The pain related to the kidney is generally dull aching and present in the lumbar area and it can increase with activity. Sometimes, a muscle spasm can also cause severe pain which increases with activity. In my opinion, you need an ultrasound of the abdomen and pelvis to confirm the diagnosis. As your problem is a chronic one you need to consult a surgeon and get your ultrasound done. |
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Hello doctor, I have dull pain and pressure in my lower right abdomen for about six months which worsens while sitting. There is kidney pain while running. [/INST] Hi. I have gone through your case and can well understand your genuine health concern. As you mentioned that you are having abdominal pain from a long time, I suggest you get evaluated properly. Chronic abdominal pain that too on right lower has many causes. It may be related to some disease of the gastrointestinal tract or urinary tract or some muscular problem. Disease of small intestine involving ileocaecal junction like ileitis, typhoid ulcers, inflammatory bowel diseases, a disease of large intestine like colitis, IBD, a disease of the kidney and urinary tract like stones in the kidney, ureter, etc., can cause pain in the right lower abdomen. The pain related to the kidney is generally dull aching and present in the lumbar area and it can increase with activity. Sometimes, a muscle spasm can also cause severe pain which increases with activity. In my opinion, you need an ultrasound of the abdomen and pelvis to confirm the diagnosis. As your problem is a chronic one you need to consult a surgeon and get your ultrasound done. |
Q. There is blood in stools and it hurts while wiping. Please help. | Hello doctor, My fiance is having blood in his stool. It is bright red also. He said it hurts while wiping a little. He has had it more than twice a month. His stool is solid and very dark brown. Also, said the blood in the toilet was very noticeable and that when he wiped the toilet paper looked like when you get a bloody nose. Has been having a few stomach aches also. | Hi. I have gone through your case and can well understand your genuine health concern. Presence of blood in the stool and dark-colored stools indicate that some active bleeding is going on in the proximal part of the gastrointestinal tract. The blood gets digested in the intestine and comes out through the rectum in the form of dark colored stools. I suggest you consult a gastroenterologist as early as possible. He may need endoscopy and colonoscopy to find out the source of bleeding. If he is taking alcohol, tell him to stop it. Bleeding in the upper G.I. bleed. Endoscopy and colonoscopy. |
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Hello doctor, My fiance is having blood in his stool. It is bright red also. He said it hurts while wiping a little. He has had it more than twice a month. His stool is solid and very dark brown. Also, said the blood in the toilet was very noticeable and that when he wiped the toilet paper looked like when you get a bloody nose. Has been having a few stomach aches also. [/INST] Hi. I have gone through your case and can well understand your genuine health concern. Presence of blood in the stool and dark-colored stools indicate that some active bleeding is going on in the proximal part of the gastrointestinal tract. The blood gets digested in the intestine and comes out through the rectum in the form of dark colored stools. I suggest you consult a gastroenterologist as early as possible. He may need endoscopy and colonoscopy to find out the source of bleeding. If he is taking alcohol, tell him to stop it. Bleeding in the upper G.I. bleed. Endoscopy and colonoscopy. |
Q. Why is there green stool a day after colonoscopy? | Hello doctor, Yesterday, I had a colonoscopy and today I had a bowel movement that was bright green. Should I contact the doctor who performed the procedure or is this normal? I am a 32-year-old female. | Hi. Bright green color stool could be due to the presence of bile in stool. During a colonoscopy, you were given laxatives that might have disturbed your intestinal flora that is responsible for the yellowcolor of the stool. Also, stool must have passed rapidly through the gut. Other causes could be: 1. Fat rich diet will increase the release of bile pigments and if it moves rapidly, your stool will be green. It occurs during a period of stress or infections. 2. Rarely diet rich in green leafy vegetables can cause green color stools, if malabsorption ensues or due to not chewing properly. 3. If you have any other symptoms like abdominal pain, bloating, nausea, vomiting or green stools, do not stop within the next 12 to 14 hours. Then I would suggest you consult your doctor. You can take probiotics to build up your intestinal flora. |
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Hello doctor, Yesterday, I had a colonoscopy and today I had a bowel movement that was bright green. Should I contact the doctor who performed the procedure or is this normal? I am a 32-year-old female. [/INST] Hi. Bright green color stool could be due to the presence of bile in stool. During a colonoscopy, you were given laxatives that might have disturbed your intestinal flora that is responsible for the yellowcolor of the stool. Also, stool must have passed rapidly through the gut. Other causes could be: 1. Fat rich diet will increase the release of bile pigments and if it moves rapidly, your stool will be green. It occurs during a period of stress or infections. 2. Rarely diet rich in green leafy vegetables can cause green color stools, if malabsorption ensues or due to not chewing properly. 3. If you have any other symptoms like abdominal pain, bloating, nausea, vomiting or green stools, do not stop within the next 12 to 14 hours. Then I would suggest you consult your doctor. You can take probiotics to build up your intestinal flora. |
Q. Why am I not getting full hardness and morning erection? | Hello doctor, I am not getting full hardness. No morning erection. I got 70 to 80 % hard erection. This is happening for the past two years. Why is this happening and is there any serious problem in my penis? Please help me. | Hi. I have read and understood your problem. It can be due to stress or anxiety or due to a physical cause. For physical cause, you need to do some blood tests. Stop smoking if you smoke. Check BP. If you are taking any medicine or nutritional supplement on regular basis then it may be due to the side effect of that. So relax, do exercise, if no improvement then you will need blood tests. Usually, it is stress or any hormone, sugar problem, not due to any problem in the penis. |
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Hello doctor, I am not getting full hardness. No morning erection. I got 70 to 80 % hard erection. This is happening for the past two years. Why is this happening and is there any serious problem in my penis? Please help me. [/INST] Hi. I have read and understood your problem. It can be due to stress or anxiety or due to a physical cause. For physical cause, you need to do some blood tests. Stop smoking if you smoke. Check BP. If you are taking any medicine or nutritional supplement on regular basis then it may be due to the side effect of that. So relax, do exercise, if no improvement then you will need blood tests. Usually, it is stress or any hormone, sugar problem, not due to any problem in the penis. |
Q. Are cerebral hemorrhages cancerous? | Hi doctor, I have been having neuro issues such as seizures, headaches, etc., for the past 2.5 years. I was tested for paraneoplastic syndrome and came up as reactive on immunofluorescence, but negative ultimately on western blot. Still, a PET scan was done and it was clear. I have had several brain MRIs over the past 2.5 years. All have noted cerebral microhemorrhages. These are unexplained. I understand that they have not changed in size or character over the years, but one or two more have appeared. I understand in the differential diagnosis for these bleeds is hemorrhagic metastatic melanoma. No doctor has been suggested it. What is the possibility that these are actually melanomas? My doctor said unlikely because it has been 2.5 years and the actual hemorrhages remain unchanged.How can a radiologist be sure that these are not cancerous? The first scan done before two and a half years was with contrast and the remaining were without contrast. I am just concerned about these unexplained hemorrhages in light of my neuro symptoms. I wonder if I have brain metastasis without cancer anywhere else in my body. Please explain. | Hi. Revert back with the scan report to a radiologist online --> |
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Hi doctor, I have been having neuro issues such as seizures, headaches, etc., for the past 2.5 years. I was tested for paraneoplastic syndrome and came up as reactive on immunofluorescence, but negative ultimately on western blot. Still, a PET scan was done and it was clear. I have had several brain MRIs over the past 2.5 years. All have noted cerebral microhemorrhages. These are unexplained. I understand that they have not changed in size or character over the years, but one or two more have appeared. I understand in the differential diagnosis for these bleeds is hemorrhagic metastatic melanoma. No doctor has been suggested it. What is the possibility that these are actually melanomas? My doctor said unlikely because it has been 2.5 years and the actual hemorrhages remain unchanged.How can a radiologist be sure that these are not cancerous? The first scan done before two and a half years was with contrast and the remaining were without contrast. I am just concerned about these unexplained hemorrhages in light of my neuro symptoms. I wonder if I have brain metastasis without cancer anywhere else in my body. Please explain. [/INST] Hi. Revert back with the scan report to a radiologist 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 is the reason for pus formation in the wound in my leg? | Hello doctor, My left leg suffered from a gigantic wound. Firstly, that looked like filaria but after some time, it became yellow and full of pus. And now pus is flowing. | Hi. I have thoroughly gone through your case and can well understand your genuine health concerns. As you have developed pus inside your leg that means your leg is severely infected. In my opinion, you need surgical intervention in the form of incision and drainage of the wound. So, I suggest you consult a surgeon as early as possible so as to avoid the spread of infection throughout the body, otherwise, the infection will spread through blood and can cause septicemia which is dangerous. You also need intravenous antibiotics. Please check your blood sugar so as to make sure that you do not have diabetes. |
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Hello doctor, My left leg suffered from a gigantic wound. Firstly, that looked like filaria but after some time, it became yellow and full of pus. And now pus is flowing. [/INST] Hi. I have thoroughly gone through your case and can well understand your genuine health concerns. As you have developed pus inside your leg that means your leg is severely infected. In my opinion, you need surgical intervention in the form of incision and drainage of the wound. So, I suggest you consult a surgeon as early as possible so as to avoid the spread of infection throughout the body, otherwise, the infection will spread through blood and can cause septicemia which is dangerous. You also need intravenous antibiotics. Please check your blood sugar so as to make sure that you do not have diabetes. |
Q. How can I manage cold and cough? | Hi doctor, I am feeling too cold, and a cough is there. I am 27 years old, 169 cm height, blood group A+, and weight 61 kg. | Hi. I have read your query. It looks like you have a common cold. Please do saline water gargles several times a day to give you relief from the cough. Drink warm beverages. Keep yourself hydrated by taking plenty of fluids. You can also do steam inhalation to get relief. Take one tablespoon of Benadryl cough syrup once a day preferably before going to bed as it causes sleepiness. If there is a cough during the day, you can take one tablespoon in the day too. Please check for the fever with a thermometer. Fever is body temperature above 100.4° F. If you have a fever, please take tablet Paracetamol (500 mg) whenever you have a fever. The gap between two doses of Paracetamol should be 6 hours. If the symptoms do not subside, you need to consult a local doctor who will prescribe you antibiotics. |
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Hi doctor, I am feeling too cold, and a cough is there. I am 27 years old, 169 cm height, blood group A+, and weight 61 kg. [/INST] Hi. I have read your query. It looks like you have a common cold. Please do saline water gargles several times a day to give you relief from the cough. Drink warm beverages. Keep yourself hydrated by taking plenty of fluids. You can also do steam inhalation to get relief. Take one tablespoon of Benadryl cough syrup once a day preferably before going to bed as it causes sleepiness. If there is a cough during the day, you can take one tablespoon in the day too. Please check for the fever with a thermometer. Fever is body temperature above 100.4° F. If you have a fever, please take tablet Paracetamol (500 mg) whenever you have a fever. The gap between two doses of Paracetamol should be 6 hours. If the symptoms do not subside, you need to consult a local doctor who will prescribe you antibiotics. |
Q. I have unwanted hair on my upper lips and chin. What causes this? | Hello doctor, I am a 23 year old girl. I have unwanted hair on my upper lips and chin. My breast size is also small. Is there any medicine which will help in getting rid of these problems? | Hello. Answers to all the above questions shall help me guide you much better. |
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Hello doctor, I am a 23 year old girl. I have unwanted hair on my upper lips and chin. My breast size is also small. Is there any medicine which will help in getting rid of these problems? [/INST] Hello. Answers to all the above questions shall help me guide you much better. |
Q. I workout regularly,but not able to lose weight. Please help. | Hello doctor, I eat healthy, I workout, but I am not able to lose weight. I am really worried about my health. What can I do? | Hello. I want you to understand how metabolism plays an important role in weight gain or weight reduction. An increased metabolism will lead to more energy burning which will help you to reduce weight. How to increase metabolism? Regarding exercise: Stay healthy. |
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Hello doctor, I eat healthy, I workout, but I am not able to lose weight. I am really worried about my health. What can I do? [/INST] Hello. I want you to understand how metabolism plays an important role in weight gain or weight reduction. An increased metabolism will lead to more energy burning which will help you to reduce weight. How to increase metabolism? Regarding exercise: Stay healthy. |
Q. I have an automatic device for checking blood pressure at home. How to use it? | Hello doctor, I have an automatic device for checking blood pressure at home. There are 3 options of which first says "sys", the second one says "dia" and the third one "pulse'. Which option is for checking the blood pressure and how much should is normal? | Hi. The automatic blood pressure machine is a good investment, and it is good to have one at home even if you are not struggling with your blood pressure. The ideal position to take your blood pressure is with the machine located at the level of the heart. The best way to do this is in a lying position, and you should rest for 5 minutes before taking your pressure. Follow the instruction in the manual as for how to position the cuff around your upper arm or wrist depending on the machine you have. The first value you see "sys" shows your systolic pressure which is the pressure exerted by the left side of the heart (left ventricle). The second value "dia" is the diastolic pressure which is the pressure of blood entering the right side of the heart which then enters the lungs. Your blood pressure is then indicated by the systolic over the diastolic pressure. The unit used is mmHg (millimeters of Mercury). Ideal blood pressure is 120/80 mmHg, but a normal range can be between 115/75 to 130/85 mmHg. Any pressure over 140/90 which is persistent and produces symptoms of blurred vision, headaches, and facial flushing as well as a pressure below 90/60 causing symptoms of breathlessness, dizziness or confusion should be addressed by a health care professional. The third one "pulse" is pulse rate which is the rate at which your heart beats. A normal pulse for an adult is around 72 beats per minute. A rate of over 100 or below 60 which causes symptoms such as those mentioned above also need to be evaluated. |
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Hello doctor, I have an automatic device for checking blood pressure at home. There are 3 options of which first says "sys", the second one says "dia" and the third one "pulse'. Which option is for checking the blood pressure and how much should is normal? [/INST] Hi. The automatic blood pressure machine is a good investment, and it is good to have one at home even if you are not struggling with your blood pressure. The ideal position to take your blood pressure is with the machine located at the level of the heart. The best way to do this is in a lying position, and you should rest for 5 minutes before taking your pressure. Follow the instruction in the manual as for how to position the cuff around your upper arm or wrist depending on the machine you have. The first value you see "sys" shows your systolic pressure which is the pressure exerted by the left side of the heart (left ventricle). The second value "dia" is the diastolic pressure which is the pressure of blood entering the right side of the heart which then enters the lungs. Your blood pressure is then indicated by the systolic over the diastolic pressure. The unit used is mmHg (millimeters of Mercury). Ideal blood pressure is 120/80 mmHg, but a normal range can be between 115/75 to 130/85 mmHg. Any pressure over 140/90 which is persistent and produces symptoms of blurred vision, headaches, and facial flushing as well as a pressure below 90/60 causing symptoms of breathlessness, dizziness or confusion should be addressed by a health care professional. The third one "pulse" is pulse rate which is the rate at which your heart beats. A normal pulse for an adult is around 72 beats per minute. A rate of over 100 or below 60 which causes symptoms such as those mentioned above also need to be evaluated. |
Q. Should we increase the Insulin to control PP sugar level? | Hi doctor, For the past six weeks, we have been noticing that my father's PP sugar levels after breakfast are in the range of 195 to 250 depending on what he eats. Fasting levels are more or less fine. He had done his laboratory tests before two months and his HbA1c was fine. I have attached the blood reports along with his current medications list. Should we increase the Insulin? Please explain. Thank you. | Hello. I can understand your concern for your father. For further doubts consult a diabetologist online --> |
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Hi doctor, For the past six weeks, we have been noticing that my father's PP sugar levels after breakfast are in the range of 195 to 250 depending on what he eats. Fasting levels are more or less fine. He had done his laboratory tests before two months and his HbA1c was fine. I have attached the blood reports along with his current medications list. Should we increase the Insulin? Please explain. Thank you. [/INST] Hello. I can understand your concern for your father. For further doubts consult a diabetologist online --> |
Q. My c-ANCA levels are 5. 6 U/ml. What is the general prognosis? | Hello doctor, My c-ANCA levels are 5.6 U/ml (borderline positive). I have hypertension and proteinuria (3g), high serum creatinine (2.4) and UTI. My other autoimmune tests and serum electrophoresis results are negative. What should I do and what is the general prognosis? | Hi. Based on your query, my opinion is as follows: C-ANCA (Antineutrophil cytoplasmic antibodies) positivity indicates Wegener's Granulomatosis. In this condition, there is involvement of upper and lower respiratory tract and kidneys. Most common diagnosis, while kidneys are effected, is Lupus. But I suppose your ANA and anti-Ds DNA are negative. I would like to see all your reports, and I also recommend you to get an x-ray of paranasal sinuses to see for any polyps that are associated with Wegener's Granulomatosis. A chest x-ray may show a cavitary lesion. You need a kidney biopsy, first of all, followed by which you will be started on immunosuppressive therapy. Steroids and other immunosuppressive agents like Cyclophosphamide, Azathioprine are used. Prognosis and life expectancy can be commented after the report of kidney biopsy, as most of the times fatality occur due to renal failure. I hope it helps. |
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Hello doctor, My c-ANCA levels are 5.6 U/ml (borderline positive). I have hypertension and proteinuria (3g), high serum creatinine (2.4) and UTI. My other autoimmune tests and serum electrophoresis results are negative. What should I do and what is the general prognosis? [/INST] Hi. Based on your query, my opinion is as follows: C-ANCA (Antineutrophil cytoplasmic antibodies) positivity indicates Wegener's Granulomatosis. In this condition, there is involvement of upper and lower respiratory tract and kidneys. Most common diagnosis, while kidneys are effected, is Lupus. But I suppose your ANA and anti-Ds DNA are negative. I would like to see all your reports, and I also recommend you to get an x-ray of paranasal sinuses to see for any polyps that are associated with Wegener's Granulomatosis. A chest x-ray may show a cavitary lesion. You need a kidney biopsy, first of all, followed by which you will be started on immunosuppressive therapy. Steroids and other immunosuppressive agents like Cyclophosphamide, Azathioprine are used. Prognosis and life expectancy can be commented after the report of kidney biopsy, as most of the times fatality occur due to renal failure. I hope it helps. |
Q. Is multiple sclerosis hereditary? | Hello doctor, I am a 28 year old female, I would like to know if multiple sclerosis is hereditary? My dad has it, and I am very nervous to inherit this disease. I have had two brain MRI's that have been normal, except for an incidental finding of a pineal gland cyst. I continue to worry about inheriting multiple sclerosis. I am a medical coder. So, I spend a great deal of time in front of the computer. This affects my vision, and I experience back and thigh pain. I am hoping this is due to sitting down all day. I also have a slight hand tremor. However, I am a very anxious person, and I type fast all day long. I wonder if typing all day could cause a hand tremor? I am very active and energetic. I exercise 5 days a week for an hour doing treadmill and stair climbing. I spent a great deal of time this weekend hunched over painting. I am wondering if this is what is causing my current thigh and back pain? I am also due to start my periods anytime. I am still worrying about inheriting multiple sclerosis. What are your thoughts on the possibility of still having multiple sclerosis with two negative brain MRI's? | Hi. I understand your concern. It is clear that you are not having MS (Multiple sclerosis) as of date. None of your symptoms are typical of multiple sclerosis. Back and thigh pain is posture related and tremors are anxiety related. Repeated MRI's being normal further rules out this disease. Agreed that multiple sclerosis can be hereditary. If one of the parents is having multiple sclerosis, chances of the offspring having multiple sclerosis are 1 in 50. Since you are having no symptoms and your brain MRI is normal, you need not worry about it. Please be assured that you are fine. |
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Hello doctor, I am a 28 year old female, I would like to know if multiple sclerosis is hereditary? My dad has it, and I am very nervous to inherit this disease. I have had two brain MRI's that have been normal, except for an incidental finding of a pineal gland cyst. I continue to worry about inheriting multiple sclerosis. I am a medical coder. So, I spend a great deal of time in front of the computer. This affects my vision, and I experience back and thigh pain. I am hoping this is due to sitting down all day. I also have a slight hand tremor. However, I am a very anxious person, and I type fast all day long. I wonder if typing all day could cause a hand tremor? I am very active and energetic. I exercise 5 days a week for an hour doing treadmill and stair climbing. I spent a great deal of time this weekend hunched over painting. I am wondering if this is what is causing my current thigh and back pain? I am also due to start my periods anytime. I am still worrying about inheriting multiple sclerosis. What are your thoughts on the possibility of still having multiple sclerosis with two negative brain MRI's? [/INST] Hi. I understand your concern. It is clear that you are not having MS (Multiple sclerosis) as of date. None of your symptoms are typical of multiple sclerosis. Back and thigh pain is posture related and tremors are anxiety related. Repeated MRI's being normal further rules out this disease. Agreed that multiple sclerosis can be hereditary. If one of the parents is having multiple sclerosis, chances of the offspring having multiple sclerosis are 1 in 50. Since you are having no symptoms and your brain MRI is normal, you need not worry about it. Please be assured that you are fine. |
Q. What makes me violent and talk in my sleep with headaches? | Hi doctor,I can get violent in my sleep and attack my wife. I also talk, sing and shout. I also suffer from headaches, migraine, and tremors in my hands. | Hi. With your limited history, it seems you have REM sleep behavior disorder. This would need further evaluation by a neurologist. Do you have tremor at rest or both during rest and motion? You can try Melatonin 10 mg at bedtime (OTC medicine). This should help you with your sleep behavior. Also, an alternative is Clonazepam (this would need physician prescription). You would need polysomnography for definitive diagnosis of REM sleep disorder. Also, neurological evaluation to make sure you do not have early Parkinson symptoms. REM sleep behavioral disorder. |
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Hi doctor,I can get violent in my sleep and attack my wife. I also talk, sing and shout. I also suffer from headaches, migraine, and tremors in my hands. [/INST] Hi. With your limited history, it seems you have REM sleep behavior disorder. This would need further evaluation by a neurologist. Do you have tremor at rest or both during rest and motion? You can try Melatonin 10 mg at bedtime (OTC medicine). This should help you with your sleep behavior. Also, an alternative is Clonazepam (this would need physician prescription). You would need polysomnography for definitive diagnosis of REM sleep disorder. Also, neurological evaluation to make sure you do not have early Parkinson symptoms. REM sleep behavioral disorder. |
Q. Why is there pain above knee after getting hit during go-carting? | Hello doctor, I am 18 years old and went go-carting. I got hit with great force by another cart which caused my inner thigh to hit a pole on the inside of the cart causing great pain. The pain is very sore and at first, I could barely walk. I can gently push the area and feel a lot of pain just above the knee. | Hi. Thanks for using this platform. It sounds like you had a pretty bad impact on your inner thigh. Luckily, it sounds like you were still able to walk in spite of the pain. This means that there is a very low likelihood that you may have a bony or joint injury. Nevertheless, a blunt impact can cause a bruise (contusion) which may be painful on pressure for quite a few days. You may also have some reddish-blue discoloration in that area. If within 24 to 48 hours, you may use ice to reduce the inflammation. After that, warm compresses (heat packs) may be more helpful in alleviating the pain. If you are not able to bend your knee without extreme pain, you may need to have an X-ray to rule out bony injury. The pain and swelling of a bruise should slowly reduce over the next few days. If the painful area swells and the pain worsens instead of getting better, and if you have a fever, then you should see a doctor immediately to rule out infection. Rarely, there may be a collection of blood inside your muscles, and this collection may get infected. Were you taken to the hospital after this injury? Have there been any X-rays taken since your injury? How many days old is this injury? I will be happy to review your X-rays if you need me to. |
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Hello doctor, I am 18 years old and went go-carting. I got hit with great force by another cart which caused my inner thigh to hit a pole on the inside of the cart causing great pain. The pain is very sore and at first, I could barely walk. I can gently push the area and feel a lot of pain just above the knee. [/INST] Hi. Thanks for using this platform. It sounds like you had a pretty bad impact on your inner thigh. Luckily, it sounds like you were still able to walk in spite of the pain. This means that there is a very low likelihood that you may have a bony or joint injury. Nevertheless, a blunt impact can cause a bruise (contusion) which may be painful on pressure for quite a few days. You may also have some reddish-blue discoloration in that area. If within 24 to 48 hours, you may use ice to reduce the inflammation. After that, warm compresses (heat packs) may be more helpful in alleviating the pain. If you are not able to bend your knee without extreme pain, you may need to have an X-ray to rule out bony injury. The pain and swelling of a bruise should slowly reduce over the next few days. If the painful area swells and the pain worsens instead of getting better, and if you have a fever, then you should see a doctor immediately to rule out infection. Rarely, there may be a collection of blood inside your muscles, and this collection may get infected. Were you taken to the hospital after this injury? Have there been any X-rays taken since your injury? How many days old is this injury? I will be happy to review your X-rays if you need me to. |
Q. What causes knee pain in a football player? | Hello doctor, I am 21 years old, medically fit. I play football a lot. Recently, I started to have pain in my left knee, there is a pain when I sit on the ground (on bending) and I feel it is crusty when I try to open it. Also there is pain on resistance to movement. | Hi. I have thoroughly gone through your case and can well understand your genuine health concerns. Knee joint consists of two bones that are femur and tibia. In between these bones, a few structures are present which provide stability to the joint and make the joint strong. These structures are ligaments which connects the two bones and meniscus which are the fibrocartilages present between the two bones. Injury to the meniscus is a common problem faced by football players and athletes. Probably you had a meniscal injury or tear as you are having pain while bending the knee and difficulty in opening it which is called locking and unlocking of the joint. Not all meniscal tears require surgery. I would suggest you get an X-ray done to make sure that there is no bone fracture. Limit activities of the knee joint. Stop playing football for a few days. Apply ice packs to the knee joint for 15 to 20 minutes 3 to 4 times a day. Apply crepe bandage to the knee. You can take an anti-inflammatory medicine like any NSAID twice daily for five days. Avoid running and jumping. I suggest you take orthopedic opinion also. Injury to meniscus or ligament of the knee joint. X-ray knee joint: AP and lateral. |
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Hello doctor, I am 21 years old, medically fit. I play football a lot. Recently, I started to have pain in my left knee, there is a pain when I sit on the ground (on bending) and I feel it is crusty when I try to open it. Also there is pain on resistance to movement. [/INST] Hi. I have thoroughly gone through your case and can well understand your genuine health concerns. Knee joint consists of two bones that are femur and tibia. In between these bones, a few structures are present which provide stability to the joint and make the joint strong. These structures are ligaments which connects the two bones and meniscus which are the fibrocartilages present between the two bones. Injury to the meniscus is a common problem faced by football players and athletes. Probably you had a meniscal injury or tear as you are having pain while bending the knee and difficulty in opening it which is called locking and unlocking of the joint. Not all meniscal tears require surgery. I would suggest you get an X-ray done to make sure that there is no bone fracture. Limit activities of the knee joint. Stop playing football for a few days. Apply ice packs to the knee joint for 15 to 20 minutes 3 to 4 times a day. Apply crepe bandage to the knee. You can take an anti-inflammatory medicine like any NSAID twice daily for five days. Avoid running and jumping. I suggest you take orthopedic opinion also. Injury to meniscus or ligament of the knee joint. X-ray knee joint: AP and lateral. |
Q. How long should my husband and I wait to try for a baby if we did cocaine? | Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. | Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> |
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Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. [/INST] Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> |
Q. Can Yasmin birth control pill be used as an emergency contraceptive pill? | Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? | Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> |
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Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? [/INST] Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> |
Q. Please explain the poisonous effect of phenol ingestion. | Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. | Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> |
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Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. [/INST] Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> |
Q. For how long should I take Kalachikai powder to overcome PCOD problem? | Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? | Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> |
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Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? [/INST] Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> |
Q. Why do periods get delayed after first time sex? | Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? | Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> |
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Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? [/INST] Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> |
Q. I have a pink spot on the skin unnoticed for a longer period. What could it be? | Hello doctor, I am a 22-year-old female. I have found a pink spot on my skin that resembles melanoma a little. I was wondering if I can send pictures for you to look at and let me know if it looks like that? | Hi, Welcome to icliniq.com. I have gone through the picture and blood investigations that you sent. (attachment removed to protect patient identity). This lesion is asymmetric and presents irregular borders and irregular distribution of the pigmentation presents border irregularity, color variation, and a nodular component of diameter ≥6 mm. Before I make further diagnosis, I would like to know for the last few months is there any change in size and new lesion? Change in color? Change in shape? Is there inflammation? Bleeding or crusting? Sensory change? Lesion diameter ≥7 mm? Meanwhile, I would like to classify this lesion as suspicious and would like to advise biopsy. For treatment, I would wait for the answers to the above questions and give you some iron and vitamin D supplements that are deficient in your body. ?Melanoma. Coagulation profile. Biopsy of the lesion. Common melanocytic nevus. Atypical melanocytic nevus. Traumatized nevus. Pigmented actinic keratosis. Seborrheic keratosis. Melanoma. Iron and Vitamin D supplements. Injection Ferric Carboxymaltose 1000 mg in 100 ml NS over 30 minutes, Cholecalciferol sachet 60,0000 IU once a week for eight weeks, tablet Shelcal 500 mg twice daily. Biopsy of the lesion. |
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Hello doctor, I am a 22-year-old female. I have found a pink spot on my skin that resembles melanoma a little. I was wondering if I can send pictures for you to look at and let me know if it looks like that? [/INST] Hi, Welcome to icliniq.com. I have gone through the picture and blood investigations that you sent. (attachment removed to protect patient identity). This lesion is asymmetric and presents irregular borders and irregular distribution of the pigmentation presents border irregularity, color variation, and a nodular component of diameter ≥6 mm. Before I make further diagnosis, I would like to know for the last few months is there any change in size and new lesion? Change in color? Change in shape? Is there inflammation? Bleeding or crusting? Sensory change? Lesion diameter ≥7 mm? Meanwhile, I would like to classify this lesion as suspicious and would like to advise biopsy. For treatment, I would wait for the answers to the above questions and give you some iron and vitamin D supplements that are deficient in your body. ?Melanoma. Coagulation profile. Biopsy of the lesion. Common melanocytic nevus. Atypical melanocytic nevus. Traumatized nevus. Pigmented actinic keratosis. Seborrheic keratosis. Melanoma. Iron and Vitamin D supplements. Injection Ferric Carboxymaltose 1000 mg in 100 ml NS over 30 minutes, Cholecalciferol sachet 60,0000 IU once a week for eight weeks, tablet Shelcal 500 mg twice daily. Biopsy of the lesion. |
Q. How can I confirm pelvic muscle weakness? | Hello doctor, I am suffering from pelvic muscle weakness. I want to know is there any blood tests or any other diagnosis. | Hi. Pelvic and lower back muscle weakness will give you symptoms of back pain and leg pain. You should do blood tests. Check for vitamin D and B12 levels. These blood tests are useful to check the vitamin levels in the blood which co-relates with muscle weakness of the body. You should also learn to do some physiotherapy at home like Mckenzie back strengthening exercises and core strengthening exercises, gluteal muscle strengthening exercises. Do these blood investigations and get back to me. I will suggest you the treatment based on the reports. |
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Hello doctor, I am suffering from pelvic muscle weakness. I want to know is there any blood tests or any other diagnosis. [/INST] Hi. Pelvic and lower back muscle weakness will give you symptoms of back pain and leg pain. You should do blood tests. Check for vitamin D and B12 levels. These blood tests are useful to check the vitamin levels in the blood which co-relates with muscle weakness of the body. You should also learn to do some physiotherapy at home like Mckenzie back strengthening exercises and core strengthening exercises, gluteal muscle strengthening exercises. Do these blood investigations and get back to me. I will suggest you the treatment based on the reports. |
Q. What is causing green and brown stools with blood? | Hello doctor, I have had green and brown poop with blood dripping in the toilet and on the toilet paper after the first wipe. But not on the second. Should I be very concerned? It has been like this for three days. | Hi. I have gone through your case and can well understand your genuine health concern. As you are having bleeding per rectum, you should get evaluated properly. Bleeding in the proximal part of the gastrointestinal tract can cause brown colored stools. There are many causes of rectal bleeding like piles, a fissure in the anus, bleeding in the intestine, rectal ulcer, rectal polyp, etc. I suggest you consult a surgeon. You need proper examination and colonscopy or simoidoscopy. You can follow the mentioned instructions. Drink plenty of water. Take a diet rich in fibers like vegetables, salads, etc. Avoid oily, fatty and spicy food. You may need a stool routine and occult blood examination. Hemorrhoids, rectal polyp or rectal ulcer. |
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Hello doctor, I have had green and brown poop with blood dripping in the toilet and on the toilet paper after the first wipe. But not on the second. Should I be very concerned? It has been like this for three days. [/INST] Hi. I have gone through your case and can well understand your genuine health concern. As you are having bleeding per rectum, you should get evaluated properly. Bleeding in the proximal part of the gastrointestinal tract can cause brown colored stools. There are many causes of rectal bleeding like piles, a fissure in the anus, bleeding in the intestine, rectal ulcer, rectal polyp, etc. I suggest you consult a surgeon. You need proper examination and colonscopy or simoidoscopy. You can follow the mentioned instructions. Drink plenty of water. Take a diet rich in fibers like vegetables, salads, etc. Avoid oily, fatty and spicy food. You may need a stool routine and occult blood examination. Hemorrhoids, rectal polyp or rectal ulcer. |
Q. Is it normal to get chest pain, dizziness and breathlessness in a hypertensive patient? | Hi doctor, I have been having chest pain like a sharp ripping, feeling dizzy, and went to the ER three weeks ago. He did not say anything about my EKG but I needed to see a cardiologist for my heart murmur, but I had to go to my doctor to get a referral. So I saw her, she heard my murmur and said it did not sound good. So, she sent me to the ER that morning. The EKG had huge mountains on it towards the bottom, but they said it was normal as well as the chest X-ray, CT scan but yet I am still having these sharp chest pain, dizziness, feeling short of breath that lasts for 20 minutes or longer, comes and goes especially during housework, and even laying down. I have been dealing with hypertension (high blood pressure for the past 17 years) and on three medicines one of which is a patch. I feel like they have given me the run around because I am a 37 years old female. Please help me. I feel like I will waste my time going back to the ER, and I have to get a referral from my doctor to see a cardiologist. What is wrong with me, Nexium does not help but baby Aspirin does. | Hello. We are here to help you. With chest pain and murmur and a history of hypertension, cardiac chest pain is the most probable diagnosis. However, acid reflux and muscular pain need to be kept in consideration. It is important to differentiate between all as the treatment course is entirely different. The muscular chest pain is dull and diffuse and any movement aggravates it. It is usually continuous and not intermittent like the cardiac chest pain. Cardiac chest pain is severe and crushing in nature. It increases on activity like walking, exercising. It often radiates to the left arm, shoulder and nape of the neck. Following ECG, for cardiac evaluation, you need echo and treadmill test (TMT). If any abnormality is found, then an angiography should be performed. Share my opinion with your doctor. Stay healthy. |
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Hi doctor, I have been having chest pain like a sharp ripping, feeling dizzy, and went to the ER three weeks ago. He did not say anything about my EKG but I needed to see a cardiologist for my heart murmur, but I had to go to my doctor to get a referral. So I saw her, she heard my murmur and said it did not sound good. So, she sent me to the ER that morning. The EKG had huge mountains on it towards the bottom, but they said it was normal as well as the chest X-ray, CT scan but yet I am still having these sharp chest pain, dizziness, feeling short of breath that lasts for 20 minutes or longer, comes and goes especially during housework, and even laying down. I have been dealing with hypertension (high blood pressure for the past 17 years) and on three medicines one of which is a patch. I feel like they have given me the run around because I am a 37 years old female. Please help me. I feel like I will waste my time going back to the ER, and I have to get a referral from my doctor to see a cardiologist. What is wrong with me, Nexium does not help but baby Aspirin does. [/INST] Hello. We are here to help you. With chest pain and murmur and a history of hypertension, cardiac chest pain is the most probable diagnosis. However, acid reflux and muscular pain need to be kept in consideration. It is important to differentiate between all as the treatment course is entirely different. The muscular chest pain is dull and diffuse and any movement aggravates it. It is usually continuous and not intermittent like the cardiac chest pain. Cardiac chest pain is severe and crushing in nature. It increases on activity like walking, exercising. It often radiates to the left arm, shoulder and nape of the neck. Following ECG, for cardiac evaluation, you need echo and treadmill test (TMT). If any abnormality is found, then an angiography should be performed. Share my opinion with your doctor. Stay healthy. |
Q. What can be done to increase the length of the penis? | Hello doctor, My penis size is 4 inches when erect but all my friends have a length of 5.5 to 6. I feel embarrassed in front of my fiancee. Can I increase it to 6 inches because I think that nothing is impossible? Is there any way? I also suffered erectile dysfunction and premature ejaculation. The sex time is only one minute. | Hi. I have read and understood your problem. There is no medically proven treatment to increase the penis size. It cannot be increased, unless you have hormonal problems like if the serum (blood) testosterone and LH are low. Size of the penis varies from person to person, like other physical features like height, etc. On an average, it ranges from 3.5 inches to 5.5 inches on erection. If your penis is within this range on erection, then do not worry. If your penis is smaller, then you can do hormone tests. In pornographic films, they show big penis by injecting drugs, etc., which is harmful, so most people have wrong ideas about penis size. |
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Hello doctor, My penis size is 4 inches when erect but all my friends have a length of 5.5 to 6. I feel embarrassed in front of my fiancee. Can I increase it to 6 inches because I think that nothing is impossible? Is there any way? I also suffered erectile dysfunction and premature ejaculation. The sex time is only one minute. [/INST] Hi. I have read and understood your problem. There is no medically proven treatment to increase the penis size. It cannot be increased, unless you have hormonal problems like if the serum (blood) testosterone and LH are low. Size of the penis varies from person to person, like other physical features like height, etc. On an average, it ranges from 3.5 inches to 5.5 inches on erection. If your penis is within this range on erection, then do not worry. If your penis is smaller, then you can do hormone tests. In pornographic films, they show big penis by injecting drugs, etc., which is harmful, so most people have wrong ideas about penis size. |
Q. I have ovulation and period symptoms even after taking Depot. Why? | Hello doctor, My period started 12th of last month. I reviewed the Depo shot two days later. I had unprotected sex nine days later. He ejaculated in me several times. I thought I would be protected but I am also having symptoms of ovulation like high (hard) cervix with a sharp pain in my ovary, then I had spotting for three days (brown to red then to brown again). What are the odds that the Depo is not effective for me? Is it common to experience ovulation and period symptoms on Depo without actually releasing an egg? | Hello. Depot injection does not offer immediate protection and it is advised to maintain abstinence for at least three weeks post-injection before the hormonal balance is readjusted for the cycle. Also, intermenstrual bleeding in form of dark brown blood is a common side effect which is seen with Depot injection. Also, it would be difficult to comment on the ovulation bleed as this is possible in this cycle as this would be the first month of Depot injection and hence barrier contraceptive is advised for initial 2 to 3 weeks. As you have had unprotected intercourse on day 11 of the cycle, there may be a possibility that the bleed may have been ovulation and not due to Depot and you may get pregnant. Once the best way to rule that out would be to undertake a serum beta hCG test after seven days of last intercourse and if the hCG levels are higher than 5 ng/dl, then you are pregnant, else safe. |
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Hello doctor, My period started 12th of last month. I reviewed the Depo shot two days later. I had unprotected sex nine days later. He ejaculated in me several times. I thought I would be protected but I am also having symptoms of ovulation like high (hard) cervix with a sharp pain in my ovary, then I had spotting for three days (brown to red then to brown again). What are the odds that the Depo is not effective for me? Is it common to experience ovulation and period symptoms on Depo without actually releasing an egg? [/INST] Hello. Depot injection does not offer immediate protection and it is advised to maintain abstinence for at least three weeks post-injection before the hormonal balance is readjusted for the cycle. Also, intermenstrual bleeding in form of dark brown blood is a common side effect which is seen with Depot injection. Also, it would be difficult to comment on the ovulation bleed as this is possible in this cycle as this would be the first month of Depot injection and hence barrier contraceptive is advised for initial 2 to 3 weeks. As you have had unprotected intercourse on day 11 of the cycle, there may be a possibility that the bleed may have been ovulation and not due to Depot and you may get pregnant. Once the best way to rule that out would be to undertake a serum beta hCG test after seven days of last intercourse and if the hCG levels are higher than 5 ng/dl, then you are pregnant, else safe. |
Q. How can hypercapnia be prevented in a TB patient under oxygenation? | Hello doctor,I have TB disease, type1 respiratory failure. Oxygen was given, oxygenation improves but falls to LVL on presentation. What support should be given before the onset of hypercapnia? I have dry cough for two weeks, blood in sputum, fever, sweating and weight loss. | Hello. As you said, the patient has TB, hypoxia is more common which leads to type 1 respiratory failure. So only supplemental oxygen is not enough. We should start noninvasive ventilation as early as possible before hypercarbia sets in. So the possible options for NIV are CPAP or BIPAP depending on availability. The IPAP and EPAP pressures can be set up according to blood oxygen levels and oxygen saturation to be aimed to keep above 95 %. Minimal sedation will keep the patient calm and also help to reduce further hemoptysis. Supportive measures like good nutrition and good nursing care should help to recover faster. Frequently keep a watch on blood gases. If NIV is not helping to keep oxygen above 95 % or hypercarbia sets in, mechanical ventilation may be needed. Ultimately we have to titrate depending on the blood oxygen levels. Antitubercular treatment must be continued simultaneously. Antibiotics according to infection markers. TB. Arterial blood gas. Pneumonia. NIV and anti TB treatment. |
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Hello doctor,I have TB disease, type1 respiratory failure. Oxygen was given, oxygenation improves but falls to LVL on presentation. What support should be given before the onset of hypercapnia? I have dry cough for two weeks, blood in sputum, fever, sweating and weight loss. [/INST] Hello. As you said, the patient has TB, hypoxia is more common which leads to type 1 respiratory failure. So only supplemental oxygen is not enough. We should start noninvasive ventilation as early as possible before hypercarbia sets in. So the possible options for NIV are CPAP or BIPAP depending on availability. The IPAP and EPAP pressures can be set up according to blood oxygen levels and oxygen saturation to be aimed to keep above 95 %. Minimal sedation will keep the patient calm and also help to reduce further hemoptysis. Supportive measures like good nutrition and good nursing care should help to recover faster. Frequently keep a watch on blood gases. If NIV is not helping to keep oxygen above 95 % or hypercarbia sets in, mechanical ventilation may be needed. Ultimately we have to titrate depending on the blood oxygen levels. Antitubercular treatment must be continued simultaneously. Antibiotics according to infection markers. TB. Arterial blood gas. Pneumonia. NIV and anti TB treatment. |
Q. Why are there balancing problems, blurred vision and concentration issues? | Hello doctor, I am facing certain problems which include balancing problems, blurred vision and sometimes, headaches, concentration issues. It has been 2 to 3 months that I am facing all these. | Hi. I have gone through your case and can well understand your genuine health concerns. The cause of your symptoms can be related to brain disorder or vitamin B12 deficiency or eye problem. In my opinion, you should consult a physician first because you need a thorough neurological examination. These symptoms can be related to cerebellar disease which is a part of the brain. Vitamin B12 can also cause balancing problems, headache, concentration issues, etc. Sometimes, a refractive error in the eyes can also cause balancing problems, blurred vision, headache. I suggest you consult an ophthalmologist also. Get your serum vitamin B12 done. If you have low levels then you may need B12 supplementation. Cerebellar disease or vitamin B12 deficiency, eye problem. |
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Hello doctor, I am facing certain problems which include balancing problems, blurred vision and sometimes, headaches, concentration issues. It has been 2 to 3 months that I am facing all these. [/INST] Hi. I have gone through your case and can well understand your genuine health concerns. The cause of your symptoms can be related to brain disorder or vitamin B12 deficiency or eye problem. In my opinion, you should consult a physician first because you need a thorough neurological examination. These symptoms can be related to cerebellar disease which is a part of the brain. Vitamin B12 can also cause balancing problems, headache, concentration issues, etc. Sometimes, a refractive error in the eyes can also cause balancing problems, blurred vision, headache. I suggest you consult an ophthalmologist also. Get your serum vitamin B12 done. If you have low levels then you may need B12 supplementation. Cerebellar disease or vitamin B12 deficiency, eye problem. |
Q. What is causing spinning type headaches after pregnancy? | Hello doctor, I have a headache all the time, like a spinning head. Whatever I eat, my headache does not go. I use simple Panadol, but no effects on my headache. It is from the last 10 months, after my pregnancy. | Hi. Your frequent headaches along with dizziness or spinning could be due to raised blood pressure or hypertension, migraine, tension or stress, hypoglycemia, etc. Hypertension, migraine, and stress are the most common causes for the headache. Without examination it is very difficult to tell the exact cause. I would suggest you measure your blood pressure, if found raised then you have to take antihypertensive medication after consultation with a doctor. Migraine causes head pain. There are certain trigger factors for migraine like lack of sleep, starving, stress, certain food, and smell. The treatment for migraine headache comprises management of acute attack with painkillers like Naproxen, Aspirin, Paracetamol. Drugs like Propranolol, Topiramate, Flunarizine or Amitriptyline may be taken after prescription from a neurologist. |
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Hello doctor, I have a headache all the time, like a spinning head. Whatever I eat, my headache does not go. I use simple Panadol, but no effects on my headache. It is from the last 10 months, after my pregnancy. [/INST] Hi. Your frequent headaches along with dizziness or spinning could be due to raised blood pressure or hypertension, migraine, tension or stress, hypoglycemia, etc. Hypertension, migraine, and stress are the most common causes for the headache. Without examination it is very difficult to tell the exact cause. I would suggest you measure your blood pressure, if found raised then you have to take antihypertensive medication after consultation with a doctor. Migraine causes head pain. There are certain trigger factors for migraine like lack of sleep, starving, stress, certain food, and smell. The treatment for migraine headache comprises management of acute attack with painkillers like Naproxen, Aspirin, Paracetamol. Drugs like Propranolol, Topiramate, Flunarizine or Amitriptyline may be taken after prescription from a neurologist. |
Q. Why is there heavy bleeding with clots five days after sex? | Hello doctor, From the 16th of this month, I started having sex with my fiance a lot. Five days later, I started having really bad stomach pain and the next day, I started bleeding. It was light. So I thought it could be implantation bleeding, and Iwent and got a test. I am not supposed to have my period again until the beginning of next month. The home pregnancy test I took came back negative but I am not sure if it is because I took it too early before my missed period, but my bleeding has gotten worse. It is really dark and heavy and has a lot of clots, and the stomach pain is still bad. I am worried it is a miscarriage chemical pregnancy. Is it too soon to take my second home pregnancy test? | Hi. The pregnancy test will not show a real result if done before expected next date of menses. Chemical pregnancy bleed or abortion happens only after you miss your period, so do not worry about that. With the kind of bleeding you have (heavy and continuous), implantation bleeding is ruled out. The most probable thing can be an early occurrence of menses or bleeding from the cervical lesion. If it continues beyond a week, you can consult your doctor for examination. If it stops, you can do a home pregnancy test next month if period does not start on the scheduled date to decide further management. |
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Hello doctor, From the 16th of this month, I started having sex with my fiance a lot. Five days later, I started having really bad stomach pain and the next day, I started bleeding. It was light. So I thought it could be implantation bleeding, and Iwent and got a test. I am not supposed to have my period again until the beginning of next month. The home pregnancy test I took came back negative but I am not sure if it is because I took it too early before my missed period, but my bleeding has gotten worse. It is really dark and heavy and has a lot of clots, and the stomach pain is still bad. I am worried it is a miscarriage chemical pregnancy. Is it too soon to take my second home pregnancy test? [/INST] Hi. The pregnancy test will not show a real result if done before expected next date of menses. Chemical pregnancy bleed or abortion happens only after you miss your period, so do not worry about that. With the kind of bleeding you have (heavy and continuous), implantation bleeding is ruled out. The most probable thing can be an early occurrence of menses or bleeding from the cervical lesion. If it continues beyond a week, you can consult your doctor for examination. If it stops, you can do a home pregnancy test next month if period does not start on the scheduled date to decide further management. |
Q. Why do I feel something in throat and vomit after eating any food? | Hello doctor, I seem to have something caught in my throat. When I try to swallow, my throat closes up and I vomit whatever I was trying to eat or drink. If I sit for a time, the excess saliva in my mouth will not even go down. | Hi. I have read your query. It looks like you either have a neuromuscular disorder of esophagus or esophageal motility disorder. There are several types of it. 1. Zenker's diverticulum. Do you vomit foul smelling, newly digested food? Zenker's is associated with intermittent difficulty in swallowing and regurgitation of old undigested food. There is excess salivation and also a nagging cough is present sometimes. 2. Diffuse esophageal spasm. It causes difficulty in swallowing and is associated with chest pain. There is drooling of saliva too. Do you have chest pain associated with esophagus? If yes, then DES is a possibility. 3. Achalasia cardia. The classical symptoms are difficulty in swallowing, regurgitation of food and weight loss. Have you noticed any weight loss in you? Difficulty in swallowing is initially for liquid food and then as the disease progresses it is also associated with solid foods. 4. Nutcracker esophagus. The complaints are similar to DES, like chest pain and difficulty in swallowing. 5. Gastroesophageal reflux disease. There is regurgitation of newly digested food and also burning sensation in heart. 6. Tumor in esophagus. The difficulty in swallowing shows a progressive increase in symptom. And the difficulty is more for solid foods than liquid. I feel your symptoms are suggestive of Zenker's most likely. However, for a confirmatory diagnosis you will need further evaluation. Please get a barium swallow esophagography done. You will also need an upper GI endoscopy to evaluate further. In case of Nutcracker's, manometry test is diagnostic. Please visit your nearest hospital to get yourself evaluated further. |
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Hello doctor, I seem to have something caught in my throat. When I try to swallow, my throat closes up and I vomit whatever I was trying to eat or drink. If I sit for a time, the excess saliva in my mouth will not even go down. [/INST] Hi. I have read your query. It looks like you either have a neuromuscular disorder of esophagus or esophageal motility disorder. There are several types of it. 1. Zenker's diverticulum. Do you vomit foul smelling, newly digested food? Zenker's is associated with intermittent difficulty in swallowing and regurgitation of old undigested food. There is excess salivation and also a nagging cough is present sometimes. 2. Diffuse esophageal spasm. It causes difficulty in swallowing and is associated with chest pain. There is drooling of saliva too. Do you have chest pain associated with esophagus? If yes, then DES is a possibility. 3. Achalasia cardia. The classical symptoms are difficulty in swallowing, regurgitation of food and weight loss. Have you noticed any weight loss in you? Difficulty in swallowing is initially for liquid food and then as the disease progresses it is also associated with solid foods. 4. Nutcracker esophagus. The complaints are similar to DES, like chest pain and difficulty in swallowing. 5. Gastroesophageal reflux disease. There is regurgitation of newly digested food and also burning sensation in heart. 6. Tumor in esophagus. The difficulty in swallowing shows a progressive increase in symptom. And the difficulty is more for solid foods than liquid. I feel your symptoms are suggestive of Zenker's most likely. However, for a confirmatory diagnosis you will need further evaluation. Please get a barium swallow esophagography done. You will also need an upper GI endoscopy to evaluate further. In case of Nutcracker's, manometry test is diagnostic. Please visit your nearest hospital to get yourself evaluated further. |
Q. My gums are numb and are receding behind the two front teeth. Why? | Gender: Female Age: 19 Weight: 320 Problem: Gum/Mouth problems Symptoms: Numbness behind my two front teeth, aches, receding. I had this problem for 2 or 3 days. my gums are numb and I'm not sure what I'm supposed to do. I have tried using Hydrogen peroxide and Mouthwash and scrubbed inside my teeth. I think this mostly has to do with my poor dental hygiene. I haven't brushed my teeth enough as I should have and I'm starting to feel the effects of it but i'm not sure how else I should treat the problem at home and I'm worried to go to the doctor due to the current outbreak. is there anything I could do? | Hello, Welcome to ICLINIQ. This is your Dentist - I went through your query . As a Specialist I would like to help . But for that reason I would like to see whats actually causing you the inconvenience . I can understand how painful and uncomfortable its been . Donot worry I will help it ease. For now: Rest when I see the image ,so kindly Upload. I will be waiting ,so kindly upload the image (back portion of lower tooth) as soon as convenient. Tartar and stain Gingivitis with localised periodontitis with respect to lower tooth. First I would need tla confirmation first . Avoid sticky or sweet or chilled food items. Feel free, let me know if any further query . Follow up after 3 days . But first - Upload the image to confirm the diagnosis. Hope to ease our discomfort soon . Kindly follow the advice . You will be fine . Am confident . Have a Good day Ma'am. Thanks for choosing ICLINIQ. |
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Gender: Female Age: 19 Weight: 320 Problem: Gum/Mouth problems Symptoms: Numbness behind my two front teeth, aches, receding. I had this problem for 2 or 3 days. my gums are numb and I'm not sure what I'm supposed to do. I have tried using Hydrogen peroxide and Mouthwash and scrubbed inside my teeth. I think this mostly has to do with my poor dental hygiene. I haven't brushed my teeth enough as I should have and I'm starting to feel the effects of it but i'm not sure how else I should treat the problem at home and I'm worried to go to the doctor due to the current outbreak. is there anything I could do? [/INST] Hello, Welcome to ICLINIQ. This is your Dentist - I went through your query . As a Specialist I would like to help . But for that reason I would like to see whats actually causing you the inconvenience . I can understand how painful and uncomfortable its been . Donot worry I will help it ease. For now: Rest when I see the image ,so kindly Upload. I will be waiting ,so kindly upload the image (back portion of lower tooth) as soon as convenient. Tartar and stain Gingivitis with localised periodontitis with respect to lower tooth. First I would need tla confirmation first . Avoid sticky or sweet or chilled food items. Feel free, let me know if any further query . Follow up after 3 days . But first - Upload the image to confirm the diagnosis. Hope to ease our discomfort soon . Kindly follow the advice . You will be fine . Am confident . Have a Good day Ma'am. Thanks for choosing ICLINIQ. |
Q. What is the reason for discoloration of teeth in a 15 months old? | Hi doctor, My daughter is 15 months old. Her weight is 8.2 kg and height is 80 cm. Her food includes apple, rice, green gram, vegetables along with breast milk. But, I am not adding sugar or salt. I am giving her Ostocalcium, vitamin D and multivitamins as suggested by her pediatrician. She has got her four upper teeth and two lower teeth. Last week, I noticed that half portion of the upper teeth not covered with white and looks like enamel loss. I have attached her teeth photos for your reference. Does it need any treatment or is it common? Is it because of the vitamin supplements? Could you please suggest me the treatment and what needs to be taken care of further? Thank you. | Hi. For further information consult a pedodontist online --> |
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Hi doctor, My daughter is 15 months old. Her weight is 8.2 kg and height is 80 cm. Her food includes apple, rice, green gram, vegetables along with breast milk. But, I am not adding sugar or salt. I am giving her Ostocalcium, vitamin D and multivitamins as suggested by her pediatrician. She has got her four upper teeth and two lower teeth. Last week, I noticed that half portion of the upper teeth not covered with white and looks like enamel loss. I have attached her teeth photos for your reference. Does it need any treatment or is it common? Is it because of the vitamin supplements? Could you please suggest me the treatment and what needs to be taken care of further? Thank you. [/INST] Hi. For further information consult a pedodontist online --> |
Q. How long should my husband and I wait to try for a baby if we did cocaine? | Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. | Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> |
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Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. [/INST] Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> |
Q. Can Yasmin birth control pill be used as an emergency contraceptive pill? | Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? | Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> |
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Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? [/INST] Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> |
Q. Please explain the poisonous effect of phenol ingestion. | Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. | Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> |
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Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. [/INST] Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> |
Q. For how long should I take Kalachikai powder to overcome PCOD problem? | Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? | Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> |
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Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? [/INST] Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> |
Q. Why do periods get delayed after first time sex? | Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? | Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> |
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Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? [/INST] Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> |
Q. I was diagnosed with Peripheral Artery Disease last week. Please advise. | Hello doctor, I am a 47 year old female, who has had a 90 % blocked carotid artery and subsequent endarterectomy at the age of 42 years. A year later, I had a massive heart attack and 100 % block in my right coronary artery. I was just diagnosed with PAD (Peripheral Artery Disease) last week. Additional to the PAD, knowing that my left coronary artery is also 40 % blocked, just tripled my risk factor. What can be done and who do I need to go see to get preventive surgery before this disease of my arteries spreads throughout my entire body. All my doctors are stuck as to what to do and I refuse to live on statin drugs. Please advise. | Hi. I have read through your query in detail. Please find my observations below. Statins are widely used to treat PAD. Depending on other conditions, antihypertensives and medicines to control blood sugar levels are prescribed to patients with hypertension and diabetes respectively to control the progress of the disease. There are certain medicines which increase the flow of blood through the arteries by increasing the luminal diameter. They are Cilostazol and Pentoxifylline, and your doctors might have discussed it with you. Medicines to prevent clotting might also be given including Clopidogrel. You should consult a vascular surgeon and regularly follow up. Surgical options include angioplasty, bypass surgery, and thrombolytic procedures. Please consider medicine treatment first and then surgical procedures. |
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Hello doctor, I am a 47 year old female, who has had a 90 % blocked carotid artery and subsequent endarterectomy at the age of 42 years. A year later, I had a massive heart attack and 100 % block in my right coronary artery. I was just diagnosed with PAD (Peripheral Artery Disease) last week. Additional to the PAD, knowing that my left coronary artery is also 40 % blocked, just tripled my risk factor. What can be done and who do I need to go see to get preventive surgery before this disease of my arteries spreads throughout my entire body. All my doctors are stuck as to what to do and I refuse to live on statin drugs. Please advise. [/INST] Hi. I have read through your query in detail. Please find my observations below. Statins are widely used to treat PAD. Depending on other conditions, antihypertensives and medicines to control blood sugar levels are prescribed to patients with hypertension and diabetes respectively to control the progress of the disease. There are certain medicines which increase the flow of blood through the arteries by increasing the luminal diameter. They are Cilostazol and Pentoxifylline, and your doctors might have discussed it with you. Medicines to prevent clotting might also be given including Clopidogrel. You should consult a vascular surgeon and regularly follow up. Surgical options include angioplasty, bypass surgery, and thrombolytic procedures. Please consider medicine treatment first and then surgical procedures. |
Q. Kindly advise treatment for blocked nose due to allergy. | Hi doctor, I am suffering from a blocked nose. I have consulted a doctor and he told I am suffering from allergy and it is incurable. I am worried. Please guide me. | Hi. I have gone through your case and can well understand your genuine health concern. A blocked nose can be from an infection of upper respiratory tract also. If you have a fever and throat pain along with the blocked nose, then it is due to some infection. Allergy also causes blocked nose, sneezing, running nose, dry cough, etc. And yes, allergy is incurable. There is no permanent treatment for allergy as such, but it can be controlled with drugs and other measures. To control allergy, you should avoid allergens like dust, pollen, specific allergy-causing food, and grasses. Avoid exposure to cold climate and cold beverages. For nasal blockage, you can use some antihistaminic decongestant nasal drops as Nasivion nasal drops. You can also take some oral antiallergic drug like tablet Montek-LC (Montelukast and Levocetirizine) twice daily for ten days if your doctor has not prescribed you an antiallergic medication. |
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Hi doctor, I am suffering from a blocked nose. I have consulted a doctor and he told I am suffering from allergy and it is incurable. I am worried. Please guide me. [/INST] Hi. I have gone through your case and can well understand your genuine health concern. A blocked nose can be from an infection of upper respiratory tract also. If you have a fever and throat pain along with the blocked nose, then it is due to some infection. Allergy also causes blocked nose, sneezing, running nose, dry cough, etc. And yes, allergy is incurable. There is no permanent treatment for allergy as such, but it can be controlled with drugs and other measures. To control allergy, you should avoid allergens like dust, pollen, specific allergy-causing food, and grasses. Avoid exposure to cold climate and cold beverages. For nasal blockage, you can use some antihistaminic decongestant nasal drops as Nasivion nasal drops. You can also take some oral antiallergic drug like tablet Montek-LC (Montelukast and Levocetirizine) twice daily for ten days if your doctor has not prescribed you an antiallergic medication. |
Q. I have developed hair dye allergy. Please help. | Hello doctor, I am a 52 year old male. I have been using hair dye since last 25 years. Two years back, I had hair dye reaction on the scalp. Yesterday morning, I had dye reaction again. The entire skin of scalp came out like snake's skin. After that rashes have come on the knee, elbow, and on the feet. What do I do? | Hello. As per the details given, it seems that you have hair dye allergy. Most of the hair dye products contain a chemical called PPD (para-phenylenediamine) which is responsible for allergic reactions. In such cases, I advise my patients to strictly avoid application of hair dye. You may use herbal henna for dyeing hair. I advise my patients to apply topical steroid like Hydrocortisone in the affected area. Antihistamines like Levocetirizine also help. You need clinical examination. So, you should visit your doctor so that he can examine you and give you prescription accordingly. You can share my opinion with him. Stay healthy. |
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Hello doctor, I am a 52 year old male. I have been using hair dye since last 25 years. Two years back, I had hair dye reaction on the scalp. Yesterday morning, I had dye reaction again. The entire skin of scalp came out like snake's skin. After that rashes have come on the knee, elbow, and on the feet. What do I do? [/INST] Hello. As per the details given, it seems that you have hair dye allergy. Most of the hair dye products contain a chemical called PPD (para-phenylenediamine) which is responsible for allergic reactions. In such cases, I advise my patients to strictly avoid application of hair dye. You may use herbal henna for dyeing hair. I advise my patients to apply topical steroid like Hydrocortisone in the affected area. Antihistamines like Levocetirizine also help. You need clinical examination. So, you should visit your doctor so that he can examine you and give you prescription accordingly. You can share my opinion with him. Stay healthy. |
Q. There is midline space in my upper front teeth. What will be the treatment for this? | Hello doctor, My upper and lower jaw teeth are misaligned. There is 8mm of midline space in the upper front teeth. What will be the probable treatment for this? | Hello. It would have been better if you had mentioned your age. For an exact diagnosis and treatment plan, attach a more detailed history and an intraoral picture of your mouth. If you have 8mm of midline diastema (space between the teeth), you usually require orthodontic braces for correction of the spacing. Such treatment goes on for around 1 year or so. Sometimes we may also need to do a minor surgical procedure called frenectomy, if required, according to the structure of your gums. It would be better to comment if you could attach an intraoral picture. We can also do a fast procedure by placing a crown over the teeth or by doing a composite build up if your jaw and teeth size allow that. This also depends on your preferences. This will give results in two weeks. |
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Hello doctor, My upper and lower jaw teeth are misaligned. There is 8mm of midline space in the upper front teeth. What will be the probable treatment for this? [/INST] Hello. It would have been better if you had mentioned your age. For an exact diagnosis and treatment plan, attach a more detailed history and an intraoral picture of your mouth. If you have 8mm of midline diastema (space between the teeth), you usually require orthodontic braces for correction of the spacing. Such treatment goes on for around 1 year or so. Sometimes we may also need to do a minor surgical procedure called frenectomy, if required, according to the structure of your gums. It would be better to comment if you could attach an intraoral picture. We can also do a fast procedure by placing a crown over the teeth or by doing a composite build up if your jaw and teeth size allow that. This also depends on your preferences. This will give results in two weeks. |
Q. What can be done for pain in the shin? | Hi doctor, I have pain in my left shin bone when I try to run. It is on the inside of my leg at the lowest point on the tibia, just above the ankle. My ankle does not hurt, just the shin at the specified location. I do not have pain on walking (unless a long way) but when I run I get immediate and continuous pain. Previously, the swelling was worse. And now, the swelling got reduced. I do not think it is shin splint because I have had them before and the pain was completely different. What it is and how do I heal it? I have had this problem for a long time now maybe around a year. Thank you very much. | Hello. Pain on running or exertion can be due to lack of appropriate strength and integrated stability of gluteal and hip adductor muscles. It makes the bones challenging to disperse the impact forces generated by the foot striking the ground. This can lead to condition called exertional medial tibial pain syndrome. Chronic compartment syndrome also gives rise to similar clinical picture including swelling in the leg. The condition is often misdiagnosed as shin splint. |
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Hi doctor, I have pain in my left shin bone when I try to run. It is on the inside of my leg at the lowest point on the tibia, just above the ankle. My ankle does not hurt, just the shin at the specified location. I do not have pain on walking (unless a long way) but when I run I get immediate and continuous pain. Previously, the swelling was worse. And now, the swelling got reduced. I do not think it is shin splint because I have had them before and the pain was completely different. What it is and how do I heal it? I have had this problem for a long time now maybe around a year. Thank you very much. [/INST] Hello. Pain on running or exertion can be due to lack of appropriate strength and integrated stability of gluteal and hip adductor muscles. It makes the bones challenging to disperse the impact forces generated by the foot striking the ground. This can lead to condition called exertional medial tibial pain syndrome. Chronic compartment syndrome also gives rise to similar clinical picture including swelling in the leg. The condition is often misdiagnosed as shin splint. |
Q. What does abutment of the nerve root mean? | Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for annular bulging and tear? | Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online --> |
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Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for annular bulging and tear? [/INST] Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online --> |
Q. I delivered my first child two months ago,with C-section. When can I plan my next child? | Hello doctor, I delivered my first child two months ago, with C-section. I got my first period after delivery, yesterday. My child is only on breastfeeding. I want to know when can I start exercising, light as well as proper gym in order to get back to shape. I want to know till when do we need to be on sexual abstinence. Also, when can I plan my next child? | Hello. As it has been more than 9 weeks post delivery already, you can start your light abdominal toning exercises if your pain has completely subsided. Generally, we tell the mother to avoid exercising for 6 weeks till strength is achieved over the c-section scar. Do not lift weights for at least 6 months. As your menses have resumed, even though you have been breastfeeding, you may get pregnant as ovulation may start if sexual activity is resumed now. You can safely resume sexual activity now if there has been no pain over the scar. Next child should ideally be planned after an interval of 3 years. So it is suggested that you should be practicing contraception, be it barrier or hormonal to avoid unwanted conception hence. Wishing you good health. |
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Hello doctor, I delivered my first child two months ago, with C-section. I got my first period after delivery, yesterday. My child is only on breastfeeding. I want to know when can I start exercising, light as well as proper gym in order to get back to shape. I want to know till when do we need to be on sexual abstinence. Also, when can I plan my next child? [/INST] Hello. As it has been more than 9 weeks post delivery already, you can start your light abdominal toning exercises if your pain has completely subsided. Generally, we tell the mother to avoid exercising for 6 weeks till strength is achieved over the c-section scar. Do not lift weights for at least 6 months. As your menses have resumed, even though you have been breastfeeding, you may get pregnant as ovulation may start if sexual activity is resumed now. You can safely resume sexual activity now if there has been no pain over the scar. Next child should ideally be planned after an interval of 3 years. So it is suggested that you should be practicing contraception, be it barrier or hormonal to avoid unwanted conception hence. Wishing you good health. |
Q. How can I attain appropriate height and weight for my age? | Hi doctor, I am 20 years old. My weight is 53 kg and height is 167 cm. I look small for my age. There is no appropriate growth. Can you suggest any medication or supplement for this? | Hi. I have gone through your history and I would like to suggest you some natural way to increase your body growth. There are many factors that affect the body height and weight such as gender, age, genetics, lifestyle, diet, etc. If there is no weight gain despite eating a calorie rich food, then you should be investigated for a malabsorption syndrome. It is a condition which will prevent absorption of nutrient from food into the body. Your weight is also determined by genetic factors. If you have very slim parents then you too will be slim. I am happy that you are very concerned about your health. It is known that 7,700 calories will put on as 1 kg in weight. You should increase the physical activity as well as your routine diet to increase weight. Dip handful of whole grains (black grams, peas, peanuts and pulses) in a cup of water overnight and eat. Take curd with fat twice a day. Increase the intake of carbohydrate like rice and bread in your food but do not have at late night. You can take cereals, milk and egg for breakfast. I suggest you to start exercise with adequate protein intake. This will help your muscles to build and gain weight. Start with a jog and then mild exercise like cardio, pushups, cycling and swimming. Try out moderate exercises and not the high intensity ones. Along with it have a protein-rich diet including milk, cottage cheese, banana, egg whites and lean meat. Slowly increase your calorie intake by 500 calories every week up to 2000 calories. Have a good amount of water of around 2 liters per day. Do not consume fatty food. It will increase fat deposition in your body and will make you obese. Try this natural way instead of any medication for weight gain. For further information consult a dietician online --> |
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Hi doctor, I am 20 years old. My weight is 53 kg and height is 167 cm. I look small for my age. There is no appropriate growth. Can you suggest any medication or supplement for this? [/INST] Hi. I have gone through your history and I would like to suggest you some natural way to increase your body growth. There are many factors that affect the body height and weight such as gender, age, genetics, lifestyle, diet, etc. If there is no weight gain despite eating a calorie rich food, then you should be investigated for a malabsorption syndrome. It is a condition which will prevent absorption of nutrient from food into the body. Your weight is also determined by genetic factors. If you have very slim parents then you too will be slim. I am happy that you are very concerned about your health. It is known that 7,700 calories will put on as 1 kg in weight. You should increase the physical activity as well as your routine diet to increase weight. Dip handful of whole grains (black grams, peas, peanuts and pulses) in a cup of water overnight and eat. Take curd with fat twice a day. Increase the intake of carbohydrate like rice and bread in your food but do not have at late night. You can take cereals, milk and egg for breakfast. I suggest you to start exercise with adequate protein intake. This will help your muscles to build and gain weight. Start with a jog and then mild exercise like cardio, pushups, cycling and swimming. Try out moderate exercises and not the high intensity ones. Along with it have a protein-rich diet including milk, cottage cheese, banana, egg whites and lean meat. Slowly increase your calorie intake by 500 calories every week up to 2000 calories. Have a good amount of water of around 2 liters per day. Do not consume fatty food. It will increase fat deposition in your body and will make you obese. Try this natural way instead of any medication for weight gain. For further information consult a dietician online --> |
Q. Pregnancy test is negative, but I have breast secretions. Could I be pregnant? | Hello doctor, I had my last period on the 1st of last month. I did not have sex until the 33rd day (it was protected sex) of my cycle. Now, I have not yet had my periods. It is the 39th day and I took a pregnancy test on the 38th day and it came out to be negative. I do not know what to do. I did have my exams going on during the time of my expected menses. So, I am guessing it is stress. If the test came out to be negative, then is there still a chance? And, also I am having breast secretions for which my doctor has given me the B long F tablet. She said it is hormonal but she does not yet know that I had sex because she is my family doctor. | Hello. If you had sex on the 33rd day, then the test will not come positive so early even if you have conceived. It takes around two weeks to come positive.Although the chances are very less, you should rule out pregnancy. Do a test around 47th day. Amenorrhea can be because of hyperprolactinemia as you are also having breast secretion. Get a serum prolactin and thyroid profile done. Stress is also one of the causes of delayed periods. Just relax and wait for your period. For more information consult an obstetrician and gynaecologist online --> |
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Hello doctor, I had my last period on the 1st of last month. I did not have sex until the 33rd day (it was protected sex) of my cycle. Now, I have not yet had my periods. It is the 39th day and I took a pregnancy test on the 38th day and it came out to be negative. I do not know what to do. I did have my exams going on during the time of my expected menses. So, I am guessing it is stress. If the test came out to be negative, then is there still a chance? And, also I am having breast secretions for which my doctor has given me the B long F tablet. She said it is hormonal but she does not yet know that I had sex because she is my family doctor. [/INST] Hello. If you had sex on the 33rd day, then the test will not come positive so early even if you have conceived. It takes around two weeks to come positive.Although the chances are very less, you should rule out pregnancy. Do a test around 47th day. Amenorrhea can be because of hyperprolactinemia as you are also having breast secretion. Get a serum prolactin and thyroid profile done. Stress is also one of the causes of delayed periods. Just relax and wait for your period. For more information consult an obstetrician and gynaecologist online --> |
Q. How to avoid cold and flu after winter workout? | Hello doctor, I like to go running. I was a very successful marathon runner when younger. Now I still workout, but my goal, apart from general health is mostly emotional fitness for the job. I work on the phone with customers and I have to be in a strong positive mood to be successful. I am currently living in a country where the climate is very cold and dark. When I work out it is not about speed or distance for me it is about sweating. Because, when I breathe deeply and sweat very deeply, I have the feeling that is the point when my cardiovascular system gets activated the most. Now, I found some friends who are really in shape and who do really great workouts with me. The problem is that since I do not have a car, I always have to reach back home by foot. This weekend I am currently with cold and flu. I think that I got it because I went running, sweated, stopped and then walked slowly with wet clothes through the night for about 30 to 40 minutes. In the summer, I never had this problem. Since I train with the friends, I sweat even more and the winter has already started. What do you like to tell me about this? Should I manage to run home, even with wet clothes such that I would at least not get cold? Should I take a taxi to reach home in 15 minutes? Should I later take a warm bath? | Hello. Yes, it is easy to catch cold, particularly if you are in a cold, wet and windy weather. Also, exposure to extremely cold temperature affects you in many ways and can cause frost nip (first stage of frostbite), trench foot (prolonged exposure of feet to cold) and frostbite (damage to skin due to cold), chilblains (itchy swelling in hands due to blood vessel inflammation) and last but not the least hypothermia (low body temperature). On the top of that, you being a marathon runner and a fit person will be having less amount of subcutaneous fat, which usually insulates you from cold temperatures like a quilt. Moreover, after a workout and sweating a lot, if you do not compensate by drinking water, you may get dehydrated and that further predisposes you to the ill effects of cold exposure. Well, I would advise you to take a cab to return home, particularly when the weather is so cold. Here are few don'ts you need to keep in mind. Also, I suggest few dos post workout. If you have any frost bite or any blisters, then immediately do not pour or immerse in hot water. Take a pair of extra clothes and never run in cold weather in wet clothes. Take a taxi particularly now as you have flu. You may take lukewarm showers. Warm shower definitely helps you to fight cold, but does not compensate for the cold injury. The length of exposure to cold temperatures depends on the variables such as the temperature, warm clothes you wear and your physical condition. Do take care of your health as the degree emotional health that is crucial for your living is directly proportional to your health. For further information consult an internal medicine physician online --> |
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Hello doctor, I like to go running. I was a very successful marathon runner when younger. Now I still workout, but my goal, apart from general health is mostly emotional fitness for the job. I work on the phone with customers and I have to be in a strong positive mood to be successful. I am currently living in a country where the climate is very cold and dark. When I work out it is not about speed or distance for me it is about sweating. Because, when I breathe deeply and sweat very deeply, I have the feeling that is the point when my cardiovascular system gets activated the most. Now, I found some friends who are really in shape and who do really great workouts with me. The problem is that since I do not have a car, I always have to reach back home by foot. This weekend I am currently with cold and flu. I think that I got it because I went running, sweated, stopped and then walked slowly with wet clothes through the night for about 30 to 40 minutes. In the summer, I never had this problem. Since I train with the friends, I sweat even more and the winter has already started. What do you like to tell me about this? Should I manage to run home, even with wet clothes such that I would at least not get cold? Should I take a taxi to reach home in 15 minutes? Should I later take a warm bath? [/INST] Hello. Yes, it is easy to catch cold, particularly if you are in a cold, wet and windy weather. Also, exposure to extremely cold temperature affects you in many ways and can cause frost nip (first stage of frostbite), trench foot (prolonged exposure of feet to cold) and frostbite (damage to skin due to cold), chilblains (itchy swelling in hands due to blood vessel inflammation) and last but not the least hypothermia (low body temperature). On the top of that, you being a marathon runner and a fit person will be having less amount of subcutaneous fat, which usually insulates you from cold temperatures like a quilt. Moreover, after a workout and sweating a lot, if you do not compensate by drinking water, you may get dehydrated and that further predisposes you to the ill effects of cold exposure. Well, I would advise you to take a cab to return home, particularly when the weather is so cold. Here are few don'ts you need to keep in mind. Also, I suggest few dos post workout. If you have any frost bite or any blisters, then immediately do not pour or immerse in hot water. Take a pair of extra clothes and never run in cold weather in wet clothes. Take a taxi particularly now as you have flu. You may take lukewarm showers. Warm shower definitely helps you to fight cold, but does not compensate for the cold injury. The length of exposure to cold temperatures depends on the variables such as the temperature, warm clothes you wear and your physical condition. Do take care of your health as the degree emotional health that is crucial for your living is directly proportional to your health. For further information consult an internal medicine physician online --> |
Q. How can I manage pain in ribs with breathing difficulty after a fall? | Hello doctor, I slipped, fell and landed on my side four days ago and have been in a lot of pain since around my ribs on the left side. The pain has not lessened, sometimes feels worse. It hurts when I breathe so I have to take shallow breaths. I know that X-rays will not do much and I realize that not much can really be done at all. So my question is what can I do to help the healing process or if there is anything I should not be doing. I have been going to work and avoiding heavy lifting. I cannot really afford to take more than a few days off. Would it slow the process of healing if I continue to go to work but avoid heavy lifting and any strenuous activity? | Hi. I have thoroughly gone through your case and can well understand your genuine health concern. Severe pain on the ribs and breathing difficulty after a fall indicates some injury to the ribs. Even a minor fracture of the ribs can cause severe pain and breathing difficulty. Sometimes, severe muscular spasm following a fall can also cause such symptoms. So you need a proper physical examination. As you mentioned that you fell on the left side and having severe pain and breathing difficulty also, I suggest you get an X-ray done and consult an orthopedician. It is true that X-ray will not help much but you can get it done to make sure that there is no rib fracture. For minor rib fracture, only conservative management should be done. You need to take rest, avoid excessive spine movements, avoid sleeping on left side, avoid lifting heavy weights. In my opinion, you should take rest and avoid working for a few days. I would suggest you take some oral anti-inflammatory drug in combination with muscle relaxant drug twice daily for about five days. You can also apply some analgesic cream or ointment twice daily. Also, hot water bag over the painful area for 20 minutes thrice daily for pain relief. Rib fracture or muscular spasm. X-ray thoracic spine- AP and lateral. |
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Hello doctor, I slipped, fell and landed on my side four days ago and have been in a lot of pain since around my ribs on the left side. The pain has not lessened, sometimes feels worse. It hurts when I breathe so I have to take shallow breaths. I know that X-rays will not do much and I realize that not much can really be done at all. So my question is what can I do to help the healing process or if there is anything I should not be doing. I have been going to work and avoiding heavy lifting. I cannot really afford to take more than a few days off. Would it slow the process of healing if I continue to go to work but avoid heavy lifting and any strenuous activity? [/INST] Hi. I have thoroughly gone through your case and can well understand your genuine health concern. Severe pain on the ribs and breathing difficulty after a fall indicates some injury to the ribs. Even a minor fracture of the ribs can cause severe pain and breathing difficulty. Sometimes, severe muscular spasm following a fall can also cause such symptoms. So you need a proper physical examination. As you mentioned that you fell on the left side and having severe pain and breathing difficulty also, I suggest you get an X-ray done and consult an orthopedician. It is true that X-ray will not help much but you can get it done to make sure that there is no rib fracture. For minor rib fracture, only conservative management should be done. You need to take rest, avoid excessive spine movements, avoid sleeping on left side, avoid lifting heavy weights. In my opinion, you should take rest and avoid working for a few days. I would suggest you take some oral anti-inflammatory drug in combination with muscle relaxant drug twice daily for about five days. You can also apply some analgesic cream or ointment twice daily. Also, hot water bag over the painful area for 20 minutes thrice daily for pain relief. Rib fracture or muscular spasm. X-ray thoracic spine- AP and lateral. |
Q. How long should my husband and I wait to try for a baby if we did cocaine? | Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. | Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> |
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Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. [/INST] Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> |
Q. Can Yasmin birth control pill be used as an emergency contraceptive pill? | Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? | Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> |
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Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? [/INST] Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> |
Q. Please explain the poisonous effect of phenol ingestion. | Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. | Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> |
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Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. [/INST] Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> |
Q. For how long should I take Kalachikai powder to overcome PCOD problem? | Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? | Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> |
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Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? [/INST] Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> |
Q. Why do periods get delayed after first time sex? | Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? | Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> |
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Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? [/INST] Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> |
Q. Will Nano-Leo give permanent solution for erection problem? | Hello doctor, I am 48 years old. I am experiencing weak erection and difficulty in sustaining the same. This condition was observed 10 years back. Also, there is premature ejaculation. Other physical ailments that I have are, I am suffering from hypertension and taking Amlopres-L (Amlodipine and Lisinopril) for the last 10 years, high cholesterol and triglycerides. My cholesterol level is 225 and triglyceride is 200 for the last 12 years. I used to do frequent masturbation in early age. I do have erection during morning hours many times, particularly after sound sleep or if I had long walk previous day. I am having Sildenafil 25 mg or 5 mg Cialis, which is effective enough. But, I wish to get rid of tablet support and live natural way. I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days. I wish to have your second opinion on this. Please guide. | Hi. For further doubts consult a sexologist online --> |
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Hello doctor, I am 48 years old. I am experiencing weak erection and difficulty in sustaining the same. This condition was observed 10 years back. Also, there is premature ejaculation. Other physical ailments that I have are, I am suffering from hypertension and taking Amlopres-L (Amlodipine and Lisinopril) for the last 10 years, high cholesterol and triglycerides. My cholesterol level is 225 and triglyceride is 200 for the last 12 years. I used to do frequent masturbation in early age. I do have erection during morning hours many times, particularly after sound sleep or if I had long walk previous day. I am having Sildenafil 25 mg or 5 mg Cialis, which is effective enough. But, I wish to get rid of tablet support and live natural way. I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days. I wish to have your second opinion on this. Please guide. [/INST] Hi. For further doubts consult a sexologist online --> |
Q. Fourth ultrasound after IVF has no signs of fetal pole. Please help. | Hello doctor, I have a question about my pregnancy and my IVF transfer. I had an ultrasound five days back with my IVF doctor. They are calculating my pregnancy at seven weeks. I had a five-day embryo transfer last month and found out that I am pregnant. However, after my fourth ultrasound yesterday she said the sack stayed the same and was just black inside with no sigs of a fetal pole or anything else. She advised me to stop my medications and schedule a D and C. So, I stopped taking the medicines yesterday. All day yesterday and today I am having a constant spasm of my lower abdomen. I need advise on what could be going on? Currently, I am just taking Estrace and Progesterone oil shots. | Hi. It seems it was anembryonic pregnancy means the sac was formed but without a fetal pole. Sac is not growing inside to have a fetal pole and gradually towards further stages of pregnancy even after hormonal support. It is a bit depressing but if you want to wait for some time more to have nature to react rather then your own initiative then you can quit hormonal support and wait. Cramps indicate that natural miscarriage is soon to happen. Be positive. Things that meant to come to you will come to you. It is your decision that you want to wait or want evacuation now. In case of bleeding, severe abdominal pain or dizziness report to the hospital. After this pregnancy, start folic acid daily 5 mg if you want to try again for IVF (in-vitro fertilization). Have healthy nutritious diet with daily exercise and some relaxing recreational activities. Quit recreational drugs if you want to conceive again as these reduce fertility. For more information consult an obstetrician and gynaecologist online --> |
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Hello doctor, I have a question about my pregnancy and my IVF transfer. I had an ultrasound five days back with my IVF doctor. They are calculating my pregnancy at seven weeks. I had a five-day embryo transfer last month and found out that I am pregnant. However, after my fourth ultrasound yesterday she said the sack stayed the same and was just black inside with no sigs of a fetal pole or anything else. She advised me to stop my medications and schedule a D and C. So, I stopped taking the medicines yesterday. All day yesterday and today I am having a constant spasm of my lower abdomen. I need advise on what could be going on? Currently, I am just taking Estrace and Progesterone oil shots. [/INST] Hi. It seems it was anembryonic pregnancy means the sac was formed but without a fetal pole. Sac is not growing inside to have a fetal pole and gradually towards further stages of pregnancy even after hormonal support. It is a bit depressing but if you want to wait for some time more to have nature to react rather then your own initiative then you can quit hormonal support and wait. Cramps indicate that natural miscarriage is soon to happen. Be positive. Things that meant to come to you will come to you. It is your decision that you want to wait or want evacuation now. In case of bleeding, severe abdominal pain or dizziness report to the hospital. After this pregnancy, start folic acid daily 5 mg if you want to try again for IVF (in-vitro fertilization). Have healthy nutritious diet with daily exercise and some relaxing recreational activities. Quit recreational drugs if you want to conceive again as these reduce fertility. For more information consult an obstetrician and gynaecologist online --> |
Q. Do my symptoms suggest celiac disease? | Hello doctor, I have always had weird symptoms and I think I have celiac disease. I also think that the combination of all my symptoms may mean something. I was tested once for thyroid problems and once for Lyme disease because I had a big, dangerous tick-bite rash. I am 19 years old and according to my growth curve (height of father and mother) my height should be 1.80 meters. I started puberty later than everyone else my age. I have always been too short, I am 1.68 meters now and I do not think that I will grow any longer. I am also feeling tired and sleepy all day long. I thought it was because of school and other stuffs and I just need some rest. But now during my holidays, though I have slept around 8-10 hours every day, I feel tired and sleepy. My black circles also did not disappear. My symptoms are as follows. I have signs of anemia, such as rapid heartbeat, headache, dizziness, pale skin through which veins can be seen and had little cracks at the corners of the mouth some years ago. I use to get sudden muscle spasms once per day or so. Since birth, I have been suffering from asthma and acid reflux. I have small individual red spots on torso, joint, bone and muscle pain for a few times a day and it does not hurt too badly. I have pop elbows for a year or so. I am getting pale sores in the mouth and bad teeth. I brush twice a day with an electric brush, but still many problems when I go to the dentist. I feel bloated and constipation. My stools are of bad smell and oily. I am also getting diarrhea a few times per week. I got hereditary hair loss and bald temples. I have a history of migraine including temporary blind spots in sight. Occasionally, I get strange things in eyesight, not only normal floaters, but sometimes also hundreds of very fast moving transparent balls. Sometimes, I suddenly see a very flashy thing in my eyesight for a few seconds. It takes long for me to fall in sleep after going to bed. I had intestinal problems all my life, but I just thought that they were normal. When I was very young, I did not really have so many issues like I have now. When I was around 14 years old, many of the problems started. I actually ended up in the hospital, because I had an unbearable pain under my ribs (right lower quadrant). They thought that I had a perforated cecum, but luckily that was not the case. They did not really know what it was, but I had high fever and I threw up 20 times or so. Around 17 years old, I started balding. Strangely the migraine has gone, but instead I have more signs of anemia. I eat a decent and good amount of vegetables and fruits. What do you guys think? Is it celiac disease or something else? | Hello. Thank you for sharing your detailed history with us. Revert back with the answers to the above questions to an internal medicine physician online --> |
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Hello doctor, I have always had weird symptoms and I think I have celiac disease. I also think that the combination of all my symptoms may mean something. I was tested once for thyroid problems and once for Lyme disease because I had a big, dangerous tick-bite rash. I am 19 years old and according to my growth curve (height of father and mother) my height should be 1.80 meters. I started puberty later than everyone else my age. I have always been too short, I am 1.68 meters now and I do not think that I will grow any longer. I am also feeling tired and sleepy all day long. I thought it was because of school and other stuffs and I just need some rest. But now during my holidays, though I have slept around 8-10 hours every day, I feel tired and sleepy. My black circles also did not disappear. My symptoms are as follows. I have signs of anemia, such as rapid heartbeat, headache, dizziness, pale skin through which veins can be seen and had little cracks at the corners of the mouth some years ago. I use to get sudden muscle spasms once per day or so. Since birth, I have been suffering from asthma and acid reflux. I have small individual red spots on torso, joint, bone and muscle pain for a few times a day and it does not hurt too badly. I have pop elbows for a year or so. I am getting pale sores in the mouth and bad teeth. I brush twice a day with an electric brush, but still many problems when I go to the dentist. I feel bloated and constipation. My stools are of bad smell and oily. I am also getting diarrhea a few times per week. I got hereditary hair loss and bald temples. I have a history of migraine including temporary blind spots in sight. Occasionally, I get strange things in eyesight, not only normal floaters, but sometimes also hundreds of very fast moving transparent balls. Sometimes, I suddenly see a very flashy thing in my eyesight for a few seconds. It takes long for me to fall in sleep after going to bed. I had intestinal problems all my life, but I just thought that they were normal. When I was very young, I did not really have so many issues like I have now. When I was around 14 years old, many of the problems started. I actually ended up in the hospital, because I had an unbearable pain under my ribs (right lower quadrant). They thought that I had a perforated cecum, but luckily that was not the case. They did not really know what it was, but I had high fever and I threw up 20 times or so. Around 17 years old, I started balding. Strangely the migraine has gone, but instead I have more signs of anemia. I eat a decent and good amount of vegetables and fruits. What do you guys think? Is it celiac disease or something else? [/INST] Hello. Thank you for sharing your detailed history with us. Revert back with the answers to the above questions to an internal medicine physician online --> |
Q. Pregnancy test had two mildly visible lines, but it is now negative. Please suggest. | Hello doctor, I had unprotected sex six weeks ago and my period was late for two weeks. I used the first PT when my period was five days late and it has two lines but it is not that visible. After three days, I tried again and it is already negative. Up to the two-weeks late period, all PT are negative. But I am still worried. I do not experience any signs of pregnancy except my breast is aching, abdominal pain, and missed period. I am worried. | Hello. An initially positive pregnancy test that later becomes negative can happen with very early miscarriages. Such miscarriages can occur with little or no initial blood loss. These are termed chemical pregnancies, as they are lost before they attach to the womb and before they grow big enough to see on ultrasound. Only the pregnancy hormone is detected. The fact that you have still not had your menses needs to be investigated. Although it may be normal to have a delayed return of ovulation and menses after a miscarriage. The same pregnancy hormone detected in the urine pregnancy test can be done by a blood test for greater accuracy. An ultrasound may also be beneficial to identify any other cause for your missed period and your abdominal pain. Did you have a history of irregular periods before this episode? For more information consult an obstetrician and gynaecologist online --> |
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Hello doctor, I had unprotected sex six weeks ago and my period was late for two weeks. I used the first PT when my period was five days late and it has two lines but it is not that visible. After three days, I tried again and it is already negative. Up to the two-weeks late period, all PT are negative. But I am still worried. I do not experience any signs of pregnancy except my breast is aching, abdominal pain, and missed period. I am worried. [/INST] Hello. An initially positive pregnancy test that later becomes negative can happen with very early miscarriages. Such miscarriages can occur with little or no initial blood loss. These are termed chemical pregnancies, as they are lost before they attach to the womb and before they grow big enough to see on ultrasound. Only the pregnancy hormone is detected. The fact that you have still not had your menses needs to be investigated. Although it may be normal to have a delayed return of ovulation and menses after a miscarriage. The same pregnancy hormone detected in the urine pregnancy test can be done by a blood test for greater accuracy. An ultrasound may also be beneficial to identify any other cause for your missed period and your abdominal pain. Did you have a history of irregular periods before this episode? For more information consult an obstetrician and gynaecologist online --> |
Q. Can root canal treatment help reduce swelling around infected teeth? | Hi doctor, I have placed caps in my two teeth. Now, I got swelling around the teeth. X-ray has been taken. The doctor told me that there is some infection in the teeth, so it needs a root canal to be done. I do not have any pain in the teeth. I have only swelling in the teeth. Please suggest what to do? | Hi. Pain will come back after a few days if the root canal treatment is not done for the infected teeth. It is better to do a root canal treatment in the teeth as soon as possible as the pain can become unbearable. Such swelling come due to nerves that get rotten inside the teeth due to various reasons like putting a cap over it. You will need antibiotics and painkillers. For more information consult a dentist online --> |
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Hi doctor, I have placed caps in my two teeth. Now, I got swelling around the teeth. X-ray has been taken. The doctor told me that there is some infection in the teeth, so it needs a root canal to be done. I do not have any pain in the teeth. I have only swelling in the teeth. Please suggest what to do? [/INST] Hi. Pain will come back after a few days if the root canal treatment is not done for the infected teeth. It is better to do a root canal treatment in the teeth as soon as possible as the pain can become unbearable. Such swelling come due to nerves that get rotten inside the teeth due to various reasons like putting a cap over it. You will need antibiotics and painkillers. For more information consult a dentist online --> |
Q. Why did one of my fingers turn blue? | Hello doctor,I am a 27 year old woman. Two years ago, it happened for the first time that one of my fingers turned blue. A few seconds after that, it lost its color like it did not have oxygen and started to hurt. It comes in the winter, but nowadays, I have it on the other fingers on my hand and legs too. Even a slightly low temperature can cause this. I read about cryoglobulin and the symptoms look the same. I went to a doctor, but she told me her laboratories do not have tests to diagnose cryoglobulinemia. So, I would like to ask you, what examinations do you recommend to a patient with these symptoms and why? What else can be the reason for these conditions? | Hello. Feel free to follow up with any other query anytime on chat or call. For more information consult an internal medicine physician online --> |
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Hello doctor,I am a 27 year old woman. Two years ago, it happened for the first time that one of my fingers turned blue. A few seconds after that, it lost its color like it did not have oxygen and started to hurt. It comes in the winter, but nowadays, I have it on the other fingers on my hand and legs too. Even a slightly low temperature can cause this. I read about cryoglobulin and the symptoms look the same. I went to a doctor, but she told me her laboratories do not have tests to diagnose cryoglobulinemia. So, I would like to ask you, what examinations do you recommend to a patient with these symptoms and why? What else can be the reason for these conditions? [/INST] Hello. Feel free to follow up with any other query anytime on chat or call. For more information consult an internal medicine physician online --> |
Q. What can cause cough and running nose with green sputum following a headache? | Hi doctor, I have been coughing and having running nose, sputum is light green with a distinctive taste while spitting. All this started with a headache and bad binge. Kindly help me with the next course of action. | Hi. I have read your query. Regarding a cough and cold, it looks like you have acute pharyngitis. Take tablet Levocetirizine 5 mg once a day for a runny nose. It causes sleepiness in some people so you can take it before bedtime. But if a runny nose is troublesome you can take it soon. Take syrup Ambroxol 1 tablespoon thrice a day for cough. Take tablet Azithromycin 500 mg once a day for five days. This is an antibiotic. So, please complete the course. Please do saline water gargles several times a day. Keep yourself hydrated. Drink plenty of fluids to keep yourself hydrated. For headache, take tablet Ibuprofen 400 mg as needed. Do not take more than four tablets in a day and make sure there is at least six hours gap between consecutive dose. For the vomiting, take tablet Pantop-D (Pantoprazole with Domperidone) twice a day. Eat light. |
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Hi doctor, I have been coughing and having running nose, sputum is light green with a distinctive taste while spitting. All this started with a headache and bad binge. Kindly help me with the next course of action. [/INST] Hi. I have read your query. Regarding a cough and cold, it looks like you have acute pharyngitis. Take tablet Levocetirizine 5 mg once a day for a runny nose. It causes sleepiness in some people so you can take it before bedtime. But if a runny nose is troublesome you can take it soon. Take syrup Ambroxol 1 tablespoon thrice a day for cough. Take tablet Azithromycin 500 mg once a day for five days. This is an antibiotic. So, please complete the course. Please do saline water gargles several times a day. Keep yourself hydrated. Drink plenty of fluids to keep yourself hydrated. For headache, take tablet Ibuprofen 400 mg as needed. Do not take more than four tablets in a day and make sure there is at least six hours gap between consecutive dose. For the vomiting, take tablet Pantop-D (Pantoprazole with Domperidone) twice a day. Eat light. |
Q. I have had multiple heart attacks over several years. Can this cause any complication? | Hello doctor, I was wanting to know the side effects of having multiple heart attacks over several years that is 10 heart attacks and 12 stents in the last 14 years. I would like to have something to read about it. I am currently taking Atorvastatin 80 mg, Metoprolol ER 25 mg, Lisinopril 10 mg, Clopidogrel 75 mg. | Hi. I have gone through your case and can well understand your genuine health concern. Heart attacks are caused by a blockage in the coronary arteries that is the arteries supplying blood to the heart. Multiple blocks in the coronary arteries at different places reduce the amount of blood supply to a particular part of the muscles of the heart (myocardium). As a result, the heart muscles become weak. Weakened heart muscles do not contract forcefully during cardiac contraction and hence are not able to pump enough amount of blood in the systemic circulation. This condition results in heart failure, as a result of which there will be less amount of blood in the systemic circulation and low blood pressure. Low blood pressure will cause impairment of blood supply to various organs like brain, kidney, liver, muscles, etc., which results in multiple organ failure and venous congestion in various organs. Also, the chances of repeated attacks increase following the first attack. I hope you understood the consequences of multiple heart attacks. |
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Hello doctor, I was wanting to know the side effects of having multiple heart attacks over several years that is 10 heart attacks and 12 stents in the last 14 years. I would like to have something to read about it. I am currently taking Atorvastatin 80 mg, Metoprolol ER 25 mg, Lisinopril 10 mg, Clopidogrel 75 mg. [/INST] Hi. I have gone through your case and can well understand your genuine health concern. Heart attacks are caused by a blockage in the coronary arteries that is the arteries supplying blood to the heart. Multiple blocks in the coronary arteries at different places reduce the amount of blood supply to a particular part of the muscles of the heart (myocardium). As a result, the heart muscles become weak. Weakened heart muscles do not contract forcefully during cardiac contraction and hence are not able to pump enough amount of blood in the systemic circulation. This condition results in heart failure, as a result of which there will be less amount of blood in the systemic circulation and low blood pressure. Low blood pressure will cause impairment of blood supply to various organs like brain, kidney, liver, muscles, etc., which results in multiple organ failure and venous congestion in various organs. Also, the chances of repeated attacks increase following the first attack. I hope you understood the consequences of multiple heart attacks. |
Q. My urine sample showed blood. My doctor thinks that I have bruised kidney. Can I exercise? | Hello doctor, I got injured in a car crash. I have abdominal pain. My urine sample showed blood. My doctor thinks that I have bruised kidney. Can I do pool walking and light exercise? | Hi. We are here to help you. Regarding your query, I need a few more details to help you. |
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Hello doctor, I got injured in a car crash. I have abdominal pain. My urine sample showed blood. My doctor thinks that I have bruised kidney. Can I do pool walking and light exercise? [/INST] Hi. We are here to help you. Regarding your query, I need a few more details to help you. |
Q. I have obstructive jaundice with high serum bilirubin and yellowness. Why? | Hello doctor, Obstructive jaundice has been detected. ERCP was done. Serum bilirubin still very high. MRCP report says everything is alright but neither serum bilirubin nor yellowness has got less. | Hi. I have gone through your case and can well understand your genuine health concerns. In obstructive jaundice, there is an accumulation of conjugated bilirubin in the body due to obstruction at different levels in the hepatobiliary system which causes yellowish discoloration. ERCP helps in clearing the biliary system. Sometimes, only the biliary sludge will be found in ERCP. Bilirubin takes some time to get completely cleared from the body. Repeat your liver function test after a week. If it is still high, other causes should be ruled out. You can try ursodeoxycholic acid (UDCA) which comes with the name tablet Udiliv 300 mg once daily for two weeks as it helps in clearing bilirubin. |
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Hello doctor, Obstructive jaundice has been detected. ERCP was done. Serum bilirubin still very high. MRCP report says everything is alright but neither serum bilirubin nor yellowness has got less. [/INST] Hi. I have gone through your case and can well understand your genuine health concerns. In obstructive jaundice, there is an accumulation of conjugated bilirubin in the body due to obstruction at different levels in the hepatobiliary system which causes yellowish discoloration. ERCP helps in clearing the biliary system. Sometimes, only the biliary sludge will be found in ERCP. Bilirubin takes some time to get completely cleared from the body. Repeat your liver function test after a week. If it is still high, other causes should be ruled out. You can try ursodeoxycholic acid (UDCA) which comes with the name tablet Udiliv 300 mg once daily for two weeks as it helps in clearing bilirubin. |
Q. What is causing sharp shooting pan in chest with sore biceps? | Hi doctor, I am 27 years old. I have been experiencing a shooting sharp pain in and around the left side of my chest. It comes and goes and does not last more than a second or two. It does not happen often, just here and there, but my bicep is also sore. What could this be? | Hi. I have read your query. If you experience pain, pressure or discomfort in the center of your chest or in your arms, back, jaw, neck or stomach, along with shortness of breath, a cold sweat, nausea, fatigue or lightheadedness, these symptoms may signal a heart attack or myocardial infarction. Please visit your nearest hospital in such a case immediately. But, when chest aches and pains are on and off or of a different kind, it is often something different. You have mentioned that repeated EKG have been done and it is normal. So it is unlikely that you have had a heart attack. You have also mentioned that it is associated with sore biceps. Do you have any history of injury to the chest? It is quite possible that your pain is due to a musculoskeletal injury to the chest. Please take tablet Ibuprofen 400 mg every six hours for five days. Your symptoms should subside. However, even after taking this medication, symptoms do not disappear, please visit your doctor who can evaluate you further. Few other conditions which can give rise to chest pain include: 1. Fractured rib: History of trauma will be present with severe pain at a particular point in the chest when pressed. 2. Pain associated with breathing: It points towards lung cause like pleurisy. 3. Pain associated with discomfort in abdomen: It could be because of acid reflux from the stomach. If your symptoms point towards any of the above mentioned causes please visit your doctor who would do further examination. However, you have mentioned that you have done chest X-ray and it has come as normal. So it is unlikely that its any of the above. I would also advise you to sleep adequately, about eight hours daily. Keep yourself stress-free and do exercises to keep yourself fit. |
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Hi doctor, I am 27 years old. I have been experiencing a shooting sharp pain in and around the left side of my chest. It comes and goes and does not last more than a second or two. It does not happen often, just here and there, but my bicep is also sore. What could this be? [/INST] Hi. I have read your query. If you experience pain, pressure or discomfort in the center of your chest or in your arms, back, jaw, neck or stomach, along with shortness of breath, a cold sweat, nausea, fatigue or lightheadedness, these symptoms may signal a heart attack or myocardial infarction. Please visit your nearest hospital in such a case immediately. But, when chest aches and pains are on and off or of a different kind, it is often something different. You have mentioned that repeated EKG have been done and it is normal. So it is unlikely that you have had a heart attack. You have also mentioned that it is associated with sore biceps. Do you have any history of injury to the chest? It is quite possible that your pain is due to a musculoskeletal injury to the chest. Please take tablet Ibuprofen 400 mg every six hours for five days. Your symptoms should subside. However, even after taking this medication, symptoms do not disappear, please visit your doctor who can evaluate you further. Few other conditions which can give rise to chest pain include: 1. Fractured rib: History of trauma will be present with severe pain at a particular point in the chest when pressed. 2. Pain associated with breathing: It points towards lung cause like pleurisy. 3. Pain associated with discomfort in abdomen: It could be because of acid reflux from the stomach. If your symptoms point towards any of the above mentioned causes please visit your doctor who would do further examination. However, you have mentioned that you have done chest X-ray and it has come as normal. So it is unlikely that its any of the above. I would also advise you to sleep adequately, about eight hours daily. Keep yourself stress-free and do exercises to keep yourself fit. |
Q. Every time I eat spicy food, I poop blood. Why? | Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I do not have a family history of colon cancer. I got blood tests done last night. Please find my reports attached. | Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online --> |
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Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I do not have a family history of colon cancer. I got blood tests done last night. Please find my reports attached. [/INST] Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online --> |
Q. How long should my husband and I wait to try for a baby if we did cocaine? | Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. | Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> |
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Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. [/INST] Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> |
Q. Can Yasmin birth control pill be used as an emergency contraceptive pill? | Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? | Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> |
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Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? [/INST] Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> |
Q. Please explain the poisonous effect of phenol ingestion. | Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. | Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> |
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Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. [/INST] Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> |
Q. For how long should I take Kalachikai powder to overcome PCOD problem? | Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? | Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> |
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Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? [/INST] Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> |
Q. Why do periods get delayed after first time sex? | Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? | Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> |
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Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? [/INST] Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> |
Q. Can HIV cause cold after sexual intercourse? | Hello doctor, I am a 28-year-old boy. Recently, I had sex with a lady. We are working together, and two weeks before only her visa got renewed. While the visa stamping time, they check all procedures and tests. About her, she is divorced and separated before one year back. Since one year she lived alone and no sexual relations with anybody. About her Ex-husband, his background was not good. He had a relationship with other girls I heard. But right now both of them are living in the healthy conditions. There is no significant medical problems. Past four months, we had a good relationship (sexual). My problem is this, recently I got a fever, and I took medicine. Then I was fine. But the cold is not getting cured. Frequently it is coming. Actually here the weather is a little cold now a days. But no weight loss or no other problems. Just cold and headache. Headace sometimes but cold regularly. Can you please advice, is it related to my sexual life? Should I go for any test? Can the HIV virus be hidden for a very long time? Could you please tell me once it is infected how many weeks will it take to identify? Actually, I am planning to marry her. | Hi. I have read your query. It is most likely that fever and cough are due to common cold. Please do warm saline gargles several times a day to reduce the throat inflammation. You can also take steam inhalations to get relief. If a cough is persisting you can take the antibiotic. Take tablet Azithromycin (500 mg) once a day for five days. If the symptoms persist, further tests may be needed. For the headache, you could get your eyes tested. Also, get your blood pressure checked. You have asked for advice on HIV infection. HIV infection occurs in three stages. Stage 1: Occurs within 2 to 6 weeks of exposure. Symptoms include a headache, diarrhea, nausea, vomiting, rash, cough and cold. It lasts for a couple of weeks, then goes away. Stage 2: There are no symptoms during this stage. Stage 3: Full blown symtoms of HIV occur due to immunity being compromised. It is important to use a condom as it provides the best protection against sexually transmitted diseases. If you are suspecting HIV exposure, it is important to get one tested. ELISA test is the method used for screening. Rapid HIV tests are also available. These are only used for screening and should be follwed by western blot test which is confirmatorty. Sometimes, a false positive result occurs so it is important to get a repeat testing done. HIV virus takes 2 to 12 weeks to appear in blood so that it can be detected by the test. A person should get their partner tested too if the result comes as positive. Please consult a nearby doctor if symptoms persist. |
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Hello doctor, I am a 28-year-old boy. Recently, I had sex with a lady. We are working together, and two weeks before only her visa got renewed. While the visa stamping time, they check all procedures and tests. About her, she is divorced and separated before one year back. Since one year she lived alone and no sexual relations with anybody. About her Ex-husband, his background was not good. He had a relationship with other girls I heard. But right now both of them are living in the healthy conditions. There is no significant medical problems. Past four months, we had a good relationship (sexual). My problem is this, recently I got a fever, and I took medicine. Then I was fine. But the cold is not getting cured. Frequently it is coming. Actually here the weather is a little cold now a days. But no weight loss or no other problems. Just cold and headache. Headace sometimes but cold regularly. Can you please advice, is it related to my sexual life? Should I go for any test? Can the HIV virus be hidden for a very long time? Could you please tell me once it is infected how many weeks will it take to identify? Actually, I am planning to marry her. [/INST] Hi. I have read your query. It is most likely that fever and cough are due to common cold. Please do warm saline gargles several times a day to reduce the throat inflammation. You can also take steam inhalations to get relief. If a cough is persisting you can take the antibiotic. Take tablet Azithromycin (500 mg) once a day for five days. If the symptoms persist, further tests may be needed. For the headache, you could get your eyes tested. Also, get your blood pressure checked. You have asked for advice on HIV infection. HIV infection occurs in three stages. Stage 1: Occurs within 2 to 6 weeks of exposure. Symptoms include a headache, diarrhea, nausea, vomiting, rash, cough and cold. It lasts for a couple of weeks, then goes away. Stage 2: There are no symptoms during this stage. Stage 3: Full blown symtoms of HIV occur due to immunity being compromised. It is important to use a condom as it provides the best protection against sexually transmitted diseases. If you are suspecting HIV exposure, it is important to get one tested. ELISA test is the method used for screening. Rapid HIV tests are also available. These are only used for screening and should be follwed by western blot test which is confirmatorty. Sometimes, a false positive result occurs so it is important to get a repeat testing done. HIV virus takes 2 to 12 weeks to appear in blood so that it can be detected by the test. A person should get their partner tested too if the result comes as positive. Please consult a nearby doctor if symptoms persist. |
Q. Male members of family have low testosterone. Will I too get affected? | Hello doctor, If my dad and just recently my 20 years old brother both have low testosterone levels, what are the chances that I will too? I am 18 years old. | Hi. If low testosterones are due to secondary (acquired) causes then you are spared. The cause of low testosterone should be ascertained in your father which could be done only after detailed history and physical examination because there are number of causes for low testosterone levels. Congenital causes of low testoserone are Klinefelter syndrome, anorchia (bilateral), cryptorchidism, myotonic dystrophy, enzymatic defects in testosterone synthesis, Leydig cell aplasia, and Noonan syndrome. But these diseases are so severe that they interefere in normal reproduction process which is not the case here. So probably it is some acquired cause for which detailed history and examination is required. I would suggest you to consult your physician who can guide you better after thorough examination. |
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Hello doctor, If my dad and just recently my 20 years old brother both have low testosterone levels, what are the chances that I will too? I am 18 years old. [/INST] Hi. If low testosterones are due to secondary (acquired) causes then you are spared. The cause of low testosterone should be ascertained in your father which could be done only after detailed history and physical examination because there are number of causes for low testosterone levels. Congenital causes of low testoserone are Klinefelter syndrome, anorchia (bilateral), cryptorchidism, myotonic dystrophy, enzymatic defects in testosterone synthesis, Leydig cell aplasia, and Noonan syndrome. But these diseases are so severe that they interefere in normal reproduction process which is not the case here. So probably it is some acquired cause for which detailed history and examination is required. I would suggest you to consult your physician who can guide you better after thorough examination. |
Q. Kindly explain my dual test taken for pregnancy. | Hi doctor, I just did a dual test. I am worried right now, please help. Gestational age is 12 weeks and 6 days, crown-rump length 64.8 mm, nuchal translucency MoM 1.7 mm, nasal bone is seen, hCG, free beta 60.47, PAPP-A 6020. Method: ECLIA (fully automated electrochemiluminescence system). I have attached the report. Disorder screen positive cut off: trisomy 21 (Down) 1:250, trisomy 18/23 1:250. | Hi. I can understand your concern. According to your test results (attachment removed to protect patient identity), negative factors are: PAPP-A levels are elevated. Beta hCG levels are low. Positive factors are your age is below 30 years and nuchal translucency is normal. Now the possible steps can be followed are as a dual test can be performed till 14 weeks, better to repeat the test after 48 hours preferably in a standard laboratory. If the results fall in a normal range, repeat the ultrasound after one week. If everything is normal, you can continue the pregnancy. If on repetition also test gives screen positive, the possibility of the chromosomal disorder is more and you may need to terminate the pregnancy after confirming with your doctor. Take care. |
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Hi doctor, I just did a dual test. I am worried right now, please help. Gestational age is 12 weeks and 6 days, crown-rump length 64.8 mm, nuchal translucency MoM 1.7 mm, nasal bone is seen, hCG, free beta 60.47, PAPP-A 6020. Method: ECLIA (fully automated electrochemiluminescence system). I have attached the report. Disorder screen positive cut off: trisomy 21 (Down) 1:250, trisomy 18/23 1:250. [/INST] Hi. I can understand your concern. According to your test results (attachment removed to protect patient identity), negative factors are: PAPP-A levels are elevated. Beta hCG levels are low. Positive factors are your age is below 30 years and nuchal translucency is normal. Now the possible steps can be followed are as a dual test can be performed till 14 weeks, better to repeat the test after 48 hours preferably in a standard laboratory. If the results fall in a normal range, repeat the ultrasound after one week. If everything is normal, you can continue the pregnancy. If on repetition also test gives screen positive, the possibility of the chromosomal disorder is more and you may need to terminate the pregnancy after confirming with your doctor. Take care. |
Q. I have done hemoglobin variant analysis. Please let me know what does it indicate. | Hello doctor, I am a 38 year old male. My height is 5'3", and I weigh 69 kg. Recently, I had a health checkup. Please check the attached reports and advise me if any treatment is required. The hemoglobin variant analysis test is showing hemoglobin A 68.6 and hemoglobin S 29.6. Please let me know what does this indicate. | Hi. Based on your query and attached reports, my opinion is as follows: (attachment removed to protect patient identity) Increased HbS with reduced HbA at this age suggests possible sickle cell trait disease. Most important evaluation is the possibility of the transfer of this to the next generation, to your kids. Hence, evaluation is necessary. As a complete workup has been done, no anomaly is detected and there is no organ damage at present. Nutritional anemia is additionally present. Iron supplements, vitamin B12, and folic acid supplements are necessary. Anemia correction is necessary. If there are any complications in future, hydroxyurea therapy may need to be started. Vaccination against Streptococcus pneumoniae, Haemophilus influenzae, and hepatitis B is necessary. |
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Hello doctor, I am a 38 year old male. My height is 5'3", and I weigh 69 kg. Recently, I had a health checkup. Please check the attached reports and advise me if any treatment is required. The hemoglobin variant analysis test is showing hemoglobin A 68.6 and hemoglobin S 29.6. Please let me know what does this indicate. [/INST] Hi. Based on your query and attached reports, my opinion is as follows: (attachment removed to protect patient identity) Increased HbS with reduced HbA at this age suggests possible sickle cell trait disease. Most important evaluation is the possibility of the transfer of this to the next generation, to your kids. Hence, evaluation is necessary. As a complete workup has been done, no anomaly is detected and there is no organ damage at present. Nutritional anemia is additionally present. Iron supplements, vitamin B12, and folic acid supplements are necessary. Anemia correction is necessary. If there are any complications in future, hydroxyurea therapy may need to be started. Vaccination against Streptococcus pneumoniae, Haemophilus influenzae, and hepatitis B is necessary. |
Q. For a patient on oxygen therapy,is it necessary to check oxygen saturation all the time? | Hello doctor, Is it necessary to check oxygen saturation if the patient is on oxygen for shortness of breath? | Hello. As you said that patient needs oxygen for shortness of breath, it is absolutely not required to measure the oxygen saturation all the time. But, if dyspnea (shortness of breath) is due to COPD (Chronic Obstructive Pulmonary Disease) that is due to excessive smoking, then controlled oxygen should be delivered by monitoring oxygen saturation through pulse oximetry. The reason behind it is that carbon dioxide is the only source of stimulation for respiration. When a patient is on oxygen and if he gets ready made oxygen from outside the drive of respiration is depressed. Also, uncontrolled oxygen delivery has its own complications. To monitor response to oxygen given, the only method is to check saturation non-invasively. So, for this type of use, it is not advised to check saturation regularly. But if you require oxygen continuously, then it should be monitored through pulse oximetry. |
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Hello doctor, Is it necessary to check oxygen saturation if the patient is on oxygen for shortness of breath? [/INST] Hello. As you said that patient needs oxygen for shortness of breath, it is absolutely not required to measure the oxygen saturation all the time. But, if dyspnea (shortness of breath) is due to COPD (Chronic Obstructive Pulmonary Disease) that is due to excessive smoking, then controlled oxygen should be delivered by monitoring oxygen saturation through pulse oximetry. The reason behind it is that carbon dioxide is the only source of stimulation for respiration. When a patient is on oxygen and if he gets ready made oxygen from outside the drive of respiration is depressed. Also, uncontrolled oxygen delivery has its own complications. To monitor response to oxygen given, the only method is to check saturation non-invasively. So, for this type of use, it is not advised to check saturation regularly. But if you require oxygen continuously, then it should be monitored through pulse oximetry. |
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. What is causing pain during sex at a particular spot inside vagina? | Hello doctor, Whenever my fiance has been having sex recently (the past few days) it has been painful. I can feel a certain spot on the right inside of my vagina that when he hits it while going in feels like a knife stabbing me in that spot. After he is fully in and going, it does not hurt. It is just the initial insertion hitting that point. I can literally pinpoint that it is like two inches up inside on the right side. And after sex, when I go to the bathroom it is always tinted red. I thought this was because I had just gotten a new implant in my arm a few weeks ago and I was getting used to it but now I am thinking the blood is coming from a cut or something. I am just wondering what this spot could be or what it is at all? | Hi, Welcome to iclinq.com. You seem to have Progesterone implant. There may be a slight change in the mucus quality due to these hormones, rendering it thicker, hence less lubricating. There may be a small crack or tear (due to sexual activity) due to inadequate lubrication. In my view, you should avoid sexual activity for a few days and allow it to heal. Vagina heals pretty fast, so if the problem does not subside in two weeks, it is better you allow a doctor to have a look to clinch the exact diagnosis. |
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Hello doctor, Whenever my fiance has been having sex recently (the past few days) it has been painful. I can feel a certain spot on the right inside of my vagina that when he hits it while going in feels like a knife stabbing me in that spot. After he is fully in and going, it does not hurt. It is just the initial insertion hitting that point. I can literally pinpoint that it is like two inches up inside on the right side. And after sex, when I go to the bathroom it is always tinted red. I thought this was because I had just gotten a new implant in my arm a few weeks ago and I was getting used to it but now I am thinking the blood is coming from a cut or something. I am just wondering what this spot could be or what it is at all? [/INST] Hi, Welcome to iclinq.com. You seem to have Progesterone implant. There may be a slight change in the mucus quality due to these hormones, rendering it thicker, hence less lubricating. There may be a small crack or tear (due to sexual activity) due to inadequate lubrication. In my view, you should avoid sexual activity for a few days and allow it to heal. Vagina heals pretty fast, so if the problem does not subside in two weeks, it is better you allow a doctor to have a look to clinch the exact diagnosis. |
Q. Is a human brain transplant possible? | Hello doctor, Is a human brain transplant possible? | Hello. Human brain transplant or full body transplant is possible theoretically. Research is going on in this field where we have a case of head transplant from one dog to another where the dog died after a few days. There are a few reports of surgeons who believe it can be a reality in humans in 2 years. The most significant barrier in head transplant is the inability of the nerves to regenerate fully. A scarred nerve will not be able to transmit signals properly. Let us hope it would be possible someday and that would be a great achievement for humanity. |
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Hello doctor, Is a human brain transplant possible? [/INST] Hello. Human brain transplant or full body transplant is possible theoretically. Research is going on in this field where we have a case of head transplant from one dog to another where the dog died after a few days. There are a few reports of surgeons who believe it can be a reality in humans in 2 years. The most significant barrier in head transplant is the inability of the nerves to regenerate fully. A scarred nerve will not be able to transmit signals properly. Let us hope it would be possible someday and that would be a great achievement for humanity. |
Q. My eye looks blood red. It is itchy and dry. Could this be a bacterial conjunctivitis? | Hello doctor, I was diagnosed with blepharitis. I also have seborrhoeic dermatitis (perhaps rosacea as well), and my condition has improved greatly. Recently, I got very bad allergy symptoms, my eyes and nose became extremely itchy, causing me to sneeze a lot. This morning when I woke up, I had trouble in opening one of my eyes due to a dark yellow eye discharge. Apart from being itchy, my eye was blood red and dry (only one eye). I have never had this much discharge before, especially after I started cleaning my eyelids for treating my blepharitis. It really terrified me. Could this be bacterial conjunctivitis due to the color of the discharge and the fact that only one eye was affected? What are other possible explanations? | Hi. I have gone through the attached pictures (attachment removed to protect patient identity). Yes, it is nothing but common bacterial conjunctivitis. Since you have blepharitis, you are more likely to get conjunctivitis. Also, blepharitis, in turn, is related to seborrhoeic dermatitis. What I can assure you is bacterial conjunctivitis is treated easily with antibiotic eye drops. Try using Gatifloxacin eye drops initially half-hourly on the first day and later you can taper to hourly dose next day and 2 hourly on the third day and so on. Just continue for 5 days, and you will be fine. My only concern is that you have associated blepharitis. This can be treated well by cleaning the eyelids with baby shampoo daily, for a few months. Once blepharitis is controlled, your eye irritation, watering, and itching will come down. |
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Hello doctor, I was diagnosed with blepharitis. I also have seborrhoeic dermatitis (perhaps rosacea as well), and my condition has improved greatly. Recently, I got very bad allergy symptoms, my eyes and nose became extremely itchy, causing me to sneeze a lot. This morning when I woke up, I had trouble in opening one of my eyes due to a dark yellow eye discharge. Apart from being itchy, my eye was blood red and dry (only one eye). I have never had this much discharge before, especially after I started cleaning my eyelids for treating my blepharitis. It really terrified me. Could this be bacterial conjunctivitis due to the color of the discharge and the fact that only one eye was affected? What are other possible explanations? [/INST] Hi. I have gone through the attached pictures (attachment removed to protect patient identity). Yes, it is nothing but common bacterial conjunctivitis. Since you have blepharitis, you are more likely to get conjunctivitis. Also, blepharitis, in turn, is related to seborrhoeic dermatitis. What I can assure you is bacterial conjunctivitis is treated easily with antibiotic eye drops. Try using Gatifloxacin eye drops initially half-hourly on the first day and later you can taper to hourly dose next day and 2 hourly on the third day and so on. Just continue for 5 days, and you will be fine. My only concern is that you have associated blepharitis. This can be treated well by cleaning the eyelids with baby shampoo daily, for a few months. Once blepharitis is controlled, your eye irritation, watering, and itching will come down. |
Q. What will happen if Ranitidine is taken before endoscopy? | Hi doctor, I am 33 years old and I want to ask what and why we need to stop taking Ranitidine before endoscopy? Is it because it hides anything or make a false negative result? I have undergone endoscopy (first time) and still taking Ranitidine to control my acid. The doctor told me that my esophagus is not fine because I took Ranitidine. | Hi. According to me, it is not compulsory to stop Ranitidine before endoscopy. Sometimes, it may hide the findings of gastritis or an ulcer if taken for a longer time before endoscopy. |
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Hi doctor, I am 33 years old and I want to ask what and why we need to stop taking Ranitidine before endoscopy? Is it because it hides anything or make a false negative result? I have undergone endoscopy (first time) and still taking Ranitidine to control my acid. The doctor told me that my esophagus is not fine because I took Ranitidine. [/INST] Hi. According to me, it is not compulsory to stop Ranitidine before endoscopy. Sometimes, it may hide the findings of gastritis or an ulcer if taken for a longer time before endoscopy. |
Q. Why are there small whitish bumps on both sides of vagina that itches sometimes? | Hello doctor, I am just worried about these small whitish bumps on both sides of my vagina and I do not know what they are. I am kind of freaking out. Sometimes it itches but most of the time it does not, and they appeared out of nowhere. | Hi. There may be various conditions ranging from just physiological vaginal cysts to some problems like herpes, warts that need medical treatment in cases of vaginal or vulval bumps. In order to get into the actual diagnosis, it is essential to have a look. Although it is advisable to seek medical help if the lesions are itchy, painful, smelly or with pus or blood-stained or ulcers. Development of ingrown hair after shaving Brazilian area is a common problem. Please note to use condoms during sexual activity, if you are unsure of the type until you seek medical advice. 1. Ingrown hair- bump containing a curled in hair. 2. Genital herpes- pimples in clusters, some ulcers may be present, may be itchy, tingling and recurrent. 3. Genital warts- tiny cauliflower-like growth, may be itchy. 1. Ingrown hair gets better with time, no medical treatment required generally. 2. Genital herpes- tablet Acyclovir 400 mg thrice a day after food for seven days. 3. Genital warts- get them removed by a dermatologist by laser therapy. Use condoms during sexual activity. |
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Hello doctor, I am just worried about these small whitish bumps on both sides of my vagina and I do not know what they are. I am kind of freaking out. Sometimes it itches but most of the time it does not, and they appeared out of nowhere. [/INST] Hi. There may be various conditions ranging from just physiological vaginal cysts to some problems like herpes, warts that need medical treatment in cases of vaginal or vulval bumps. In order to get into the actual diagnosis, it is essential to have a look. Although it is advisable to seek medical help if the lesions are itchy, painful, smelly or with pus or blood-stained or ulcers. Development of ingrown hair after shaving Brazilian area is a common problem. Please note to use condoms during sexual activity, if you are unsure of the type until you seek medical advice. 1. Ingrown hair- bump containing a curled in hair. 2. Genital herpes- pimples in clusters, some ulcers may be present, may be itchy, tingling and recurrent. 3. Genital warts- tiny cauliflower-like growth, may be itchy. 1. Ingrown hair gets better with time, no medical treatment required generally. 2. Genital herpes- tablet Acyclovir 400 mg thrice a day after food for seven days. 3. Genital warts- get them removed by a dermatologist by laser therapy. Use condoms during sexual activity. |
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 --> |
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Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? [/INST] Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> |
Q. I masturbate only by rubbing the tip of the penis. Is it a wrong way? | Hi doctor, During masturbation I just rub the tip of the penis and not the entire penis. Is it a wrong way of doing? I do not get excited during sex and unable to ejaculate. Only, rubbing the tip of the penis gives me excitement. Also, two weeks ago, I have undergone circumcision as my foreskin did not retract. Before circumcision too, I have the same problem. Please help. | Hi. For further doubts consult a sexologist online --> |
<s>[INST]
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. Can hypothyroidism cause tinnitus, tiredness, cold, and fatigue? | Hi doctor, I am a 37-year-old man feeling cold all the time. I have tinnitus and feeling tired and fatigue. I tested my TSH and it was 1.3. My TSH free was 16. Is this normal or could I have hypothyroidism? What other causes could it be? I am otherwise healthy, exercise a lot and normal. | Hi. I need a few more things to know about you to answer this. Please let me know. Do you have allergies or a stressful life or burning urination? Please answer these questions so that I can guide you better. I will be happy to help you further. Wish you good health. |
<s>[INST]
Hi doctor, I am a 37-year-old man feeling cold all the time. I have tinnitus and feeling tired and fatigue. I tested my TSH and it was 1.3. My TSH free was 16. Is this normal or could I have hypothyroidism? What other causes could it be? I am otherwise healthy, exercise a lot and normal. [/INST] Hi. I need a few more things to know about you to answer this. Please let me know. Do you have allergies or a stressful life or burning urination? Please answer these questions so that I can guide you better. I will be happy to help you further. Wish you good health. |
Q. I am having low back pain for the past one month. Why? | Hello doctor,I am facing low back pain from the last one month. I have attached my MRI report. | Hello. Your MRI report (attachment removed to protect patient identity) indicates a disc herniation in the lower vertebral column. This could be the cause of your back pain. Coming to this point, I recommend taking Ibuprofen 400 mg three times daily and a muscle relaxant (Flexeril or Tiocolchiside) for 1 to 2 weeks. It is also important having some rest and avoid prolonged standing up or sitting position or weight lifting. A lumbar brace can help. If your situation does not improve or even worsens, consulting with a spinal surgeon may be needed. Rest, painkillers, muscle relaxants. Lumbar brace, avoid weight lifting. |
<s>[INST]
Hello doctor,I am facing low back pain from the last one month. I have attached my MRI report. [/INST] Hello. Your MRI report (attachment removed to protect patient identity) indicates a disc herniation in the lower vertebral column. This could be the cause of your back pain. Coming to this point, I recommend taking Ibuprofen 400 mg three times daily and a muscle relaxant (Flexeril or Tiocolchiside) for 1 to 2 weeks. It is also important having some rest and avoid prolonged standing up or sitting position or weight lifting. A lumbar brace can help. If your situation does not improve or even worsens, consulting with a spinal surgeon may be needed. Rest, painkillers, muscle relaxants. Lumbar brace, avoid weight lifting. |
Q. My partner is bleeding since eight days post ECP. Why? | Hi doctor, I had unprotected sex with my partner on 24 and 25 last month and she had an ECP on 25th. In few hours, she had drop type bleeding which continued for two days and then she started bleeding. It has been eight days and she is having her periods without cramps or abdominal pain. Her last period of the previous month was on 15th. We are little worried what to do now. Is this normal? She is taking unwanted 72 from three years once in two or three months but earlier she never faced this type of problem. Please suggest us the right path. | Hi. Thanks for the query. I can understand your concern. The possible causes of your partner's irregular spotting are as follows: 1. As her periods were delayed by last month itself means around one month ten days by the time you had sex. So, the possibility of pregnancy has to be ruled out. 2. Continuous usage of emergency contraceptive pill can lead to hormonal imbalance and menstrual irregularity. 3. Withdrawal effect due to the usage of the contraceptive pill. It is better to consult your gynecologist once, let her get examined and go for urine pregnancy test and ultrasound. With this workup the possibility of pregnancy can be ruled out and also the possible cause of her problem can be identified and treatment can be taken accordingly. Take care. |
<s>[INST]
Hi doctor, I had unprotected sex with my partner on 24 and 25 last month and she had an ECP on 25th. In few hours, she had drop type bleeding which continued for two days and then she started bleeding. It has been eight days and she is having her periods without cramps or abdominal pain. Her last period of the previous month was on 15th. We are little worried what to do now. Is this normal? She is taking unwanted 72 from three years once in two or three months but earlier she never faced this type of problem. Please suggest us the right path. [/INST] Hi. Thanks for the query. I can understand your concern. The possible causes of your partner's irregular spotting are as follows: 1. As her periods were delayed by last month itself means around one month ten days by the time you had sex. So, the possibility of pregnancy has to be ruled out. 2. Continuous usage of emergency contraceptive pill can lead to hormonal imbalance and menstrual irregularity. 3. Withdrawal effect due to the usage of the contraceptive pill. It is better to consult your gynecologist once, let her get examined and go for urine pregnancy test and ultrasound. With this workup the possibility of pregnancy can be ruled out and also the possible cause of her problem can be identified and treatment can be taken accordingly. Take care. |
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