Description
stringlengths 1
1.5k
| Patient
stringlengths 1
17.7k
| Doctor
stringlengths 2
11.4k
| text
stringlengths 77
18.8k
|
|---|---|---|---|
Q. Is it possible to cure nasal polyps and inflammed sinus that are affecting smell? | Hello doctor, After a severe cold including heavy sneezing, runny nose that lasted 3 to 4 weeks, I seem to have gradually lost my sense of smell. To clear this severe cold I had to take Avamys. A couple of doctors I consulted said my nose and sinus seem to be inflammed, and there are some polyps in the nose. Now and then I seem to have the sense of smell. But almost always, it does not seem to exist. I am very worried about this. I was wondering if this kind of condition can be reversed, and if so what kind of procedure or medication usually is needed. I take asthma medication (Seretide 250/25) twice a day. I have no other medical problem. Blood tests are all fine. I seem to catch colds easily (or perhaps it is an allergy). Any guidance as to the type of tests I need to do redo and procedures that could be done. | Hi. It seems that you have allergic rhinitis with polyposis. The loss of smell sensation with you can be because of the polyps which prevent the air to reach the olfactory mucosa in the roof of your nose or because of a viral attack. I advise you to take antiviral medicine as Acyclovir tablets. Its dose is five tablets all over one day only. Continue your Avamyse spray till polyps disappear. If the Avamays spray does not end the polyposis you have to perform a surgery to remove polyps. When the smell nerves are injured, it cannot be healed completely again. We just save the remaining part of the sensation. In your case, I think it is smarter of time that you can smell again but not in a normal way as before. Just treat polyps first then we will see. |
<s>[INST]
Hello doctor, After a severe cold including heavy sneezing, runny nose that lasted 3 to 4 weeks, I seem to have gradually lost my sense of smell. To clear this severe cold I had to take Avamys. A couple of doctors I consulted said my nose and sinus seem to be inflammed, and there are some polyps in the nose. Now and then I seem to have the sense of smell. But almost always, it does not seem to exist. I am very worried about this. I was wondering if this kind of condition can be reversed, and if so what kind of procedure or medication usually is needed. I take asthma medication (Seretide 250/25) twice a day. I have no other medical problem. Blood tests are all fine. I seem to catch colds easily (or perhaps it is an allergy). Any guidance as to the type of tests I need to do redo and procedures that could be done. [/INST] Hi. It seems that you have allergic rhinitis with polyposis. The loss of smell sensation with you can be because of the polyps which prevent the air to reach the olfactory mucosa in the roof of your nose or because of a viral attack. I advise you to take antiviral medicine as Acyclovir tablets. Its dose is five tablets all over one day only. Continue your Avamyse spray till polyps disappear. If the Avamays spray does not end the polyposis you have to perform a surgery to remove polyps. When the smell nerves are injured, it cannot be healed completely again. We just save the remaining part of the sensation. In your case, I think it is smarter of time that you can smell again but not in a normal way as before. Just treat polyps first then we will see. |
Q. I have a hard white layer on head and glans of penis. What could it be? | Hi doctor, I have a hard white layer on head and glans of the penis. Please help. This problem is 4 to 5 months old and I am not taking any treatment. I am 19 years old. The white layer is not going even after washing it. | Hi. If possible, forward a few pictures of the affected area to guide you through precisely. |
<s>[INST]
Hi doctor, I have a hard white layer on head and glans of the penis. Please help. This problem is 4 to 5 months old and I am not taking any treatment. I am 19 years old. The white layer is not going even after washing it. [/INST] Hi. If possible, forward a few pictures of the affected area to guide you through precisely. |
Q. How to determine ovulation period? | Hi doctor, I need help in understanding an ovulation period. My last period began around 23 or 24. My period lasts approximately for 6 to 7 days, and my cycle is sometimes irregular and it will be 30-32 days. Can you help me determine my ovulation period? I am currently on Blisovi Fe 1.5/30. | Hi. I hope you know that the medicine you are taking (for whatever reason) is an oral contraceptive pill. These medicines prevent ovulation, so no period of ovulation. Now let us consider, as if you are not taking medicine, and have irregular cycles. Calculating from the first day of your last period date add 30/32 (menstrual cycle length) days and mark the date of expected next period (the first day). Generally, the rule of thumb says ovulation occurs 14 days or 2 weeks before the next expected first day of the period. The accuracy increases, if you take an average of your last three cycle lengths. To identify the exact ovulation date (preferably in case of irregular periods), you may use ovulation check kit available in the market between two days before and after the expected date of next ovulation. |
<s>[INST]
Hi doctor, I need help in understanding an ovulation period. My last period began around 23 or 24. My period lasts approximately for 6 to 7 days, and my cycle is sometimes irregular and it will be 30-32 days. Can you help me determine my ovulation period? I am currently on Blisovi Fe 1.5/30. [/INST] Hi. I hope you know that the medicine you are taking (for whatever reason) is an oral contraceptive pill. These medicines prevent ovulation, so no period of ovulation. Now let us consider, as if you are not taking medicine, and have irregular cycles. Calculating from the first day of your last period date add 30/32 (menstrual cycle length) days and mark the date of expected next period (the first day). Generally, the rule of thumb says ovulation occurs 14 days or 2 weeks before the next expected first day of the period. The accuracy increases, if you take an average of your last three cycle lengths. To identify the exact ovulation date (preferably in case of irregular periods), you may use ovulation check kit available in the market between two days before and after the expected date of next ovulation. |
Q. I have a tiny lump above my hip that is painful. Kindly explain. | Hi doctor, I am 21 years old, male, 5'9", 105 kg. When I woke up, I felt a tiny lumped mass on the back just above left hip. Only hurts when pressed hard. I am anxious. Could it be constipation? | Hi. There are lots of differential diagnosis for the lump. Lipoma: It is an overgrowth of fat in an area. It is soft to touch. It is a benign condition. It is a slow-growingtumor and usually recurs if removed. No treatment is needed if small. Sebaceaous cyst: It is cystic swelling with a collection of sebum. It is a benign condition. It can be removed by excising the cyst. Malignant tumour: They are slow growing in the beginning but when it undergoes malignant change it grows rapidly. It is hard to touch. It needs to be biopsied to find the nature of a tumor. Abscess: They are an infection which is quite painful to touch. It needs to be treated with antibiotics and if it fails, the pus needs to be drained out. If the swelling is small, does not cause any discomfort, it can be left like that with regular follow up. If there is a sudden change in colour, consistency or size it needs to be looked upon by a doctor who can evaluate it further. |
<s>[INST]
Hi doctor, I am 21 years old, male, 5'9", 105 kg. When I woke up, I felt a tiny lumped mass on the back just above left hip. Only hurts when pressed hard. I am anxious. Could it be constipation? [/INST] Hi. There are lots of differential diagnosis for the lump. Lipoma: It is an overgrowth of fat in an area. It is soft to touch. It is a benign condition. It is a slow-growingtumor and usually recurs if removed. No treatment is needed if small. Sebaceaous cyst: It is cystic swelling with a collection of sebum. It is a benign condition. It can be removed by excising the cyst. Malignant tumour: They are slow growing in the beginning but when it undergoes malignant change it grows rapidly. It is hard to touch. It needs to be biopsied to find the nature of a tumor. Abscess: They are an infection which is quite painful to touch. It needs to be treated with antibiotics and if it fails, the pus needs to be drained out. If the swelling is small, does not cause any discomfort, it can be left like that with regular follow up. If there is a sudden change in colour, consistency or size it needs to be looked upon by a doctor who can evaluate it further. |
Q. The hCG report shows serum qual present. What does this indicate? | Hello doctor, What does hCG serum qual present mean? | Hi. I have read your query. There are two types of tests to check for pregnancy. Serum beta hCG qualitative test and beta hCG quantitative test. The qualitative test detects whether beta hCG is present or not. It can detect beta hCG more than 25mIU/ml. The quantitative test detects how much beta hCG is present. It can detect beta hCG as low as 1 mIU/ml. Result interpretation for qualitative beta hCG test is as follows. If the result comes as positive (present), it means you are pregnant. If the result comes as negative, it means there is no pregnancy. Beta hCG is also raised in certain other conditions like ectopic pregnancy, miscarriage, molar pregnancy, and certain tumors. However, these are associated with other complaints also like a pain in the abdomen or irregular periods or bleeding, etc. Sometimes, false positive tests may occur when certain hormones are increased, such as after menopause or when taking hormone supplements. When the test is negative but pregnancy is still suspected, the test should be repeated in one week. When the test comes as positive, a person needs to go to an obstetrician and gynecologist who would evaluate the woman further. Ultrasound is also done to confirm the pregnancy. |
<s>[INST]
Hello doctor, What does hCG serum qual present mean? [/INST] Hi. I have read your query. There are two types of tests to check for pregnancy. Serum beta hCG qualitative test and beta hCG quantitative test. The qualitative test detects whether beta hCG is present or not. It can detect beta hCG more than 25mIU/ml. The quantitative test detects how much beta hCG is present. It can detect beta hCG as low as 1 mIU/ml. Result interpretation for qualitative beta hCG test is as follows. If the result comes as positive (present), it means you are pregnant. If the result comes as negative, it means there is no pregnancy. Beta hCG is also raised in certain other conditions like ectopic pregnancy, miscarriage, molar pregnancy, and certain tumors. However, these are associated with other complaints also like a pain in the abdomen or irregular periods or bleeding, etc. Sometimes, false positive tests may occur when certain hormones are increased, such as after menopause or when taking hormone supplements. When the test is negative but pregnancy is still suspected, the test should be repeated in one week. When the test comes as positive, a person needs to go to an obstetrician and gynecologist who would evaluate the woman further. Ultrasound is also done to confirm the pregnancy. |
Q. My period become irregular after I gain weight. Why? | Hi doctor,I missed my last month period. I have done all the tests, and I am not pregnant. I do not have any problem, but I gained weight in the past months. In the last six months, I am getting a period once in two months. I started facing this problem only after gaining weight. Please help. | Hi. I must say, you are a very conscious girl. It is not very late to combat this problem. You have the answer to your question that is weight gain. Obesity tends to gradually cause an issue of the polycystic ovarian syndrome, which at your age is more resilient. It may revert to normal if you focus on your lifestyle and diet modifications, while may become resistant with increasing age, then requiring medicines. This can heap up to infertility, more gravely to diabetes, cardiovascular risks, and unluckily endometrial cancer sometime in the long run. So, you need to choose the healthier options of life. USG abdomen to rule out PCOD and assess adrenals. 1. Tablet Primolut N 5 mg twice a day after food for five days. 2. A balanced diet with more fibers, citrus fruits, and leafy vegetables. 3. Daily physical exercise, which keeps the heart rate above 100 bpm for 30 minutes. Your periods may start after 5-14 days of finishing the medicine course. Have patience for two weeks. |
<s>[INST]
Hi doctor,I missed my last month period. I have done all the tests, and I am not pregnant. I do not have any problem, but I gained weight in the past months. In the last six months, I am getting a period once in two months. I started facing this problem only after gaining weight. Please help. [/INST] Hi. I must say, you are a very conscious girl. It is not very late to combat this problem. You have the answer to your question that is weight gain. Obesity tends to gradually cause an issue of the polycystic ovarian syndrome, which at your age is more resilient. It may revert to normal if you focus on your lifestyle and diet modifications, while may become resistant with increasing age, then requiring medicines. This can heap up to infertility, more gravely to diabetes, cardiovascular risks, and unluckily endometrial cancer sometime in the long run. So, you need to choose the healthier options of life. USG abdomen to rule out PCOD and assess adrenals. 1. Tablet Primolut N 5 mg twice a day after food for five days. 2. A balanced diet with more fibers, citrus fruits, and leafy vegetables. 3. Daily physical exercise, which keeps the heart rate above 100 bpm for 30 minutes. Your periods may start after 5-14 days of finishing the medicine course. Have patience for two weeks. |
Q. I have a pigmented line in my toenail. Will it just disappear? | Hi doctor, I have got a pigmented line in my fourth toenail. It started as a freckle that was tan in color quite quickly over in four or five months it has turned darker. It is not growing out but spreading in width. The bottom left part of my skin and cuticle area is very itchy at times and it feels tender in my toe and top of foot at times too. I have not had any trauma to my foot, knocked it or dropped anything on it. Is it something that will just disappear? I am a 31 year old female, currently on Amitriptyline 50 mg at night. | Hi. I have examined the submitted details and will do my best to help you overcome the problem. Close examination shows the dark band appearance that is often seen in individuals who get an infection due to a fungus. To most of my clinic patients, I suggest tablet Fluconazole 150 mg weekly and Miconazole or similar antifungal lotion twice a day. It takes some weeks before the results are apparent. If there is itching in adjacent areas, Zyrtec (Cetirizine) or another antiallergic can be a great help, taken once a day. With proper care, avoidance of moisture in the area, and well fitting footwear, the problem is manageable. Best wishes. |
<s>[INST]
Hi doctor, I have got a pigmented line in my fourth toenail. It started as a freckle that was tan in color quite quickly over in four or five months it has turned darker. It is not growing out but spreading in width. The bottom left part of my skin and cuticle area is very itchy at times and it feels tender in my toe and top of foot at times too. I have not had any trauma to my foot, knocked it or dropped anything on it. Is it something that will just disappear? I am a 31 year old female, currently on Amitriptyline 50 mg at night. [/INST] Hi. I have examined the submitted details and will do my best to help you overcome the problem. Close examination shows the dark band appearance that is often seen in individuals who get an infection due to a fungus. To most of my clinic patients, I suggest tablet Fluconazole 150 mg weekly and Miconazole or similar antifungal lotion twice a day. It takes some weeks before the results are apparent. If there is itching in adjacent areas, Zyrtec (Cetirizine) or another antiallergic can be a great help, taken once a day. With proper care, avoidance of moisture in the area, and well fitting footwear, the problem is manageable. Best wishes. |
Q. What are the risks in pregnancy following two C-sections? | Hi doctor, A couple of days before I found out that I am pregnant. According to the first day of last menstrual period, I am about four and a half weeks pregnant. This is my fourth pregnancy. I had an ectopic pregnancy before four years. Then gave a birth after a year through emergency cesarean and delivered another baby through Cesarean after 15 months. After my second baby, my doctor advised me not to get pregnant for a minimum of 18 months to 2 years. She said that my uterine wall was very thin. It has been almost 18 months since my last cesarean. I am in a confused state now whether to continue with the pregnancy or not. I spoke to my GP and she said it is all up to me, but there is a risk. What should I do now? | Hi. I think your GP has guided you correctly. Abortion can be associated with complications, some of which may be major. Your gynecologist informed you about your weak uterine scar. So, continuation of pregnancy can be risky as well. In my opinion you should consult your gynecologist who had done your cesarean section. Then, after understanding every advantage and disadvantage, you yourself take the decision. For further doubts consult an obstetrician and gynaecologist online --> |
<s>[INST]
Hi doctor, A couple of days before I found out that I am pregnant. According to the first day of last menstrual period, I am about four and a half weeks pregnant. This is my fourth pregnancy. I had an ectopic pregnancy before four years. Then gave a birth after a year through emergency cesarean and delivered another baby through Cesarean after 15 months. After my second baby, my doctor advised me not to get pregnant for a minimum of 18 months to 2 years. She said that my uterine wall was very thin. It has been almost 18 months since my last cesarean. I am in a confused state now whether to continue with the pregnancy or not. I spoke to my GP and she said it is all up to me, but there is a risk. What should I do now? [/INST] Hi. I think your GP has guided you correctly. Abortion can be associated with complications, some of which may be major. Your gynecologist informed you about your weak uterine scar. So, continuation of pregnancy can be risky as well. In my opinion you should consult your gynecologist who had done your cesarean section. Then, after understanding every advantage and disadvantage, you yourself take the decision. For further doubts consult an obstetrician and gynaecologist 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 --> |
<s>[INST]
Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. [/INST] Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> |
Q. Can Yasmin birth control pill be used as an emergency contraceptive pill? | Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? | Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> |
<s>[INST]
Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? [/INST] Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> |
Q. Please explain the poisonous effect of phenol ingestion. | Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. | Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> |
<s>[INST]
Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. [/INST] Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> |
Q. For how long should I take Kalachikai powder to overcome PCOD problem? | Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? | Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> |
<s>[INST]
Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? [/INST] Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> |
Q. Why do periods get delayed after first time sex? | Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? | Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> |
<s>[INST]
Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? [/INST] Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> |
Q. What is the reason for the color change of the tooth followed by a trauma? | Hello doctor, When I was 11 years old, I was knocked off my bike and cracked my front tooth in half horizontally, shortly after the dentist fixed it. Since then I have had no problems with it and had multiple x-rays to check on it. When it happened, the color of the tooth changed very slightly, to a very slightly more yellow shade than the rest of my teeth. I am curious to know what happened when the trauma occurred. Did my tooth die? What are they checking for when they x-ray the tooth? | Hello. I have been through your query and can understand your concern. Any trauma to the tooth generally has long-term consequences like tooth discoloration, etc. As you said that your tooth was fractured, it might have led to a slight injury to the pulp or even if not so, the fracture line would have been close to the pulp. In both cases, the pulp over time starts to become non-vital sometimes due to injury and sometimes due to the restorative material lying in close proximity to the pulp. This over time results in the discoloration of the tooth. The characteristic feature of this discoloration will be that only the involved tooth will be discolored and other teeth will be normal or not discolored. If that is the case, it generally means that the tooth is in the process of becoming non-vital till the tooth becomes slight brownish black which means the tooth is entirely non-vital. It is generally not associated with any kind of pain as the process is chronic and takes time to set in. I would advise you to have a visit to your nearest dentist. He would prescribe a vitality test of the tooth and also would get an x-ray for the tooth. By that way, he would come to know if the tooth is dead or still vital and accordingly will propose treatment. If the tooth is vital, he will put some medication over the pulp to let it heal and then fill with the pulp friendly restoration. However, if the tooth is dead, I would suggest you to go for the root canal treatment (after evaluating the condition of the tooth and soft tissue). Meanwhile, keep your oral hygiene good, brush twice daily and floss regularly. Use mouth rinses to clean the mouth after meals. |
<s>[INST]
Hello doctor, When I was 11 years old, I was knocked off my bike and cracked my front tooth in half horizontally, shortly after the dentist fixed it. Since then I have had no problems with it and had multiple x-rays to check on it. When it happened, the color of the tooth changed very slightly, to a very slightly more yellow shade than the rest of my teeth. I am curious to know what happened when the trauma occurred. Did my tooth die? What are they checking for when they x-ray the tooth? [/INST] Hello. I have been through your query and can understand your concern. Any trauma to the tooth generally has long-term consequences like tooth discoloration, etc. As you said that your tooth was fractured, it might have led to a slight injury to the pulp or even if not so, the fracture line would have been close to the pulp. In both cases, the pulp over time starts to become non-vital sometimes due to injury and sometimes due to the restorative material lying in close proximity to the pulp. This over time results in the discoloration of the tooth. The characteristic feature of this discoloration will be that only the involved tooth will be discolored and other teeth will be normal or not discolored. If that is the case, it generally means that the tooth is in the process of becoming non-vital till the tooth becomes slight brownish black which means the tooth is entirely non-vital. It is generally not associated with any kind of pain as the process is chronic and takes time to set in. I would advise you to have a visit to your nearest dentist. He would prescribe a vitality test of the tooth and also would get an x-ray for the tooth. By that way, he would come to know if the tooth is dead or still vital and accordingly will propose treatment. If the tooth is vital, he will put some medication over the pulp to let it heal and then fill with the pulp friendly restoration. However, if the tooth is dead, I would suggest you to go for the root canal treatment (after evaluating the condition of the tooth and soft tissue). Meanwhile, keep your oral hygiene good, brush twice daily and floss regularly. Use mouth rinses to clean the mouth after meals. |
Q. There is no proper erection for the last three months. Please suggest some medicine. | Hi doctor,I am a 35-year-old guy. I am married for six years. I am unable to get a proper erection for the last three months. Please prescribe some medication. | Hi. You have given very little information regarding your problem. There are lots of reasons for poor election after marriage and among them the most common is psychogenic. The erection depends on many thing beside medical causes. In medical causes usually, early morning erection is deficient. So if you have proper early morning erection, then it will be mainly psychogenic. Hence, if you found no early morning erection, then you should have penile venography and meet some urologist. If it is proper, then search for other causes. You can take tablet Tadalafil 10 mg once a week for the current problem if you do not have any medical conditions like hypertension, diabetes, etc. |
<s>[INST]
Hi doctor,I am a 35-year-old guy. I am married for six years. I am unable to get a proper erection for the last three months. Please prescribe some medication. [/INST] Hi. You have given very little information regarding your problem. There are lots of reasons for poor election after marriage and among them the most common is psychogenic. The erection depends on many thing beside medical causes. In medical causes usually, early morning erection is deficient. So if you have proper early morning erection, then it will be mainly psychogenic. Hence, if you found no early morning erection, then you should have penile venography and meet some urologist. If it is proper, then search for other causes. You can take tablet Tadalafil 10 mg once a week for the current problem if you do not have any medical conditions like hypertension, diabetes, etc. |
Q. I am a 24 year old female with a Jones fracture. What will happen if it is left untreated? | Hi doctor, I am a 24 year old female with a Jones fracture. I broke it for the first time last year and again this year. At this stage, it is showing a nonunion, but I can easily bear weight and there is no pain or swelling. I have no plans to play sports or go running in the future. I was wondering if I can live without getting pinned. As of now, I cannot take leave from work. Also, what will happen if a nonunion is is left untreated? | Hello. I have gone through your question, and it seems that your fracture is not healing well. There are a few points which I want you to know: The first and the fifth metatarsal are actually the weight-bearing bones in the foot. So, proper union of any fracture involving these two bones is important. Jones fracture involves the fifth metatarsal of the foot and that too in an area with a slightly peculiar blood supply. So, if not managed well, can lead to nonunion. You are very young, and at this stage, it is not advisable to leave any fracture unsupervised in terms of treatment. If your concerned orthopedic doctor is telling to get it pinned or open reduction and internal fixation with a screw, then it makes quite a lot of sense to actually undergo that treatment. I can actually advise you in a better manner if I can see your fresh x-ray and also your clinical picture showing the involved foot. Also, you have not mentioned the total duration since the second injury, and what form of management is being done right now. If it goes into permanent nonunion, you will keep on having foot problems from time to time in the form of pain, swelling, and difficulty in ambulation. |
<s>[INST]
Hi doctor, I am a 24 year old female with a Jones fracture. I broke it for the first time last year and again this year. At this stage, it is showing a nonunion, but I can easily bear weight and there is no pain or swelling. I have no plans to play sports or go running in the future. I was wondering if I can live without getting pinned. As of now, I cannot take leave from work. Also, what will happen if a nonunion is is left untreated? [/INST] Hello. I have gone through your question, and it seems that your fracture is not healing well. There are a few points which I want you to know: The first and the fifth metatarsal are actually the weight-bearing bones in the foot. So, proper union of any fracture involving these two bones is important. Jones fracture involves the fifth metatarsal of the foot and that too in an area with a slightly peculiar blood supply. So, if not managed well, can lead to nonunion. You are very young, and at this stage, it is not advisable to leave any fracture unsupervised in terms of treatment. If your concerned orthopedic doctor is telling to get it pinned or open reduction and internal fixation with a screw, then it makes quite a lot of sense to actually undergo that treatment. I can actually advise you in a better manner if I can see your fresh x-ray and also your clinical picture showing the involved foot. Also, you have not mentioned the total duration since the second injury, and what form of management is being done right now. If it goes into permanent nonunion, you will keep on having foot problems from time to time in the form of pain, swelling, and difficulty in ambulation. |
Q. I am having PCOD. Please advise. | Hello doctor, I am having PCOD. Please advise. | Hello. PCOD (Polycystic Ovarian Disease) is a very common condition nowadays. It is a treatable condition and will not affect your life much if the cysts are small in size. A lot depends on your lifestyle. Stress is a major factor. Eating healthy home cooked food and doing regular exercise will make a big positive difference to your condition. If you are overweight, reducing your excess weight will work wonders for you. So do not worry. As your question does not have details, I would like to ask you a few questions that would help me answer better: 1. How old are you? 2. Are you married? If yes, do you have kids? 3. Are your periods regular? 4. Is your weight in the normal range? 5. Do you have excess hair on your body or face? 6. Are you on any medication for PCOD or any other condition? 7. Can you explain your food habits? (veg/nonveg, what times of the day you eat, and in what quantity) 8. Do you indulge in any kind of physical exercise daily? 9. How is your sleep pattern? 10. If you have a scan report, what is the size of the cyst? (please do attach the report) |
<s>[INST]
Hello doctor, I am having PCOD. Please advise. [/INST] Hello. PCOD (Polycystic Ovarian Disease) is a very common condition nowadays. It is a treatable condition and will not affect your life much if the cysts are small in size. A lot depends on your lifestyle. Stress is a major factor. Eating healthy home cooked food and doing regular exercise will make a big positive difference to your condition. If you are overweight, reducing your excess weight will work wonders for you. So do not worry. As your question does not have details, I would like to ask you a few questions that would help me answer better: 1. How old are you? 2. Are you married? If yes, do you have kids? 3. Are your periods regular? 4. Is your weight in the normal range? 5. Do you have excess hair on your body or face? 6. Are you on any medication for PCOD or any other condition? 7. Can you explain your food habits? (veg/nonveg, what times of the day you eat, and in what quantity) 8. Do you indulge in any kind of physical exercise daily? 9. How is your sleep pattern? 10. If you have a scan report, what is the size of the cyst? (please do attach the report) |
Q. I have yellow stains in my teeth. May I use whitening toothpastes? | Hello doctor, I have yellow stains in my teeth. I feel very bad before others. This problem has been there since childhood. I have attached the pictures of my stained teeth. Please advise. | Hello. I have gone through the attached pictures (attachment removed to protect patient identity). It is a permanent discoloration which cannot be removed by normal means like dental scaling. It needs a treatment called lamineering of the front 4 or 6 teeth as required. In this procedure, the front side of teeth will be reduced and a ceramic laminate (covering) will be fixed permanently. The other option is that you can also place a full ceramic crown (cap) over the 4 or 6 teeth for better durability. These treatments are a little expensive, but will provide a natural look to your teeth. There is no other permanent solution to your problem. |
<s>[INST]
Hello doctor, I have yellow stains in my teeth. I feel very bad before others. This problem has been there since childhood. I have attached the pictures of my stained teeth. Please advise. [/INST] Hello. I have gone through the attached pictures (attachment removed to protect patient identity). It is a permanent discoloration which cannot be removed by normal means like dental scaling. It needs a treatment called lamineering of the front 4 or 6 teeth as required. In this procedure, the front side of teeth will be reduced and a ceramic laminate (covering) will be fixed permanently. The other option is that you can also place a full ceramic crown (cap) over the 4 or 6 teeth for better durability. These treatments are a little expensive, but will provide a natural look to your teeth. There is no other permanent solution to your problem. |
Q. How to find the reason for the swelling of the feet? | Hi doctor, My wife is suffering from feet swelling for the past four years. We met nearly seven to eight doctors for this issue, but she did not get any relief. Please help. | Hi. For further information consult an orthopaedician and traumatologist online --> |
<s>[INST]
Hi doctor, My wife is suffering from feet swelling for the past four years. We met nearly seven to eight doctors for this issue, but she did not get any relief. Please help. [/INST] Hi. For further information consult an orthopaedician and traumatologist online --> |
Q. I have extreme anxiety and unable to sleep. I also have IBS. Please help. | Hi doctor, I have extreme anxiety. I have not been sleeping. I feel too anxious to sleep. I feel scared and worried all the time. I have panic attacks and cannot leave my house. I know I need help but I do not know how serious it is. | Hi. I read your query and understand your concerns. First of all, I would like to inform you that from the described symptoms it seems that there is Generalized Anxiety Disorder with panic attacks. Both of these disorders fall under a broad category of anxiety disorders. The condition is so disabling that many patients with this disease get significant difficulty in doing day to day activities. As I can see your symptoms are quite distressing, it is clear that you need help to cope with these symptoms. Untreated anxiety disorder lowers the quality of life, and over time it becomes difficult to treat when compared to new onset disorder. Regarding treatment, it can be treated by either medications or psychotherapy. Among the medications, SSRI (Selective Serotonin Reuptake Inhibitors) are generally effective in this condition. Examples of SSRI include Escitalopram, Fluoxetine, Fluvoxamine, Paroxetine, and Sertraline. They show improvement after using these medications for at least 4-6 weeks. Among psychotherapy, Cognitive Behavior Therapy (CBT) is most commonly used and it takes about 8-12 sessions of one session per week lasting for one hour. Although definite treatment is required from a psychiatrist, before you could make an appointment with a psychiatrist, I recommend the following things for better management of anxiety symptoms and stress arising from them. These are simple measures which will help you a long way when practiced regularly. |
<s>[INST]
Hi doctor, I have extreme anxiety. I have not been sleeping. I feel too anxious to sleep. I feel scared and worried all the time. I have panic attacks and cannot leave my house. I know I need help but I do not know how serious it is. [/INST] Hi. I read your query and understand your concerns. First of all, I would like to inform you that from the described symptoms it seems that there is Generalized Anxiety Disorder with panic attacks. Both of these disorders fall under a broad category of anxiety disorders. The condition is so disabling that many patients with this disease get significant difficulty in doing day to day activities. As I can see your symptoms are quite distressing, it is clear that you need help to cope with these symptoms. Untreated anxiety disorder lowers the quality of life, and over time it becomes difficult to treat when compared to new onset disorder. Regarding treatment, it can be treated by either medications or psychotherapy. Among the medications, SSRI (Selective Serotonin Reuptake Inhibitors) are generally effective in this condition. Examples of SSRI include Escitalopram, Fluoxetine, Fluvoxamine, Paroxetine, and Sertraline. They show improvement after using these medications for at least 4-6 weeks. Among psychotherapy, Cognitive Behavior Therapy (CBT) is most commonly used and it takes about 8-12 sessions of one session per week lasting for one hour. Although definite treatment is required from a psychiatrist, before you could make an appointment with a psychiatrist, I recommend the following things for better management of anxiety symptoms and stress arising from them. These are simple measures which will help you a long way when practiced regularly. |
Q. There is no period after the removal of Mirena. Why? | Hi doctor, I had Mirena removed before a month and had what I think was a period the next day that lasted for four days. It has been 37 days with no period and three negative home pregnancy tests. I have been nauseated with cramps that are dull while some hurt good enough to stop me from moving. What is going on? | Hi. Mirena is a progesterone-containing IUCD (intrauterine contraceptive device). Its sudden removal induced you periods last month. Your current delay in periods is also because of the same. It takes time for the body to restore the normal hormonal balance after removal of Mirena. Do not worry. Wait for another week or 10 days. You should get your periods. If not we can start you on medicines to induce the period. Hope you found this information useful. All the best, |
<s>[INST]
Hi doctor, I had Mirena removed before a month and had what I think was a period the next day that lasted for four days. It has been 37 days with no period and three negative home pregnancy tests. I have been nauseated with cramps that are dull while some hurt good enough to stop me from moving. What is going on? [/INST] Hi. Mirena is a progesterone-containing IUCD (intrauterine contraceptive device). Its sudden removal induced you periods last month. Your current delay in periods is also because of the same. It takes time for the body to restore the normal hormonal balance after removal of Mirena. Do not worry. Wait for another week or 10 days. You should get your periods. If not we can start you on medicines to induce the period. Hope you found this information useful. All the best, |
Q. How to correct forward-bent spine? | Hi doctor, My sister is 14 years old. She cannot ultimately stand straight. Her spine bends forward a little near the upper back and shoulders. Could you please suggest me a remedy? | Hi. Thanks for using this platform. It sounds like your sister has a forward bend in her upper back when you look at her from her side. Is this correct? We give this forward bend a name called kyphosis. While kyphosis can have numerous causes, the most common in this age group is postural. Kids in their early teens develop the habit of stooping forward at their lower neck. This habit is often known to be secondary to sitting in front of computers, laptops, tablets, etc. Constant bending forward of the neck makes the upper back adopt this abnormal posture. Also, the habit of keeping shoulders protracted in a forward position is also common in this age, especially in girls. Very rarely, she may have a structural cause of kyphosis. A common condition in this age is Scheuermann's kyphosis which is due to the collapse of the discs between the thoracic vertebrae. It is, however, more common in the mid-back rather than upper back. Nevertheless, she should be evaluated by a spine surgeon with expertise in spinal deformities to rule this out. If it turns out to be postural, a course of physiotherapy focused on postural training can be helpful. I will be happy to go into details of the exercises and review any x-rays that may have been done already. |
<s>[INST]
Hi doctor, My sister is 14 years old. She cannot ultimately stand straight. Her spine bends forward a little near the upper back and shoulders. Could you please suggest me a remedy? [/INST] Hi. Thanks for using this platform. It sounds like your sister has a forward bend in her upper back when you look at her from her side. Is this correct? We give this forward bend a name called kyphosis. While kyphosis can have numerous causes, the most common in this age group is postural. Kids in their early teens develop the habit of stooping forward at their lower neck. This habit is often known to be secondary to sitting in front of computers, laptops, tablets, etc. Constant bending forward of the neck makes the upper back adopt this abnormal posture. Also, the habit of keeping shoulders protracted in a forward position is also common in this age, especially in girls. Very rarely, she may have a structural cause of kyphosis. A common condition in this age is Scheuermann's kyphosis which is due to the collapse of the discs between the thoracic vertebrae. It is, however, more common in the mid-back rather than upper back. Nevertheless, she should be evaluated by a spine surgeon with expertise in spinal deformities to rule this out. If it turns out to be postural, a course of physiotherapy focused on postural training can be helpful. I will be happy to go into details of the exercises and review any x-rays that may have been done already. |
Q. How can I remove the acne spots on my face, back and chest? | Hi doctor, My acne is getting worse. The spots are on my face, back and chest. I have had the spots for about two years now. How can I remove the spots from my face? | Hi. I can understand your concern. Use a salicylic acid facewash twice daily and apply Benzoyl peroxide 2.5 percent gel on the pimples on the face twice daily and Benzoyl peroxide 10 percent gel on the pimples present on the chest and back twice daily. Along with this take a course of tablet Azithromycin 500 mg daily for three consecutive days in a week for six weeks. Besides this keep your face dry, avoid applying oily creams and moisturizers, avoid oiling of the scalp, use cosmetics labeled as noncomedogenic and reduce the intake of sugary foods. Continue this for six weeks and revert back. Seborrhea and hormonal imbalance. Acne vulgaris. After six weeks. |
<s>[INST]
Hi doctor, My acne is getting worse. The spots are on my face, back and chest. I have had the spots for about two years now. How can I remove the spots from my face? [/INST] Hi. I can understand your concern. Use a salicylic acid facewash twice daily and apply Benzoyl peroxide 2.5 percent gel on the pimples on the face twice daily and Benzoyl peroxide 10 percent gel on the pimples present on the chest and back twice daily. Along with this take a course of tablet Azithromycin 500 mg daily for three consecutive days in a week for six weeks. Besides this keep your face dry, avoid applying oily creams and moisturizers, avoid oiling of the scalp, use cosmetics labeled as noncomedogenic and reduce the intake of sugary foods. Continue this for six weeks and revert back. Seborrhea and hormonal imbalance. Acne vulgaris. After six weeks. |
Q. I am in excruciating butt pain when I sit, walk or stand. Is this due to a cyst? | Hi doctor, I am in excruciating pain and can hardly sit down, walk, stand, or lay without being in severe pain. The pain is coming from my left butt cheek, inwards, and more on top than where the hole is. However, I do not see anything on the skin. I do feel like something is growing underneath the surface. It hurts to pee, and I definitely cannot wipe back there. Is this a cyst or something worse? Please help. | Hi. I have gone through your query and can understand your health concern. It seems you are having pain in the coccyx region. The coccyx is a small bone present between the anus and lower end of the spine(sacrum). There are many causes of pain in this region like a pilonidal cyst, fractured bone, sciatica, infection and inflammation of the coccyx. Avoid sitting at one place for a long time and prefer to sit on cushion, pillows or padded seats. You can apply ice packs over the painful area and can take analgesic medicines for pain relief. Rarely, when patients have severe pain, surgical resection of the bone can be done. |
<s>[INST]
Hi doctor, I am in excruciating pain and can hardly sit down, walk, stand, or lay without being in severe pain. The pain is coming from my left butt cheek, inwards, and more on top than where the hole is. However, I do not see anything on the skin. I do feel like something is growing underneath the surface. It hurts to pee, and I definitely cannot wipe back there. Is this a cyst or something worse? Please help. [/INST] Hi. I have gone through your query and can understand your health concern. It seems you are having pain in the coccyx region. The coccyx is a small bone present between the anus and lower end of the spine(sacrum). There are many causes of pain in this region like a pilonidal cyst, fractured bone, sciatica, infection and inflammation of the coccyx. Avoid sitting at one place for a long time and prefer to sit on cushion, pillows or padded seats. You can apply ice packs over the painful area and can take analgesic medicines for pain relief. Rarely, when patients have severe pain, surgical resection of the bone can be done. |
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 --> |
<s>[INST]
Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. [/INST] Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> |
Q. Can Yasmin birth control pill be used as an emergency contraceptive pill? | Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? | Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> |
<s>[INST]
Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? [/INST] Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> |
Q. Please explain the poisonous effect of phenol ingestion. | Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. | Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> |
<s>[INST]
Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. [/INST] Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> |
Q. For how long should I take Kalachikai powder to overcome PCOD problem? | Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? | Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> |
<s>[INST]
Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? [/INST] Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> |
Q. Why do periods get delayed after first time sex? | Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? | Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> |
<s>[INST]
Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? [/INST] Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> |
Q. Could urine pregnancy test be false negative? | Hi doctor, I had unprotected sex with my girlfriend on 5th of last month. It was the fifth day of her periods. Then, she took an I-pill within three hours. She got her periods on the 17th of the same month. May be it could be a discharge because of I-pill. After that, till now she has not gotten her periods. We have taken three pregnancy tests and all are negative. Can you please suggest the next step? Thank you. | Hi. For further information consult an obstetrician and gynaecologist online --> |
<s>[INST]
Hi doctor, I had unprotected sex with my girlfriend on 5th of last month. It was the fifth day of her periods. Then, she took an I-pill within three hours. She got her periods on the 17th of the same month. May be it could be a discharge because of I-pill. After that, till now she has not gotten her periods. We have taken three pregnancy tests and all are negative. Can you please suggest the next step? Thank you. [/INST] Hi. For further information consult an obstetrician and gynaecologist online --> |
Q. I am experiencing heavy shoulders and getting anxious that it could be a heart attack. Please help. | Hello doctor, I am experiencing heavy shoulders, and then my hands and legs are feeling heavy and tingly. I can feel it go up to my neck and face at times. But the main symptom is heavy shoulders. I do have low vitamin D and B. I forgot to take my supplements for almost a week. When I forget, my legs become tingly and achy. When it happens, I get anxious that it could be a heart attack and it gets worse. The more I think about it, the worse the symptoms. But the symptoms then subside. I am thinking that I am having an anxiety attack. | Hi. I have gone through your query and can understand your health concern. Vitamin B12 deficiency can cause weakness, body ache and tingling sensation. But you told that after not taking the supplements your symptoms get aggravated. In my opinion, it is psychological only, that is anxiety related. To relieve this, you can do some relaxation exercises, walk, deep breathing exercises and meditation. Do not miss your supplements. Take non vegeterian food rich in vitamin B12. Try natural ways of reducing anxiety. If not controlled with that, then only go for anti-anxiety drugs. |
<s>[INST]
Hello doctor, I am experiencing heavy shoulders, and then my hands and legs are feeling heavy and tingly. I can feel it go up to my neck and face at times. But the main symptom is heavy shoulders. I do have low vitamin D and B. I forgot to take my supplements for almost a week. When I forget, my legs become tingly and achy. When it happens, I get anxious that it could be a heart attack and it gets worse. The more I think about it, the worse the symptoms. But the symptoms then subside. I am thinking that I am having an anxiety attack. [/INST] Hi. I have gone through your query and can understand your health concern. Vitamin B12 deficiency can cause weakness, body ache and tingling sensation. But you told that after not taking the supplements your symptoms get aggravated. In my opinion, it is psychological only, that is anxiety related. To relieve this, you can do some relaxation exercises, walk, deep breathing exercises and meditation. Do not miss your supplements. Take non vegeterian food rich in vitamin B12. Try natural ways of reducing anxiety. If not controlled with that, then only go for anti-anxiety drugs. |
Q. My skin itches with welts and hives without any kind of food or medicine allergy. Why? | Hi doctor, I have this skin problem that I first noticed before three years. My skin will itch like crazy and break out into welts and hives. The symptoms will last for a few hours then go away. Some days I experience more than two outbreaks. The itching, bumps, and hives most likely appear after I undress and remove all of my clothing. It does not matter whether the weather is hot, cold, windy, rainy or dry I will have an outbreak. I do not have any known food or medicine allergies. I also do not take any medications to ease the itching and swelling. What do you think it could be? | Hello. I have examined the pictures and taken note of your concerns. I think the underlying cause is a parasitic infestation which is known to give rise to itching in evenings and nights and also results in the formation of wheals as noticed in the pictures. The treatment for this condition is with the help of following measures. GBHC lotion Gamma Benzene Hexachloride to be applied as three applications every week each 12 hours apart. The first application after a bath and to the whole body below neck followed by two similar applications at 12 hours gap but without intervening bath. Repeated every week for five weeks. Tablet Levocetirizine 5 mg a day for the whole duration. A single tablet of Ivermectin 12 mg only at the start of treatment, just once. It takes some weeks for the itching and symptoms to subside. Disinfection of bed linen and garments with boiling water or steam ironing. |
<s>[INST]
Hi doctor, I have this skin problem that I first noticed before three years. My skin will itch like crazy and break out into welts and hives. The symptoms will last for a few hours then go away. Some days I experience more than two outbreaks. The itching, bumps, and hives most likely appear after I undress and remove all of my clothing. It does not matter whether the weather is hot, cold, windy, rainy or dry I will have an outbreak. I do not have any known food or medicine allergies. I also do not take any medications to ease the itching and swelling. What do you think it could be? [/INST] Hello. I have examined the pictures and taken note of your concerns. I think the underlying cause is a parasitic infestation which is known to give rise to itching in evenings and nights and also results in the formation of wheals as noticed in the pictures. The treatment for this condition is with the help of following measures. GBHC lotion Gamma Benzene Hexachloride to be applied as three applications every week each 12 hours apart. The first application after a bath and to the whole body below neck followed by two similar applications at 12 hours gap but without intervening bath. Repeated every week for five weeks. Tablet Levocetirizine 5 mg a day for the whole duration. A single tablet of Ivermectin 12 mg only at the start of treatment, just once. It takes some weeks for the itching and symptoms to subside. Disinfection of bed linen and garments with boiling water or steam ironing. |
Q. Can I use some supplement to gain weight and build muscles? | Hi doctor, I am 20 years old. My weight is 52 kg. I want to gain my weight. Can I use Nutrigain? Will it help in the build up my muscles? | Hi. The first thing you have to focus on your daily diet and not only supplements. So make a high-calorie food. Eat more cereals 300 gm mainly plain rice, brown rice or bread, oatmeals, maize, Nutrela, and all whole grains. Add all good quality proteins like organic, dairy proteins, fish, milk, eggs, plant-based sources like pulses and soy products. Add two tablespoons of ghee on rice and butter on chapatis. Add dry fruits, nuts, almonds, etc. Add plenty of vegetables, fruits mainly banana and sleep minimum 8 hours. Take good foods with proper digestions and need to consume all out to make the body fit and gain muscles. |
<s>[INST]
Hi doctor, I am 20 years old. My weight is 52 kg. I want to gain my weight. Can I use Nutrigain? Will it help in the build up my muscles? [/INST] Hi. The first thing you have to focus on your daily diet and not only supplements. So make a high-calorie food. Eat more cereals 300 gm mainly plain rice, brown rice or bread, oatmeals, maize, Nutrela, and all whole grains. Add all good quality proteins like organic, dairy proteins, fish, milk, eggs, plant-based sources like pulses and soy products. Add two tablespoons of ghee on rice and butter on chapatis. Add dry fruits, nuts, almonds, etc. Add plenty of vegetables, fruits mainly banana and sleep minimum 8 hours. Take good foods with proper digestions and need to consume all out to make the body fit and gain muscles. |
Q. I twisted my knee and in pain with swelling. How to manage this? | Hi doctor,Two days ago I twisted my knee. It has been paining ever since. I can bend it all the way back, but when I try to put pressure on it or fully extend it, I am in so much pain. There is a swelling. It looks like my right knee cap is out more than the left one. | Hello. You have a history of knee injury two days back, but you have been able to ambulate after the injury, even though it is painful to you. Initial management is to give rest to the affected joint and try to limit pain and hemarthrosis. In my opinion, since it is a twisting injury, if at all, there may be some soft tissue injury, and usually no immediate intervention is required. You can do the following things : 1. Intensive ice packs for local application over the injured joint to keep pain and swelling to a bare minimum. 2. Knee Brace can be used to hold the knee in extension and restrict movements initially. 3. You can start with anti-inflammatory medication according to your body's suitability. 4. Local analgesic spray can also be used after ice therapy. We will wait for next two weeks till acute pain and swelling have subsided, after that a thorough examination of your knee joint is required to understand what exact injury is there and maybe a MRI scan will be required. |
<s>[INST]
Hi doctor,Two days ago I twisted my knee. It has been paining ever since. I can bend it all the way back, but when I try to put pressure on it or fully extend it, I am in so much pain. There is a swelling. It looks like my right knee cap is out more than the left one. [/INST] Hello. You have a history of knee injury two days back, but you have been able to ambulate after the injury, even though it is painful to you. Initial management is to give rest to the affected joint and try to limit pain and hemarthrosis. In my opinion, since it is a twisting injury, if at all, there may be some soft tissue injury, and usually no immediate intervention is required. You can do the following things : 1. Intensive ice packs for local application over the injured joint to keep pain and swelling to a bare minimum. 2. Knee Brace can be used to hold the knee in extension and restrict movements initially. 3. You can start with anti-inflammatory medication according to your body's suitability. 4. Local analgesic spray can also be used after ice therapy. We will wait for next two weeks till acute pain and swelling have subsided, after that a thorough examination of your knee joint is required to understand what exact injury is there and maybe a MRI scan will be required. |
Q. Experiencing severe back pain following cervical polypectomy. Is it normal? | Hi doctor, I had cervical polypectomy and was told to expect brown discharge. Now experiencing cramping, minor bleeding, vinegar smell, and severe back pain, to the point that I am dizzy and nauseous. A couple of days earlier had a bunch of discharge that looked like dark reddish and orangish skin. I was taking Flagyl 500 mg 2 times a day, just took the last dose earlier. I do not react well to antibiotics, and I am taking 400 mg Ibuprofen every 4 hours today. The back pain is unbearable, and I want to know what could be the problem. Does this sound like something I can take care of with an increased dose of ibuprofen or should I go to an urgent care facility? Is there a better OTC I can take or a combination that might be more effective? Are the above symptoms normal or typical following a cervical polypectomy for a 1 cm polyp or is the back injury separate? Can I expect these symptoms to subside over time? | Hello. It is normal to experience reddish brown discharge for 4-5 days post cervical polypectomy, but it should not cause any back pain per se unless there has been a secondary infection or vaginitis or bacterial vaginosis which is quite likely with vinegar smell. Flagyl (Metronidazole) as an antibiotic can often cause dizziness if adequate water intake is not practiced, and also as you are not in the habit of taking antibiotics, this can further aggravate as well. Please do not take plain Ibuprofen four times a day as this may cause acidity and increased gastritis without an antacid preparation and can add on to nausea. The back pain can be secondary to an accompanied fresh urinary tract infection which may have developed during these days due to decreased water intake possibly and also due to possible bacterial vaginosis or vaginitis. You need to be examined fresh for a review by your gynecologist again, and a high vaginal swab culture is recommended for a possible change in antibiotics and ruling out bacterial vaginosis. For the pain relief, you may switch to tablet Aceclofenac 100 mg twice a day, as it is more effective and free from side effects. However, a urine culture is also recommended. Please visit your gynecologist for review. |
<s>[INST]
Hi doctor, I had cervical polypectomy and was told to expect brown discharge. Now experiencing cramping, minor bleeding, vinegar smell, and severe back pain, to the point that I am dizzy and nauseous. A couple of days earlier had a bunch of discharge that looked like dark reddish and orangish skin. I was taking Flagyl 500 mg 2 times a day, just took the last dose earlier. I do not react well to antibiotics, and I am taking 400 mg Ibuprofen every 4 hours today. The back pain is unbearable, and I want to know what could be the problem. Does this sound like something I can take care of with an increased dose of ibuprofen or should I go to an urgent care facility? Is there a better OTC I can take or a combination that might be more effective? Are the above symptoms normal or typical following a cervical polypectomy for a 1 cm polyp or is the back injury separate? Can I expect these symptoms to subside over time? [/INST] Hello. It is normal to experience reddish brown discharge for 4-5 days post cervical polypectomy, but it should not cause any back pain per se unless there has been a secondary infection or vaginitis or bacterial vaginosis which is quite likely with vinegar smell. Flagyl (Metronidazole) as an antibiotic can often cause dizziness if adequate water intake is not practiced, and also as you are not in the habit of taking antibiotics, this can further aggravate as well. Please do not take plain Ibuprofen four times a day as this may cause acidity and increased gastritis without an antacid preparation and can add on to nausea. The back pain can be secondary to an accompanied fresh urinary tract infection which may have developed during these days due to decreased water intake possibly and also due to possible bacterial vaginosis or vaginitis. You need to be examined fresh for a review by your gynecologist again, and a high vaginal swab culture is recommended for a possible change in antibiotics and ruling out bacterial vaginosis. For the pain relief, you may switch to tablet Aceclofenac 100 mg twice a day, as it is more effective and free from side effects. However, a urine culture is also recommended. Please visit your gynecologist for review. |
Q. What could be the reason for my hand tremor? | Hi doctor,I am a female of 25 years old. Since last month, I am noticing slight hand tremors when I am inactive and when I am performing an important task like meeting an important person. Also, I am a smoker. | Hi. Heavy smoking can lead to tremors in hands and so can tea and coffee if consumed heaviely. Slight tremors, particularly in the hands and fingers, is a normal phenomenon called physiologic tremor. It can get aggravated by stress or anxiety. You should cut down on smoking. If tremors do not disappear after cessation of smoking consult a physician and undergo some laboratory tests like estimation of thyroid hormone levels and blood glucose levels that can also cause tremors if found deranged. |
<s>[INST]
Hi doctor,I am a female of 25 years old. Since last month, I am noticing slight hand tremors when I am inactive and when I am performing an important task like meeting an important person. Also, I am a smoker. [/INST] Hi. Heavy smoking can lead to tremors in hands and so can tea and coffee if consumed heaviely. Slight tremors, particularly in the hands and fingers, is a normal phenomenon called physiologic tremor. It can get aggravated by stress or anxiety. You should cut down on smoking. If tremors do not disappear after cessation of smoking consult a physician and undergo some laboratory tests like estimation of thyroid hormone levels and blood glucose levels that can also cause tremors if found deranged. |
Q. There is a tumor-like soft pulpy growth in the shoulder. Is that cancerous? | Hi doctor,My mother has a tumor-like thing in her shoulder. It is like a soft pulpy thing. Right now it is small and not causing much pain. When she works too much, she feels a weight on her shoulder and a mild pain like she has lifted a weight. Is that something cancerous? | Hi. Thank you for using this platform. It sounds like your mother has a soft pulpy growth on her shoulder, which is painless at rest but causes heaviness on exertion. Although this information gives us some idea, it is challenging for me to guess what precisely this growth is. It will be nice if your mom could have it evaluated by an orthopedic surgeon. He or she will assess whether this growth is arising from the subcutaneous fat (example - lipoma), underlying muscle or bone or joint. If there is a suspicion of bony or joint involvement, an x-ray may need to be taken. There is a rare possibility that this swelling might not be a growth, but just a manifestation of trauma or infection. I will be happy to review any pictures, x-rays or other imaging that you may have already done. Hope this helps. |
<s>[INST]
Hi doctor,My mother has a tumor-like thing in her shoulder. It is like a soft pulpy thing. Right now it is small and not causing much pain. When she works too much, she feels a weight on her shoulder and a mild pain like she has lifted a weight. Is that something cancerous? [/INST] Hi. Thank you for using this platform. It sounds like your mother has a soft pulpy growth on her shoulder, which is painless at rest but causes heaviness on exertion. Although this information gives us some idea, it is challenging for me to guess what precisely this growth is. It will be nice if your mom could have it evaluated by an orthopedic surgeon. He or she will assess whether this growth is arising from the subcutaneous fat (example - lipoma), underlying muscle or bone or joint. If there is a suspicion of bony or joint involvement, an x-ray may need to be taken. There is a rare possibility that this swelling might not be a growth, but just a manifestation of trauma or infection. I will be happy to review any pictures, x-rays or other imaging that you may have already done. Hope this helps. |
Q. Does clear uterus in USG following positive pregnancy test mean miscarriage? | Hi doctor, I am 32 years old, got married seven months back. I had regular 28 days cycle. Two months back, I had amenorrhoea for 40 days followed by urine pregnancy test positive but followed by bleeding and USG pelvis shows clear uterus, after seven days. Following this, I got some brownish discharge like sometimes, increased whitish discharge irrespective of the menstrual cycle. What can I do for this? | Hi. If the urine pregnancy test was positive then you got bleeding and then, bleeding and uterus empty, then maybe it was a complete miscarriage. Post bleeding, vaginal brown discharge might be infection or remains of miscarriage. To be on safe side have beta hCG and high vaginal swab to exclude infection and pregnancy. Follow with the reports. In case you have pain, immediately report to an emergency gynecologist. Post-miscarriage or infection. HVS, beta hCG. in case of pain, report to the emergency. |
<s>[INST]
Hi doctor, I am 32 years old, got married seven months back. I had regular 28 days cycle. Two months back, I had amenorrhoea for 40 days followed by urine pregnancy test positive but followed by bleeding and USG pelvis shows clear uterus, after seven days. Following this, I got some brownish discharge like sometimes, increased whitish discharge irrespective of the menstrual cycle. What can I do for this? [/INST] Hi. If the urine pregnancy test was positive then you got bleeding and then, bleeding and uterus empty, then maybe it was a complete miscarriage. Post bleeding, vaginal brown discharge might be infection or remains of miscarriage. To be on safe side have beta hCG and high vaginal swab to exclude infection and pregnancy. Follow with the reports. In case you have pain, immediately report to an emergency gynecologist. Post-miscarriage or infection. HVS, beta hCG. in case of pain, report to the emergency. |
Q. My pimples are getting worse. What will I do? | Hi doctor, I am 17 years old and suffering from pimples from last two weeks. It is increasing day by day. So what will I do? Please suggest some medicine. Thank you | Hi. It is essential that you drink 4 liters of water as constipation can cause pimples. Once a regular bowel moment is established, you could apply Oxidoben cream (combination of Adapalene and Benzoyl peroxide) at night over the pimples. It will dry them up and shed them away. Continue it for three weeks. Avoid unnecessary use of facewash as dry skin can also cause pimples. Wash face with plenty of water during the day. Also, I suggest capsule Azithromycin 500 mg once every day on Sunday, Monday and Tuesday for two weeks. |
<s>[INST]
Hi doctor, I am 17 years old and suffering from pimples from last two weeks. It is increasing day by day. So what will I do? Please suggest some medicine. Thank you [/INST] Hi. It is essential that you drink 4 liters of water as constipation can cause pimples. Once a regular bowel moment is established, you could apply Oxidoben cream (combination of Adapalene and Benzoyl peroxide) at night over the pimples. It will dry them up and shed them away. Continue it for three weeks. Avoid unnecessary use of facewash as dry skin can also cause pimples. Wash face with plenty of water during the day. Also, I suggest capsule Azithromycin 500 mg once every day on Sunday, Monday and Tuesday for two weeks. |
Q. My period has become quite irregular in the last six months. Should I be worried? | Hello doctor, My period has been off for the past six months, meaning my cycle will go from 31 days which is normal, up to 51 days. I did not get a period for two months and then I got one next month. It was fine when it came again a month later and then it came very late the month after, no period last month and now this month I am five days late. Should I be worried? I have never been on birth control or any type of medication. | Hi. Irregular periods can occur due to many causes like anemia, hormonal imbalance like PCOD, thyroid disorders, etc. As you are having irregular periods for the past 6 to 7 months, better to consult your gynecologist once and get examined and go for investigations like hemoglobin levels, thyroid profile, ultrasound, etc. If she advises, you may need to undergo FSH and LH levels also. With this full workup, the possible cause of your problem can be identified and treatment can be taken accordingly. Take care. |
<s>[INST]
Hello doctor, My period has been off for the past six months, meaning my cycle will go from 31 days which is normal, up to 51 days. I did not get a period for two months and then I got one next month. It was fine when it came again a month later and then it came very late the month after, no period last month and now this month I am five days late. Should I be worried? I have never been on birth control or any type of medication. [/INST] Hi. Irregular periods can occur due to many causes like anemia, hormonal imbalance like PCOD, thyroid disorders, etc. As you are having irregular periods for the past 6 to 7 months, better to consult your gynecologist once and get examined and go for investigations like hemoglobin levels, thyroid profile, ultrasound, etc. If she advises, you may need to undergo FSH and LH levels also. With this full workup, the possible cause of your problem can be identified and treatment can be taken accordingly. Take care. |
Q. What is the reason for on and off urinary infection? | Hi doctor, I am a 28 year old male. Approximately, six to seven years back, I had urinary infection when I was sexually active with my girlfriend. I was advised to take an antibiotic course, which I did not complete at that time and the infection was not fully cured. After that incident, I used to get urinary infection once in a few months. During urination, I sometimes used to have one or two drops of blood only during the time of urinary infection. In addition to the above mentioned problems, I have some other issues related to sexual health. Such as premature ejaculation, extremely bad timing, sensitivity of the penis skin, lower back pain, lack of confidence, etc. Very often on my way to the toilet some urine drops are leaked. During night time, I have to stand up several times to urinate. Sometimes, approximately once a week after urinating suddenly sperm drops are released, but I have not discussed this part with my urologist in person. I am not a stressful person, so the reason behind this has to be something else than stress. I have now recently been to a urologist and I was told that the infection became chronic. The doctor recommended antibiotics again and I have now completed the course. The urinary infection should be cured by now. All the new tests were negative. The urologist told me that my prostate size is bigger than people in my age. Please suggest me some good solution for the above mentioned problems. I want to get married soon and live a healthy life. The ultrasound has been made. The urologist here told me that, my prostate size is bigger than normal people in my age. This is not suppose to happen until a person gets older. That is the main reason of feeling weak and not being able to control urine, etc. I hope you understood all my problems. Please suggest me some medication for all the above mentioned problems. Thank you. | Hi. I assume that your reports have all been normal. If not, then please forward it to me. Revert back with the reports to a urologist online --> |
<s>[INST]
Hi doctor, I am a 28 year old male. Approximately, six to seven years back, I had urinary infection when I was sexually active with my girlfriend. I was advised to take an antibiotic course, which I did not complete at that time and the infection was not fully cured. After that incident, I used to get urinary infection once in a few months. During urination, I sometimes used to have one or two drops of blood only during the time of urinary infection. In addition to the above mentioned problems, I have some other issues related to sexual health. Such as premature ejaculation, extremely bad timing, sensitivity of the penis skin, lower back pain, lack of confidence, etc. Very often on my way to the toilet some urine drops are leaked. During night time, I have to stand up several times to urinate. Sometimes, approximately once a week after urinating suddenly sperm drops are released, but I have not discussed this part with my urologist in person. I am not a stressful person, so the reason behind this has to be something else than stress. I have now recently been to a urologist and I was told that the infection became chronic. The doctor recommended antibiotics again and I have now completed the course. The urinary infection should be cured by now. All the new tests were negative. The urologist told me that my prostate size is bigger than people in my age. Please suggest me some good solution for the above mentioned problems. I want to get married soon and live a healthy life. The ultrasound has been made. The urologist here told me that, my prostate size is bigger than normal people in my age. This is not suppose to happen until a person gets older. That is the main reason of feeling weak and not being able to control urine, etc. I hope you understood all my problems. Please suggest me some medication for all the above mentioned problems. Thank you. [/INST] Hi. I assume that your reports have all been normal. If not, then please forward it to me. Revert back with the reports to a urologist 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 --> |
<s>[INST]
Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. [/INST] Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> |
Q. Can Yasmin birth control pill be used as an emergency contraceptive pill? | Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? | Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> |
<s>[INST]
Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? [/INST] Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> |
Q. Please explain the poisonous effect of phenol ingestion. | Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. | Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> |
<s>[INST]
Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. [/INST] Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> |
Q. For how long should I take Kalachikai powder to overcome PCOD problem? | Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? | Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> |
<s>[INST]
Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? [/INST] Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> |
Q. Why do periods get delayed after first time sex? | Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? | Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> |
<s>[INST]
Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? [/INST] Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> |
Q. Is it advisable to take Spironolactone in a patient with history of pulmonary embolism? | Hello doctor, I had a pulmonary embolism as a teenager 10 years ago after taking Yasmin for acne. I was wondering if Spironolactone would be safe to use or could it cause me another embolism? I have a mild form of PCOS. Accutane did not work and acne creams do not work. Currently, I am using Minocycline. | Hello. Spironolactone does not increase the risk of thrombosis. You can take it but you need to monitor your potassium levels. Spironolactone increase your potassium levels. Avoid eating food items that are rich in potassium while taking the medication to prevent a sudden increase in potassium levels which can be fatal. Start with a low dose and take the medication regularly. You need to take the medication for at least six months to see a noticeable difference. Do not stop the medicine suddenly. The dose needs to be gradually decreased. Drink lots of water to prevent dehydration since it is a diuretic. |
<s>[INST]
Hello doctor, I had a pulmonary embolism as a teenager 10 years ago after taking Yasmin for acne. I was wondering if Spironolactone would be safe to use or could it cause me another embolism? I have a mild form of PCOS. Accutane did not work and acne creams do not work. Currently, I am using Minocycline. [/INST] Hello. Spironolactone does not increase the risk of thrombosis. You can take it but you need to monitor your potassium levels. Spironolactone increase your potassium levels. Avoid eating food items that are rich in potassium while taking the medication to prevent a sudden increase in potassium levels which can be fatal. Start with a low dose and take the medication regularly. You need to take the medication for at least six months to see a noticeable difference. Do not stop the medicine suddenly. The dose needs to be gradually decreased. Drink lots of water to prevent dehydration since it is a diuretic. |
Q. Does cough and phlegm with itchiness in throat in a cocaine user mean cancer? | Hi doctor,I used cocaine for six months but for four months, I have coughs and phlegm especially in the morning. I never had throat pain. It just feels itchy. I saw a doctor who gave me allergy spray with Cortizon but I took it for just one month. I keep drinking alcohol and cold drinks which makes me feel irritated in my throat again. Only used cocaine twice in last two months 1 g each. I will stop completely as am almost there on my withdrawal. I saw another doctor, she did all TSD tests and it was all clean. I got a bacterial infection in the throat so, I do salt and hot water gargling. The symptoms are less than before but I am still worried about my coughing. I am afraid of cancer as I had taken chemotherapy two years ago for histiocytosis X. Any suggestions, please. | Hello. The picture (attachment removed to protect patient identity) that you have attached shows slightly enlarged tonsils with granular pharyngitis. There is nothing to worry. Your symptoms are due to chronic irritation of your throat which could be due to rhinosinusitis or reflux or recurrent tonsillar infection. Chronic throat irritation is a cause of a chronic cough. |
<s>[INST]
Hi doctor,I used cocaine for six months but for four months, I have coughs and phlegm especially in the morning. I never had throat pain. It just feels itchy. I saw a doctor who gave me allergy spray with Cortizon but I took it for just one month. I keep drinking alcohol and cold drinks which makes me feel irritated in my throat again. Only used cocaine twice in last two months 1 g each. I will stop completely as am almost there on my withdrawal. I saw another doctor, she did all TSD tests and it was all clean. I got a bacterial infection in the throat so, I do salt and hot water gargling. The symptoms are less than before but I am still worried about my coughing. I am afraid of cancer as I had taken chemotherapy two years ago for histiocytosis X. Any suggestions, please. [/INST] Hello. The picture (attachment removed to protect patient identity) that you have attached shows slightly enlarged tonsils with granular pharyngitis. There is nothing to worry. Your symptoms are due to chronic irritation of your throat which could be due to rhinosinusitis or reflux or recurrent tonsillar infection. Chronic throat irritation is a cause of a chronic cough. |
Q. How likely is that OS ASD will cure on its own in a baby? | Hello doctor,My son (1-month-old baby) is suffering from breathing problems and lung infection. We went to a pediatrician, he suggested doing 2D echo. In that we found moderate OS ASD. Will it cure on its own? Please give a suggestion. | Hi. The treatment of atrial septal defect in neonate or infant depends on the size of the defect and clinical condition of the child. If the child is stable, it can be left alone and sometimes it closes by the age of 3 years. If still, the problem persists, the surgical closure is recommended. Small or moderate size, not causing any complication may be left alone. A regular follow up with pediatrician and pediatric cardiologist is recommended. Heart defect may lead to a recurrent chest infection and breathing problem. So the child needs utmost care. |
<s>[INST]
Hello doctor,My son (1-month-old baby) is suffering from breathing problems and lung infection. We went to a pediatrician, he suggested doing 2D echo. In that we found moderate OS ASD. Will it cure on its own? Please give a suggestion. [/INST] Hi. The treatment of atrial septal defect in neonate or infant depends on the size of the defect and clinical condition of the child. If the child is stable, it can be left alone and sometimes it closes by the age of 3 years. If still, the problem persists, the surgical closure is recommended. Small or moderate size, not causing any complication may be left alone. A regular follow up with pediatrician and pediatric cardiologist is recommended. Heart defect may lead to a recurrent chest infection and breathing problem. So the child needs utmost care. |
Q. What could irritate my throat and cause vomiting sensation? | Hello doctor, I feel something in the back of my throat making me puke. It has been two days and the doctor says it is just irritated from my vomiting the previous day but it feels like a hair is there and I feel it moves sometimes. It sits there. I know it is there but I cannot handle it, then it moves forcing me to puke. I have not slept in 24 hours because of this thing. All I want to know is am I crazy to think that there is something in there or is the doctor right and it is just irritated? I had been vomiting and having diarrhea for eight days. | Hello. Throat is highly sensitive and anything causing irritation can be annoying. Foreign body sensations in throat may be subjective or there can be some pathology causing it. Inflammation of structures in throat like uvula, tonsils or posterior pharyngeal wall can cause foreign body sensation. And at times foreign objects like fish bones and other sharp organic matter gets stuck in and around the area of tonsils causing foreign body sensation. At times forceful deglutition or swallowing can lead to foreign sensation. Gastric reflux can cause foreign body sensation. Then there is a condition called globus pharyngeus which can cause foreign body sensation, anxiety, stress being the underlying cause. But before coming to any diagnosis your throat must be examined. Can you send me a picture of your throat through an open mouth? |
<s>[INST]
Hello doctor, I feel something in the back of my throat making me puke. It has been two days and the doctor says it is just irritated from my vomiting the previous day but it feels like a hair is there and I feel it moves sometimes. It sits there. I know it is there but I cannot handle it, then it moves forcing me to puke. I have not slept in 24 hours because of this thing. All I want to know is am I crazy to think that there is something in there or is the doctor right and it is just irritated? I had been vomiting and having diarrhea for eight days. [/INST] Hello. Throat is highly sensitive and anything causing irritation can be annoying. Foreign body sensations in throat may be subjective or there can be some pathology causing it. Inflammation of structures in throat like uvula, tonsils or posterior pharyngeal wall can cause foreign body sensation. And at times foreign objects like fish bones and other sharp organic matter gets stuck in and around the area of tonsils causing foreign body sensation. At times forceful deglutition or swallowing can lead to foreign sensation. Gastric reflux can cause foreign body sensation. Then there is a condition called globus pharyngeus which can cause foreign body sensation, anxiety, stress being the underlying cause. But before coming to any diagnosis your throat must be examined. Can you send me a picture of your throat through an open mouth? |
Q. I am using Rotacap regularly for wheezing. Will it cause frequent canker sores? | Hi doctor, I am 26 years old man. Thrush or canker sore is there in the tongue, lip or mouth side. Not fever but body temperature is increasing feeling like hot. Tongue buds are burning for the past two days but thrush or canker sore is there for 15 days. When canker sore is healed, a new one (canker sore) will appear. I am taking Rotacaps. | Hi. I can understand your concern. I have gone through the history you have mentioned. These two can be the main possibilities for your problems. Vitamin B complex deficiency. This is most commonly seen folic acid, riboflavin, and niacin deficiency. So start multivitamin tablets containing these vitamins. Since you are using Rotacaps, if your technique is not proper, it can also lead to drug deposition in the mouth which can cause these symptoms. So always follow the Rotacap technique properly and wash your mouth after every rotacap use. Do let me know your Rotacap technique. I will be happy to help you further. Wish you good health. |
<s>[INST]
Hi doctor, I am 26 years old man. Thrush or canker sore is there in the tongue, lip or mouth side. Not fever but body temperature is increasing feeling like hot. Tongue buds are burning for the past two days but thrush or canker sore is there for 15 days. When canker sore is healed, a new one (canker sore) will appear. I am taking Rotacaps. [/INST] Hi. I can understand your concern. I have gone through the history you have mentioned. These two can be the main possibilities for your problems. Vitamin B complex deficiency. This is most commonly seen folic acid, riboflavin, and niacin deficiency. So start multivitamin tablets containing these vitamins. Since you are using Rotacaps, if your technique is not proper, it can also lead to drug deposition in the mouth which can cause these symptoms. So always follow the Rotacap technique properly and wash your mouth after every rotacap use. Do let me know your Rotacap technique. I will be happy to help you further. Wish you good health. |
Q. A few reddish spots have developed on my baby's head. Are they harmful? | Hi doctor, My baby boy, who is 8 months 14 days old. His weight is 7.6 kg and height is 27 inches. He is taking Arbivit-3 and Zincovit drops daily according to the doctor's advice. Are his weight and height fine? From few days, there are some reddish spots developed on his head and in some parts of the body. It is gradually increasing and there is no secretion from this spot. What are these spots? Are these harmful? What is the treatment? Please explain me. | Hi. For further information consult a paediatrician online --> |
<s>[INST]
Hi doctor, My baby boy, who is 8 months 14 days old. His weight is 7.6 kg and height is 27 inches. He is taking Arbivit-3 and Zincovit drops daily according to the doctor's advice. Are his weight and height fine? From few days, there are some reddish spots developed on his head and in some parts of the body. It is gradually increasing and there is no secretion from this spot. What are these spots? Are these harmful? What is the treatment? Please explain me. [/INST] Hi. For further information consult a paediatrician online --> |
Q. Do pain under arm pits and in knee after sex indicate HIV? | Hello doctor, I have potentially been exposed to HIV. 20 days back, I had protected sex with a sex worker and at some point during the intercourse the condom broke exposing my entire penis. I do not know how long this exposure took place. Three days later, I started experiencing a fever. The fever lasted up until a week approximately. I returned home and had swollen lymph nodes below my jaw on both sides. I went to my doctor the next day, and told her what happened and my worries, she prescribed me Doxycycline for the lymph nodes. Within a few days, the left lymph node had completely gone down but the right one still remains. The doctor also had me test for STDs (syphils, gonorrhea, and HIV, all negative). I am now experiencing tenderness and slight pain under my arm pits and behind my left knee, there is a pain when I walk or stretch that leg. Are these the symptoms of early HIV infection? How worried should I be about the lymph nodes? I am also experiencing intermittent tingling in my feet and hands. | Hi. I have read your query in detail. Early symptoms of HIV (flu like symptoms) usually appear after two weeks of HIV infection. The symptoms of swollen lymph nodes, fever, pain behind ears or legs can be no way attributed to the exposure you have had. These could be due to anxiety or some other cause. You can take tablet Paracetamol 500 mg as per your need. If these symptoms persist, you can visit a general physician. Also, I would suggest you to repeat fourth generation HIV after four to six weeks of exposure. |
<s>[INST]
Hello doctor, I have potentially been exposed to HIV. 20 days back, I had protected sex with a sex worker and at some point during the intercourse the condom broke exposing my entire penis. I do not know how long this exposure took place. Three days later, I started experiencing a fever. The fever lasted up until a week approximately. I returned home and had swollen lymph nodes below my jaw on both sides. I went to my doctor the next day, and told her what happened and my worries, she prescribed me Doxycycline for the lymph nodes. Within a few days, the left lymph node had completely gone down but the right one still remains. The doctor also had me test for STDs (syphils, gonorrhea, and HIV, all negative). I am now experiencing tenderness and slight pain under my arm pits and behind my left knee, there is a pain when I walk or stretch that leg. Are these the symptoms of early HIV infection? How worried should I be about the lymph nodes? I am also experiencing intermittent tingling in my feet and hands. [/INST] Hi. I have read your query in detail. Early symptoms of HIV (flu like symptoms) usually appear after two weeks of HIV infection. The symptoms of swollen lymph nodes, fever, pain behind ears or legs can be no way attributed to the exposure you have had. These could be due to anxiety or some other cause. You can take tablet Paracetamol 500 mg as per your need. If these symptoms persist, you can visit a general physician. Also, I would suggest you to repeat fourth generation HIV after four to six weeks of exposure. |
Q. Can missing period with only spotting after unprotected sex indicate pregnancy? | Hello doctor, I am 23 years old and on birth control pills for five years without missing a dose. Usually, I have a pretty regular cycle. Had sex using withdrawal method due to STD free and on the pill. Started a new job (career) as well as ended that relationship, missed a period. At about 10 days late, my home urine test was negative. The second test was negative about two weeks after this. Got some light spotting around next cycle but no period. How likely that I am pregnant? What else could be causing this? | Hello. I have gone through your history and understand your concern. As you had protected sex, there is almost no chance of pregnancy in your case. Delayed menses and spotting could be due to hormonal imbalance caused by sex. Get your blood beta hCG levels to rule out the possibility of pregnancy. |
<s>[INST]
Hello doctor, I am 23 years old and on birth control pills for five years without missing a dose. Usually, I have a pretty regular cycle. Had sex using withdrawal method due to STD free and on the pill. Started a new job (career) as well as ended that relationship, missed a period. At about 10 days late, my home urine test was negative. The second test was negative about two weeks after this. Got some light spotting around next cycle but no period. How likely that I am pregnant? What else could be causing this? [/INST] Hello. I have gone through your history and understand your concern. As you had protected sex, there is almost no chance of pregnancy in your case. Delayed menses and spotting could be due to hormonal imbalance caused by sex. Get your blood beta hCG levels to rule out the possibility of pregnancy. |
Q. Both my ears are blocked. I have been suffering a hearing problem too. Please help. | Hello doctor, I want some advice on my blocked ears. My ears are also paining since 7 days. Since last week, I have been suffering from cough and cold. As both the ears are blocked, I have been suffering a hearing problem too. I think wax is stuck inside my ears. I have been using an ear drops twice a day. What should I do? | HiWelcome to icliniq.com.I understand your concern, and most likely you are suffering from eustachian tube catarrh. This is a clinical condition arises due to eustachian tube dysfunction. The eustachian tube is a tubular connection between the middle ear and throat. Main function of this is to maintain air pressure in the middle ear equal to that of the external atmosphere. But whenever this tube gets blocked by cold and sore throat, the patient feels blockade of the ears.I would like to suggest you try: Mostly, the above treatment will solve your problem. |
<s>[INST]
Hello doctor, I want some advice on my blocked ears. My ears are also paining since 7 days. Since last week, I have been suffering from cough and cold. As both the ears are blocked, I have been suffering a hearing problem too. I think wax is stuck inside my ears. I have been using an ear drops twice a day. What should I do? [/INST] HiWelcome to icliniq.com.I understand your concern, and most likely you are suffering from eustachian tube catarrh. This is a clinical condition arises due to eustachian tube dysfunction. The eustachian tube is a tubular connection between the middle ear and throat. Main function of this is to maintain air pressure in the middle ear equal to that of the external atmosphere. But whenever this tube gets blocked by cold and sore throat, the patient feels blockade of the ears.I would like to suggest you try: Mostly, the above treatment will solve your problem. |
Q. What remedy can be used to cure nosebleeds and discomfort due to pollen allergy? | Hello doctor, I have a problem with my allergies. I believe I am allergic to pollen and I have these allergies all year long. I am always snuffing, wiping, started to have nose bleeds recently. I tried every over the counter allergy pill and spray and nothing gives me release. What should I do? Is there a doctors prescription I should take? Or remedies I could do? Any suggestions for anything to stop this discomfort and nosebleeds? | Hi. Nose bleeds are due to running nose, dryness and crusting, all of which manifest in allergic rhinitis. You need to get a skin flick testing done to check what you are allergic to. Thereafter you should try allergen avoidance, pharmacotherapy and some precautions. If these fail, you can go for immunotherapy. If you need details, you may revert back. |
<s>[INST]
Hello doctor, I have a problem with my allergies. I believe I am allergic to pollen and I have these allergies all year long. I am always snuffing, wiping, started to have nose bleeds recently. I tried every over the counter allergy pill and spray and nothing gives me release. What should I do? Is there a doctors prescription I should take? Or remedies I could do? Any suggestions for anything to stop this discomfort and nosebleeds? [/INST] Hi. Nose bleeds are due to running nose, dryness and crusting, all of which manifest in allergic rhinitis. You need to get a skin flick testing done to check what you are allergic to. Thereafter you should try allergen avoidance, pharmacotherapy and some precautions. If these fail, you can go for immunotherapy. If you need details, you may revert back. |
Q. I have been feeling pain in my chest. I am a regular smoker. Please advice. | Hello doctor, I am 25 year old male, my height is 5'10" and I weigh 73 kg. For the last two days, I have been feeling pain in my chest (left side). Since then, I have been feeling tired and sleepy all day and unable to concentrate on my work. Pain is not so frequent, but when I take a deep breath, I feel pain. Also, I have the problem of morning cough. I have a history of regular constipation. I also have a history of increased cholesterol level in my body, which is fine now. I am a regular smoker (6 to 7 cigarettes a day) and a social drinker. Please advice. | Hello. It looks like you have pleuritic pain. This refers to pain due to inflammation of the covering of your lungs. You will need a course of antibiotics. The reason why you are getting such chest infections is your smoking. So, I actively encourage you to quit smoking. There are courses of medications available to assist you to quit smoking. Take lots of fiber-rich food to get rid of constipation. You can buy an over the counter laxative to overcome constipation if required. If the chest pain persists after the course of antibiotics, you would need an ECG and chest x-ray. |
<s>[INST]
Hello doctor, I am 25 year old male, my height is 5'10" and I weigh 73 kg. For the last two days, I have been feeling pain in my chest (left side). Since then, I have been feeling tired and sleepy all day and unable to concentrate on my work. Pain is not so frequent, but when I take a deep breath, I feel pain. Also, I have the problem of morning cough. I have a history of regular constipation. I also have a history of increased cholesterol level in my body, which is fine now. I am a regular smoker (6 to 7 cigarettes a day) and a social drinker. Please advice. [/INST] Hello. It looks like you have pleuritic pain. This refers to pain due to inflammation of the covering of your lungs. You will need a course of antibiotics. The reason why you are getting such chest infections is your smoking. So, I actively encourage you to quit smoking. There are courses of medications available to assist you to quit smoking. Take lots of fiber-rich food to get rid of constipation. You can buy an over the counter laxative to overcome constipation if required. If the chest pain persists after the course of antibiotics, you would need an ECG and chest x-ray. |
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 --> |
<s>[INST]
Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. [/INST] Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> |
Q. Can Yasmin birth control pill be used as an emergency contraceptive pill? | Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? | Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> |
<s>[INST]
Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? [/INST] Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> |
Q. Please explain the poisonous effect of phenol ingestion. | Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. | Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> |
<s>[INST]
Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. [/INST] Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> |
Q. For how long should I take Kalachikai powder to overcome PCOD problem? | Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? | Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> |
<s>[INST]
Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? [/INST] Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> |
Q. Why do periods get delayed after first time sex? | Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? | Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> |
<s>[INST]
Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? [/INST] Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> |
Q. Why do I have some white semicircular band on my fingernails? | Hi doctor, I have noticed something different on the tip of the nails. At the tip of all nails a band of half white color has formed and it is going around the circumference of the nail horizontally. They are not an exact horizontal line, but a circular band around the tip of the nail. I am also attaching the picture of my nails for your better understanding. I am not sure whether they were always there or have developed recently. But, I noticed them recently. Please tell me what is the cause of this. I also have some unusual taste in my mouth or tongue. I do not know whether they are related with the nails. But, I have not had this before. Please help. | Hi. For further information consult a dermatologist online --> |
<s>[INST]
Hi doctor, I have noticed something different on the tip of the nails. At the tip of all nails a band of half white color has formed and it is going around the circumference of the nail horizontally. They are not an exact horizontal line, but a circular band around the tip of the nail. I am also attaching the picture of my nails for your better understanding. I am not sure whether they were always there or have developed recently. But, I noticed them recently. Please tell me what is the cause of this. I also have some unusual taste in my mouth or tongue. I do not know whether they are related with the nails. But, I have not had this before. Please help. [/INST] Hi. For further information consult a dermatologist online --> |
Q. I catch cold every morning after I wake up. Is it normal? | Hello doctor, I am 21 years old. I am having a cold every morning when I wake up and as the day goes by it continues to reduce simultaneously. This has been happening to me for the past two years. I need some lifetime precautions for this. For the past two years, I have been taking Marijuana daily. | Hi. As you said you are suffering from the cold in the morning only and it subsides in the day, it means you are allergic. You should improve first your immunity as it plays an important role in the allergy. It is the best way to fight allergy. I am prescribing you a remedy for such an allergy. At night before going to bed take a glass of milk, add half a teaspoon of turmeric powder and a half pinch of black pepper. In it, boil this mix and when it remains half, take this in warm temperature. Do not take water after this. There are some medicines also which enhance immunity but you should take the whole treatment at least for 2 to 3 months. If interested, then, can ask in next follow up. Have a citrus Vitamin C rich fruit daily. As much as you eat fruits and veggies, your immunity will be improved and reduce allergic condition. Allergic rhinitis. |
<s>[INST]
Hello doctor, I am 21 years old. I am having a cold every morning when I wake up and as the day goes by it continues to reduce simultaneously. This has been happening to me for the past two years. I need some lifetime precautions for this. For the past two years, I have been taking Marijuana daily. [/INST] Hi. As you said you are suffering from the cold in the morning only and it subsides in the day, it means you are allergic. You should improve first your immunity as it plays an important role in the allergy. It is the best way to fight allergy. I am prescribing you a remedy for such an allergy. At night before going to bed take a glass of milk, add half a teaspoon of turmeric powder and a half pinch of black pepper. In it, boil this mix and when it remains half, take this in warm temperature. Do not take water after this. There are some medicines also which enhance immunity but you should take the whole treatment at least for 2 to 3 months. If interested, then, can ask in next follow up. Have a citrus Vitamin C rich fruit daily. As much as you eat fruits and veggies, your immunity will be improved and reduce allergic condition. Allergic rhinitis. |
Q. My problem is low sexual drive. Please suggest some medicines without side effects. | Hello doctor, I am a 30 year old male. I got married a year back. My problem is low sexual drive. Are there any safe medicines to induce sexual desire? Also, my penis is circumcised. So, my penile glans are dry and insensitive. Is there any topical cream available to increase the sensitivity of my penis? Is L arginine cream effective? Please suggest some medicines without side effects. | Hello. You should answer a few questions so that I can help you better. Circumcision of the penis is a good thing, as you do not get diseases like phimosis (inability to retract the foreskin fully over the glans penis) and penis cancer. |
<s>[INST]
Hello doctor, I am a 30 year old male. I got married a year back. My problem is low sexual drive. Are there any safe medicines to induce sexual desire? Also, my penis is circumcised. So, my penile glans are dry and insensitive. Is there any topical cream available to increase the sensitivity of my penis? Is L arginine cream effective? Please suggest some medicines without side effects. [/INST] Hello. You should answer a few questions so that I can help you better. Circumcision of the penis is a good thing, as you do not get diseases like phimosis (inability to retract the foreskin fully over the glans penis) and penis cancer. |
Q. I had a C-section before six years and pregnant now. Can I go for abortion? | Hi doctor, I am seven weeks pregnant and I want to do abortion but I had a baby boy with a C-section six years ago. So I just wanted to know if I can abort. | Hi. I can understand your concern. If you have decided for abortion, you can undergo but under strict supervision. You have to consult your gynecologist, confirm the gestational age. Up to eight weeks, medical termination is possible. But better to be under admission to prevent untoward effects like excessive bleeding, severe pain, very rarely scar dehiscence. Take care. |
<s>[INST]
Hi doctor, I am seven weeks pregnant and I want to do abortion but I had a baby boy with a C-section six years ago. So I just wanted to know if I can abort. [/INST] Hi. I can understand your concern. If you have decided for abortion, you can undergo but under strict supervision. You have to consult your gynecologist, confirm the gestational age. Up to eight weeks, medical termination is possible. But better to be under admission to prevent untoward effects like excessive bleeding, severe pain, very rarely scar dehiscence. Take care. |
Q. What are the chronic spots on scrotum that do not hurt. | Hello doctor, There are spots on the scrotum for over a year. They are not painful. I just wanted to know if it was normal. Currently, I am taking Proguanil 100 mg (anti-malarial). | Hi. It is steatocystoma multiplex which is basically a benign cyst (attachment removed to protect patient identity). The Line of management is surgical incision and extraction of sebaceous contents with destruction of sac to avoid recurrence. Laser, Radio-frequency can be used. |
<s>[INST]
Hello doctor, There are spots on the scrotum for over a year. They are not painful. I just wanted to know if it was normal. Currently, I am taking Proguanil 100 mg (anti-malarial). [/INST] Hi. It is steatocystoma multiplex which is basically a benign cyst (attachment removed to protect patient identity). The Line of management is surgical incision and extraction of sebaceous contents with destruction of sac to avoid recurrence. Laser, Radio-frequency can be used. |
Q. Is it normal for facial muscles to change shape when I am under stress? | Hello doctor, I never bothered to worry about this before but someone said I should see a doctor about this. The problem I have is that my facial muscles seem to always change shape when I am under stress. I remember someone once telling me he knew what was wrong with me. He said my face needs to breathe. Also when I shave and my face gets air my facial skin gets smoother in texture and fuller. I had not eaten in a while so I was starving and I went out to eat. I ordered a hot dog and by the time I finished eating I felt a surge of energy like my blood began to rush I think and my face popped and was a lot fuller. I think after that any time I would go to the toilet my stool would come out very dark and hard and messy. I do not know what could be the cause. So please could you help? | Hello. It is very strange if your facial muscles tend to change shape on daily basis. I know of a few conditions in which facial flushing (redness) can occur due to increased blood flow, but the change in facial musculature with food intake or under stress is not a common thing. The facial flushing can occur with eating of certain foods which are rich in amines. Can also occur with hyperthyroidism and diseases like VIPoma or some other carcinoid syndrome. But the above things also have certain other presenting features. |
<s>[INST]
Hello doctor, I never bothered to worry about this before but someone said I should see a doctor about this. The problem I have is that my facial muscles seem to always change shape when I am under stress. I remember someone once telling me he knew what was wrong with me. He said my face needs to breathe. Also when I shave and my face gets air my facial skin gets smoother in texture and fuller. I had not eaten in a while so I was starving and I went out to eat. I ordered a hot dog and by the time I finished eating I felt a surge of energy like my blood began to rush I think and my face popped and was a lot fuller. I think after that any time I would go to the toilet my stool would come out very dark and hard and messy. I do not know what could be the cause. So please could you help? [/INST] Hello. It is very strange if your facial muscles tend to change shape on daily basis. I know of a few conditions in which facial flushing (redness) can occur due to increased blood flow, but the change in facial musculature with food intake or under stress is not a common thing. The facial flushing can occur with eating of certain foods which are rich in amines. Can also occur with hyperthyroidism and diseases like VIPoma or some other carcinoid syndrome. But the above things also have certain other presenting features. |
Q. Is hepatomegaly with fatty changes, hydronephrosis, and SOL serious? | Hello doctor, My mom has a severe abnormality in the lower abdominal part. On doctor's consultation, we have done USG. In the report, the impression shows that mild hepatomegaly with grade II fatty changes, right-sided mild hydronephrosis, bulky heterogeneous uterus with multiple SOLs. What does it mean? Is there anything serious? Which type of specialist we should consult in this case? | Hi. There is nothing to worry about. For hepatomegaly, you will have to lose weight and avoid oily foods. Mild hydronephrosis could be because of some infection in the kidneys which may require antibiotics. There is mild SOL (space occupying lesion) in the uterus which could be because of hormonal changes. Please get yourself checked by a gynecologist with the reports. However, if you have a doubt then get back to me. Take care. |
<s>[INST]
Hello doctor, My mom has a severe abnormality in the lower abdominal part. On doctor's consultation, we have done USG. In the report, the impression shows that mild hepatomegaly with grade II fatty changes, right-sided mild hydronephrosis, bulky heterogeneous uterus with multiple SOLs. What does it mean? Is there anything serious? Which type of specialist we should consult in this case? [/INST] Hi. There is nothing to worry about. For hepatomegaly, you will have to lose weight and avoid oily foods. Mild hydronephrosis could be because of some infection in the kidneys which may require antibiotics. There is mild SOL (space occupying lesion) in the uterus which could be because of hormonal changes. Please get yourself checked by a gynecologist with the reports. However, if you have a doubt then get back to me. Take care. |
Q. There are some itchy painful foul smelling bumps on penis. Is that STD? | Hello doctor, I have something on my penis. It started a couple days ago after I had unprotected sex. I am uncircumcised. It is not the first time I have noticed something like this happen and I always get concerned. It feels very itchy, and also hurts. It does not feel painful when I urinate. There is also a foul smell. It started as feeling sore and irritation, and then little bumps came out, and after that, it seems like the bumps look like sores. I have gotten tested for STD but HSV 1 and 2 were not in that panel. I have also been looked at and the doctor said balanitis. But there are two different examples of when it happens and the one I am concerned with today does not appear to look like the balanitis. | Hi. Presently the clinical photographs are not suggestive of herpes genitalis. Looks more like balanitis. In herpes genitalis there will be clean looks ulcers without slough, also there will be a pain. Herpes genitalis should subside with 5 to 7 days. Consider application of Mupirocin 2 % cream twice daily with Clotrimazole 1 % cream twice daily. Also, an oral antihistamine can be taken to relieve itching. I would advise you to visit dermatologist personally and if this is a recurrent problem, clinical examination is important. Protected sexual intercourse is advisable. |
<s>[INST]
Hello doctor, I have something on my penis. It started a couple days ago after I had unprotected sex. I am uncircumcised. It is not the first time I have noticed something like this happen and I always get concerned. It feels very itchy, and also hurts. It does not feel painful when I urinate. There is also a foul smell. It started as feeling sore and irritation, and then little bumps came out, and after that, it seems like the bumps look like sores. I have gotten tested for STD but HSV 1 and 2 were not in that panel. I have also been looked at and the doctor said balanitis. But there are two different examples of when it happens and the one I am concerned with today does not appear to look like the balanitis. [/INST] Hi. Presently the clinical photographs are not suggestive of herpes genitalis. Looks more like balanitis. In herpes genitalis there will be clean looks ulcers without slough, also there will be a pain. Herpes genitalis should subside with 5 to 7 days. Consider application of Mupirocin 2 % cream twice daily with Clotrimazole 1 % cream twice daily. Also, an oral antihistamine can be taken to relieve itching. I would advise you to visit dermatologist personally and if this is a recurrent problem, clinical examination is important. Protected sexual intercourse is advisable. |
Q. Will touching of bed sheet by needle tip before TT injection cause any contamination? | Hello doctor, I have got a TT injection in deltoid of left arm today from a local hospital. After loading injection in casualty the nurse called to injection room, I sat there, nurse cleaned my arm with spirit. After cleaning, I noticed that the preloaded syringe with the needle was kept on the bed with needle touching bedsheet by the time I was about to ask, injection was administered. After this, I also enquired about this to the nurse then she said cap was slipped off and did not notice. I also enquired to RMO he also said no need to bother. I am having doubt that injection needle if touched the bedsheet, will there be contamination. Now I am anxious about this. Will there by any possibility of diseases due to this unsterile injection? Please give your opinion. | Hi. Good to know that you are careful with healthcare. Firstly I would like to know what was the reason to take a TT injection? On a general note, the injection needle scenario you described is completely safe from most serious viral infections, but only a few bacteria may persist. You see, any organism that develops disease inside a human body grows in a warm medium such as blood and requires a liquid temperature controlled viable environment. But in this case, the bedsheet is a nonviable environment for any infective organism or germ. Hence the chances of you falling sick from that needle are as low as finding a shooting star in the sky. Although I do not say it was completely sterile, it may cause at most a slight immune response that may look and behave like a mosquito bite. Keep me updated with any suspicious symptoms you notice and do not worry, we are here for you. The nurse was not wrong either. Take care. Using a rubbing alcohol dipped in cotton over your skin prior to the injection makes your skin sterile and also the needle as it goes in. Follow up as necessary. |
<s>[INST]
Hello doctor, I have got a TT injection in deltoid of left arm today from a local hospital. After loading injection in casualty the nurse called to injection room, I sat there, nurse cleaned my arm with spirit. After cleaning, I noticed that the preloaded syringe with the needle was kept on the bed with needle touching bedsheet by the time I was about to ask, injection was administered. After this, I also enquired about this to the nurse then she said cap was slipped off and did not notice. I also enquired to RMO he also said no need to bother. I am having doubt that injection needle if touched the bedsheet, will there be contamination. Now I am anxious about this. Will there by any possibility of diseases due to this unsterile injection? Please give your opinion. [/INST] Hi. Good to know that you are careful with healthcare. Firstly I would like to know what was the reason to take a TT injection? On a general note, the injection needle scenario you described is completely safe from most serious viral infections, but only a few bacteria may persist. You see, any organism that develops disease inside a human body grows in a warm medium such as blood and requires a liquid temperature controlled viable environment. But in this case, the bedsheet is a nonviable environment for any infective organism or germ. Hence the chances of you falling sick from that needle are as low as finding a shooting star in the sky. Although I do not say it was completely sterile, it may cause at most a slight immune response that may look and behave like a mosquito bite. Keep me updated with any suspicious symptoms you notice and do not worry, we are here for you. The nurse was not wrong either. Take care. Using a rubbing alcohol dipped in cotton over your skin prior to the injection makes your skin sterile and also the needle as it goes in. Follow up as necessary. |
Q. I have low sex drive with erectile dysfunction. How can I overcome it? | Hi doctor, I am 37 years old male and for the last few months my sex drive is getting lower and currently, it is at its lowest. Moreover, I am also suffering from erectile dysfunction as well, which has never been a problem. I am living alone for the last four months and visit my family once a month. Kindly help me to overcome these issues. | Hello. Get done a blood test for serum testosterone levels both free and total, serum prolactin levels, FBS, lipid profile, TSH, early morning fasting sample is to be given. |
<s>[INST]
Hi doctor, I am 37 years old male and for the last few months my sex drive is getting lower and currently, it is at its lowest. Moreover, I am also suffering from erectile dysfunction as well, which has never been a problem. I am living alone for the last four months and visit my family once a month. Kindly help me to overcome these issues. [/INST] Hello. Get done a blood test for serum testosterone levels both free and total, serum prolactin levels, FBS, lipid profile, TSH, early morning fasting sample is to be given. |
Q. Kindly tell me the cure for pimple with white patches on the nose. | Hello doctor, I have skin problems on my nose, there is a big pimple which is red and swollen. Also, on my hand, there are some round white patches. I also get a lot of heat boils (yellow in color) on my body. I have shared the pictures. Kindly refer me ointments and tablets for the cure. | Hi. I have seen your pictures (attachment removed to protect patient identity). We will use one thing at a time to minimize complication. Acne on your nose is termed as acne rosacea. Start Minoz (Minocycline) OD 65 mg once daily bedtime for 30 days and La Sheild sunscreen all over face after 10 AM and Minoz BPO gel once daily bedtime for 30 minutes of short contact period on acne then rinse off with cool water. Avoid direct sunlight between 10 to 3, colored food like sausage, alcohol, too spicy and hot food. Avoid getting anger frequently and dairy products after 8 PM. Prefer carrots, millet powder, fish, dry fruits regularly. Report to me after 30 days and try to avoid any other medication during the course of treatment and by chance, if you notice any sort of side-effects, stop using medication and report to a dermatologist nearby you. Otherwise, it is a very safe medication. |
<s>[INST]
Hello doctor, I have skin problems on my nose, there is a big pimple which is red and swollen. Also, on my hand, there are some round white patches. I also get a lot of heat boils (yellow in color) on my body. I have shared the pictures. Kindly refer me ointments and tablets for the cure. [/INST] Hi. I have seen your pictures (attachment removed to protect patient identity). We will use one thing at a time to minimize complication. Acne on your nose is termed as acne rosacea. Start Minoz (Minocycline) OD 65 mg once daily bedtime for 30 days and La Sheild sunscreen all over face after 10 AM and Minoz BPO gel once daily bedtime for 30 minutes of short contact period on acne then rinse off with cool water. Avoid direct sunlight between 10 to 3, colored food like sausage, alcohol, too spicy and hot food. Avoid getting anger frequently and dairy products after 8 PM. Prefer carrots, millet powder, fish, dry fruits regularly. Report to me after 30 days and try to avoid any other medication during the course of treatment and by chance, if you notice any sort of side-effects, stop using medication and report to a dermatologist nearby you. Otherwise, it is a very safe medication. |
Q. I took Clavulin for frontal sinusitis, but still, feel pressure on top of my head. Why? | I had a sinus infection and was prescribed two weeks Clavulin for a total dose of 1500 mg per day . At the end of two weeks I was symptom-free - but the day after I finished the meds I got my symptoms back and developed frontal sinus infection. I went on Clavulin for three weeks at the highest dose and had frontal sinus symptoms the whole time while I was on the antibiotics. I finish these antibiotics two weeks ago. Every day for the last two weeks I have a lot of pressure/tension on the top of my head that is pressing down on the top of my head and is very bothersome and also sometimes across the top of my forehead with occasional aches in my eyes . It is very hard to focus on anything else because the pressure is so bothersome. It has not gotten worse but remains the same every day . Can you tell me what is going on ? | Hi! Apologies for the late reply! As you have rightly put it, the most probable problem out there is a severe allergic problem with an associated sinusitis (frontal sinusitis to be precise). I have tried to explain things in a very simple yet precise manner below. The cascade of events is explained in a very simple manner below eventhough its not as simple as it looks! Exposure to dust (or any irritative substance that your body is hyper sensitive to) will initially initiate reflexes such as sneezing to remove the offending agent out but if this fails, mucosal cells in you nose start to hyperfunction producing loads of mucus to trap dust(owing to its sticky nature), this mucus has no where to go other than either being blown out of due to mucociliary activity gets pushed into the throat, thereby entering into a new zone, the throat initially reacts by activating cough impulses to push out the mucus, but if that fails, a local inflammation around the throat starts which often leads to symptoms such as feeling of a lump in the throat and repeated feeling to clear the throat. Now this is general cascade that usually occurs in most people, but need not be specific to you. Sinusitis is always secondary to something, allergy being the most common out of them. There could be other reasons as well for sinusitis to occur such as a hypoplastic frontal sinus, narrow frontal outflow tract/ frontal recess/ sinonasal polyposis etc. Another important fact About sinusitis is about its recurrence. Plain use of antibiotics doesn't solve the issue, but just keeps it off for a while. We need to dig down and see what has caused the sinusitis in the first place for appropriate treatment rather than superficially treating it with plain antibiotics. Precautionary measures is one such thing which if followed ( such as in a case or allergy) will definetly go a very long way in keeping the problem at bay. The requirement of medications also will be less and on the whole you will have immense benefit. You can consider the following advice All precautionary measures have to be followed strictly for maximum relief, other wise medications won't be useful on long term. If things don't seem OK even after following the treatment schedule mentioned above, a non contrast CT is mandatory to find out what exactly could be going on in the sinonasal region. Anatomical variations, extent of inflammatory load are few things we look into while reading a ct scan. Surgery can be considered (if above medications and precautionary measures don't give any relief), but there is a catch to it. The symptoms might come back sometimes even on a higher scale after a brief relief following surgery if the precautionary measures post surgery are not followed. Ideally speaking in a nut shell, I again emphasis on preventing any irritative substance from entering the nose and throat, thereby triggering an allergic cascade of events and reproducing the symptoms you have mentioned above. I hope I have answered to your query in detail. Sorry again for the late reply. Get well soon! Warm regards |
<s>[INST]
I had a sinus infection and was prescribed two weeks Clavulin for a total dose of 1500 mg per day . At the end of two weeks I was symptom-free - but the day after I finished the meds I got my symptoms back and developed frontal sinus infection. I went on Clavulin for three weeks at the highest dose and had frontal sinus symptoms the whole time while I was on the antibiotics. I finish these antibiotics two weeks ago. Every day for the last two weeks I have a lot of pressure/tension on the top of my head that is pressing down on the top of my head and is very bothersome and also sometimes across the top of my forehead with occasional aches in my eyes . It is very hard to focus on anything else because the pressure is so bothersome. It has not gotten worse but remains the same every day . Can you tell me what is going on ? [/INST] Hi! Apologies for the late reply! As you have rightly put it, the most probable problem out there is a severe allergic problem with an associated sinusitis (frontal sinusitis to be precise). I have tried to explain things in a very simple yet precise manner below. The cascade of events is explained in a very simple manner below eventhough its not as simple as it looks! Exposure to dust (or any irritative substance that your body is hyper sensitive to) will initially initiate reflexes such as sneezing to remove the offending agent out but if this fails, mucosal cells in you nose start to hyperfunction producing loads of mucus to trap dust(owing to its sticky nature), this mucus has no where to go other than either being blown out of due to mucociliary activity gets pushed into the throat, thereby entering into a new zone, the throat initially reacts by activating cough impulses to push out the mucus, but if that fails, a local inflammation around the throat starts which often leads to symptoms such as feeling of a lump in the throat and repeated feeling to clear the throat. Now this is general cascade that usually occurs in most people, but need not be specific to you. Sinusitis is always secondary to something, allergy being the most common out of them. There could be other reasons as well for sinusitis to occur such as a hypoplastic frontal sinus, narrow frontal outflow tract/ frontal recess/ sinonasal polyposis etc. Another important fact About sinusitis is about its recurrence. Plain use of antibiotics doesn't solve the issue, but just keeps it off for a while. We need to dig down and see what has caused the sinusitis in the first place for appropriate treatment rather than superficially treating it with plain antibiotics. Precautionary measures is one such thing which if followed ( such as in a case or allergy) will definetly go a very long way in keeping the problem at bay. The requirement of medications also will be less and on the whole you will have immense benefit. You can consider the following advice All precautionary measures have to be followed strictly for maximum relief, other wise medications won't be useful on long term. If things don't seem OK even after following the treatment schedule mentioned above, a non contrast CT is mandatory to find out what exactly could be going on in the sinonasal region. Anatomical variations, extent of inflammatory load are few things we look into while reading a ct scan. Surgery can be considered (if above medications and precautionary measures don't give any relief), but there is a catch to it. The symptoms might come back sometimes even on a higher scale after a brief relief following surgery if the precautionary measures post surgery are not followed. Ideally speaking in a nut shell, I again emphasis on preventing any irritative substance from entering the nose and throat, thereby triggering an allergic cascade of events and reproducing the symptoms you have mentioned above. I hope I have answered to your query in detail. Sorry again for the late reply. Get well soon! Warm regards |
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 --> |
<s>[INST]
Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. [/INST] Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> |
Q. Can Yasmin birth control pill be used as an emergency contraceptive pill? | Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? | Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> |
<s>[INST]
Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? [/INST] Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> |
Q. Please explain the poisonous effect of phenol ingestion. | Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. | Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> |
<s>[INST]
Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. [/INST] Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> |
Q. For how long should I take Kalachikai powder to overcome PCOD problem? | Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? | Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> |
<s>[INST]
Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? [/INST] Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> |
Q. Why do periods get delayed after first time sex? | Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? | Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> |
<s>[INST]
Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? [/INST] Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> |
Q. Kindly prescribe medicines to control diabetes and gain weight. | Hello doctor, My husband aged 51, is clinically diagnosed to be diabetic. His HbA1c remained at 6.5 during the last two checkups. The last checkup was done three months back. His blood sugar after the food was 178 two weeks ago. He has lost weight by 10 kg in six months. He has become weak both physically and in appearance. His BP is 90 to 130 and has been taking the tablet Telmisartan 40 for two years. Also, he is having severe pain on elbow which is diagnosed to be tennis elbow and the tablet Bounty is prescribed and has been taking this for last seven days. Kindly prescribe the medicine for diabetic and gain weight. | Hi. I can understand your concern. I would like to know what medicines is he on for diabetes. Follow up would be free, so please answer my questions as it will allow me to help you better. Regarding his blood pressure, 130/90 is good. So, continue the medicine. 6 to 6.5 is a very good HbA1c score to maintain. But, some diabetic medicines lead to weight loss (which is mostly required). So, please mention the medicine names and how many times does he take them. Also, mentioning some general guidelines which he can follow for better control. Regular meal times for breakfast, lunch, and dinner. Avoid fried and junk food. You can include the following food in your diet like fresh fruits, veggies, whole grains, beans, peas, low-fat dairy products, fish, nuts like almonds and walnut. You must avoid bakery products, sweets, organ meats, egg yolk, white bread, and white rice, potatoes, red pumpkin, pineapple, sapodilla, mangoes, custard apples, and grapes. Try and exercise (even brisk walking will do) for atleast 30 minutes for five days in a week. Eliminate sugar and sugar products from the diet. No sugar-free or jaggery as well. Remember, moderation is the answer. There is no harm in indulging in something you like, once in a while, in a small amount. |
<s>[INST]
Hello doctor, My husband aged 51, is clinically diagnosed to be diabetic. His HbA1c remained at 6.5 during the last two checkups. The last checkup was done three months back. His blood sugar after the food was 178 two weeks ago. He has lost weight by 10 kg in six months. He has become weak both physically and in appearance. His BP is 90 to 130 and has been taking the tablet Telmisartan 40 for two years. Also, he is having severe pain on elbow which is diagnosed to be tennis elbow and the tablet Bounty is prescribed and has been taking this for last seven days. Kindly prescribe the medicine for diabetic and gain weight. [/INST] Hi. I can understand your concern. I would like to know what medicines is he on for diabetes. Follow up would be free, so please answer my questions as it will allow me to help you better. Regarding his blood pressure, 130/90 is good. So, continue the medicine. 6 to 6.5 is a very good HbA1c score to maintain. But, some diabetic medicines lead to weight loss (which is mostly required). So, please mention the medicine names and how many times does he take them. Also, mentioning some general guidelines which he can follow for better control. Regular meal times for breakfast, lunch, and dinner. Avoid fried and junk food. You can include the following food in your diet like fresh fruits, veggies, whole grains, beans, peas, low-fat dairy products, fish, nuts like almonds and walnut. You must avoid bakery products, sweets, organ meats, egg yolk, white bread, and white rice, potatoes, red pumpkin, pineapple, sapodilla, mangoes, custard apples, and grapes. Try and exercise (even brisk walking will do) for atleast 30 minutes for five days in a week. Eliminate sugar and sugar products from the diet. No sugar-free or jaggery as well. Remember, moderation is the answer. There is no harm in indulging in something you like, once in a while, in a small amount. |
Q. As the baby had breathing difficulty, feeding was stopped and oxygen support was started. Is that right? | Hello doctor, My baby is a preterm boy. His actual age is 7.5 months and corrected age is 4.5 months. Birth weight was 960 gm and his current weight is 5.60 kg, drinking man-pro around 100 ml, 5 to 6 times a day. Since last 10 days, he has also been started on semisolid food. He had breathing difficulty because of a cough. We had got him early morning in the emergency for complaints of a heavy cough. He was nebulized but there was a wheezing sound due to which they said he would need PICU for monitoring. Currently, he is admitted in PICU. His saturation levels were fine but the doctor started him on oxygen with mask support. He was drinking milk well but they stopped his feeds as well and started IV liquid which does not suffice his hunger. They did all reports- blood and chest X-ray and everything was normal. His heart rate was on the higher rate of 150 to 180. The first thing they did was that they stopped the feed, he cried and cried for more than half a day wanting food in which he lost a big amount of energy. Until the morning, I got him to PICU. He was playful but second half of the PICU admission day he was looking very tired. The wheezing had increased. At night they took a call to put him on HFNC due to increased wheezing. He was restless the whole night and till early morning his heart rate was 185 to 201. Now, it has come down to 150 to 165 but he is still on HFNC and feeds have not started yet. My concerns are as follows. He was given oxygen support at the initial stage as required when he was able to breathe and maintain the saturation levels without it. Was it necessary to stop his feeds as that has taken away all his energy and he is distressed with hunger? | Hi. I understand your concern. Your concern is whether oxygen was necessary. Whenever the baby is having wheezing and respiratory distress, giving Oxygen is necessary to avoid impending ventilation-perfusion mismatch. It is considered as supportive therapy even though the monitor might be showing 100 % saturation. Was it necessary to stop the feed? Only treating doctor can decide. Whenever there is respiratory distress, children have a high risk of aspiration, which can lead to aspiration pneumonia which is bad. But, whenever the baby is vitally stable, the baby can be started on the feed througha tube (RT feed). Treating doctor is best to decide about it. Still, if you have concerns. You are free to ask treating doctor. It is your right. |
<s>[INST]
Hello doctor, My baby is a preterm boy. His actual age is 7.5 months and corrected age is 4.5 months. Birth weight was 960 gm and his current weight is 5.60 kg, drinking man-pro around 100 ml, 5 to 6 times a day. Since last 10 days, he has also been started on semisolid food. He had breathing difficulty because of a cough. We had got him early morning in the emergency for complaints of a heavy cough. He was nebulized but there was a wheezing sound due to which they said he would need PICU for monitoring. Currently, he is admitted in PICU. His saturation levels were fine but the doctor started him on oxygen with mask support. He was drinking milk well but they stopped his feeds as well and started IV liquid which does not suffice his hunger. They did all reports- blood and chest X-ray and everything was normal. His heart rate was on the higher rate of 150 to 180. The first thing they did was that they stopped the feed, he cried and cried for more than half a day wanting food in which he lost a big amount of energy. Until the morning, I got him to PICU. He was playful but second half of the PICU admission day he was looking very tired. The wheezing had increased. At night they took a call to put him on HFNC due to increased wheezing. He was restless the whole night and till early morning his heart rate was 185 to 201. Now, it has come down to 150 to 165 but he is still on HFNC and feeds have not started yet. My concerns are as follows. He was given oxygen support at the initial stage as required when he was able to breathe and maintain the saturation levels without it. Was it necessary to stop his feeds as that has taken away all his energy and he is distressed with hunger? [/INST] Hi. I understand your concern. Your concern is whether oxygen was necessary. Whenever the baby is having wheezing and respiratory distress, giving Oxygen is necessary to avoid impending ventilation-perfusion mismatch. It is considered as supportive therapy even though the monitor might be showing 100 % saturation. Was it necessary to stop the feed? Only treating doctor can decide. Whenever there is respiratory distress, children have a high risk of aspiration, which can lead to aspiration pneumonia which is bad. But, whenever the baby is vitally stable, the baby can be started on the feed througha tube (RT feed). Treating doctor is best to decide about it. Still, if you have concerns. You are free to ask treating doctor. It is your right. |
Q. The beta hCG levels of my wife are very high. Does this signify a healthy pregnancy? | Hello doctor, My wife is 25 years old and she has PCOD. We are trying to conceive for 2 years. We had done an IUI which failed. We did IVF, but it ended with a chemical pregnancy. Last month, our doctor did Frozen Embryo Transfer (FET). He transferred 2 embryos on that day. We got a positive result through urine test. We did serum beta hCG test. The report shows hCG level of 1,50,000 mIU/ml. The value looks like very high. Does this value signify a healthy pregnancy? Does it mean a twin pregnancy? | Hello. The normal hCG levels in a singleton pregnancy as follows: In a twin pregnancy, the levels are 30% higher than the singleton hCG levels. Generally, during the Frozen Embryo Transfer, 3 to 4 embryos are being transferred, and hence the levels can be as high as this 1,50000 IU. But, as you are sure that there were only two transfers, then according to that the value is still higher for a twin pregnancy. Considering the present scenario, this may indicate a molar pregnancy. It would be important to get an ultrasound pelvis done to identify multiple gestational sacs, and if molar pregnancy is suspected, then an MRI would be warranted. You can follow up with the USG report, and I would be able to guide you better after seeing the reports. |
<s>[INST]
Hello doctor, My wife is 25 years old and she has PCOD. We are trying to conceive for 2 years. We had done an IUI which failed. We did IVF, but it ended with a chemical pregnancy. Last month, our doctor did Frozen Embryo Transfer (FET). He transferred 2 embryos on that day. We got a positive result through urine test. We did serum beta hCG test. The report shows hCG level of 1,50,000 mIU/ml. The value looks like very high. Does this value signify a healthy pregnancy? Does it mean a twin pregnancy? [/INST] Hello. The normal hCG levels in a singleton pregnancy as follows: In a twin pregnancy, the levels are 30% higher than the singleton hCG levels. Generally, during the Frozen Embryo Transfer, 3 to 4 embryos are being transferred, and hence the levels can be as high as this 1,50000 IU. But, as you are sure that there were only two transfers, then according to that the value is still higher for a twin pregnancy. Considering the present scenario, this may indicate a molar pregnancy. It would be important to get an ultrasound pelvis done to identify multiple gestational sacs, and if molar pregnancy is suspected, then an MRI would be warranted. You can follow up with the USG report, and I would be able to guide you better after seeing the reports. |
Q. How can I manage pain and numbness in hands and feet caused due to SPA? | Hi doctor, I am suffering from SPA rheumatism and the doctor has prescribed Salazopyrin, Sulfasalazine for more than 10 years. I am not taking it continuously. Now, these days, I have pain in my hand, wrist, and my feet also have numbness. | Hello. I went through your post. You are suffering from spondyloarthropathy. However, small joint involvement like hand and feet joints are rare in SPA. You should restart Sulfasalazine 1 g morning, evening and do a C-reactive protein and ESR and preferably take Naproxin 500 morning evening for one week along with a PPI. The ideal thing would be to visit a rheumatologist for disease scoring to see how active is your disease. |
<s>[INST]
Hi doctor, I am suffering from SPA rheumatism and the doctor has prescribed Salazopyrin, Sulfasalazine for more than 10 years. I am not taking it continuously. Now, these days, I have pain in my hand, wrist, and my feet also have numbness. [/INST] Hello. I went through your post. You are suffering from spondyloarthropathy. However, small joint involvement like hand and feet joints are rare in SPA. You should restart Sulfasalazine 1 g morning, evening and do a C-reactive protein and ESR and preferably take Naproxin 500 morning evening for one week along with a PPI. The ideal thing would be to visit a rheumatologist for disease scoring to see how active is your disease. |
Q. I have body pain. Is it because of the low Hb count? | Hello doctor, Today I checked my Hb count and it is only 11.8. For the past two months, I have been getting blood spots after the 10th day of my periods along with discharge. Is there any problem? I can also feel some body pain. Is it because of the low Hb count? My height is 5'9" and I weigh 76kg. | Hi. Hemoglobin (Hb) of 11.8 g/dL can be considered as not too low. Just occasional spotting after periods should not reduce your Hb (if it was higher than 12 g/dL previously). Regarding your symptoms of body pain, it depends on what was your Hb level previously. If it has reduced by 1.5 to 2 g/dL compared to past reports, then there is a possibility that your symptoms are due to reduced Hb. In any case, you can either take iron supplements (with tablets containing elemental iron of >50mg, preferably 100mg) or increase dietary iron intake in the form of green leafy vegetables, dates etc., to improve Hb. This should also treat symptoms of body pain if it is due to low Hb. Regarding intermenstrual spotting/bleeding, if it persists beyond 3 menstrual cycles, it needs evaluation by a gynecologist and needs local examination and probably one ultrasound. Kindly get it done if bleeding/spotting persists beyond three cycles. The doctor can also evaluate Hb and other tests. |
<s>[INST]
Hello doctor, Today I checked my Hb count and it is only 11.8. For the past two months, I have been getting blood spots after the 10th day of my periods along with discharge. Is there any problem? I can also feel some body pain. Is it because of the low Hb count? My height is 5'9" and I weigh 76kg. [/INST] Hi. Hemoglobin (Hb) of 11.8 g/dL can be considered as not too low. Just occasional spotting after periods should not reduce your Hb (if it was higher than 12 g/dL previously). Regarding your symptoms of body pain, it depends on what was your Hb level previously. If it has reduced by 1.5 to 2 g/dL compared to past reports, then there is a possibility that your symptoms are due to reduced Hb. In any case, you can either take iron supplements (with tablets containing elemental iron of >50mg, preferably 100mg) or increase dietary iron intake in the form of green leafy vegetables, dates etc., to improve Hb. This should also treat symptoms of body pain if it is due to low Hb. Regarding intermenstrual spotting/bleeding, if it persists beyond 3 menstrual cycles, it needs evaluation by a gynecologist and needs local examination and probably one ultrasound. Kindly get it done if bleeding/spotting persists beyond three cycles. The doctor can also evaluate Hb and other tests. |
Q. Does high TSH value affect weight? | Hi doctor,My weight is keep on increasing in spite of diet and regular exercise. I got my thyroid test done and it showed high TSH of 4.7 with normal T3 and T4. I am getting regular cold. What to do? | Hi. For further information consult an internal medicine physician online --> |
<s>[INST]
Hi doctor,My weight is keep on increasing in spite of diet and regular exercise. I got my thyroid test done and it showed high TSH of 4.7 with normal T3 and T4. I am getting regular cold. What to do? [/INST] Hi. For further information consult an internal medicine physician online --> |
Q. I have been advised endoscopy for Barrett's esophagus. I am scared of the sedation because I have varicose veins. | Hello doctor, I have been recently diagnosed with varicose veins in my left leg. I also have multiple heart problems which are right bundle branch block, bicuspid aortic valve, high blood pressure, and patent foramen ovale. I also have Barrett's esophagus and this week, I am going in for an endoscopy at a local hospital. I have had endoscopies before but, I recently saw in the news that someone passed away from a recent endoscopy. I am scared because the varicose veins are from my upper leg to my foot and are pretty gross looking. My vascular doctors' group have made me wear a compressed stocking, but I notice some new veins bulging or surfacing. I do not know if I should or should not wear the compressed stocking when I go for the endoscopy. I am concerned because even though these are superficial veins, they help pump the blood back to the heart, and I do not know what will happen when the sedative is injected intravenously. I guess I am just nervous because there is a new symptom to me. I have attached a photo of the side of my left leg where the vein is bulging in the front of my leg in front of my shin and across my ankle. It is very painful at times, however when I lay down the veins disappear. Please advise. | Hi. I have read through your query in detail. Please find my observations below. I can see that your leg has developed varicose veins (attachment removed to protect patient identity). This happens due to back flow of blood into the superficial venous system of the legs. Wearing a compression stocking will maintain the forward flow, but this is not a permanent solution. In patients with varicose veins, a venous doppler study of the affected lower limb is recommended, and this will tell the competency of the saphenofemoral junction (at the groin) and the saphenopopliteal junction (at the knee) which are the main valves that regulate the blood flow from the superficial to the deep venous system. Any collateral veins with incompetent perforators will also be known. Latest techniques involve laser ablation of the veins involved, and this prevents any complications of varicose veins. I guess your vascular doctor might have told you about varicose veins in detail. The endoscopy procedure can be done without any increased risk due to varicose veins. The sedative injection will not cause any problems due to varicose veins. So, you need not worry about that. Please be assured that the person who passed away during endoscopy might have had a different reason or underlying illness due to which the patient was unable to tolerate the procedure. Please stay calm and go for the procedure without hesitation. |
<s>[INST]
Hello doctor, I have been recently diagnosed with varicose veins in my left leg. I also have multiple heart problems which are right bundle branch block, bicuspid aortic valve, high blood pressure, and patent foramen ovale. I also have Barrett's esophagus and this week, I am going in for an endoscopy at a local hospital. I have had endoscopies before but, I recently saw in the news that someone passed away from a recent endoscopy. I am scared because the varicose veins are from my upper leg to my foot and are pretty gross looking. My vascular doctors' group have made me wear a compressed stocking, but I notice some new veins bulging or surfacing. I do not know if I should or should not wear the compressed stocking when I go for the endoscopy. I am concerned because even though these are superficial veins, they help pump the blood back to the heart, and I do not know what will happen when the sedative is injected intravenously. I guess I am just nervous because there is a new symptom to me. I have attached a photo of the side of my left leg where the vein is bulging in the front of my leg in front of my shin and across my ankle. It is very painful at times, however when I lay down the veins disappear. Please advise. [/INST] Hi. I have read through your query in detail. Please find my observations below. I can see that your leg has developed varicose veins (attachment removed to protect patient identity). This happens due to back flow of blood into the superficial venous system of the legs. Wearing a compression stocking will maintain the forward flow, but this is not a permanent solution. In patients with varicose veins, a venous doppler study of the affected lower limb is recommended, and this will tell the competency of the saphenofemoral junction (at the groin) and the saphenopopliteal junction (at the knee) which are the main valves that regulate the blood flow from the superficial to the deep venous system. Any collateral veins with incompetent perforators will also be known. Latest techniques involve laser ablation of the veins involved, and this prevents any complications of varicose veins. I guess your vascular doctor might have told you about varicose veins in detail. The endoscopy procedure can be done without any increased risk due to varicose veins. The sedative injection will not cause any problems due to varicose veins. So, you need not worry about that. Please be assured that the person who passed away during endoscopy might have had a different reason or underlying illness due to which the patient was unable to tolerate the procedure. Please stay calm and go for the procedure without hesitation. |
Q. I took Clonazepam for sleep disorder. I am feeling agitated,hyperactive and sometimes suicidal thoughts come in mind. Please help. | Hello doctor, It was five years back when I encountered sleep problem for the first time, and at that point, I was doing a night shift. I consulted a doctor, and he suggested me the medicine Clonazepam 0.5 mg. I had continued Clonazepam 0.5 mg for 1 year. After more than a year, I got to know from a medical personnel that, Clonazepam is a sleeping pill, and I immediately stopped taking it. From then onwards, my sleeping problem increased. I was feeling agitated, mentally hyperactive, and sometimes suicidal thoughts came in mind. Sometimes I had difficulty breathing. Suddenly a year back, my work shift changed to day, and I have been able to sleep around 6 to 7 hours, up until two months back. Meanwhile, I also started taking omega-3 health supplement to tackle daily office stress. For a month, I have been able to sleep for 3 to 4 hours only and take a long time to fall asleep. It has been around 3 years that I am frustated with my sleep problem. What should I do? | Hi. I have read through your query in detail. Please find my observations below. Clonazepam is a benzodiazepine group of medicine and prescribed for psychiatric problems including seizure and panic disorder. Having suicidal thoughts is a known side effect of Clonazepam. You did a good thing by stopping Clonazepam medication after realizing that it should be taken only when required and for psychiatric problems. Since you had a normal sleep cycle from recently, you do not seem to have any serious psychiatric illness. However, with the recent change in work shift pattern, you might have developed what is called shift work sleep disorder (SWSD). This is frequently seen in people who work in shifts and suddenly have to adjust to new work timings. You have to work on two areas to adjust yourself to the present shift timings: To keep yourself alert at work and during travelling please follow the guidelines below: During the day, catch up on your sleep in the following ways: Please try and put the above suggestions in practice for at least 15 days to a month. |
<s>[INST]
Hello doctor, It was five years back when I encountered sleep problem for the first time, and at that point, I was doing a night shift. I consulted a doctor, and he suggested me the medicine Clonazepam 0.5 mg. I had continued Clonazepam 0.5 mg for 1 year. After more than a year, I got to know from a medical personnel that, Clonazepam is a sleeping pill, and I immediately stopped taking it. From then onwards, my sleeping problem increased. I was feeling agitated, mentally hyperactive, and sometimes suicidal thoughts came in mind. Sometimes I had difficulty breathing. Suddenly a year back, my work shift changed to day, and I have been able to sleep around 6 to 7 hours, up until two months back. Meanwhile, I also started taking omega-3 health supplement to tackle daily office stress. For a month, I have been able to sleep for 3 to 4 hours only and take a long time to fall asleep. It has been around 3 years that I am frustated with my sleep problem. What should I do? [/INST] Hi. I have read through your query in detail. Please find my observations below. Clonazepam is a benzodiazepine group of medicine and prescribed for psychiatric problems including seizure and panic disorder. Having suicidal thoughts is a known side effect of Clonazepam. You did a good thing by stopping Clonazepam medication after realizing that it should be taken only when required and for psychiatric problems. Since you had a normal sleep cycle from recently, you do not seem to have any serious psychiatric illness. However, with the recent change in work shift pattern, you might have developed what is called shift work sleep disorder (SWSD). This is frequently seen in people who work in shifts and suddenly have to adjust to new work timings. You have to work on two areas to adjust yourself to the present shift timings: To keep yourself alert at work and during travelling please follow the guidelines below: During the day, catch up on your sleep in the following ways: Please try and put the above suggestions in practice for at least 15 days to a month. |
Q. Is seeing lines and web like things after an accident serious? | Hi doctor, I recently met an accident and I was wearing a helmet and it was ripped off in two meters and then for around five meters, I was without a helmet. Then after that moment I fell down and saw some lines and web like things. I consulted three doctors and every one is saying that there is no problem in my eyes. So, I even took a brain scan and the result is nothing and this is the third day. Even now I have not got any change. I am still seeing the lines and all. Can you please suggest anything for this? I am highly worried. | Hi. This condition is called eye floaters, this might be a benign condition but in your case, as it popped up just suddenly after eye trauma, I would be going to an eye specialist, as this might be a sign of vitreous or retinal detachment or inflammation in the posterior part of the eye. CT scan will not show anything but they need to do retinoscopy. Let me know if you have any other questions. |
<s>[INST]
Hi doctor, I recently met an accident and I was wearing a helmet and it was ripped off in two meters and then for around five meters, I was without a helmet. Then after that moment I fell down and saw some lines and web like things. I consulted three doctors and every one is saying that there is no problem in my eyes. So, I even took a brain scan and the result is nothing and this is the third day. Even now I have not got any change. I am still seeing the lines and all. Can you please suggest anything for this? I am highly worried. [/INST] Hi. This condition is called eye floaters, this might be a benign condition but in your case, as it popped up just suddenly after eye trauma, I would be going to an eye specialist, as this might be a sign of vitreous or retinal detachment or inflammation in the posterior part of the eye. CT scan will not show anything but they need to do retinoscopy. Let me know if you have any other questions. |
Q. What is causing severe allergic reaction to insect bites? | Hello doctor, I am getting increasingly more severe reactions to insect bites. For 45 years, my body barely registered insect bites, until my hands were bitten a hundred times each by tiny sand mozzies and swelled to triple normal size with great discomfort. Now every bite from mozzie, fly, ant, etc., swells up three or four inches round and half and an inch high. Often to develop a yellow head and linger for many days. The itch and discomfort is unlike anything I had ever experienced before the old bites. What has happened? How do I treat this? | Hi Welcome to icliniq.com. Most insect bites are harmless, though they feel uncomfortable and unpleasant. But some of the insect-like bee, wasp or as you mentioned sand mozzies may hurt and cause burning, swelling, pain, etc. Some peoples become allergic to such insect poison. They also transmit several diseases like malaria, filariasis, dengue, etc. There is a need to improve your immunity to combat such issues. Insect bites, touch, allergens, etc. Take Tinospora cardifolia, Ocimum sanctum, Albizzia lebbeck, Turmeric each 10 gm and boil with 240 ml water till it becomes 60 ml. Take 30 ml decoction morning and 30 ml evening. It helps to resolve your issues. Protect your self from allergens and insects. Fumigate the house with smoke of Neem, Tulasi leaves, and Guggulu. Wear protective clothes. |
<s>[INST]
Hello doctor, I am getting increasingly more severe reactions to insect bites. For 45 years, my body barely registered insect bites, until my hands were bitten a hundred times each by tiny sand mozzies and swelled to triple normal size with great discomfort. Now every bite from mozzie, fly, ant, etc., swells up three or four inches round and half and an inch high. Often to develop a yellow head and linger for many days. The itch and discomfort is unlike anything I had ever experienced before the old bites. What has happened? How do I treat this? [/INST] Hi Welcome to icliniq.com. Most insect bites are harmless, though they feel uncomfortable and unpleasant. But some of the insect-like bee, wasp or as you mentioned sand mozzies may hurt and cause burning, swelling, pain, etc. Some peoples become allergic to such insect poison. They also transmit several diseases like malaria, filariasis, dengue, etc. There is a need to improve your immunity to combat such issues. Insect bites, touch, allergens, etc. Take Tinospora cardifolia, Ocimum sanctum, Albizzia lebbeck, Turmeric each 10 gm and boil with 240 ml water till it becomes 60 ml. Take 30 ml decoction morning and 30 ml evening. It helps to resolve your issues. Protect your self from allergens and insects. Fumigate the house with smoke of Neem, Tulasi leaves, and Guggulu. Wear protective clothes. |
Q. Why is lymph node growing even when chemo is being given to cancer patient? | Hello doctor, My father was diagnosed with adenocarcinoma of the esophagus six months back, stage II to III with a few malignant lymph nodes. He underwent surgery which was a success. He is taking chemotherapy right now, which is supposed to eliminate the malignant lymph nodes, which have spread to other parts of his body. He has his fourth dose of chemotherapy planned for next week. However, one of the lymph nodes located on the left side right under his neck is constantly growing, so doctors are planning to change the type of chemo after the next PET scan. I have a few questions regarding the condition of my father. The first one is does lymph node growth indicate that the chemo is not working, and the nodes are actually getting bigger? Or it may be something else (like the creation of cysts or capsules around the node)? I know we cannot be sure what is happening until the PET scan, but we would like to know this information so we know what to expect. The second question is when chemotherapy is not working, is it standard to actually try more types before finding one that starts working? I know these are not easy questions to answer, but my father is very anxious and knowing as much as possible would help him immensely with his physical condition. | Hello. So, I have gone through your queries. I would like to know a few details which will help me in answering your questions. So before surgery what was his stage? What did baseline CT or PET (whichever was done) showed? Did he receive any chemotherapy prior to surgery? Or was the decision taken to go ahead with surgery? What chemotherapy is he receiving? What surgery did he have and what was post-surgery histopathology report? His age, general fitness, and any other illness? Now coming to your questions. LN (lymph node) growing during chemotherapy means usually disease is not responding in 95 % cases. Rarely there are nonmalignant causes (usually infective) which can also cause LN enlargement. So depending on the clinical picture, risk, and possibility of other etiology and imaging, the decision is taken to change treatment. Your physician sometimes may want to be sure that the LN is due to disease only then he can sometimes suggest FNAC or biopsy of LN. When one chemotherapy is not working, we go to the second line. Usually, idea is to start chemotherapy which is standard and which patient can tolerate. So it is not like we try different choices before finding the right one. We start with a standard one and if the patient is not responding we go to the second line. If first-line treatment is not working the chances of next line working also goes down. Also, second line options may have more side effects. This decision is taken usually with patient and physician preference. |
<s>[INST]
Hello doctor, My father was diagnosed with adenocarcinoma of the esophagus six months back, stage II to III with a few malignant lymph nodes. He underwent surgery which was a success. He is taking chemotherapy right now, which is supposed to eliminate the malignant lymph nodes, which have spread to other parts of his body. He has his fourth dose of chemotherapy planned for next week. However, one of the lymph nodes located on the left side right under his neck is constantly growing, so doctors are planning to change the type of chemo after the next PET scan. I have a few questions regarding the condition of my father. The first one is does lymph node growth indicate that the chemo is not working, and the nodes are actually getting bigger? Or it may be something else (like the creation of cysts or capsules around the node)? I know we cannot be sure what is happening until the PET scan, but we would like to know this information so we know what to expect. The second question is when chemotherapy is not working, is it standard to actually try more types before finding one that starts working? I know these are not easy questions to answer, but my father is very anxious and knowing as much as possible would help him immensely with his physical condition. [/INST] Hello. So, I have gone through your queries. I would like to know a few details which will help me in answering your questions. So before surgery what was his stage? What did baseline CT or PET (whichever was done) showed? Did he receive any chemotherapy prior to surgery? Or was the decision taken to go ahead with surgery? What chemotherapy is he receiving? What surgery did he have and what was post-surgery histopathology report? His age, general fitness, and any other illness? Now coming to your questions. LN (lymph node) growing during chemotherapy means usually disease is not responding in 95 % cases. Rarely there are nonmalignant causes (usually infective) which can also cause LN enlargement. So depending on the clinical picture, risk, and possibility of other etiology and imaging, the decision is taken to change treatment. Your physician sometimes may want to be sure that the LN is due to disease only then he can sometimes suggest FNAC or biopsy of LN. When one chemotherapy is not working, we go to the second line. Usually, idea is to start chemotherapy which is standard and which patient can tolerate. So it is not like we try different choices before finding the right one. We start with a standard one and if the patient is not responding we go to the second line. If first-line treatment is not working the chances of next line working also goes down. Also, second line options may have more side effects. This decision is taken usually with patient and physician preference. |
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 --> |
<s>[INST]
Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. [/INST] Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> |
Q. Can Yasmin birth control pill be used as an emergency contraceptive pill? | Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? | Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> |
<s>[INST]
Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? [/INST] Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> |
Q. Please explain the poisonous effect of phenol ingestion. | Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. | Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> |
<s>[INST]
Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. [/INST] Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> |
Q. For how long should I take Kalachikai powder to overcome PCOD problem? | Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? | Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> |
<s>[INST]
Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? [/INST] Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> |
Q. Why do periods get delayed after first time sex? | Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? | Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> |
<s>[INST]
Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? [/INST] Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> |
Q. Why am I getting headache during sex? | Hi doctor,I am getting headaches during sex. Also, the pain peaks at orgasms. Please help. | Hi. For further information consult a sexologist online --> |
<s>[INST]
Hi doctor,I am getting headaches during sex. Also, the pain peaks at orgasms. Please help. [/INST] Hi. For further information consult a sexologist online --> |
Q. Kindly suggest remedies to raise RBC count in anemic. | Hello doctor, My mother is suffering from anemia. She was hospitalized with hemoglobin 4.6. After two units of blood transfusion, it came up to 6.8 and gone back to 6.3 after 10 days, then another unit was transfused. Endoscopy, colonoscopy, CT-scan have been done but no concrete reason was found. Then serum iron and ferritin test showed ferrozine, cobas / 6000 at 396 micro-gm/dl and ELFA, mini vidas 10.6 ng/ml. She is currently taking Astier XT one tablet per day. | Hello. Her RBC count is very low with low serum ferritin and high serum iron (attachment removed to protect patient identity). Also, her anemia is normocytic normochromic which is generally seen in bleeding due to chronic blood loss or in chronic disease. Other causes can be chronic kidney disease or liver disease, both of which are unlike since the renal and liver function tests are normal. Since occult blood is present in stool, a gastrointestinal bleed is the most likely cause. But that has been ruled out by endoscopic tests. However, occult blood in the stool may be falsely positive in the following instances if it is a chemical occult blood test, like Iron medication (which is the most likely cause in your mother's), certain fruits and vegetables, Vitamin C, meat. It is better to get the stool tested for occult blood by the immunologic test as it is not affected by these things. A bone marrow biopsy can be done to rule out aplastic anemia. Other causes of anemia of chronic disease should be ruled out like an autoimmune disease. Blood transfusions will not cure the anemia unless the underlying cause is treated. |
<s>[INST]
Hello doctor, My mother is suffering from anemia. She was hospitalized with hemoglobin 4.6. After two units of blood transfusion, it came up to 6.8 and gone back to 6.3 after 10 days, then another unit was transfused. Endoscopy, colonoscopy, CT-scan have been done but no concrete reason was found. Then serum iron and ferritin test showed ferrozine, cobas / 6000 at 396 micro-gm/dl and ELFA, mini vidas 10.6 ng/ml. She is currently taking Astier XT one tablet per day. [/INST] Hello. Her RBC count is very low with low serum ferritin and high serum iron (attachment removed to protect patient identity). Also, her anemia is normocytic normochromic which is generally seen in bleeding due to chronic blood loss or in chronic disease. Other causes can be chronic kidney disease or liver disease, both of which are unlike since the renal and liver function tests are normal. Since occult blood is present in stool, a gastrointestinal bleed is the most likely cause. But that has been ruled out by endoscopic tests. However, occult blood in the stool may be falsely positive in the following instances if it is a chemical occult blood test, like Iron medication (which is the most likely cause in your mother's), certain fruits and vegetables, Vitamin C, meat. It is better to get the stool tested for occult blood by the immunologic test as it is not affected by these things. A bone marrow biopsy can be done to rule out aplastic anemia. Other causes of anemia of chronic disease should be ruled out like an autoimmune disease. Blood transfusions will not cure the anemia unless the underlying cause is treated. |
Q. I have heavy periods with painful acne and cramps. Is IBS the cause? | Hi doctor, I am 20 years old, female. Ever since I have been 14 years old, I have IBS, bad stomach pains and constipation, almost two years ago I stopped taking my BC pills (I was on birth control since I have been 16) and my period did not come forever after and my skin was at its best ever. Three months later my periods became heavy and about six months later I started having bad painful cystic acne all over my face and body, heavy periods and cramping (lots of blood clotting), bad IBS, alternating between D and C, bad bloating like I was pregnant and gas. On top of that since last six months, I have had a leaking bladder, unsure if that is from straining or food related. I tried BC again in the last three months but my skin looked worse again. I am on a paleo diet and noticed my skin is a bit better but I do believe my hormones are a big role in this and would truly appreciate an opinion. | Hello. I just read your query. You can try these simple home remedies as these are helpful for your problems. Chew half teaspoon of fennel seeds after every meal. It will help in better digestion of food and also useful in bloating. Take aloe vera juice 15 ml with an equal amount of water two times a day after food for ten days. If you notice an increase in stool frequency then you can reduce juice amount to 10 ml. It will help in normalizing your periods. Apply aloe vera gel two times a day over the face. It will help in reducing the acne problem. In case of excessive bloating, you can take half teaspoon of ginger juice with a pinch of rock salt. It will also help in decreasing the problem.Try all these things regularly and you can consult me after ten days or you can consult a nearby Ayurveda physician regarding improvement and for further management. I hope you understand my point. |
<s>[INST]
Hi doctor, I am 20 years old, female. Ever since I have been 14 years old, I have IBS, bad stomach pains and constipation, almost two years ago I stopped taking my BC pills (I was on birth control since I have been 16) and my period did not come forever after and my skin was at its best ever. Three months later my periods became heavy and about six months later I started having bad painful cystic acne all over my face and body, heavy periods and cramping (lots of blood clotting), bad IBS, alternating between D and C, bad bloating like I was pregnant and gas. On top of that since last six months, I have had a leaking bladder, unsure if that is from straining or food related. I tried BC again in the last three months but my skin looked worse again. I am on a paleo diet and noticed my skin is a bit better but I do believe my hormones are a big role in this and would truly appreciate an opinion. [/INST] Hello. I just read your query. You can try these simple home remedies as these are helpful for your problems. Chew half teaspoon of fennel seeds after every meal. It will help in better digestion of food and also useful in bloating. Take aloe vera juice 15 ml with an equal amount of water two times a day after food for ten days. If you notice an increase in stool frequency then you can reduce juice amount to 10 ml. It will help in normalizing your periods. Apply aloe vera gel two times a day over the face. It will help in reducing the acne problem. In case of excessive bloating, you can take half teaspoon of ginger juice with a pinch of rock salt. It will also help in decreasing the problem.Try all these things regularly and you can consult me after ten days or you can consult a nearby Ayurveda physician regarding improvement and for further management. I hope you understand my point. |
Q. Why is a PCOS patient noticing blood on inserting finger though missed period? | Hello doctor,I have not had periods in three months due to PCOS (polycystic ovarian syndrome). Recently, I had a burning sensation while I urinate. I had couple of pictures taken and I realized I bruised myself while showering because my nails are long. Yesterday, I had some cramps like period cramps, checked for a period, there was none. I used my finger to check and saw blood, so wore a safety napkin throughout the last night while asleep and woke up with nothing on it. Inserted my finger again this morning and I still see little blood. What is the issue? | Hi. I have read your concern. I presume you already know that PCOS causes your irregular menstrual cycle. And it can also present like very scanty bleeding or just spotting today then nothing at all the following day, it is called oligomenorrhea and it is part of the PCOS. However, with the history you have told, you have long fingernails. It is also possible that you have caused a little scratch to the vaginal mucosa that would have caused the mild bleeding. I suggest you set an appointment with obstetrician and gynecologist to prescribe you with pills to regulate your menstruation. In the meantime, if the bleeding is just mild, you need not worry about it. |
<s>[INST]
Hello doctor,I have not had periods in three months due to PCOS (polycystic ovarian syndrome). Recently, I had a burning sensation while I urinate. I had couple of pictures taken and I realized I bruised myself while showering because my nails are long. Yesterday, I had some cramps like period cramps, checked for a period, there was none. I used my finger to check and saw blood, so wore a safety napkin throughout the last night while asleep and woke up with nothing on it. Inserted my finger again this morning and I still see little blood. What is the issue? [/INST] Hi. I have read your concern. I presume you already know that PCOS causes your irregular menstrual cycle. And it can also present like very scanty bleeding or just spotting today then nothing at all the following day, it is called oligomenorrhea and it is part of the PCOS. However, with the history you have told, you have long fingernails. It is also possible that you have caused a little scratch to the vaginal mucosa that would have caused the mild bleeding. I suggest you set an appointment with obstetrician and gynecologist to prescribe you with pills to regulate your menstruation. In the meantime, if the bleeding is just mild, you need not worry about it. |
Q. My hematocrit, RBC, Hb, and mean cell volume are elevated. Please help. | Hello doctor, I have been feeling unwell for a long time. These are my recent blood results. My doctor says that my hematocrit, RBC count, hemoglobin and mean cell volume have been out of the normal range for at least 10 years as that is how far back he can see. I think it should be investigated. What do you think? Haemoglobin concentration 161 g/L [120.0 to 150.0], total white blood count 9.6 10*9/L [4.0 to 10.0], platelet count - observation 327 10*9/L [150.0 to 450.0], hematocrit 0.491 l/l [0.36 to 0.46], mean cell volume 83.8 fL [83.0 to 101.0], mean cell haemoglobin level 27.5 pg [27.0 to 32.0], mean cell haemoglobin concentration 328 g/L [315.0 to 345.0], red blood cell distribution width 12.5 % [11.6 to 14.0], red blood cell count 5.86 10*12/L [3.8 to 4.8], neutrophil count 6.3 10*9/L [2.0 to 7.0], lymphocyte count 2.6 10*9/L [1.1 to 3.5], monocyte count - observation 0.5 10*9/L [0.2 to 1.0], eosinophil count - observation 0.2 10*9/L [0.0 to 0.5], basophil count 0.1 10*9/L [0.0 to 0.1], percentage neutrophil count 66 %, percentage lymphocyte count 27 %, percentage monocyte count 5 %, percentage eosinophil count 2 %, percentage basophil count 1 %. | Hello. Your hemoglobin and hematocrit values are slightly high. Your RBC count is only marginally elevated since the upper limit of normal is 5.5 million/cu.mm. With these values, there is a suspicion of you having hemochromatosis or an early stage of polycythemia vera. In hemochromatosis, there is iron overload and the two main tests required are serum ferritin and serum transferrin saturation. Genetic testing is confirmatory. For polycythemia vera, the red cell mass needs to be determined and preferably a bone marrow biopsy. Testing for the JAK 2 gene is confirmatory. It is better to get these conditions ruled out since they require treatment. |
<s>[INST]
Hello doctor, I have been feeling unwell for a long time. These are my recent blood results. My doctor says that my hematocrit, RBC count, hemoglobin and mean cell volume have been out of the normal range for at least 10 years as that is how far back he can see. I think it should be investigated. What do you think? Haemoglobin concentration 161 g/L [120.0 to 150.0], total white blood count 9.6 10*9/L [4.0 to 10.0], platelet count - observation 327 10*9/L [150.0 to 450.0], hematocrit 0.491 l/l [0.36 to 0.46], mean cell volume 83.8 fL [83.0 to 101.0], mean cell haemoglobin level 27.5 pg [27.0 to 32.0], mean cell haemoglobin concentration 328 g/L [315.0 to 345.0], red blood cell distribution width 12.5 % [11.6 to 14.0], red blood cell count 5.86 10*12/L [3.8 to 4.8], neutrophil count 6.3 10*9/L [2.0 to 7.0], lymphocyte count 2.6 10*9/L [1.1 to 3.5], monocyte count - observation 0.5 10*9/L [0.2 to 1.0], eosinophil count - observation 0.2 10*9/L [0.0 to 0.5], basophil count 0.1 10*9/L [0.0 to 0.1], percentage neutrophil count 66 %, percentage lymphocyte count 27 %, percentage monocyte count 5 %, percentage eosinophil count 2 %, percentage basophil count 1 %. [/INST] Hello. Your hemoglobin and hematocrit values are slightly high. Your RBC count is only marginally elevated since the upper limit of normal is 5.5 million/cu.mm. With these values, there is a suspicion of you having hemochromatosis or an early stage of polycythemia vera. In hemochromatosis, there is iron overload and the two main tests required are serum ferritin and serum transferrin saturation. Genetic testing is confirmatory. For polycythemia vera, the red cell mass needs to be determined and preferably a bone marrow biopsy. Testing for the JAK 2 gene is confirmatory. It is better to get these conditions ruled out since they require treatment. |
Subsets and Splits
No community queries yet
The top public SQL queries from the community will appear here once available.