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Q. How much dosage of Sildenafil is advisable for erectile dysfunction in a diabetic? | Hello doctor, I am 54 years male, having erectile dysfunction and diabetic for the last three years with HbA1c value 8. Can you please prescribe the dose of Sildenafil? | Hi. Erectile dysfunction can be due to many conditions including psychological and underlying like diabetes, hypertension, thyroid dysfunction, atherosclerotic disease and some medicine such as antipsychotic, some antihypertensives. So you need to be evaluated to find the cause of erectile dysfunction. Drug therapy includes Sildenafil, Tadalafil, Vardenafil, and injection Alprostadil can be used. These are prescription only drugs, so you need a prescription for the same. Sildenafil and related drug are contraindicated in a person taking nitrates. The starting dose of Sildenafil is 50 mg in most cases and depending upon the response the doses can be decreased or increased. It comes in 25, 50 and 100 mg dose. I would like to inform you that diabetes is one of the leading cause of erectile dysfunction and taking Sildenafil alone will offer temporary relief so you need to have good control of your diabetes. |
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Hello doctor, I am 54 years male, having erectile dysfunction and diabetic for the last three years with HbA1c value 8. Can you please prescribe the dose of Sildenafil? [/INST] Hi. Erectile dysfunction can be due to many conditions including psychological and underlying like diabetes, hypertension, thyroid dysfunction, atherosclerotic disease and some medicine such as antipsychotic, some antihypertensives. So you need to be evaluated to find the cause of erectile dysfunction. Drug therapy includes Sildenafil, Tadalafil, Vardenafil, and injection Alprostadil can be used. These are prescription only drugs, so you need a prescription for the same. Sildenafil and related drug are contraindicated in a person taking nitrates. The starting dose of Sildenafil is 50 mg in most cases and depending upon the response the doses can be decreased or increased. It comes in 25, 50 and 100 mg dose. I would like to inform you that diabetes is one of the leading cause of erectile dysfunction and taking Sildenafil alone will offer temporary relief so you need to have good control of your diabetes. |
Q. What does abdominal cramps during pregnancy indicate? | Hello doctor, I keep having strong cramp like feelings. I am 37 weeks pregnant. I do not know if it is an upset stomach or actual contractions. What is the best thing to do or how can I tell? | Hi. Monitor this cramping by holding or placing your hand on top of your abdomen. Differentiate the feeling and softness of the abdomen when you feel the cramping versus when you do not have the cramps. The actual labor cramps would feel like a menstrual pain accompanied by the perception of hardening on top of your abdomen. It usually lasts for 20 to 30 seconds and the interval may be irregular at first. Usually, you also feel this hardening everytime your baby kicks or moves. If these labor cramps persist for 4 to 5 hours, you might also have brown to bloody vaginal mucoid discharge that is usually scanty. On the other hand, stomach cramp is not associated with abdominal hardening. Best of luck. |
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Hello doctor, I keep having strong cramp like feelings. I am 37 weeks pregnant. I do not know if it is an upset stomach or actual contractions. What is the best thing to do or how can I tell? [/INST] Hi. Monitor this cramping by holding or placing your hand on top of your abdomen. Differentiate the feeling and softness of the abdomen when you feel the cramping versus when you do not have the cramps. The actual labor cramps would feel like a menstrual pain accompanied by the perception of hardening on top of your abdomen. It usually lasts for 20 to 30 seconds and the interval may be irregular at first. Usually, you also feel this hardening everytime your baby kicks or moves. If these labor cramps persist for 4 to 5 hours, you might also have brown to bloody vaginal mucoid discharge that is usually scanty. On the other hand, stomach cramp is not associated with abdominal hardening. Best of luck. |
Q. I have low back pain which is more in the morning and less in the evening. Why does this pattern occur? | Hello doctor, I have low back pain since 5 years. The pain comes once in every 3 to 4 months. The pain is more in the morning and less in the evening. Why does this pattern occur? Please advise. | Hello. You have mentioned persistent low back pain for 5 years as your main problem. It is a known scientific fact that when you go to bed, the muscles in the body relax subconsciously, due to which any inflammatory pain is felt more. When you start with some activity, then that protective muscle spasm comes again and prevents the pain perception. Also after overnight inactivity, the disc pressures have been found to be very high in the mornings. So there are very high chances of prolapse early in the morning. Hence, I always advise my patients not to bend acutely forwards, or lift something very heavy, especially in the early morning time. Your pain could be due to multiple reasons - muscular, mechanical, discal in origin, etc. If you have a localized backache, with no associated neurological symptoms like radiation of pain to legs, numbness, paresthesias, electric shock-like sensations in legs and there are no systemic symptoms like swelling, fever, loss of appetite or weight, etc., my advice to you for the initial 2 to 3 weeks will be: If your condition does not improve after 2 to 3 weeks of this conservative management, then you need to undergo some investigations. |
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Hello doctor, I have low back pain since 5 years. The pain comes once in every 3 to 4 months. The pain is more in the morning and less in the evening. Why does this pattern occur? Please advise. [/INST] Hello. You have mentioned persistent low back pain for 5 years as your main problem. It is a known scientific fact that when you go to bed, the muscles in the body relax subconsciously, due to which any inflammatory pain is felt more. When you start with some activity, then that protective muscle spasm comes again and prevents the pain perception. Also after overnight inactivity, the disc pressures have been found to be very high in the mornings. So there are very high chances of prolapse early in the morning. Hence, I always advise my patients not to bend acutely forwards, or lift something very heavy, especially in the early morning time. Your pain could be due to multiple reasons - muscular, mechanical, discal in origin, etc. If you have a localized backache, with no associated neurological symptoms like radiation of pain to legs, numbness, paresthesias, electric shock-like sensations in legs and there are no systemic symptoms like swelling, fever, loss of appetite or weight, etc., my advice to you for the initial 2 to 3 weeks will be: If your condition does not improve after 2 to 3 weeks of this conservative management, then you need to undergo some investigations. |
Q. I failed to notice a woman and a baby next to me when I was smoking. Will that baby die of SIDS? | Hello doctor, I smoke, and I usually avoid smoking around other people. However, I work at a hospital, and I went outside the hospital, and I lit up a cigarette. I did not notice that there was a woman with a baby, and I stood near them smoking for quite a few seconds. Now I am worried that the baby might die of SIDS, and it will be my fault. Is this possible? | Hi. Please find my observations below. Second-hand smoke or passive smoking can cause SIDS (Sudden Infant Death Syndrome) only in infants who are exposed to such smoke regularly and in a closed environment like their house. Your cigarette smoking was an isolated event and unlikely to influence the health of the baby in any significant manner. Cigarette smoking in the open dilutes the harmful gases in the atmosphere and if you smoked only for a few seconds then the baby's health will not be compromised even if the baby has inhaled a small amount of the smoke. Please be assured that your action will not harm the baby in any way. In conclusion, you can forget the incident as a small error and stop feeling guilty about the entire episode. Hope this answers your question. |
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Hello doctor, I smoke, and I usually avoid smoking around other people. However, I work at a hospital, and I went outside the hospital, and I lit up a cigarette. I did not notice that there was a woman with a baby, and I stood near them smoking for quite a few seconds. Now I am worried that the baby might die of SIDS, and it will be my fault. Is this possible? [/INST] Hi. Please find my observations below. Second-hand smoke or passive smoking can cause SIDS (Sudden Infant Death Syndrome) only in infants who are exposed to such smoke regularly and in a closed environment like their house. Your cigarette smoking was an isolated event and unlikely to influence the health of the baby in any significant manner. Cigarette smoking in the open dilutes the harmful gases in the atmosphere and if you smoked only for a few seconds then the baby's health will not be compromised even if the baby has inhaled a small amount of the smoke. Please be assured that your action will not harm the baby in any way. In conclusion, you can forget the incident as a small error and stop feeling guilty about the entire episode. Hope this answers your question. |
Q. I had a pelvic CT scan with contrast done. Will this affect my plans to have kids? | Hello doctor, I had a lower GI and pelvic CT scan with contrast done at the age of 36 years. I fly a lot. I want kids. Did this scan harm my eggs or increase my chances of developing cancer? Nothing was found in the scan, and the MSV was 8. | Hi. I have read through your query in detail. Please find my observations below. The contrast CT scan pelvis has exposed you to radiation of 8 mSv as recorded on the machine. For a 36 year old female patient, this means you are exposed to an additional cancer risk of 0.09 percent. In other words, there is a 99.91 percent chance of having no effects due to the CT scan pelvis. Flying exposes a pilot to radiation of approximately 2.2 mSv/year. Natural radiation we are exposed to is approximately 3.1 mSv/year. In conclusion, the 8 mSv radiation exposure has not caused any significant adverse effects and will not affect your plans to have kids. Hope this answers your question. |
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Hello doctor, I had a lower GI and pelvic CT scan with contrast done at the age of 36 years. I fly a lot. I want kids. Did this scan harm my eggs or increase my chances of developing cancer? Nothing was found in the scan, and the MSV was 8. [/INST] Hi. I have read through your query in detail. Please find my observations below. The contrast CT scan pelvis has exposed you to radiation of 8 mSv as recorded on the machine. For a 36 year old female patient, this means you are exposed to an additional cancer risk of 0.09 percent. In other words, there is a 99.91 percent chance of having no effects due to the CT scan pelvis. Flying exposes a pilot to radiation of approximately 2.2 mSv/year. Natural radiation we are exposed to is approximately 3.1 mSv/year. In conclusion, the 8 mSv radiation exposure has not caused any significant adverse effects and will not affect your plans to have kids. Hope this answers your question. |
Q. Please advise regarding my HSG results and my husband's semen analysis. | Hello doctor, My HSG test report is as follows. Impression: Contrast spill into the peritoneal cavity was not visualized on the left side, however faintly probably seen on the right side. Clinical correlation is suggested for further management. What does this mean? | Hi. I have read and understood your problem. (attachment removed to protect patient identity) However, I would like you to answer a few questions so that I can help you better. Did you get a pelvic ultrasound scan done? Your HSG report says tubes visualized and no dilatation seen, this is good. But the second part mentions contrast spill into the peritoneal cavity was not visualized on the left side, however faintly probably seen on the right side, this may indicate a block in the tubes at their outer end. If there is block of the tubes at their outer end, then hydrotubation (tubal flushing) can open it. Alternatively, a laparoscopy and fimbriolysis may open it. Blocked tubes are usually caused by Pelvic Inflammatory Disease (PID) due to infection with chlamydia, tuberculosis, and other microbes and also by endometriosis, a condition where there is a collection of menstrual type blood around the uterus, ovaries, and tubes. If you can send me the image, I can comment better. |
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Hello doctor, My HSG test report is as follows. Impression: Contrast spill into the peritoneal cavity was not visualized on the left side, however faintly probably seen on the right side. Clinical correlation is suggested for further management. What does this mean? [/INST] Hi. I have read and understood your problem. (attachment removed to protect patient identity) However, I would like you to answer a few questions so that I can help you better. Did you get a pelvic ultrasound scan done? Your HSG report says tubes visualized and no dilatation seen, this is good. But the second part mentions contrast spill into the peritoneal cavity was not visualized on the left side, however faintly probably seen on the right side, this may indicate a block in the tubes at their outer end. If there is block of the tubes at their outer end, then hydrotubation (tubal flushing) can open it. Alternatively, a laparoscopy and fimbriolysis may open it. Blocked tubes are usually caused by Pelvic Inflammatory Disease (PID) due to infection with chlamydia, tuberculosis, and other microbes and also by endometriosis, a condition where there is a collection of menstrual type blood around the uterus, ovaries, and tubes. If you can send me the image, I can comment better. |
Q. How long should my husband and I wait to try for a baby if we did cocaine? | Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. | Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> |
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Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. [/INST] Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> |
Q. Can Yasmin birth control pill be used as an emergency contraceptive pill? | Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? | Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> |
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Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? [/INST] Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> |
Q. Please explain the poisonous effect of phenol ingestion. | Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. | Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> |
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Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. [/INST] Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> |
Q. For how long should I take Kalachikai powder to overcome PCOD problem? | Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? | Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> |
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Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? [/INST] Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> |
Q. Why do periods get delayed after first time sex? | Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? | Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> |
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Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? [/INST] Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> |
Q. I am shivering all the time and this increases after smoking. Why? | Hello doctor, My body is always shivering and after smoking, it increases. My age is 25 years and I am a male. | Hi. As per your complaints, it seems like Vata Dosa has increased. You should quit smoking as soon as possible. Take Ashwagandha and Shatavari powder 3 gm each twice a day with warm water after meals. Aggregate Vata Dosa, weakness, Dhatukshya. Rx, 1. Ashwagandha powder 3 gm with Satavari powder 3 gm twice a day with warm milk after meals. 2. Kaunch pak 3 gm twice a day before meals. 3. Lukewarm Bala oil for external application to whole body. Avoid spicy and fried junk foods, quit smoking and drinking, take adequate sleep. |
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Hello doctor, My body is always shivering and after smoking, it increases. My age is 25 years and I am a male. [/INST] Hi. As per your complaints, it seems like Vata Dosa has increased. You should quit smoking as soon as possible. Take Ashwagandha and Shatavari powder 3 gm each twice a day with warm water after meals. Aggregate Vata Dosa, weakness, Dhatukshya. Rx, 1. Ashwagandha powder 3 gm with Satavari powder 3 gm twice a day with warm milk after meals. 2. Kaunch pak 3 gm twice a day before meals. 3. Lukewarm Bala oil for external application to whole body. Avoid spicy and fried junk foods, quit smoking and drinking, take adequate sleep. |
Q. Can a breathing treatment given before a chest x-ray hide lung cancer? | Hello doctor, I am a 55 year old female. Can a breathing treatment given before a chest x-ray, hide lung cancer? | Hi. I have read through your query. Please find my observations below. Breathing treatments like nebulizers will not hide any suspected lung cancer when given before taking a chest x-ray. Chest x-ray is a basic investigation used to screen the lungs field and heart and usually done as a routine investigation. A routine chest x-ray usually picks up any nodules or mass in the lung fields that might represent lung cancer and is not affected by the patient taking nebulization therapy. If there are strong reasons to suspect a lung cancer, then a CT scan chest is the best investigation and gives a complete detailed overview of the lungs. In conclusion, breathing treatment will not hide lung cancer when given before taking a chest x-ray. |
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Hello doctor, I am a 55 year old female. Can a breathing treatment given before a chest x-ray, hide lung cancer? [/INST] Hi. I have read through your query. Please find my observations below. Breathing treatments like nebulizers will not hide any suspected lung cancer when given before taking a chest x-ray. Chest x-ray is a basic investigation used to screen the lungs field and heart and usually done as a routine investigation. A routine chest x-ray usually picks up any nodules or mass in the lung fields that might represent lung cancer and is not affected by the patient taking nebulization therapy. If there are strong reasons to suspect a lung cancer, then a CT scan chest is the best investigation and gives a complete detailed overview of the lungs. In conclusion, breathing treatment will not hide lung cancer when given before taking a chest x-ray. |
Q. Why is there spotting during pregnancy with absence of fetal heartbeat in USG? | Hello doctor, I am eight weeks and three days pregnant. I have been spotting every day for almost two weeks. I have not been bleeding heavy or had any blood clots or tissues. I went for my USG three days back and they were unable to find any heartbeat. Kindly advise if we should still stay positive. I am worried. | Hi. I have read your concern. I know you are anxious but to be honest, the likelihood that this will be a miscarriage is very high. By at least six weeks, there should already be a heartbeat on the ultrasound. We usually give at least two more weeks to repeat the scan especially if it is from a spontaneous conception (not an IVF pregnancy) since the exact date of conception is not determined. If you have not had an ultrasound before this then I suggest you have another USG after two weeks. But if the age of gestation was already determined prior to this USG, then it is highly likely that this will result in what we call missed abortion. |
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Hello doctor, I am eight weeks and three days pregnant. I have been spotting every day for almost two weeks. I have not been bleeding heavy or had any blood clots or tissues. I went for my USG three days back and they were unable to find any heartbeat. Kindly advise if we should still stay positive. I am worried. [/INST] Hi. I have read your concern. I know you are anxious but to be honest, the likelihood that this will be a miscarriage is very high. By at least six weeks, there should already be a heartbeat on the ultrasound. We usually give at least two more weeks to repeat the scan especially if it is from a spontaneous conception (not an IVF pregnancy) since the exact date of conception is not determined. If you have not had an ultrasound before this then I suggest you have another USG after two weeks. But if the age of gestation was already determined prior to this USG, then it is highly likely that this will result in what we call missed abortion. |
Q. How to stay away from stress and tension to gain weight? | Hello doctor, I am a 25-year-old woman. I used to have stress and tension even for single reasons. And my food intake is decreasing and I have lost weight of 4 kg from 40. Kindly help me. And I am very depressed as everyone taunts me for my thin body type. | Hi. Stress and mental tension are the major causes of loss of appetite which leads to weight loss. You should rule out your concern as soon as possible. You should discuss your issues with your family, friends or near dear. It helps to reduce your issues. Some diseases history also causes such conditions like acidity, indigestion, tuberculosis, diabetes, etc. Stress, anxiety, depression, diabetes, hypertension, etc. Blood sugar, blood pressure, lipid profile, liver function test. Weight loss, emaciation You can take the following medicines. It helps to resolve your issues. Rx, 1. Manasamitra Vati one tablet thrice a day after meals. 2. Stresscom tablet one tablet thrice a day after meals. 3. Kalyanak ghreeta one teaspoon twice a day before food. 4. Ashwagandharistam 15 ml twice a day with equal amount of water after meals. Become familiar with friends and family, share your thoughts and issues. Do regular Kapalbhati, Mandukasana and Ardhamatsyendrasana. Mediation is very helpful in such conditions. |
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Hello doctor, I am a 25-year-old woman. I used to have stress and tension even for single reasons. And my food intake is decreasing and I have lost weight of 4 kg from 40. Kindly help me. And I am very depressed as everyone taunts me for my thin body type. [/INST] Hi. Stress and mental tension are the major causes of loss of appetite which leads to weight loss. You should rule out your concern as soon as possible. You should discuss your issues with your family, friends or near dear. It helps to reduce your issues. Some diseases history also causes such conditions like acidity, indigestion, tuberculosis, diabetes, etc. Stress, anxiety, depression, diabetes, hypertension, etc. Blood sugar, blood pressure, lipid profile, liver function test. Weight loss, emaciation You can take the following medicines. It helps to resolve your issues. Rx, 1. Manasamitra Vati one tablet thrice a day after meals. 2. Stresscom tablet one tablet thrice a day after meals. 3. Kalyanak ghreeta one teaspoon twice a day before food. 4. Ashwagandharistam 15 ml twice a day with equal amount of water after meals. Become familiar with friends and family, share your thoughts and issues. Do regular Kapalbhati, Mandukasana and Ardhamatsyendrasana. Mediation is very helpful in such conditions. |
Q. What does very little vaginal bleeding mean? | Hello doctor, Actually, I was about to get my periods near 5th of this month but I got it six days back. The problem is that bleeding is very very little by little, I mean just a few drops without any pain or any blood clots. I am not sure it is my period or vaginal bleeding. As I am sexually active, I just had sex once, a month ago. I do not know what it is. Please guide me. | Hi. I am pretty sure this will be the beginning of periods. These little bit variations in days and amount of bleeding are common. Ultimately, in a day or two, you will have your normal bleeding periods. Another possibility is lost pregnancy. Sometimes, conception occurs and just get lost before even next menstural day, and misunderstood as normal periods. So just watch for abnormally prolonged bleeding like for more than seven days. But I believe that it would be normal periods. |
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Hello doctor, Actually, I was about to get my periods near 5th of this month but I got it six days back. The problem is that bleeding is very very little by little, I mean just a few drops without any pain or any blood clots. I am not sure it is my period or vaginal bleeding. As I am sexually active, I just had sex once, a month ago. I do not know what it is. Please guide me. [/INST] Hi. I am pretty sure this will be the beginning of periods. These little bit variations in days and amount of bleeding are common. Ultimately, in a day or two, you will have your normal bleeding periods. Another possibility is lost pregnancy. Sometimes, conception occurs and just get lost before even next menstural day, and misunderstood as normal periods. So just watch for abnormally prolonged bleeding like for more than seven days. But I believe that it would be normal periods. |
Q. What does abutment of the nerve root mean? | Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for annular bulging and tear? | Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online --> |
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Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for annular bulging and tear? [/INST] Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online --> |
Q. Why is there pain while opening mouth with pus discharge after wisdom tooth removal? | Hello doctor, I had a third molar or a wisdom tooth removed which was impacted, a week back. I had three stitches after the procedure. I have swelling and pain when I open my mouth. The pain is reducing every day. Today I noticed pus formation and with slight pressure, it came out. It was orangish-yellowish color. Once this came out I felt better. My doctor has recommended only Ibuprofen 340 mg, Paracetamol, and Lysozyme HCl 30 mg. He also prescribed Clindamycin 300 mg but said not to eat it after my followup visit on the next day after tooth removal. Can you please suggest if I need to take any other medicine? I have started taking Clindamycin three times a day from today morning. Please suggest. | Hello. Well, this condition is known as dry socket. All you need to do is visit any nearby dentist if possible and get this cleaned or washed properly. Maybe after extraction, you spit something forcefully in 24 hours. This condition is normal. Drink a good amount of water, rinse mouth with salt water properly. Visit the dentist for further cleaning of that pus. Take medicines on time if you are still following any. Wish you good health and happiness. Keep me updated with the improvements. Improper packing of the socket after extraction. IOPA or RVG. Dry socket. Cleansing and proper care. Follow medications. |
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Hello doctor, I had a third molar or a wisdom tooth removed which was impacted, a week back. I had three stitches after the procedure. I have swelling and pain when I open my mouth. The pain is reducing every day. Today I noticed pus formation and with slight pressure, it came out. It was orangish-yellowish color. Once this came out I felt better. My doctor has recommended only Ibuprofen 340 mg, Paracetamol, and Lysozyme HCl 30 mg. He also prescribed Clindamycin 300 mg but said not to eat it after my followup visit on the next day after tooth removal. Can you please suggest if I need to take any other medicine? I have started taking Clindamycin three times a day from today morning. Please suggest. [/INST] Hello. Well, this condition is known as dry socket. All you need to do is visit any nearby dentist if possible and get this cleaned or washed properly. Maybe after extraction, you spit something forcefully in 24 hours. This condition is normal. Drink a good amount of water, rinse mouth with salt water properly. Visit the dentist for further cleaning of that pus. Take medicines on time if you are still following any. Wish you good health and happiness. Keep me updated with the improvements. Improper packing of the socket after extraction. IOPA or RVG. Dry socket. Cleansing and proper care. Follow medications. |
Q. What can be done for cough that occur only during particular months of the year? | Hello doctor, I am 30 years old, female. I get cough problem during year end which never goes till next 3 to 4 months. I get a little bit of relaxation by medicine but not completely and again next year I feel the same problem. I have gone for X-ray, etc., and everything was fine. | Hi. Your cough seems related to the weather which gets worse during the winter season. Which city do you live in since some dry arid or polluted cities have high levels of toxins? And what is your BMI (body mass index) or weight and height? That may also cause gastric irritation if weight is above normal. This seems to be a kind of allergic bronchitis that is healed by increasing immunity. Lemon and ginger are the best natural ways to improve immunity or take a Vitamin C supplement. The cough will go with regular care and warm water treatment. Take care. |
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Hello doctor, I am 30 years old, female. I get cough problem during year end which never goes till next 3 to 4 months. I get a little bit of relaxation by medicine but not completely and again next year I feel the same problem. I have gone for X-ray, etc., and everything was fine. [/INST] Hi. Your cough seems related to the weather which gets worse during the winter season. Which city do you live in since some dry arid or polluted cities have high levels of toxins? And what is your BMI (body mass index) or weight and height? That may also cause gastric irritation if weight is above normal. This seems to be a kind of allergic bronchitis that is healed by increasing immunity. Lemon and ginger are the best natural ways to improve immunity or take a Vitamin C supplement. The cough will go with regular care and warm water treatment. Take care. |
Q. Will drinking water after C-section cause any problem? | Hi doctor, Are we allowed to drink water after a cesarean section? If not, what happens to the body if you drink water? | Hi. I have read your concern. Water is not prohibited after C-section. However, drinking water or any fluids is delayed right after CS because you are expected to lie down flat on the bed at least eight hours after the operation to avoid post anesthesia side effect of a spinal headache. With this, since you are in supine and you just got an operation, your bowels are not yet fully functioning. If you drink water lying down, you might aspirate it towards your lungs and you will have a difficulty of breathing. If you take it within eight hours and you raise your head to drink it, you may experience a spinal headache plus you will experience vomiting and possibly abdominal pain because your intestines are not yet ready to take it in. You may try to sip out water with wet cotton just so to wet your lips and quench a little desire to drink. |
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Hi doctor, Are we allowed to drink water after a cesarean section? If not, what happens to the body if you drink water? [/INST] Hi. I have read your concern. Water is not prohibited after C-section. However, drinking water or any fluids is delayed right after CS because you are expected to lie down flat on the bed at least eight hours after the operation to avoid post anesthesia side effect of a spinal headache. With this, since you are in supine and you just got an operation, your bowels are not yet fully functioning. If you drink water lying down, you might aspirate it towards your lungs and you will have a difficulty of breathing. If you take it within eight hours and you raise your head to drink it, you may experience a spinal headache plus you will experience vomiting and possibly abdominal pain because your intestines are not yet ready to take it in. You may try to sip out water with wet cotton just so to wet your lips and quench a little desire to drink. |
Q. Can ayurvedic medicine be used for cold and dry cough? | Hello doctor, Due to weather change, I caught a cold and dry cough is there since last four days. Please suggest some medicine to expel a cough from the body. | Hello. A dry cough is very common with a change of weather and is often prolonged. It often causes a lot of discomforts especially in the throat. It can also be associated with seasonal allergies. You will be needing an expectorant along with a drug from the bronchodilator group for dilation of the bronchioles and easy expectoration of mucus. I suggest syrup Mexair which contains Terbutaline (bronchodilator) and Guaifenesin (expectorant). Other than that I would suggest you do steam inhalation twice day. Syrup Mexair twice a day. |
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Hello doctor, Due to weather change, I caught a cold and dry cough is there since last four days. Please suggest some medicine to expel a cough from the body. [/INST] Hello. A dry cough is very common with a change of weather and is often prolonged. It often causes a lot of discomforts especially in the throat. It can also be associated with seasonal allergies. You will be needing an expectorant along with a drug from the bronchodilator group for dilation of the bronchioles and easy expectoration of mucus. I suggest syrup Mexair which contains Terbutaline (bronchodilator) and Guaifenesin (expectorant). Other than that I would suggest you do steam inhalation twice day. Syrup Mexair twice a day. |
Q. Can sanded grout exposure cause some serious effects? | Hello doctor, The query is about sanded grout exposure. I am quite concerned about my girlfriend’s exposure to silica dust. We were doing a home renovation. I left for about 1.5 hours while she was removing tile in a kitchen. When I had come back I saw she was removing grout with a grinder and no dust mask. The room was filled with dust in the air. The room is about 10x9 with 12” tiles. This makes for a total cut distance of 1100” with the grinder. Assuming a 1/8” cut with a depth of 3/8” and this works out to 51.56 cubic inches of dust released into the air. Assuming an average of 25 % silica content in the grout and weight of 38 g per cu inch for the dust, that is about 490 grams of silica dust releases into the air. The room was open to adjacent rooms so I estimated about 90 cubic meter space, wich would work out to 5.4 g/m^3. She was doing this for about an hour and a half so I estimate about 1 m^3 was inhaled. From what I have read this is really high-level exposure. Is my math wrong? Did I miss something? I am making her go to the doctor and we will monitor her health closely. I am really concerned this could lead to serious problems in the near future. | Hi. Looking at the history, it is quite a high-level exposure and it can cause some kind of pneumonitis feature called hypersensitivity pneumonitis or toxic dust syndrome. If she develops symptoms of a cough, breathlessness, better to get a CT thorax to see her lungs and if possible lung function tests also. Kindly get back if you need more information. |
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Hello doctor, The query is about sanded grout exposure. I am quite concerned about my girlfriend’s exposure to silica dust. We were doing a home renovation. I left for about 1.5 hours while she was removing tile in a kitchen. When I had come back I saw she was removing grout with a grinder and no dust mask. The room was filled with dust in the air. The room is about 10x9 with 12” tiles. This makes for a total cut distance of 1100” with the grinder. Assuming a 1/8” cut with a depth of 3/8” and this works out to 51.56 cubic inches of dust released into the air. Assuming an average of 25 % silica content in the grout and weight of 38 g per cu inch for the dust, that is about 490 grams of silica dust releases into the air. The room was open to adjacent rooms so I estimated about 90 cubic meter space, wich would work out to 5.4 g/m^3. She was doing this for about an hour and a half so I estimate about 1 m^3 was inhaled. From what I have read this is really high-level exposure. Is my math wrong? Did I miss something? I am making her go to the doctor and we will monitor her health closely. I am really concerned this could lead to serious problems in the near future. [/INST] Hi. Looking at the history, it is quite a high-level exposure and it can cause some kind of pneumonitis feature called hypersensitivity pneumonitis or toxic dust syndrome. If she develops symptoms of a cough, breathlessness, better to get a CT thorax to see her lungs and if possible lung function tests also. Kindly get back if you need more information. |
Q. How long should my husband and I wait to try for a baby if we did cocaine? | Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. | Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> |
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Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. [/INST] Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> |
Q. Can Yasmin birth control pill be used as an emergency contraceptive pill? | Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? | Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> |
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Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? [/INST] Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> |
Q. Please explain the poisonous effect of phenol ingestion. | Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. | Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> |
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Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. [/INST] Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> |
Q. For how long should I take Kalachikai powder to overcome PCOD problem? | Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? | Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> |
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Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? [/INST] Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> |
Q. Why do periods get delayed after first time sex? | Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? | Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> |
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Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? [/INST] Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> |
Q. Will Nano-Leo give permanent solution for erection problem? | Hello doctor, I am 48 years old. I am experiencing weak erection and difficulty in sustaining the same. This condition was observed 10 years back. Also, there is premature ejaculation. Other physical ailments that I have are, I am suffering from hypertension and taking Amlopres-L (Amlodipine and Lisinopril) for the last 10 years, high cholesterol and triglycerides. My cholesterol level is 225 and triglyceride is 200 for the last 12 years. I used to do frequent masturbation in early age. I do have erection during morning hours many times, particularly after sound sleep or if I had long walk previous day. I am having Sildenafil 25 mg or 5 mg Cialis, which is effective enough. But, I wish to get rid of tablet support and live natural way. I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days. I wish to have your second opinion on this. Please guide. | Hi. For further doubts consult a sexologist online --> |
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Hello doctor, I am 48 years old. I am experiencing weak erection and difficulty in sustaining the same. This condition was observed 10 years back. Also, there is premature ejaculation. Other physical ailments that I have are, I am suffering from hypertension and taking Amlopres-L (Amlodipine and Lisinopril) for the last 10 years, high cholesterol and triglycerides. My cholesterol level is 225 and triglyceride is 200 for the last 12 years. I used to do frequent masturbation in early age. I do have erection during morning hours many times, particularly after sound sleep or if I had long walk previous day. I am having Sildenafil 25 mg or 5 mg Cialis, which is effective enough. But, I wish to get rid of tablet support and live natural way. I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days. I wish to have your second opinion on this. Please guide. [/INST] Hi. For further doubts consult a sexologist online --> |
Q. I had IVF failure twice. Please guide me. | Hello doctor, I am a 36 year old married female. I got married five years back and we have no child. I started my fertility treatment four years ago. At first, I was treated for ectopic pregnancy and my right fallopian tube was removed. Again, I was diagnosed with tuberculosis and was treated for six months. My first IVF was done last year and it was a failure. Again, the second one was done six months later which was also a failure. My husband was diagnosed with fair to poor sperm DNA integrity and he is getting treated for the same. I am taking Ovacare Forte twice daily and folic acid tablets once a day. I was advised to take these tablets for six months and it is about three months since I started. My periods used to be normal most of the times, but now it has been irregular during the last few cycles (last cycle in a gap of 45 days). Most of the times, my egg development was induced. I would like to take your advice for regular cycles and to improve my ovary and reproductive system. | Hi. As there is a blockage in the fallopian tube, IVF (invitro fertilization - a manual process of fertilization of the egg and the sperm in a laboratory) is the only option. Ideally, the ovum should be healthy in such cases, unless there is an association of PCOS (polycystic ovary syndrome) or other cofactors. Ovacare Forte and Folic acid are micronutrient supplements and may not alter your cycles. As you are planning for IVF within next three months, you need to prepare your mind, general health and uterus for conception. Considering your age, stress and other mentioned histories, I would suggest the following: For further clarification regarding IVF, consult a gynaecologist online --> |
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Hello doctor, I am a 36 year old married female. I got married five years back and we have no child. I started my fertility treatment four years ago. At first, I was treated for ectopic pregnancy and my right fallopian tube was removed. Again, I was diagnosed with tuberculosis and was treated for six months. My first IVF was done last year and it was a failure. Again, the second one was done six months later which was also a failure. My husband was diagnosed with fair to poor sperm DNA integrity and he is getting treated for the same. I am taking Ovacare Forte twice daily and folic acid tablets once a day. I was advised to take these tablets for six months and it is about three months since I started. My periods used to be normal most of the times, but now it has been irregular during the last few cycles (last cycle in a gap of 45 days). Most of the times, my egg development was induced. I would like to take your advice for regular cycles and to improve my ovary and reproductive system. [/INST] Hi. As there is a blockage in the fallopian tube, IVF (invitro fertilization - a manual process of fertilization of the egg and the sperm in a laboratory) is the only option. Ideally, the ovum should be healthy in such cases, unless there is an association of PCOS (polycystic ovary syndrome) or other cofactors. Ovacare Forte and Folic acid are micronutrient supplements and may not alter your cycles. As you are planning for IVF within next three months, you need to prepare your mind, general health and uterus for conception. Considering your age, stress and other mentioned histories, I would suggest the following: For further clarification regarding IVF, consult a gynaecologist online --> |
Q. I have an ovarian cyst of 4 cm. Will Kalarchikai prove to be beneficial? | Hi doctor, I am diagnosed with an ovarian cyst of 4 cm and advised for a laparoscopy. I do not want to go for that. Is Kalachikai enough for curing this? Is there anything else in ayurveda that can cure this? Please reply. | Hi. The ovarian cyst can manage naturally through ayurvedic medicines and yoga practices. Here is a big sized cyst. It can take some time to resolve. Only Kalachikai is not much enough. It needs other supportive medicines. Intake of spicy and fried junk foods, lack of physical activity, obesity, hypothyroidism, hormonal imbalances or other unknown etiology. USG abdomen, thyroid profile, blood sugar, blood pressure, lipid profile. PCOS, hypothyroidism, obesity. Take Kalachikai powder 3 gm twice a day with warm water after meals for 90 days. You should also take the following medicines. Avoid spicy and fried junk foods, drink plenty of water. Do regular Kapalbhati Mandukasana and Ardhamatsyendrasana as well as Pranayama like Anuloma vilom, Nadi sodhan, and bhramari. |
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Hi doctor, I am diagnosed with an ovarian cyst of 4 cm and advised for a laparoscopy. I do not want to go for that. Is Kalachikai enough for curing this? Is there anything else in ayurveda that can cure this? Please reply. [/INST] Hi. The ovarian cyst can manage naturally through ayurvedic medicines and yoga practices. Here is a big sized cyst. It can take some time to resolve. Only Kalachikai is not much enough. It needs other supportive medicines. Intake of spicy and fried junk foods, lack of physical activity, obesity, hypothyroidism, hormonal imbalances or other unknown etiology. USG abdomen, thyroid profile, blood sugar, blood pressure, lipid profile. PCOS, hypothyroidism, obesity. Take Kalachikai powder 3 gm twice a day with warm water after meals for 90 days. You should also take the following medicines. Avoid spicy and fried junk foods, drink plenty of water. Do regular Kapalbhati Mandukasana and Ardhamatsyendrasana as well as Pranayama like Anuloma vilom, Nadi sodhan, and bhramari. |
Q. Why am I getting recurrent abscess in a filled tooth? | Hi doctor, I had an infection in my tooth and it was treated with a filling after a course of antibiotics. After the filling, an abscess reoccurred twice which was treated with antibiotics. It seemed to settle for a while and then I could feel a pain and pressure inside the tooth. Now a small pimple like spot has developed on the inner side of my gum at the top of the tooth and it drains pus. Is this another abscess? | Hi. I have gone through your question. I can understand your concern. As per your history, it seems to me that you are having recurrent apical periodontitis. If the filling is still there, it needs to be removed. The recurrent apical abscess is because of this infectious tooth. Either it needs root canal treatment or extraction. Root canal treatment is the treatment of choice according to my opinion. If you have any X-ray or you can upload a picture too to get a proper treatment plan from my side. If you have this pimple like abscess you may need an antibiotic course too. |
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Hi doctor, I had an infection in my tooth and it was treated with a filling after a course of antibiotics. After the filling, an abscess reoccurred twice which was treated with antibiotics. It seemed to settle for a while and then I could feel a pain and pressure inside the tooth. Now a small pimple like spot has developed on the inner side of my gum at the top of the tooth and it drains pus. Is this another abscess? [/INST] Hi. I have gone through your question. I can understand your concern. As per your history, it seems to me that you are having recurrent apical periodontitis. If the filling is still there, it needs to be removed. The recurrent apical abscess is because of this infectious tooth. Either it needs root canal treatment or extraction. Root canal treatment is the treatment of choice according to my opinion. If you have any X-ray or you can upload a picture too to get a proper treatment plan from my side. If you have this pimple like abscess you may need an antibiotic course too. |
Q. While doing exercise I feel shortness of breath and sweating. Why? | Hi doctor, My problem started three years back for the first time when I started taking dumbbells for exercise. As I did not know from how much weight should I start, I took 20 kg (10 kg in each hands). Within a week of exercise I felt shortness of breath and so I stopped doing it and visited a doctor. He told me to take ECG and it came out normal, but I had higher pulse rate. When he checked my BP it was also high like 140/90 mmHg. So, he prescribed Nebicard 2.5 one tablet per day in the morning and it brought down my heart rate and BP. Since then I am not able to work hard and when I do something then excessive sweating and higher pulse happens. So, I visited a cardiologist and he asked an echo test. It was taken lying down and he told there is no problem, but I have a bicuspid aortic valve. He told to continue with Nebicard and take echo for every year. But, even today I have symptoms like higher pulse and I can feel the heart beating hard when I touch the chest wall. Also, when I stand up suddenly my heart rate first increases and then decrease low after some seconds and I have sweating. This is accompanied with breathing difficulty. This stops to normal in some one or two minutes and heart rate becomes normal. This is happening to me since three years and still going on. What is wrong with me? Is BAV causing this? What test should I take now? I have done all blood tests, thyroid tests and kidney Doppler, everything were normal too. Please help. | Hi. Thanks for consulting me at this platform. I have thoroughly gone through your case and can well understand your genuine health concerns. I think you need to carry out taking the same medication as this is a mandatory medication. Exercise induced asthma may also cause shortness of breath. Excess sweating is natural and this is also a side effect of almost every medication used for lowering heart rate. It is called postural hypotension, in which you feel sleepy and sometimes weak when standing up from sitting position. For further information consult a cardiologist online --> |
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Hi doctor, My problem started three years back for the first time when I started taking dumbbells for exercise. As I did not know from how much weight should I start, I took 20 kg (10 kg in each hands). Within a week of exercise I felt shortness of breath and so I stopped doing it and visited a doctor. He told me to take ECG and it came out normal, but I had higher pulse rate. When he checked my BP it was also high like 140/90 mmHg. So, he prescribed Nebicard 2.5 one tablet per day in the morning and it brought down my heart rate and BP. Since then I am not able to work hard and when I do something then excessive sweating and higher pulse happens. So, I visited a cardiologist and he asked an echo test. It was taken lying down and he told there is no problem, but I have a bicuspid aortic valve. He told to continue with Nebicard and take echo for every year. But, even today I have symptoms like higher pulse and I can feel the heart beating hard when I touch the chest wall. Also, when I stand up suddenly my heart rate first increases and then decrease low after some seconds and I have sweating. This is accompanied with breathing difficulty. This stops to normal in some one or two minutes and heart rate becomes normal. This is happening to me since three years and still going on. What is wrong with me? Is BAV causing this? What test should I take now? I have done all blood tests, thyroid tests and kidney Doppler, everything were normal too. Please help. [/INST] Hi. Thanks for consulting me at this platform. I have thoroughly gone through your case and can well understand your genuine health concerns. I think you need to carry out taking the same medication as this is a mandatory medication. Exercise induced asthma may also cause shortness of breath. Excess sweating is natural and this is also a side effect of almost every medication used for lowering heart rate. It is called postural hypotension, in which you feel sleepy and sometimes weak when standing up from sitting position. For further information consult a cardiologist online --> |
Q. Are facial pain and numbness related to itchy and burning moles on head? | Hello doctor, Since the beginning of this year, I have noticed a couple of moles on the left side of my head have been very itchy and burning, and when I start to itch them it causes the whole left side of my scalp to burn and feel uncomfortable. I am worried it might be something serious. This year I have also experienced a lot of left side facial pain and numbness, as well as left eye blurriness. So I am not sure if the pain on the left side of my scalp could be related. | Hi. The ABCD criteria for moles you should be aware to see for malignant changes. One should always look for the change in color, size, margin, the surface of the mole, also if it is associated with itching and bloody discharge. I have reviewed clinical photograph attached (attachment removed to protect patient identity). There are no changes of erythema around mole or discharge. In photographs, there are two moles only. If there is an increase in the number of moles or increase in size, the best would be skin biopsy for histopathology to see for malignant changes. Presently, there is no inflammation also in these two photographs which you have attached to comment on itching sensation which you are experiencing. You should consider an ophthalmologist opinion for the blurring of vision. I do not think personally from these clinical photographs that mole and other symptoms are associated. Physicians opinion should be considered for numbness over one side. If you have any fluid-filled lesions on one side then keep watch for that too. Skin biopsy for histopathology should be done if specifically mole is associated with itching. |
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Hello doctor, Since the beginning of this year, I have noticed a couple of moles on the left side of my head have been very itchy and burning, and when I start to itch them it causes the whole left side of my scalp to burn and feel uncomfortable. I am worried it might be something serious. This year I have also experienced a lot of left side facial pain and numbness, as well as left eye blurriness. So I am not sure if the pain on the left side of my scalp could be related. [/INST] Hi. The ABCD criteria for moles you should be aware to see for malignant changes. One should always look for the change in color, size, margin, the surface of the mole, also if it is associated with itching and bloody discharge. I have reviewed clinical photograph attached (attachment removed to protect patient identity). There are no changes of erythema around mole or discharge. In photographs, there are two moles only. If there is an increase in the number of moles or increase in size, the best would be skin biopsy for histopathology to see for malignant changes. Presently, there is no inflammation also in these two photographs which you have attached to comment on itching sensation which you are experiencing. You should consider an ophthalmologist opinion for the blurring of vision. I do not think personally from these clinical photographs that mole and other symptoms are associated. Physicians opinion should be considered for numbness over one side. If you have any fluid-filled lesions on one side then keep watch for that too. Skin biopsy for histopathology should be done if specifically mole is associated with itching. |
Q. Can heart palpitations, tachycardia and shortness of breath due to mitral valve stenosis? | Hello doctor, I am suffering from heart palpitations (especially when I lie down or do some physical activity), shortness of breath, tachycardia for the past three months. I am taking Propranolol (20 mg per day) for this. Propranolol is controlling trachycardia a bit. In stress my condition worsens. I think (my own opinion) that I might have mitral valvular stenosis. What do you say regarding my condition? | Hi. It seems to be due to anxiety. To exclude any valvular disorder, the cardiologist will auscultate your heart carefully, if he listens any abnormal sound he may advise echo, otherwise no need. Regarding palpitations, better have an ECG done at the time of symptoms or alternatively 24 hours ECG may be done. Avoid stress, anxiety, do regular exercise or brisk walk, reduce weight if you are overweight. Avoid any such thing people usually are addicted to. Reduce tea, coffee. Deep breathing is a good exercise to reduce anxiety, get up early in the morning and do this before or after fair prayer. |
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Hello doctor, I am suffering from heart palpitations (especially when I lie down or do some physical activity), shortness of breath, tachycardia for the past three months. I am taking Propranolol (20 mg per day) for this. Propranolol is controlling trachycardia a bit. In stress my condition worsens. I think (my own opinion) that I might have mitral valvular stenosis. What do you say regarding my condition? [/INST] Hi. It seems to be due to anxiety. To exclude any valvular disorder, the cardiologist will auscultate your heart carefully, if he listens any abnormal sound he may advise echo, otherwise no need. Regarding palpitations, better have an ECG done at the time of symptoms or alternatively 24 hours ECG may be done. Avoid stress, anxiety, do regular exercise or brisk walk, reduce weight if you are overweight. Avoid any such thing people usually are addicted to. Reduce tea, coffee. Deep breathing is a good exercise to reduce anxiety, get up early in the morning and do this before or after fair prayer. |
Q. Why am having red lesion in multiple areas of mouth with pain? | Hello doctor, I have been under a considerable amount of stress. I have been biting my lip a lot lately. However, I notice more and more odd things occurring in my mouth. Unsure if normal or is a cause for suspicion. There is a red bump on the hard palate on the grooved surface, mildly irritating or with pain. The lesion is in the corner of the mouth and is a red dot. It is mildly bothersome. Achy front teeth- gum flap in between teeth. Mild to moderate pain lesion is there in cheek and there has been receding gum for a while. It is annoying with no pain or irritation. | Hello. Such multiple lesions usually can occur either in vitamin deficiency or even herpes simplex and a few other conditions. In your case, it appears that you need Multivitamin capsules. Take a Multivitamin capsule with Vitamin B complex once daily for 15 days. Since how many days, have you started seeing these lesions? Use warm salt water gargle twice a day for a week or two. Start taking a balanced diet with a lot of veggies and some meat and egg products. Avoid snacks and spicy food too. Can you explain your typical weekly diet? |
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Hello doctor, I have been under a considerable amount of stress. I have been biting my lip a lot lately. However, I notice more and more odd things occurring in my mouth. Unsure if normal or is a cause for suspicion. There is a red bump on the hard palate on the grooved surface, mildly irritating or with pain. The lesion is in the corner of the mouth and is a red dot. It is mildly bothersome. Achy front teeth- gum flap in between teeth. Mild to moderate pain lesion is there in cheek and there has been receding gum for a while. It is annoying with no pain or irritation. [/INST] Hello. Such multiple lesions usually can occur either in vitamin deficiency or even herpes simplex and a few other conditions. In your case, it appears that you need Multivitamin capsules. Take a Multivitamin capsule with Vitamin B complex once daily for 15 days. Since how many days, have you started seeing these lesions? Use warm salt water gargle twice a day for a week or two. Start taking a balanced diet with a lot of veggies and some meat and egg products. Avoid snacks and spicy food too. Can you explain your typical weekly diet? |
Q. I get raised heartbeat and shortness of breath while having anxiety. Why? | Hi doctor, I am 18 years old. I have a problem that suddenly an anxiety is taking place and my heart beat increased, the heart is like a balloon, sometimes I think that my breath is going and I am going to die. What should I do? | Hello. The problem you are experiencing is called a panic attack. In this problem, the person feels as if he is going to have a heart attack but this does not happen. This problem usually starts in young age. I would advise you to get your thyroid function test done and also follow the following. Regular deep breathing exercise, meditation, and yoga, regular physical activity. You should go for a formal psychiatric consultation if it occurs again. |
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Hi doctor, I am 18 years old. I have a problem that suddenly an anxiety is taking place and my heart beat increased, the heart is like a balloon, sometimes I think that my breath is going and I am going to die. What should I do? [/INST] Hello. The problem you are experiencing is called a panic attack. In this problem, the person feels as if he is going to have a heart attack but this does not happen. This problem usually starts in young age. I would advise you to get your thyroid function test done and also follow the following. Regular deep breathing exercise, meditation, and yoga, regular physical activity. You should go for a formal psychiatric consultation if it occurs again. |
Q. Why is there a swelling at the site of wisdom tooth removal? | Hello doctor, I just had my wisdom tooth removal surgery 10 days back. The surgery was on the lower right side as my wisdom tooth was impacted and was inside the bone. Hence, I had to remove it as there was some TMJ discomfort. My recovery is going fine there is no numbness and I just want to take your suggestion on one thing. I still have a swelling type thing on my right side jaw where surgery happened, though my right cheek is fine. I just want to know, in how many weeks my jaw will be fine as there is something that I can feel like swelling or a hard lump near to my surgery area. When I do open my mouth there is pressure on my right side jaw. Since there is no pain, I just want to know that when can I expect my jaw swelling or hard lump in the surgery area to be fine? | Hello. I have been through your query and I can understand your concern. Post-extraction swelling is normal as the tissues require a conducive environment for healing. Normally, an extraction site shows almost complete healing after 21 days provided you do not have any negative habits like smoking and have followed the instructions perfectly. In your case, it seems there was surgical removal of the tooth which requires an incision, bone cutting and sutures. If that was the case, it would take roughly around 4 or 5 weeks for the wound to heal completely. The swelling will also subside with the coming days. I would suggest you to wait and follow the instructions of your dentist. However, if the swelling continues to remain there for even longer time, and if you feel discomfort then I would suggest you to go to your dentist at that time. I would also suggest you doing normal saline oral rinses with warm water but very gently (in order to not destabilize the clot of the wound). Maintain good oral hygiene. Follow up after 15 days for the results. |
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Hello doctor, I just had my wisdom tooth removal surgery 10 days back. The surgery was on the lower right side as my wisdom tooth was impacted and was inside the bone. Hence, I had to remove it as there was some TMJ discomfort. My recovery is going fine there is no numbness and I just want to take your suggestion on one thing. I still have a swelling type thing on my right side jaw where surgery happened, though my right cheek is fine. I just want to know, in how many weeks my jaw will be fine as there is something that I can feel like swelling or a hard lump near to my surgery area. When I do open my mouth there is pressure on my right side jaw. Since there is no pain, I just want to know that when can I expect my jaw swelling or hard lump in the surgery area to be fine? [/INST] Hello. I have been through your query and I can understand your concern. Post-extraction swelling is normal as the tissues require a conducive environment for healing. Normally, an extraction site shows almost complete healing after 21 days provided you do not have any negative habits like smoking and have followed the instructions perfectly. In your case, it seems there was surgical removal of the tooth which requires an incision, bone cutting and sutures. If that was the case, it would take roughly around 4 or 5 weeks for the wound to heal completely. The swelling will also subside with the coming days. I would suggest you to wait and follow the instructions of your dentist. However, if the swelling continues to remain there for even longer time, and if you feel discomfort then I would suggest you to go to your dentist at that time. I would also suggest you doing normal saline oral rinses with warm water but very gently (in order to not destabilize the clot of the wound). Maintain good oral hygiene. Follow up after 15 days for the results. |
Q. My kneecap hurts a lot while jogging. I am just 26 years old. Please advice. | Hello doctor, I am 26 years old, and I weigh 96 Kg. My kneecap hurts a lot while jogging or doing any cardio exercises. For one year, I have been having this problem. My knee joint trembles and often I have a problem walking. Please advice. | Hello. You are very young and only 26 years old. Sometimes you can have such kind of pain in the knee at young age. If there is no history of any injury, swelling, etc., then there is no need to worry. My advice to you will be: If the condition does not improve in 2 to 3 weeks time, you may have to get certain tests done for your evaluation. |
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Hello doctor, I am 26 years old, and I weigh 96 Kg. My kneecap hurts a lot while jogging or doing any cardio exercises. For one year, I have been having this problem. My knee joint trembles and often I have a problem walking. Please advice. [/INST] Hello. You are very young and only 26 years old. Sometimes you can have such kind of pain in the knee at young age. If there is no history of any injury, swelling, etc., then there is no need to worry. My advice to you will be: If the condition does not improve in 2 to 3 weeks time, you may have to get certain tests done for your evaluation. |
Q. Every time I eat spicy food, I poop blood. Why? | Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I do not have a family history of colon cancer. I got blood tests done last night. Please find my reports attached. | Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online --> |
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Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I do not have a family history of colon cancer. I got blood tests done last night. Please find my reports attached. [/INST] Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online --> |
Q. How long should my husband and I wait to try for a baby if we did cocaine? | Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. | Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> |
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Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. [/INST] Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> |
Q. Can Yasmin birth control pill be used as an emergency contraceptive pill? | Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? | Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> |
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Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? [/INST] Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> |
Q. Please explain the poisonous effect of phenol ingestion. | Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. | Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> |
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Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. [/INST] Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> |
Q. For how long should I take Kalachikai powder to overcome PCOD problem? | Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? | Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> |
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Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? [/INST] Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> |
Q. Why do periods get delayed after first time sex? | Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? | Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> |
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Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? [/INST] Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> |
Q. I am a Von Willebrand disease patient. I am currently bleeding through my nostrils. Please help. | Hello doctor, I am a Von Willebrand disease (vWD) type 3 patient. I am currently bleeding through my nostrils, having underskin blood spots and pain in my ankle. These symptoms are new to me. Please help. | Hi. Based on your query, my opinion is as follows: Hope it helps. |
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Hello doctor, I am a Von Willebrand disease (vWD) type 3 patient. I am currently bleeding through my nostrils, having underskin blood spots and pain in my ankle. These symptoms are new to me. Please help. [/INST] Hi. Based on your query, my opinion is as follows: Hope it helps. |
Q. My 4 year old son has a broken ulna and radius. I would like to know if my son has received proper treatment. | Hello doctor, My 4 year old son has a broken ulna and radius. They are broken in the middle of his arm. The x-ray shows that the broken bones are displaced. The doctor did not perform a reduction and ordered a full arm cast. He stated that the bones will set themselves as my son grows. Is this true? It does not make sense that reductions are performed on some children being that "the bones will set themselves as a child grows". I would like to know if my son has received proper treatment. | Hello.I have seen the x-rays of your child (attachment removed to protect patient identity).To be very honest, I am not happy if this is the position which has been accepted after the cast has been put. It is true that fractures remodel in children very well and that they also unite very fast. But in your child's case, I am unhappy because : It is also known that serial x-rays have to be done because the position in a cast can change and lead to unacceptable malalignment. In any case, I will advise you not to panic. It would be better to go for closed reduction and above elbow cast under sedation. Take care. |
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Hello doctor, My 4 year old son has a broken ulna and radius. They are broken in the middle of his arm. The x-ray shows that the broken bones are displaced. The doctor did not perform a reduction and ordered a full arm cast. He stated that the bones will set themselves as my son grows. Is this true? It does not make sense that reductions are performed on some children being that "the bones will set themselves as a child grows". I would like to know if my son has received proper treatment. [/INST] Hello.I have seen the x-rays of your child (attachment removed to protect patient identity).To be very honest, I am not happy if this is the position which has been accepted after the cast has been put. It is true that fractures remodel in children very well and that they also unite very fast. But in your child's case, I am unhappy because : It is also known that serial x-rays have to be done because the position in a cast can change and lead to unacceptable malalignment. In any case, I will advise you not to panic. It would be better to go for closed reduction and above elbow cast under sedation. Take care. |
Q. I do not get erection problem during masturbation, but why during actual sex? | Hello doctor, I am a 32 year old male. I started masturbating ten years back. CurrentlyI masturbate daily morning and night. Sometimes, I achieve erection very quick, and sometimes it takes time. I masturbate seeing porn videos. The problem is, when I entered marriage life, I could not get a proper erection to penetrate my partner. I could get partial erection, but that goes down soon. I also get less excitation when I actually touch or feel the body than seeing porn. Due to this, my marriage life was affected leading to divorce. I do not get erection problem during masturbation, but why during actual sex? How to cure this? I would be married again soon in a month. Kindly help. | Hi. I read your query and understand your concerns. It is your thought, which is creating the problem. For a man of 32 years with regular masturbation for the last 9 years, it is easy to understand that there is no problem with erection. It is the guilty feeling associated with masturbation that is creating the problem. In other words, it can be said that the problem is a psychological one. This is common in men who think masturbation is wrong. At this stage, I would like to advise you a few things: |
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Hello doctor, I am a 32 year old male. I started masturbating ten years back. CurrentlyI masturbate daily morning and night. Sometimes, I achieve erection very quick, and sometimes it takes time. I masturbate seeing porn videos. The problem is, when I entered marriage life, I could not get a proper erection to penetrate my partner. I could get partial erection, but that goes down soon. I also get less excitation when I actually touch or feel the body than seeing porn. Due to this, my marriage life was affected leading to divorce. I do not get erection problem during masturbation, but why during actual sex? How to cure this? I would be married again soon in a month. Kindly help. [/INST] Hi. I read your query and understand your concerns. It is your thought, which is creating the problem. For a man of 32 years with regular masturbation for the last 9 years, it is easy to understand that there is no problem with erection. It is the guilty feeling associated with masturbation that is creating the problem. In other words, it can be said that the problem is a psychological one. This is common in men who think masturbation is wrong. At this stage, I would like to advise you a few things: |
Q. Why am I having muscle tenderness after an accident? | Hi doctor, I recently had a car accident. I was passenger. How can my arm feel very still and tender? The doctor at the urgent care gave me Naproxen but my muscle is still tender and I have not been able to sleep at all. The doctor gave me Hydroxyzine which did not work. | Hi. If it is just a bruise, then you just need to give it time and pain control with some NSAID like Naproxen, and need no intervention but only if your swelling start getting worse. But in any accident we should consider ruling out underlying bone fracture as bone fractures need to be fixed surgically. I am not sure how bad your accident was, and how your bruises look like but if it is bad enough then might need X-rays to rule out underlying fracture. I believe that urgent care doctor have ruled out or did not think of fracture after examination. So just keep taking Naproxen, cold compresses with ice (wrapped in plastic bag or cloth) might help. Contact doctor if swelling or tenderness do not start getting better in 2 to 3 days or start getting worse. |
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Hi doctor, I recently had a car accident. I was passenger. How can my arm feel very still and tender? The doctor at the urgent care gave me Naproxen but my muscle is still tender and I have not been able to sleep at all. The doctor gave me Hydroxyzine which did not work. [/INST] Hi. If it is just a bruise, then you just need to give it time and pain control with some NSAID like Naproxen, and need no intervention but only if your swelling start getting worse. But in any accident we should consider ruling out underlying bone fracture as bone fractures need to be fixed surgically. I am not sure how bad your accident was, and how your bruises look like but if it is bad enough then might need X-rays to rule out underlying fracture. I believe that urgent care doctor have ruled out or did not think of fracture after examination. So just keep taking Naproxen, cold compresses with ice (wrapped in plastic bag or cloth) might help. Contact doctor if swelling or tenderness do not start getting better in 2 to 3 days or start getting worse. |
Q. Is there any way to correct the gap between two front teeth? | Hello doctor, I want to know what can be done to get my teeth in proper alignment as there is a gap between two teeth. | Hello. I have been through your query and I can understand your concern. If you have a gap between the front teeth only, then the condition is called as midline diastema. It can be treated orthodontically as well as with conservative management (operative dentistry). In operative dentistry, the gap will be filled with the tooth-colored material (composite filling) and it will be as if there were no gap in between. However, a slight elongation of the crown does occur but you have a small gap so it will not be that evident. For you, I would recommend you to go for the operative procedure (attachment removed to protect patient identity). It is a non-invasive procedure and results are instant and is also globally approved procedure. Follow up after the procedure is done. |
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Hello doctor, I want to know what can be done to get my teeth in proper alignment as there is a gap between two teeth. [/INST] Hello. I have been through your query and I can understand your concern. If you have a gap between the front teeth only, then the condition is called as midline diastema. It can be treated orthodontically as well as with conservative management (operative dentistry). In operative dentistry, the gap will be filled with the tooth-colored material (composite filling) and it will be as if there were no gap in between. However, a slight elongation of the crown does occur but you have a small gap so it will not be that evident. For you, I would recommend you to go for the operative procedure (attachment removed to protect patient identity). It is a non-invasive procedure and results are instant and is also globally approved procedure. Follow up after the procedure is done. |
Q. Will Kalarchikai cure multiple ovarian cysts in PCOD? | Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well. | Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help. |
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Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well. [/INST] Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help. |
Q. Can Aspirin reduce the risk of stroke during flight travel in a patient with high RBC, Hb, hematocrit? | Hello doctor, I am a 49-year-old male, 6'4" and 300 lbs. I take very low doses testosterone, an estrogen blocker, and HGH. All very low dosages. I will be on a six hours international flight tomorrow and I am concerned about some health risks. I have high levels of the following: RBC of 6.61, hemoglobin of 19, hematocrit of 57. I tried to have blood drawn today but the facility cancelled the appointment. Will aspirin help reduce the risks of stroke? | Hi. I agree with you. There is a risk of leg vein thrombosis in deep veins of legs due to prolong sitting. Aspirin do help according to some studies, might be not as beneficial as full anticoagulants like Heparin, etc., but take Aspirin 325 mg (not 75 or 81 mg) one hour before flight with meal. Walk during flight in aisles frequently. Keep yourself hydrated. I believe you will be fine. |
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Hello doctor, I am a 49-year-old male, 6'4" and 300 lbs. I take very low doses testosterone, an estrogen blocker, and HGH. All very low dosages. I will be on a six hours international flight tomorrow and I am concerned about some health risks. I have high levels of the following: RBC of 6.61, hemoglobin of 19, hematocrit of 57. I tried to have blood drawn today but the facility cancelled the appointment. Will aspirin help reduce the risks of stroke? [/INST] Hi. I agree with you. There is a risk of leg vein thrombosis in deep veins of legs due to prolong sitting. Aspirin do help according to some studies, might be not as beneficial as full anticoagulants like Heparin, etc., but take Aspirin 325 mg (not 75 or 81 mg) one hour before flight with meal. Walk during flight in aisles frequently. Keep yourself hydrated. I believe you will be fine. |
Q. Kindly advise the measures to be taken to manage OCD and PTSD patient? | Hello doctor, I have a friend who is in very much need of an expert. He has been living with his abusive mother his whole life, she even tried to kill him multiple times. Her behavior shows symptoms of OCD, PTSD, and even bipolar. He even tried to take her for counseling, but that made matters worse. As his friend, I am really worried. And I would really appreciate your guidance and help. | Hello. Your friend's mother is showing an aggressive and abusive behavior which indicates serious mental illness. There can be an element of delusion of persecution that is suspiciousness of being killed by her son, which is making mother so violent. I would advise you to tell your friend that he should consult a psychiatrist, his mother may require in-patient treatment. We have very good medicines available nowadays which can control every patient. More the time lapse without treatment, more resistant will be the disease. So it is better to start the treatment as soon as possible. |
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Hello doctor, I have a friend who is in very much need of an expert. He has been living with his abusive mother his whole life, she even tried to kill him multiple times. Her behavior shows symptoms of OCD, PTSD, and even bipolar. He even tried to take her for counseling, but that made matters worse. As his friend, I am really worried. And I would really appreciate your guidance and help. [/INST] Hello. Your friend's mother is showing an aggressive and abusive behavior which indicates serious mental illness. There can be an element of delusion of persecution that is suspiciousness of being killed by her son, which is making mother so violent. I would advise you to tell your friend that he should consult a psychiatrist, his mother may require in-patient treatment. We have very good medicines available nowadays which can control every patient. More the time lapse without treatment, more resistant will be the disease. So it is better to start the treatment as soon as possible. |
Q. Diagnosis and treatment of mental illnesses. Could you please answer a few questions? | Hello doctor, I am doing research regarding diagnosis and treatment of mental illnesses. Please answer a few questions of mine. What routine medical examinations apart from MMSE and history would you conduct? By this I mean standard routine blood investigations plus other investigations. What clinical signs would suggest performing MRI scan and would you order it with every patient? What clinical signs would suggest performing thyroid hormone tests? Would you do the thyroid hormone test with every patient admitted to the ward? Would it be a standard psychiatric procedure? What neurological and physical examinations would you conduct to rule out any other medical or neurological disorders? Schizophrenia is a dysfunction of brain’s physiology; the functioning through neurotransmitters and through hormones but actually genetic problem is always there; means there is a dysfunction at cellular level. Which neurotransmitters and hormones would be responsible for this dysfunction? What kind of dysfunction of cellular level is that? What does an elevated level of homocysteine found in schizophrenic patients tell the psychiatrist? | Hi. I have read your queries and shall answer accordingly. Keep in mind that standard procedures for management may differ in different countries. Answers for your questions: All the best for your research. For further clarifications, consult a psychiatrist online --> |
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Hello doctor, I am doing research regarding diagnosis and treatment of mental illnesses. Please answer a few questions of mine. What routine medical examinations apart from MMSE and history would you conduct? By this I mean standard routine blood investigations plus other investigations. What clinical signs would suggest performing MRI scan and would you order it with every patient? What clinical signs would suggest performing thyroid hormone tests? Would you do the thyroid hormone test with every patient admitted to the ward? Would it be a standard psychiatric procedure? What neurological and physical examinations would you conduct to rule out any other medical or neurological disorders? Schizophrenia is a dysfunction of brain’s physiology; the functioning through neurotransmitters and through hormones but actually genetic problem is always there; means there is a dysfunction at cellular level. Which neurotransmitters and hormones would be responsible for this dysfunction? What kind of dysfunction of cellular level is that? What does an elevated level of homocysteine found in schizophrenic patients tell the psychiatrist? [/INST] Hi. I have read your queries and shall answer accordingly. Keep in mind that standard procedures for management may differ in different countries. Answers for your questions: All the best for your research. For further clarifications, consult a psychiatrist online --> |
Q. Is it possible to get infection in a painless pulp exposed tooth? | Hello doctor, I have a tooth that is gone all the way down. So I think the pulp is exposed but I have no pain whatsoever. Is it only a matter of time before it gets infected or not? If I have no pain, it is dead right? | Hi. According to your history, the pulp is exposed and decayed by now. It means sensations are lost and that is why you are not feeling pain in it. But it does not mean your tooth cannot get an infection now. It can get infected because of the food stuck in it can cause infection in gums around broken tooth and root. That may be very painful. Therefore, I will advise you to visit your dentist and get it extracted or treated according to your clinical condition. |
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Hello doctor, I have a tooth that is gone all the way down. So I think the pulp is exposed but I have no pain whatsoever. Is it only a matter of time before it gets infected or not? If I have no pain, it is dead right? [/INST] Hi. According to your history, the pulp is exposed and decayed by now. It means sensations are lost and that is why you are not feeling pain in it. But it does not mean your tooth cannot get an infection now. It can get infected because of the food stuck in it can cause infection in gums around broken tooth and root. That may be very painful. Therefore, I will advise you to visit your dentist and get it extracted or treated according to your clinical condition. |
Q. What can be done for pain in neck, hand, and weakness due to degenerative changes? | Hello doctor, I am diagnosed with the degenerative changes in the cervical and many more things. I am attaching the MRI report also. Symptoms include pain in neck, shoulder, hand, weakness, dizziness. I cannot sleep properly, cannot sit for a long time. I have also consulted with some doctor but no result. I have got relief when I am taking medicine, otherwise, it goes worse. Please see what the problem is and please clear it. | Hi. I have read your concern and seen the MRI report. It seems that the spine shows degeneration in the bones and disk but does not show any impingement of the spinal cord and the nerves. However, the cervical vertebrae are abnormally straightened as opposed to normal curve (this signifies muscle strain). The pain you are experiencing can be discoligamentous in nature, meaning this is coming from the disc and bones and joint attachments. It is a good thing that you do not have any motor weakness (signifies intact nerves). This usually resolves in pain medications and rehabilitative medicine in six weeks. This should help you. Age-related changes. Repeat MRI after rehabilitation in six weeks, serum, calcium, sodium. Cervical arthropathy due to RA or TB. Degenerative cervical spine disease. Pain medications, NSAID and Gabapentin. Exercises and rehabilitative medicine, physical therapy. |
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Hello doctor, I am diagnosed with the degenerative changes in the cervical and many more things. I am attaching the MRI report also. Symptoms include pain in neck, shoulder, hand, weakness, dizziness. I cannot sleep properly, cannot sit for a long time. I have also consulted with some doctor but no result. I have got relief when I am taking medicine, otherwise, it goes worse. Please see what the problem is and please clear it. [/INST] Hi. I have read your concern and seen the MRI report. It seems that the spine shows degeneration in the bones and disk but does not show any impingement of the spinal cord and the nerves. However, the cervical vertebrae are abnormally straightened as opposed to normal curve (this signifies muscle strain). The pain you are experiencing can be discoligamentous in nature, meaning this is coming from the disc and bones and joint attachments. It is a good thing that you do not have any motor weakness (signifies intact nerves). This usually resolves in pain medications and rehabilitative medicine in six weeks. This should help you. Age-related changes. Repeat MRI after rehabilitation in six weeks, serum, calcium, sodium. Cervical arthropathy due to RA or TB. Degenerative cervical spine disease. Pain medications, NSAID and Gabapentin. Exercises and rehabilitative medicine, physical therapy. |
Q. How long should my husband and I wait to try for a baby if we did cocaine? | Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. | Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> |
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Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. [/INST] Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> |
Q. Can Yasmin birth control pill be used as an emergency contraceptive pill? | Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? | Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> |
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Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? [/INST] Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> |
Q. Please explain the poisonous effect of phenol ingestion. | Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. | Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> |
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Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. [/INST] Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> |
Q. For how long should I take Kalachikai powder to overcome PCOD problem? | Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? | Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> |
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Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? [/INST] Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> |
Q. Why do periods get delayed after first time sex? | Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? | Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> |
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Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? [/INST] Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> |
Q. I have severe weakness in butt and hips muscles with negative rheumatism. What is my problem? | Hello doctor, I have severe weakness in the muscles of the hips and butt. But no real pain. I stopped taking Rosuvastatin, Ezetimibe, and Paroxetine but I still use Enalapril (15 mg daily) to lower my blood pressure. Blood tests for muscle rheumatism are negative. Vitamin D is 95 nmol/l and I use a magnesium supplement to enhance my muscles. What is wrong with me? | Hello. Since when are you having this problem? Any history of trauma, or lifting heavyweight? Any perianal senory loss or difficulty in holding urine? What symptoms do you have like difficulty in walking, climbing stairs, etc? |
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Hello doctor, I have severe weakness in the muscles of the hips and butt. But no real pain. I stopped taking Rosuvastatin, Ezetimibe, and Paroxetine but I still use Enalapril (15 mg daily) to lower my blood pressure. Blood tests for muscle rheumatism are negative. Vitamin D is 95 nmol/l and I use a magnesium supplement to enhance my muscles. What is wrong with me? [/INST] Hello. Since when are you having this problem? Any history of trauma, or lifting heavyweight? Any perianal senory loss or difficulty in holding urine? What symptoms do you have like difficulty in walking, climbing stairs, etc? |
Q. I masturbate only by rubbing the tip of the penis. Is it a wrong way? | Hi doctor, During masturbation I just rub the tip of the penis and not the entire penis. Is it a wrong way of doing? I do not get excited during sex and unable to ejaculate. Only, rubbing the tip of the penis gives me excitement. Also, two weeks ago, I have undergone circumcision as my foreskin did not retract. Before circumcision too, I have the same problem. Please help. | Hi. For further doubts consult a sexologist online --> |
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Hi doctor, During masturbation I just rub the tip of the penis and not the entire penis. Is it a wrong way of doing? I do not get excited during sex and unable to ejaculate. Only, rubbing the tip of the penis gives me excitement. Also, two weeks ago, I have undergone circumcision as my foreskin did not retract. Before circumcision too, I have the same problem. Please help. [/INST] Hi. For further doubts consult a sexologist online --> |
Q. What can cause heavy menstrual flow with late secretary endometrium? | Hi doctor, I am 40 years old. I have been suffering from heavy menstrual flow for the past 11 to 12 months. I had a heavy flow with clots for the last two months. Now, I have been menstruating for the past 10 days with heavy flow and clots. It started exactly at the cycle period date and continued for five days and again on the seventh day, it started again with heavy flow. I have had a cyst, high levels of prolactin which have been treated during this period. Last month my doctor recommended the endometrium biopsy but the report was normal and the diagnosis was late secretary endometrium. My current medications include Ovuloc, Femilon, Meprate 10 mg two times a day, Iron tablet, and pause MF (on SOS basis). Can you please advice? | Hi. Your biopsy report is good. The medicines you are taking are also good. But instead of taking hormones daily I recommend that you put in a hormone-releasing intrauterine device called Mirena. That remains in your uterus without problem. Delivers the hormones where they are actually needed, cutting down the side effects of excessive hormone intake plus you get rid of the daily responsibility of taking your pills. However, as per the ultrasound finding of a bulky uterus, you may have adenomyosis which is causing this abnormal uterine bleeding. Adenomyosis is a condition that affects the wall of your uterus. Unfortunately, it does not respond well to hormonal treatment. Please get an MRI of the pelvis done. If that shows adenomyosis you may still try Mirena but if that is ineffective, you may even need surgery. |
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Hi doctor, I am 40 years old. I have been suffering from heavy menstrual flow for the past 11 to 12 months. I had a heavy flow with clots for the last two months. Now, I have been menstruating for the past 10 days with heavy flow and clots. It started exactly at the cycle period date and continued for five days and again on the seventh day, it started again with heavy flow. I have had a cyst, high levels of prolactin which have been treated during this period. Last month my doctor recommended the endometrium biopsy but the report was normal and the diagnosis was late secretary endometrium. My current medications include Ovuloc, Femilon, Meprate 10 mg two times a day, Iron tablet, and pause MF (on SOS basis). Can you please advice? [/INST] Hi. Your biopsy report is good. The medicines you are taking are also good. But instead of taking hormones daily I recommend that you put in a hormone-releasing intrauterine device called Mirena. That remains in your uterus without problem. Delivers the hormones where they are actually needed, cutting down the side effects of excessive hormone intake plus you get rid of the daily responsibility of taking your pills. However, as per the ultrasound finding of a bulky uterus, you may have adenomyosis which is causing this abnormal uterine bleeding. Adenomyosis is a condition that affects the wall of your uterus. Unfortunately, it does not respond well to hormonal treatment. Please get an MRI of the pelvis done. If that shows adenomyosis you may still try Mirena but if that is ineffective, you may even need surgery. |
Q. Is my past relationship making me anxious while seeing an attractive girl? | Hello doctor, I have extreme anxiety when I see an attractive girl. I feel like escaping from that place at that moment. I intentionally avoid going out and limit myself to home only to avoid attractive girls, I even stopped watching TV to avoid this. I believe this symptom may have started with a broken relationship I had with a girl 10 years back. I am 35 now but I still have it and it is getting worse, I am not sure if I will ever be able to overcome it. Please help. | Hello. People develop a fear of various things due to some bad past experiences. Some get over them with time while for some people it gets worse. If your past still haunts you and is the reason for developing these fears then you need to undergo some therapy sessions. You may also need a medicine, depending on the severity of your problem and extent of improvement with therapy. I would advise you to see a psychiatrist at your local place as early as possible because already so many precious years have been lost due to this problem. It has taken a lot from your life. Do not delay seeking help. |
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Hello doctor, I have extreme anxiety when I see an attractive girl. I feel like escaping from that place at that moment. I intentionally avoid going out and limit myself to home only to avoid attractive girls, I even stopped watching TV to avoid this. I believe this symptom may have started with a broken relationship I had with a girl 10 years back. I am 35 now but I still have it and it is getting worse, I am not sure if I will ever be able to overcome it. Please help. [/INST] Hello. People develop a fear of various things due to some bad past experiences. Some get over them with time while for some people it gets worse. If your past still haunts you and is the reason for developing these fears then you need to undergo some therapy sessions. You may also need a medicine, depending on the severity of your problem and extent of improvement with therapy. I would advise you to see a psychiatrist at your local place as early as possible because already so many precious years have been lost due to this problem. It has taken a lot from your life. Do not delay seeking help. |
Q. Will plaster reduce swelling occurred due to vaccination in a 3-month-old baby? | Hello doctor, My baby is 3 months old. She is suffering from swelling on thigh due to vaccination. Can I use plaster to reduce it? | Hi. I understand your concern. Local swelling after vaccination is the known side effect. Just apply ice over it for 3 to 4 times a day. No need to rub or massage, just apply ice. No need for plaster. It is local swelling, not a fracture where plaster is needed. It shall go over time and may take 7 to 10 days. If the swelling is persistent and painful, then you need to show the doctor. |
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Hello doctor, My baby is 3 months old. She is suffering from swelling on thigh due to vaccination. Can I use plaster to reduce it? [/INST] Hi. I understand your concern. Local swelling after vaccination is the known side effect. Just apply ice over it for 3 to 4 times a day. No need to rub or massage, just apply ice. No need for plaster. It is local swelling, not a fracture where plaster is needed. It shall go over time and may take 7 to 10 days. If the swelling is persistent and painful, then you need to show the doctor. |
Q. How can I overcome decreased penis stiffness during sex? | Hi doctor, I am concerned with something. I am a 30-year-old unmarried man whose sex life has not been so great so far. But what bothers me is the realization that my penis does not get really stiff in the act, when I had sexual encounters with a couple of girls recently. However, when I masturbate with hand or use fleshlight masturbator, my penis is really stiff and everything goes fine. I am a bit embarrassed too. What could be the reason? How can I overcome it? | Hi. I can understand. You are not yet married and therefore you should not worry much about your erection. A hard and stiff erection happens only one or two times before or during intercourse. If you have five minutes sex, the really hard erection will happen only for less than one minute. Otherwise, your penis will be a little bit sluggish. Secondly, hardness does not count in sex or ejaculation or childbirth. Having the ability to penetrate and ejaculate counts. Your present problem could be due to performance anxiety associated with having sex with unknown girls or with anxiety. Do not worry. Take care. |
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Hi doctor, I am concerned with something. I am a 30-year-old unmarried man whose sex life has not been so great so far. But what bothers me is the realization that my penis does not get really stiff in the act, when I had sexual encounters with a couple of girls recently. However, when I masturbate with hand or use fleshlight masturbator, my penis is really stiff and everything goes fine. I am a bit embarrassed too. What could be the reason? How can I overcome it? [/INST] Hi. I can understand. You are not yet married and therefore you should not worry much about your erection. A hard and stiff erection happens only one or two times before or during intercourse. If you have five minutes sex, the really hard erection will happen only for less than one minute. Otherwise, your penis will be a little bit sluggish. Secondly, hardness does not count in sex or ejaculation or childbirth. Having the ability to penetrate and ejaculate counts. Your present problem could be due to performance anxiety associated with having sex with unknown girls or with anxiety. Do not worry. Take care. |
Q. Why am I having cough with green sputum and stomach pain with loose stools? | Hello doctor, I have two complaints for the past five days. One is deep hacking cough with greenish sputum and the other is stomach pain with loose stools. No nausea or vomiting. Please advise. Another doctor prescribed Omeprazole and Ranitidine but I have seen no improvement in my condition. Also, I live in a place where the air quality is very poor. | Hi. I can understand your concern. By your history and description, the possibility of lower respiratory tract infection (LRTI) is more likely. A cough with greenish expectoration is commonly seen with pseudomonas infection. And this can also cause gastritis and diarrhea. So in my opinion, you should start tablet Ziffi CV one tablet twice daily, Azithromycin 500 mg one tablet once a day, syrup Bronchorex one spoon full three times a day, tablet Pantocid L (Pantoprazole and Levosulpiride combination) twice daily on empty stomach. Drink plenty of fluids orally and keep yourself hydrated. Also, take an oral rehydration solution (ORS). Avoid oily and spicy food. Avoid junk food. Take these drugs for five days. Do let me know if have a fever, diabetes or hypertension? Do you smoke? Please reply me answers to above-asked questions, so that I can guide you better. I will be happy to help you further. Wish you good health. |
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Hello doctor, I have two complaints for the past five days. One is deep hacking cough with greenish sputum and the other is stomach pain with loose stools. No nausea or vomiting. Please advise. Another doctor prescribed Omeprazole and Ranitidine but I have seen no improvement in my condition. Also, I live in a place where the air quality is very poor. [/INST] Hi. I can understand your concern. By your history and description, the possibility of lower respiratory tract infection (LRTI) is more likely. A cough with greenish expectoration is commonly seen with pseudomonas infection. And this can also cause gastritis and diarrhea. So in my opinion, you should start tablet Ziffi CV one tablet twice daily, Azithromycin 500 mg one tablet once a day, syrup Bronchorex one spoon full three times a day, tablet Pantocid L (Pantoprazole and Levosulpiride combination) twice daily on empty stomach. Drink plenty of fluids orally and keep yourself hydrated. Also, take an oral rehydration solution (ORS). Avoid oily and spicy food. Avoid junk food. Take these drugs for five days. Do let me know if have a fever, diabetes or hypertension? Do you smoke? Please reply me answers to above-asked questions, so that I can guide you better. I will be happy to help you further. Wish you good health. |
Q. I am not able to lower my blood sugar levels. Please guide me. | Hello doctor,I am not able to stop my sugar level from increasing. Last three HbA1c results are 7.0 %, 7.1 % and 7.4 % with the latest test. My work routine is sedimentary and as I have tracked the high carbohydrate diet which I am not able to change this much even after trying hard. For the last two years, I am taking 0.5 tablets of Gluconorm VG2 twice a day and one tablet of Telesta 40 once a day. Please suggest. | Hello. I understand your concern. I always tell my patients that diabetes is not a disease as long as it is under control. When it is not under control, it leads to disease (complications) in the long run. It is extremely important to keep your sugar level under control at all times. How you choose to do it is entirely up to you. Nothing is impossible. Dietary changes are not very difficult if you make up your mind and take control of your life. Regular physical exercise also helps to a great extent. However, if you think you cannot make any changes to diet and lifestyle, the only way to get your sugar level under control would be to increase the dosage of your medication. Gluconorm-VG2 is prescribed for diabetes, but Telesta 40 is for high blood pressure. Please talk to your treating physician about changing the dosage of your medication, it needs to be done under proper supervision, and it seems to be necessary considering your current laboratory parameters. However, I insist that lifestyle modification is something that can help you a great deal to improve your health status. |
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Hello doctor,I am not able to stop my sugar level from increasing. Last three HbA1c results are 7.0 %, 7.1 % and 7.4 % with the latest test. My work routine is sedimentary and as I have tracked the high carbohydrate diet which I am not able to change this much even after trying hard. For the last two years, I am taking 0.5 tablets of Gluconorm VG2 twice a day and one tablet of Telesta 40 once a day. Please suggest. [/INST] Hello. I understand your concern. I always tell my patients that diabetes is not a disease as long as it is under control. When it is not under control, it leads to disease (complications) in the long run. It is extremely important to keep your sugar level under control at all times. How you choose to do it is entirely up to you. Nothing is impossible. Dietary changes are not very difficult if you make up your mind and take control of your life. Regular physical exercise also helps to a great extent. However, if you think you cannot make any changes to diet and lifestyle, the only way to get your sugar level under control would be to increase the dosage of your medication. Gluconorm-VG2 is prescribed for diabetes, but Telesta 40 is for high blood pressure. Please talk to your treating physician about changing the dosage of your medication, it needs to be done under proper supervision, and it seems to be necessary considering your current laboratory parameters. However, I insist that lifestyle modification is something that can help you a great deal to improve your health status. |
Q. Why are there pus cells and RBC in urine with fever and cramps? | Hello doctor, Pus cells 8 to 10, my urine RBC is 6 to 8 and now I have the menstrual period. I feel I have a fever and cramps in my left side leg and hips side feel pain little bit and headache. What does it mean? | Hello. As per your clinical history is concerned, please follow like this. Discuss with your doctor about the prescription medications like Nitrofurantoin to clear the infection and Paracetamol for pain and fever. Do follow lifestyle modifications like this. Drink plenty of liquids, especially water. Drinking water helps dilute your urine and ensures that you will urinate more frequently allowing bacteria to be flushed from your urinary tract before an infection can begin. Wipe from front to back. Doing so after urinating and after a bowel movement helps prevent bacteria in the anal region from spreading to the vagina and urethra. Empty your bladder soon after intercourse. Also, drink a full glass of water to help flush bacteria. Avoid potentially irritating feminine products. Using deodorant sprays or other feminine products, such as douches and powders, in the genital area can irritate the urethra. |
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Hello doctor, Pus cells 8 to 10, my urine RBC is 6 to 8 and now I have the menstrual period. I feel I have a fever and cramps in my left side leg and hips side feel pain little bit and headache. What does it mean? [/INST] Hello. As per your clinical history is concerned, please follow like this. Discuss with your doctor about the prescription medications like Nitrofurantoin to clear the infection and Paracetamol for pain and fever. Do follow lifestyle modifications like this. Drink plenty of liquids, especially water. Drinking water helps dilute your urine and ensures that you will urinate more frequently allowing bacteria to be flushed from your urinary tract before an infection can begin. Wipe from front to back. Doing so after urinating and after a bowel movement helps prevent bacteria in the anal region from spreading to the vagina and urethra. Empty your bladder soon after intercourse. Also, drink a full glass of water to help flush bacteria. Avoid potentially irritating feminine products. Using deodorant sprays or other feminine products, such as douches and powders, in the genital area can irritate the urethra. |
Q. What can be done to remove black spots caused by acne? | Hello doctor, How to remove black spots caused by acne? So many black spots are there on my face. | Hi. I can understand your concern. It would be of great help if you can send me a picture of your spots. You can apply Clear Z cream on face. It is having Hydroquinone, Triamcinolone, and Isotretinoin. It will remove black spots and make your skin glow. I will be happy to help you further. Wish you good health. |
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Hello doctor, How to remove black spots caused by acne? So many black spots are there on my face. [/INST] Hi. I can understand your concern. It would be of great help if you can send me a picture of your spots. You can apply Clear Z cream on face. It is having Hydroquinone, Triamcinolone, and Isotretinoin. It will remove black spots and make your skin glow. I will be happy to help you further. Wish you good health. |
Q. I get yellow-green vaginal discharge often. Can this be due to yeast infection? | Hello doctor, I have been suffering from yellowish green vagina discharge. I have been to several doctors and they have done urine tests, vaginal swab. But nothing helped and have been given medication for a bacterial infection, yeast infection. The symptoms just keep coming back. I will attach a picture of the discharge. | Hi. Your urinalysis and vaginal swab tests were normal or not? You have received medications for bacterial infection but it keeps coming back. One thing that I want to tell you is that in normal females few have high vaginal secretions. It is sometimes by genetics or otherwise at ovulation or excitement, at fertilization or in stress or anxiety or overexertion during pregnancy or in a few diabetic patients. All can be due to over-production of normal vaginal flora as well but other infections could be there. You could have one of the above-mentioned causes. Do not over-treat vaginal secretions unless it is diagnosed infection, smelly, irritating and not normal as it can cause damage to your normal vaginal flora that is lactobacillus. As a result, you can have vaginal dryness, over-secretion from the vagina. Maintain strict hygiene. Soft comfortable undergarments. Have a healthy nutritious diet and try to have full monitoring and treatment, if you have any health problem. Have twice on two alternate days Clotrimazole pessary per vaginal and have one course of tablet Doxycycline 100 mg BID for seven days. If you feel irritating, you can sit in warm water twice daily for a few minutes. Better to use natural products locally and not chemical. |
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Hello doctor, I have been suffering from yellowish green vagina discharge. I have been to several doctors and they have done urine tests, vaginal swab. But nothing helped and have been given medication for a bacterial infection, yeast infection. The symptoms just keep coming back. I will attach a picture of the discharge. [/INST] Hi. Your urinalysis and vaginal swab tests were normal or not? You have received medications for bacterial infection but it keeps coming back. One thing that I want to tell you is that in normal females few have high vaginal secretions. It is sometimes by genetics or otherwise at ovulation or excitement, at fertilization or in stress or anxiety or overexertion during pregnancy or in a few diabetic patients. All can be due to over-production of normal vaginal flora as well but other infections could be there. You could have one of the above-mentioned causes. Do not over-treat vaginal secretions unless it is diagnosed infection, smelly, irritating and not normal as it can cause damage to your normal vaginal flora that is lactobacillus. As a result, you can have vaginal dryness, over-secretion from the vagina. Maintain strict hygiene. Soft comfortable undergarments. Have a healthy nutritious diet and try to have full monitoring and treatment, if you have any health problem. Have twice on two alternate days Clotrimazole pessary per vaginal and have one course of tablet Doxycycline 100 mg BID for seven days. If you feel irritating, you can sit in warm water twice daily for a few minutes. Better to use natural products locally and not chemical. |
Q. I am a WPW syndrome patient. What effects can I expect from mining work? | Hi doctor, My question is regarding WPW syndrome. I suffer from WPW syndrome, I just came to know about it. I am a mining engineer and work for a mining company, my day to day work involves blasting and exposure to heat, dust, and low oxygen environment. The blasts are severe, the peak particle velocity (a measure of vibration in rock after blast) is around 150 mm/sec. Can this working environment be harmful to me as it may increase my chances of ill health happening due to WPW syndrome? | Hi. Thanks for the query. The working environment has nothing to do with increasing the chances of WPW (Wolff-Parkinson-White syndrome). However, some patients could collapse and have a brief loss of consciousness with WPW episode. It is recommended that those patient work in as safe as possible environment like avoiding the situation that requires being on ladders, and it is better in your condition to avoid areas with low oxygen and where ambulance and emergency help might be difficult to get to. The risk of WPW is if the patient develops atrial fibrillation that could end up with fatal VF. Have you thought about WPW ablation? |
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Hi doctor, My question is regarding WPW syndrome. I suffer from WPW syndrome, I just came to know about it. I am a mining engineer and work for a mining company, my day to day work involves blasting and exposure to heat, dust, and low oxygen environment. The blasts are severe, the peak particle velocity (a measure of vibration in rock after blast) is around 150 mm/sec. Can this working environment be harmful to me as it may increase my chances of ill health happening due to WPW syndrome? [/INST] Hi. Thanks for the query. The working environment has nothing to do with increasing the chances of WPW (Wolff-Parkinson-White syndrome). However, some patients could collapse and have a brief loss of consciousness with WPW episode. It is recommended that those patient work in as safe as possible environment like avoiding the situation that requires being on ladders, and it is better in your condition to avoid areas with low oxygen and where ambulance and emergency help might be difficult to get to. The risk of WPW is if the patient develops atrial fibrillation that could end up with fatal VF. Have you thought about WPW ablation? |
Q. Please give some advice on HRT for male to female transition. | Hi doctor, I am a 28 year old transwoman. I am looking forward to start HRT. I need some advice from you to start on HRT for male to female transition. Thank you. | Hi. Revert back with the answers to the above questions to an endocrinologist online --> |
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Hi doctor, I am a 28 year old transwoman. I am looking forward to start HRT. I need some advice from you to start on HRT for male to female transition. Thank you. [/INST] Hi. Revert back with the answers to the above questions to an endocrinologist online --> |
Q. How long should my husband and I wait to try for a baby if we did cocaine? | Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. | Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> |
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Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. [/INST] Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> |
Q. Can Yasmin birth control pill be used as an emergency contraceptive pill? | Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? | Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> |
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Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? [/INST] Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> |
Q. Please explain the poisonous effect of phenol ingestion. | Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. | Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> |
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Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. [/INST] Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> |
Q. For how long should I take Kalachikai powder to overcome PCOD problem? | Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? | Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> |
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Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? [/INST] Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> |
Q. Why do periods get delayed after first time sex? | Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? | Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> |
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Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? [/INST] Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> |
Q. Had a bypass surgery. Can I take Actifed and Otrivine nasal drops together? | Hello doctor,I am a 60-year-old man. I have had a bypass operation 17 years back. I am on alpha and beta blockers. Is it possible to take Actifed and Otrivine nasal drops together? | Hi. I would suggest it is better to space these out at least two hours apart. Give a gap of two hours before taking other after taking one. Pseudoephedrine and Oxymetazoline have common alpha agonist activity, can increase, give a surge in BP, especially if your BP already remains at the borderline. Another thing that I am concerned is, if you have underlying subclinical BPH, taking these two together can precipitate urinary retention and you will not be able to empty bladder. |
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Hello doctor,I am a 60-year-old man. I have had a bypass operation 17 years back. I am on alpha and beta blockers. Is it possible to take Actifed and Otrivine nasal drops together? [/INST] Hi. I would suggest it is better to space these out at least two hours apart. Give a gap of two hours before taking other after taking one. Pseudoephedrine and Oxymetazoline have common alpha agonist activity, can increase, give a surge in BP, especially if your BP already remains at the borderline. Another thing that I am concerned is, if you have underlying subclinical BPH, taking these two together can precipitate urinary retention and you will not be able to empty bladder. |
Q. How can I ensure healing without scarring after a plica removal surgery? | Hello doctor, I had a plica removal surgery six days ago. How do I ensure a good recovery, without scarring inside the knee? How much can I and how much should I exercise in this knee, and how? | Hello. Plica is a tissue that remains behind when the knee joint is formed (from multiple small pockets). In some, it may be a very tough structure and cause rubbing when the knee bends. Once excised it will not grow back and movements will not make this worse. You are allowed to do everything as soon as the pain and swelling subside. |
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Hello doctor, I had a plica removal surgery six days ago. How do I ensure a good recovery, without scarring inside the knee? How much can I and how much should I exercise in this knee, and how? [/INST] Hello. Plica is a tissue that remains behind when the knee joint is formed (from multiple small pockets). In some, it may be a very tough structure and cause rubbing when the knee bends. Once excised it will not grow back and movements will not make this worse. You are allowed to do everything as soon as the pain and swelling subside. |
Q. Will Trust pills work as emergency contraceptive pills after unprotected sex? | Hello doctor, We just had sex about seven hours ago, and we did it without any protection. So my penis was inside her vagina and we did a handful of up and down movement (she was on top of me, basically sitting on me- cowgirl position), and we decided to stop because of the consequences unsafe sex may lead up to. My concern is that although we stopped way before I could have reached orgasm, precum could have secreted out of me. I am considering buying her Trust pills as it is said to work as an ECP would. In my country, Plan B is not available. | Hi. The Levonorgestrel content from trust pills is too low. You will need five pills taken at the same time, then another five pills after 12 hours. However, your partner may feel nauseous and uneasy because this pill also contains Estrogen and a high dose of it also have side effects of nausea and vomiting. But yes, theoretically you can substitute it but be ready for the estrogen effects. |
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Hello doctor, We just had sex about seven hours ago, and we did it without any protection. So my penis was inside her vagina and we did a handful of up and down movement (she was on top of me, basically sitting on me- cowgirl position), and we decided to stop because of the consequences unsafe sex may lead up to. My concern is that although we stopped way before I could have reached orgasm, precum could have secreted out of me. I am considering buying her Trust pills as it is said to work as an ECP would. In my country, Plan B is not available. [/INST] Hi. The Levonorgestrel content from trust pills is too low. You will need five pills taken at the same time, then another five pills after 12 hours. However, your partner may feel nauseous and uneasy because this pill also contains Estrogen and a high dose of it also have side effects of nausea and vomiting. But yes, theoretically you can substitute it but be ready for the estrogen effects. |
Q. Is it possible to cure piles permanently without surgery? | Hello doctor, I thought that I had hemorrhoids because I feel bulge at my anus, that is poking me around my anus, and it is irritating me while sitting, walking, standing causing itchiness though I did not see any skin tag. I am only 19 years old boy and I weigh about 52 kg, my height is 5.4 feet. I do not want any surgery, but I want to get cured of this piles permanently without any surgery. | Hi. First of all, you should be confirmed that it is hemorrhoids. If it is external or internal hemorrhoids, external cause pain and internal cause bleeding. Also, let me know if you have constipation. If yes, use capsule Colace 100 mg BID and avoid constipation, take a sitz bath twice daily. Sitz bath is simple. Take warm water in the tub and sit in it for 20 minutes, do this procedure for 15 days. If it does not improve, get it checked with some doctor to see if really there are hemorrhoids or something else. |
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Hello doctor, I thought that I had hemorrhoids because I feel bulge at my anus, that is poking me around my anus, and it is irritating me while sitting, walking, standing causing itchiness though I did not see any skin tag. I am only 19 years old boy and I weigh about 52 kg, my height is 5.4 feet. I do not want any surgery, but I want to get cured of this piles permanently without any surgery. [/INST] Hi. First of all, you should be confirmed that it is hemorrhoids. If it is external or internal hemorrhoids, external cause pain and internal cause bleeding. Also, let me know if you have constipation. If yes, use capsule Colace 100 mg BID and avoid constipation, take a sitz bath twice daily. Sitz bath is simple. Take warm water in the tub and sit in it for 20 minutes, do this procedure for 15 days. If it does not improve, get it checked with some doctor to see if really there are hemorrhoids or something else. |
Q. Does numerous enlarged lymph nodes with Epstein Barr virus indicate lymphoma? | Hello doctor, Needle core biopsy of 1.5 cm lymph node in the abdomen at porta hepatis. Numerous small and large nodes are present. Flow cytometry shows peripheral blood contaminated specimen, lymphocytes population is 97 % of total leukocytes and consists of T-cells helper and suppressor immunoph and poly B cells, not suggestive for B cell lymphoproliferative neoplasm. Immuno outcomes: CD3, CD5, CD43 many positive T-cells. CD20, CD79A many positive B cells. CD23, Bcl-2 some positive. Cyclin D1: rare positive only CD10 negative. Diagnosis: negative for malignancy. Question: I have a history of sibling lymphoma and I have the epstein barr virus. Should they consider mantle cell lymphoma? Needle core biopsy through endoscope may not be definitive. Excisional would have been better. Lymphoma symptoms are present. Primary biliary cholangitis was also diagnosed before five years. Lymphocytic colitis and erosions in the stomach are also found. Should I ask for more testing for lymphoma? | Hello. Hereby, I am giving my opinion for your case. You are having ebstein bar virus infection. This virus can lead to hepatitis development and enlarged lymph nodes. You are right on your suspicion that multiple enlarged lymph nodes raised suspicion towards malignancy especially lymphoma. But the main thing is biopsy is considered conclusive and your flow cytometry report is clearly suggestive of non-malignant lesion that is polyclonal cells are present. So these reports are not suggestive of any lymphoma. You have mentioned diagnosis as primary biliary cholangitis, so in this autoimmune disease, liver enzymes can be elevated. In this disease, over the time cirrhosis also can be developed. No need of repeat biopsy just now as per the mentioned report. Consult a gastroenterologist for primary biliary hepatitis. Take care. |
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Hello doctor, Needle core biopsy of 1.5 cm lymph node in the abdomen at porta hepatis. Numerous small and large nodes are present. Flow cytometry shows peripheral blood contaminated specimen, lymphocytes population is 97 % of total leukocytes and consists of T-cells helper and suppressor immunoph and poly B cells, not suggestive for B cell lymphoproliferative neoplasm. Immuno outcomes: CD3, CD5, CD43 many positive T-cells. CD20, CD79A many positive B cells. CD23, Bcl-2 some positive. Cyclin D1: rare positive only CD10 negative. Diagnosis: negative for malignancy. Question: I have a history of sibling lymphoma and I have the epstein barr virus. Should they consider mantle cell lymphoma? Needle core biopsy through endoscope may not be definitive. Excisional would have been better. Lymphoma symptoms are present. Primary biliary cholangitis was also diagnosed before five years. Lymphocytic colitis and erosions in the stomach are also found. Should I ask for more testing for lymphoma? [/INST] Hello. Hereby, I am giving my opinion for your case. You are having ebstein bar virus infection. This virus can lead to hepatitis development and enlarged lymph nodes. You are right on your suspicion that multiple enlarged lymph nodes raised suspicion towards malignancy especially lymphoma. But the main thing is biopsy is considered conclusive and your flow cytometry report is clearly suggestive of non-malignant lesion that is polyclonal cells are present. So these reports are not suggestive of any lymphoma. You have mentioned diagnosis as primary biliary cholangitis, so in this autoimmune disease, liver enzymes can be elevated. In this disease, over the time cirrhosis also can be developed. No need of repeat biopsy just now as per the mentioned report. Consult a gastroenterologist for primary biliary hepatitis. Take care. |
Q. What to do for a mole like projection in my lip? | Hi doctor,A mole like projection has developed in my lip. It does not get cured. I bite my lip often. But, I feel it is very abnormal on my lip. Can you please help me? | Hi. For further information consult a dermatologist online --> |
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Hi doctor,A mole like projection has developed in my lip. It does not get cured. I bite my lip often. But, I feel it is very abnormal on my lip. Can you please help me? [/INST] Hi. For further information consult a dermatologist online --> |
Q. What measures can be taken to relieve pain caused due to broken tooth? | Hello doctor, I am having acute pain in gum and tooth on the left-hand side and a few days ago the left back corner tooth broke. Kindly suggest me how can I get rid of this pain and strengthen my teeth as it broke without and proper reason. Dentist advised me to take antibiotics for five days but it did not get cured. | Hi. I have gone through your case, it seems you have a cavitated carious tooth that needs to be cleaned in order to get tooth filling. Please visit your dentist near you to get rid of this carious tooth. You should not get proper work and treatment unless you visit the dentist and he is going to operate your case. Taking antibiotics for a long time without tooth operation is not helpful. I advise you about going to the dentist and getting a filling done in the tooth as soon as possible. It will be helpful if you could attach the images of your tooth broken in order to get further details of your case. |
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Hello doctor, I am having acute pain in gum and tooth on the left-hand side and a few days ago the left back corner tooth broke. Kindly suggest me how can I get rid of this pain and strengthen my teeth as it broke without and proper reason. Dentist advised me to take antibiotics for five days but it did not get cured. [/INST] Hi. I have gone through your case, it seems you have a cavitated carious tooth that needs to be cleaned in order to get tooth filling. Please visit your dentist near you to get rid of this carious tooth. You should not get proper work and treatment unless you visit the dentist and he is going to operate your case. Taking antibiotics for a long time without tooth operation is not helpful. I advise you about going to the dentist and getting a filling done in the tooth as soon as possible. It will be helpful if you could attach the images of your tooth broken in order to get further details of your case. |
Q. Is it normal to talk to myself along with overthinking? | Hello doctor, I am an 18-year-old girl. I do have a habit of talking to myself about each and everything whenever I am free. I overthink a lot about any situation that what will happen if I do this, etc. It is very difficult for me to let go something, whether they are people or anything else. I think about them a lot and their behavior towards me affect me a lot. Kindly tell me how to get rid of all this, please. I will be very grateful to you. | Hello. There are various chemicals in our brain which make our thoughts affect our mood and regulate our behavior. Prism largely determined by our genetics and to some extent by the environment. Some hormones like thyroid also influence it. Here are a few pieces of advice from my side. Get your thyroid function test done, practice regularly breathing exercises, it will relax your mind. Eat a healthy balanced nutritious diet. Keep the time of waking up and sleeping same every day. Attend art of living classes and talking to self is not a problem. A number of people do it. |
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Hello doctor, I am an 18-year-old girl. I do have a habit of talking to myself about each and everything whenever I am free. I overthink a lot about any situation that what will happen if I do this, etc. It is very difficult for me to let go something, whether they are people or anything else. I think about them a lot and their behavior towards me affect me a lot. Kindly tell me how to get rid of all this, please. I will be very grateful to you. [/INST] Hello. There are various chemicals in our brain which make our thoughts affect our mood and regulate our behavior. Prism largely determined by our genetics and to some extent by the environment. Some hormones like thyroid also influence it. Here are a few pieces of advice from my side. Get your thyroid function test done, practice regularly breathing exercises, it will relax your mind. Eat a healthy balanced nutritious diet. Keep the time of waking up and sleeping same every day. Attend art of living classes and talking to self is not a problem. A number of people do it. |
Q. Will scaling cause loosening of teeth? | Hello doctor, Today I went to the dentist for a checkup and cleaning. When I came out I realized that my two front teeth were loose. I guess they were too rough. When I was 7, I fell on my teeth and I have been told that the roots got extremely short after that. My dentist said there was nothing she could have done then. She suggested just using my back teeth and cutting my food into small pieces. I want to know if there was a way to make it not loose anymore or help it. | Hello. I have been through your query and I can understand your concern. After cleaning and scaling of the teeth, they generally become loose temporarily because of the ultrasonic movement of the instrument. You do not need to worry as it will get to the normal in coming days. I would suggest you not making the teeth more loose by moving them by your tongue or fingers. Just keep it like that and it will become normal after some days or a week. Follow up after one week. |
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Hello doctor, Today I went to the dentist for a checkup and cleaning. When I came out I realized that my two front teeth were loose. I guess they were too rough. When I was 7, I fell on my teeth and I have been told that the roots got extremely short after that. My dentist said there was nothing she could have done then. She suggested just using my back teeth and cutting my food into small pieces. I want to know if there was a way to make it not loose anymore or help it. [/INST] Hello. I have been through your query and I can understand your concern. After cleaning and scaling of the teeth, they generally become loose temporarily because of the ultrasonic movement of the instrument. You do not need to worry as it will get to the normal in coming days. I would suggest you not making the teeth more loose by moving them by your tongue or fingers. Just keep it like that and it will become normal after some days or a week. Follow up after one week. |
Q. What is causing cough with heavy chest and raised platelets? | Hi doctor,I am a 30-year-old female (weight 65 kg, height 5’4"). I was having a cough with heavy chest (possibly due to sputum as I threw up with sputum a couple of times also). I was prescribed Co-amoxiclav 375 mg TID but as it did not help in three days, the doctor switched to Zinacef for seven days. My ESR was 60 in the first five days and today it is the tenth day and ESR is 98. Also, my platelets have risen to 457, monocytes 19 % and WBC 13.2 %. Also, I get fever occasionally and I am taking Paracetamol which works. The cough is a bit better but I feel too down and tired. Please guide. | Hello. Looking at your complaints and reports, you might be suffering from lower respiratory tract infection (attachment removed to protect patient identity). Kindly do the following tests and do get me back with chest X-ray PA view sputum for AFB, gram stain and culture. The medication that you received looked very small dose for your age. You might start tablet Amoxiclav 1 gm twice daily for seven days, tablet Levoflox 500 once daily for seven days till you get the reports. Get well soon. |
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Hi doctor,I am a 30-year-old female (weight 65 kg, height 5’4"). I was having a cough with heavy chest (possibly due to sputum as I threw up with sputum a couple of times also). I was prescribed Co-amoxiclav 375 mg TID but as it did not help in three days, the doctor switched to Zinacef for seven days. My ESR was 60 in the first five days and today it is the tenth day and ESR is 98. Also, my platelets have risen to 457, monocytes 19 % and WBC 13.2 %. Also, I get fever occasionally and I am taking Paracetamol which works. The cough is a bit better but I feel too down and tired. Please guide. [/INST] Hello. Looking at your complaints and reports, you might be suffering from lower respiratory tract infection (attachment removed to protect patient identity). Kindly do the following tests and do get me back with chest X-ray PA view sputum for AFB, gram stain and culture. The medication that you received looked very small dose for your age. You might start tablet Amoxiclav 1 gm twice daily for seven days, tablet Levoflox 500 once daily for seven days till you get the reports. Get well soon. |
Q. Will taking 6 to 8 cups of coffee a day create any heart disease? | Hello doctor, I take coffee and tea during the day 6 to 8 cups. Is coffee good for health? What are the cons of coffee over cardiac patient or heart? Does it create heart disease? Currently, I am taking Ascard 75 mg. | Hi. Coffee in mild consumption is good for health in general. Excess consumption of caffeine increases BP and HR. I do not have any information on your BP. However, the echo shows some changes could be secondary to mild to moderate degree of uncontrolled high blood pressure, the left ventricle wall thickness is 11 mm which is slightly increased. The rest of the echo as reported is good (attachment removed to protect patient identity). |
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Hello doctor, I take coffee and tea during the day 6 to 8 cups. Is coffee good for health? What are the cons of coffee over cardiac patient or heart? Does it create heart disease? Currently, I am taking Ascard 75 mg. [/INST] Hi. Coffee in mild consumption is good for health in general. Excess consumption of caffeine increases BP and HR. I do not have any information on your BP. However, the echo shows some changes could be secondary to mild to moderate degree of uncontrolled high blood pressure, the left ventricle wall thickness is 11 mm which is slightly increased. The rest of the echo as reported is good (attachment removed to protect patient identity). |
Q. How long should my husband and I wait to try for a baby if we did cocaine? | Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. | Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> |
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Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. [/INST] Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> |
Q. Can Yasmin birth control pill be used as an emergency contraceptive pill? | Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? | Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> |
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Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? [/INST] Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> |
Q. Please explain the poisonous effect of phenol ingestion. | Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. | Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> |
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Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. [/INST] Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> |
Q. For how long should I take Kalachikai powder to overcome PCOD problem? | Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? | Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> |
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Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? [/INST] Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> |
Q. Why do periods get delayed after first time sex? | Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? | Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> |
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Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? [/INST] Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> |
Q. Why am I bleeding after taking contraceptive pill? | Hi doctor, I had unprotected sex on the fourth day of my periods and I took a contraceptive pill within half an hour. Now, I am bleeding after seven days from the day I had taken the pill. Are there any chances of pregnancy? Please explain me. | Hi. Revert back with further details to an obstetrician and gynaecologist online --> |
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Hi doctor, I had unprotected sex on the fourth day of my periods and I took a contraceptive pill within half an hour. Now, I am bleeding after seven days from the day I had taken the pill. Are there any chances of pregnancy? Please explain me. [/INST] Hi. Revert back with further details to an obstetrician and gynaecologist online --> |
Q. Should I undergo apicoectomy for RCT done shorter than the working length? | Hello doctor, I got my front (upper 12 probably) tooth RCT done six months ago. The RCT was short because I experienced acute pain beyond that point. RCT is about 1.8 mm short. He then suggested getting apicoectomy because RCT was incomplete. From a second opinion, the other doctor recommended a re-RCT. What should I do? Do I need to get the surgical procedure done? I have no symptoms of pain in the tooth. My teeth are generally weak and hence a little pressure is felt. The tooth area is mildly sensitive, but I suspect it to be from other nearby infected tooth. | Hello. I have been through your query, and I can understand your concern. Endodontic treatment for any tooth when it is not completely done like in your case it is short. It might be that you cannot feel pain or have any other discomfort. But it is highly susceptible to the secondary infection in the root. I would highly recommend going for the re-RCT treatment as it will not require any major surgical procedure and the tooth will be saved as a whole (in retreatment only minimal tooth material is lost). However, sometimes if space is some mm short, then if the root canal is properly sealed, it might not lead to further secondary infection. But that is just one such case. So if you wanna wait for the symptoms, you can but I would suggest you go for re-RCT. Apicoectomy is more invasive and will remove a small unfilled lower portion of the tooth and then accordingly seal the apex of the root. This also is a way to seal off the apex for underfilled root canals in RCT. But re-RCT is more desirable for me if you would have been my patient. Also, maintain good oral hygiene and brush your teeth twice daily and floss regularly. |
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Hello doctor, I got my front (upper 12 probably) tooth RCT done six months ago. The RCT was short because I experienced acute pain beyond that point. RCT is about 1.8 mm short. He then suggested getting apicoectomy because RCT was incomplete. From a second opinion, the other doctor recommended a re-RCT. What should I do? Do I need to get the surgical procedure done? I have no symptoms of pain in the tooth. My teeth are generally weak and hence a little pressure is felt. The tooth area is mildly sensitive, but I suspect it to be from other nearby infected tooth. [/INST] Hello. I have been through your query, and I can understand your concern. Endodontic treatment for any tooth when it is not completely done like in your case it is short. It might be that you cannot feel pain or have any other discomfort. But it is highly susceptible to the secondary infection in the root. I would highly recommend going for the re-RCT treatment as it will not require any major surgical procedure and the tooth will be saved as a whole (in retreatment only minimal tooth material is lost). However, sometimes if space is some mm short, then if the root canal is properly sealed, it might not lead to further secondary infection. But that is just one such case. So if you wanna wait for the symptoms, you can but I would suggest you go for re-RCT. Apicoectomy is more invasive and will remove a small unfilled lower portion of the tooth and then accordingly seal the apex of the root. This also is a way to seal off the apex for underfilled root canals in RCT. But re-RCT is more desirable for me if you would have been my patient. Also, maintain good oral hygiene and brush your teeth twice daily and floss regularly. |
Q. Took four Yasmin pills and skipped the next regimen. Will it stop unwanted pregnancy? | Hello doctor, My fiancee took four Yasmin pills as emergency contraception. But after that, she felt so weak and had heavy breathing. So due to that, we decided not to take another four pills after 12 hours. Will the first four pills stop unplanned pregnancy? That was taken within less than 30 hours after we had sexual intercourse. Looking for your kind advice. She is feeling better now but I am afraid to continue with another four pills. Also, I have read that Yasmin can increase blood clot which can be deadly. Please advise. | Hello. Using Yasmin pills for emergency contraception follows the Yuzpe regimen where oral contraceptive pills are used as ECP within 72 hours of last intercourse. As the first four pills have been taken by her after 30 hours of intercourse as per the regimen, so the next should be taken after 12 hours and should not be missed. The side effects can vary from mild nausea to vomiting, headache, bloating, belching, breast tenderness or even spotting. These effects are secondary to Progesterone and Estrogen in the pills. These can be countered by taking an anti-emetic pill like Metoclopramide10 mg, an hour before starting the regimen and also before the second dose after 12 hours. This shall prevent nausea and Progesterone side effects can be countered by increasing the water intake which can neutralize the Progesterone side effects. To help prevent you from feeling nauseous, one should take pills with food. It also helps if she would timer second dose such that she takes it just before bed. That way, she will sleep through nausea. The clotting is a known rare side effect of OC pills if OC pills are being used for years together for contraception, then predisposition for clotting increases. But the regimen needs to be completed as per protocol to achieve the desired result. After taking the second dose, withdrawal bleeding should be expected in next 3 to 5 days and once bleeding is appreciated, it would indicate that there is endometrial shed and chances of pregnancy are minimal and she is likely to be pregnancy safe. The best would have been emergency contraceptive pills like an Ipill or Plan-B, but if it is banned in your country, Regimen is still a reliable means for emergency contraception with OC pills. Emergency contraception through Yuzpe regimen. Yuzpe regimen. |
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Hello doctor, My fiancee took four Yasmin pills as emergency contraception. But after that, she felt so weak and had heavy breathing. So due to that, we decided not to take another four pills after 12 hours. Will the first four pills stop unplanned pregnancy? That was taken within less than 30 hours after we had sexual intercourse. Looking for your kind advice. She is feeling better now but I am afraid to continue with another four pills. Also, I have read that Yasmin can increase blood clot which can be deadly. Please advise. [/INST] Hello. Using Yasmin pills for emergency contraception follows the Yuzpe regimen where oral contraceptive pills are used as ECP within 72 hours of last intercourse. As the first four pills have been taken by her after 30 hours of intercourse as per the regimen, so the next should be taken after 12 hours and should not be missed. The side effects can vary from mild nausea to vomiting, headache, bloating, belching, breast tenderness or even spotting. These effects are secondary to Progesterone and Estrogen in the pills. These can be countered by taking an anti-emetic pill like Metoclopramide10 mg, an hour before starting the regimen and also before the second dose after 12 hours. This shall prevent nausea and Progesterone side effects can be countered by increasing the water intake which can neutralize the Progesterone side effects. To help prevent you from feeling nauseous, one should take pills with food. It also helps if she would timer second dose such that she takes it just before bed. That way, she will sleep through nausea. The clotting is a known rare side effect of OC pills if OC pills are being used for years together for contraception, then predisposition for clotting increases. But the regimen needs to be completed as per protocol to achieve the desired result. After taking the second dose, withdrawal bleeding should be expected in next 3 to 5 days and once bleeding is appreciated, it would indicate that there is endometrial shed and chances of pregnancy are minimal and she is likely to be pregnancy safe. The best would have been emergency contraceptive pills like an Ipill or Plan-B, but if it is banned in your country, Regimen is still a reliable means for emergency contraception with OC pills. Emergency contraception through Yuzpe regimen. Yuzpe regimen. |
Q. Kindly suggest medicines to manage pulmonary artery hypertension patient. | Hello doctor, My mother is 48 years old and she is suffering as a PAH patient. Her doppler comments are E/A ratio is reversed TR, MR is seen and the conclusion is severe TR or severe PAH and preserve left ventricular functions. Dilated RA/RV and she had HRCT and opinion is severe thoracic scoliosis with secondary lumber curve, pulmonary artery hypertension with bilateral perihilar interstitial edema cardiomegaly and current medicine used is Clopidogrel and Asprin, Digoxin, Bosentan, Ramipril ACE, Furosemide, Budesonide, Salbutamol, etc., but her recovery is nil. Please suggest the best medicine for her. | Hi. I can understand your concern. I have gone through the reports you have attached (attachment removed to protect patient identity). Honestly speaking, she is having irreversible diseases. Her lung functions are not good, similarly, pulmonary artery hypertension is also bad. She is having fixed spinal deformity so it is impossible to revert this with drugs. So the best treatment for her would be home oxygen therapy along with other drugs. She can take Tadalafil along with Bosentan for better control of PAH (pulmonary artery hypertension). Do let me know if she is already taking home oxygen. I will be happy to help you further. Wishing good health to your mother. |
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Hello doctor, My mother is 48 years old and she is suffering as a PAH patient. Her doppler comments are E/A ratio is reversed TR, MR is seen and the conclusion is severe TR or severe PAH and preserve left ventricular functions. Dilated RA/RV and she had HRCT and opinion is severe thoracic scoliosis with secondary lumber curve, pulmonary artery hypertension with bilateral perihilar interstitial edema cardiomegaly and current medicine used is Clopidogrel and Asprin, Digoxin, Bosentan, Ramipril ACE, Furosemide, Budesonide, Salbutamol, etc., but her recovery is nil. Please suggest the best medicine for her. [/INST] Hi. I can understand your concern. I have gone through the reports you have attached (attachment removed to protect patient identity). Honestly speaking, she is having irreversible diseases. Her lung functions are not good, similarly, pulmonary artery hypertension is also bad. She is having fixed spinal deformity so it is impossible to revert this with drugs. So the best treatment for her would be home oxygen therapy along with other drugs. She can take Tadalafil along with Bosentan for better control of PAH (pulmonary artery hypertension). Do let me know if she is already taking home oxygen. I will be happy to help you further. Wishing good health to your mother. |
Q. Is it possible to have decreased heart rate due to sports activity? | Hello doctor, I am male, 35 years old and weight 70 kilos, height 173 cm. Every year I do a medical checkup. In a recent medical check-up, there was a note related to heart rate (bradycardia), the result was 49 bpm. I also have checked manually and also using pulse meter, the result around 51 to 55 bpm. In the last eight months, I do morning run three times a week (30 minutes). Actually previously instead of running, I also have done sports exercise (static bike) with the same intensity. One thing that differs with the previous conditon is I lost 8 kilos (in 7 to 8 months time). There is no symptom related to my health, instead, I feel comfortable and fit. I have consulted with the cardiologist and he said it was okay as long as I do not feel any symptom (faint, dizzy, etc). But the doctor quite worried regarding the heart rate at night since based on ECG result (using Holter monitor for a full day), it showed the heart rate plunged to 35 bpm at night (sleeping). The doctor gave me Terbutaline sulfate, with a low dosage (two times a day at 2.5 mg). My question is whether bradycardia is related to my sports activity? Does it relate to my weight loss? Is there any reference related to normal heart rate for atheletes (with sports heart) when sleeping at night? | Hi. It is quite common and normal for regular athletes to have sinus bradycardia, I saw some with heart rate down to 40 to 45 bpm daytime. At night usually, the HR is slower and it can get down to 35 bpm. As long as you remain asymptomatic that is no lightheadedness and no fainting or collapses, then no further action is required. It is not related to weight loss which could be secondary to increased physical activity and exercises. If weight loss is not deliberate, then this needs to be investigated. Weight loss and bradycardia could be seen in malnutrition patients and people with severe depression sometimes. I do not think it is the case here as you do regular exercise which is a good sign. Please be assured. |
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Hello doctor, I am male, 35 years old and weight 70 kilos, height 173 cm. Every year I do a medical checkup. In a recent medical check-up, there was a note related to heart rate (bradycardia), the result was 49 bpm. I also have checked manually and also using pulse meter, the result around 51 to 55 bpm. In the last eight months, I do morning run three times a week (30 minutes). Actually previously instead of running, I also have done sports exercise (static bike) with the same intensity. One thing that differs with the previous conditon is I lost 8 kilos (in 7 to 8 months time). There is no symptom related to my health, instead, I feel comfortable and fit. I have consulted with the cardiologist and he said it was okay as long as I do not feel any symptom (faint, dizzy, etc). But the doctor quite worried regarding the heart rate at night since based on ECG result (using Holter monitor for a full day), it showed the heart rate plunged to 35 bpm at night (sleeping). The doctor gave me Terbutaline sulfate, with a low dosage (two times a day at 2.5 mg). My question is whether bradycardia is related to my sports activity? Does it relate to my weight loss? Is there any reference related to normal heart rate for atheletes (with sports heart) when sleeping at night? [/INST] Hi. It is quite common and normal for regular athletes to have sinus bradycardia, I saw some with heart rate down to 40 to 45 bpm daytime. At night usually, the HR is slower and it can get down to 35 bpm. As long as you remain asymptomatic that is no lightheadedness and no fainting or collapses, then no further action is required. It is not related to weight loss which could be secondary to increased physical activity and exercises. If weight loss is not deliberate, then this needs to be investigated. Weight loss and bradycardia could be seen in malnutrition patients and people with severe depression sometimes. I do not think it is the case here as you do regular exercise which is a good sign. Please be assured. |
Q. I have hair fall and dry skin. Please suggest some ayurvedic remedies. | Hello doctor, I am 22 years old girl now and am having hair fall. What should I do now? And my skin is dry skin. Which is the best cream for my face and which body lotion is best for me? | Hi. For hair fall, apply Bringharaja thailam or Neeli bringharaja thailam. Use fingers to do the scalp massage with this oil. After one hour of oil-finger massage, the bath should be taken in warm water. This has to be continued weekly twice (minimum) to daily. For the hair, iron, zinc, copper elements are important. So take foods that contain more iron, zinc, and copper. More stress and less sleep are also the reason for the hair fall. So, correct it. For dry skin, use Aloe vera based gel (buy from cosmetic or medical shops) and apply. Body lotions usually dry the skin. So, you may not apply body lotion or you see the lotion that contains olive oil and badam. If you consume food prepared using coconut oil and apply above mentioned herbal oil on the head (hair), the skin gets oil from them. Skin will glow. The dryness is more during winter. So, drink more water and consume oily foods. |
<s>[INST]
Hello doctor, I am 22 years old girl now and am having hair fall. What should I do now? And my skin is dry skin. Which is the best cream for my face and which body lotion is best for me? [/INST] Hi. For hair fall, apply Bringharaja thailam or Neeli bringharaja thailam. Use fingers to do the scalp massage with this oil. After one hour of oil-finger massage, the bath should be taken in warm water. This has to be continued weekly twice (minimum) to daily. For the hair, iron, zinc, copper elements are important. So take foods that contain more iron, zinc, and copper. More stress and less sleep are also the reason for the hair fall. So, correct it. For dry skin, use Aloe vera based gel (buy from cosmetic or medical shops) and apply. Body lotions usually dry the skin. So, you may not apply body lotion or you see the lotion that contains olive oil and badam. If you consume food prepared using coconut oil and apply above mentioned herbal oil on the head (hair), the skin gets oil from them. Skin will glow. The dryness is more during winter. So, drink more water and consume oily foods. |
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