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Q. My metal crown has become sharp and cuts tongue. What to do? | Hello doctor, I have a metal crown, and the metal has become pointy and cuts my tongue. What can I do? | Hello. I have been through your query and I can understand your concern. The metallic restoration or crown when placed needs to be in harmony with the occlusion or the bite of the mouth. However, sometimes with due course of time what happens is that the crown gets disharmonious due to the continued masticatory forces of teeth and jaw. Sometimes, even the fractured part of the metal crown makes it sharp. This might lead to discomfort or even sometimes impinging to the soft tissues. You do not need to worry as it can be treated by trimming the sharply pointed surface. I would advise you to have a visit to your nearest dentist and get the occlusion checked. He would either go for trimming of sharp point in order to relieve you or if there might be any other problem underlying the cause, he would rectify that so it might not happen in the near future again. I would also advise you to have good oral hygiene and brush your teeth twice daily and floss regularly. Also, make a routine dental check-up six months in order to maintain your good condition of teeth and be evaluated of any problem in the earliest. |
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Hello doctor, I have a metal crown, and the metal has become pointy and cuts my tongue. What can I do? [/INST] Hello. I have been through your query and I can understand your concern. The metallic restoration or crown when placed needs to be in harmony with the occlusion or the bite of the mouth. However, sometimes with due course of time what happens is that the crown gets disharmonious due to the continued masticatory forces of teeth and jaw. Sometimes, even the fractured part of the metal crown makes it sharp. This might lead to discomfort or even sometimes impinging to the soft tissues. You do not need to worry as it can be treated by trimming the sharply pointed surface. I would advise you to have a visit to your nearest dentist and get the occlusion checked. He would either go for trimming of sharp point in order to relieve you or if there might be any other problem underlying the cause, he would rectify that so it might not happen in the near future again. I would also advise you to have good oral hygiene and brush your teeth twice daily and floss regularly. Also, make a routine dental check-up six months in order to maintain your good condition of teeth and be evaluated of any problem in the earliest. |
Q. What is causing stomach pain and low appetite with frequent burping? | Hello doctor, I have been having stomach pain recently, low appetite, and sometimes it hurts when I eat meals. Now I am feeling slightly better. I am sticking to liquid meals like soup and I am trying to stay away from lots of dairies for a while. Now I am burping almost every minute, and I have just felt gassy for the longest time. This has been happening for maybe three days. | Hi. I can understand your concern. By your history and description, the possibility of GERD is more likely. It is due to laxity of gastroesophageal sphincter. Because of this, the acid of the stomach tends to come up in the esophagus and cause chest pain, indigestion, burning epigastric pain, burping, belching, etc. So take Pantoprazole and Levosulpiride combination on empty stomach twice daily. Avoid oily and spicy food. Avoid junk food. Avoid large meals, and instead, take frequent small meals. Please let me know if you are taking any painkiller or birth control pills. Also, let me know if you have a stressful life. I will be happy to help you further. Wish you good health. |
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Hello doctor, I have been having stomach pain recently, low appetite, and sometimes it hurts when I eat meals. Now I am feeling slightly better. I am sticking to liquid meals like soup and I am trying to stay away from lots of dairies for a while. Now I am burping almost every minute, and I have just felt gassy for the longest time. This has been happening for maybe three days. [/INST] Hi. I can understand your concern. By your history and description, the possibility of GERD is more likely. It is due to laxity of gastroesophageal sphincter. Because of this, the acid of the stomach tends to come up in the esophagus and cause chest pain, indigestion, burning epigastric pain, burping, belching, etc. So take Pantoprazole and Levosulpiride combination on empty stomach twice daily. Avoid oily and spicy food. Avoid junk food. Avoid large meals, and instead, take frequent small meals. Please let me know if you are taking any painkiller or birth control pills. Also, let me know if you have a stressful life. I will be happy to help you further. Wish you good health. |
Q. Which medicine in ayurveda is recommended to remove a 26 mm kidney stone? | Hello doctor, In my left kidney, there are multiple stones. The largest stone is 26 mm. And I have got my kidneys operated two times. First was an open surgery six years back and the second was endoscopy three years back. Can the 26 mm stone be removed by any medicine? | Hi. Cystone and Calcuri (Ayurvedic tablets) can be taken. Two tablets morning and two tablets evening 5 PM can be taken continuously for three months. Then you may repeat the scan. This size is difficult to dissolve within a short period, takes a long time. If you have pain, you may go for lithotripsy surgery and do the chemical analysis of the stone. This will give the type of stones. Based on this we can plan herbal therapy. |
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Hello doctor, In my left kidney, there are multiple stones. The largest stone is 26 mm. And I have got my kidneys operated two times. First was an open surgery six years back and the second was endoscopy three years back. Can the 26 mm stone be removed by any medicine? [/INST] Hi. Cystone and Calcuri (Ayurvedic tablets) can be taken. Two tablets morning and two tablets evening 5 PM can be taken continuously for three months. Then you may repeat the scan. This size is difficult to dissolve within a short period, takes a long time. If you have pain, you may go for lithotripsy surgery and do the chemical analysis of the stone. This will give the type of stones. Based on this we can plan herbal therapy. |
Q. Had unprotected sex on the seventh day of period. What are the chances of pregnancy? | Hello doctor, My wife had unprotected sex with me last night and it was her seventh day of the period. So should I give her Unwanted 72 or is there any chance of getting pregnant and can you tell me the side effects which she will face after taking Unwanted 72? | Hi. It is better if you send me her detailed gynecological, obstetric, medical, surgical, drugs history. If she has short irregular cycles of 28 days or less, then it is better to have Ipill as in regular cycles of 28 days there is a fertile period from day 8 to day 13. So, better to have I-pill within 48 to 72 hours post-sex without vomitings. She can have withdrawal bleed within 1 to 2 weeks post-pill and then next cycle could be irregular or unpredictable but as soon as the body gets rid of hormonal effects of externally induced contraceptive, cycles could come back to the previous pace. I hope you get my point. For regular contraception, you can have combined oral contraceptive pills for three months or implant or injectable or Mirena intrauterine device, etc. But, mind it that all contraceptives are mostly hormonal and their long-term use can give short and long-term side effects that could differ a bit from person to person according to the body response of the individual. Beta hCG if not taken Ipill and missed periods. |
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Hello doctor, My wife had unprotected sex with me last night and it was her seventh day of the period. So should I give her Unwanted 72 or is there any chance of getting pregnant and can you tell me the side effects which she will face after taking Unwanted 72? [/INST] Hi. It is better if you send me her detailed gynecological, obstetric, medical, surgical, drugs history. If she has short irregular cycles of 28 days or less, then it is better to have Ipill as in regular cycles of 28 days there is a fertile period from day 8 to day 13. So, better to have I-pill within 48 to 72 hours post-sex without vomitings. She can have withdrawal bleed within 1 to 2 weeks post-pill and then next cycle could be irregular or unpredictable but as soon as the body gets rid of hormonal effects of externally induced contraceptive, cycles could come back to the previous pace. I hope you get my point. For regular contraception, you can have combined oral contraceptive pills for three months or implant or injectable or Mirena intrauterine device, etc. But, mind it that all contraceptives are mostly hormonal and their long-term use can give short and long-term side effects that could differ a bit from person to person according to the body response of the individual. Beta hCG if not taken Ipill and missed periods. |
Q. Can low hemoglobin cause shortness of breath? | Hello doctor, I am 19 years old. For the past one year, I have been experiencing body weakness. I feel tired all the time. And for the past five months, I have been experiencing fast heartbeats and shortness of breath. I mostly experience the shortness of breath in dusty and stuffy environments, but at times even in the open air. I had a spirometry test done, but the results showed no abnormality. I got a chest x-ray done and it revealed that my chest was clear. Then, I had a CBC test done and the result showed that the RDW was high 16.3, low HCT 34.0, low hemoglobin 10.8, low MCH 23.9 and low MPV 7.9. The rest of the results were normal. The doctor told me to use an inhaler, but it is not helping. I would like to know what exactly is wrong with me. Previously, I was using Ventolin inhaler. Currently, I am using Ventolin inhaler and Montiget. | Hi. The hemoglobin levels and other abnormalities do not explain the severity of the symptoms that you are experiencing. Iron, Vitamin B12 and folic acid supplements along with dietary improvement to improve hemoglobin to 12 to 13 g% is necessary. However, after improvement, if the symptoms improve, then it could be a possibility. Hope your thyroid tests are normal and these are not anxiety or panic attacks. Try some breathing exercises like pranayama and meditation for relaxation. Inhaler maybe useful if there is an allergic reaction or bronchospasm. In case of serious shortness of breath and even if it mildly helpful, better to use during the episodes. For further information consult a hematologist online --> |
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Hello doctor, I am 19 years old. For the past one year, I have been experiencing body weakness. I feel tired all the time. And for the past five months, I have been experiencing fast heartbeats and shortness of breath. I mostly experience the shortness of breath in dusty and stuffy environments, but at times even in the open air. I had a spirometry test done, but the results showed no abnormality. I got a chest x-ray done and it revealed that my chest was clear. Then, I had a CBC test done and the result showed that the RDW was high 16.3, low HCT 34.0, low hemoglobin 10.8, low MCH 23.9 and low MPV 7.9. The rest of the results were normal. The doctor told me to use an inhaler, but it is not helping. I would like to know what exactly is wrong with me. Previously, I was using Ventolin inhaler. Currently, I am using Ventolin inhaler and Montiget. [/INST] Hi. The hemoglobin levels and other abnormalities do not explain the severity of the symptoms that you are experiencing. Iron, Vitamin B12 and folic acid supplements along with dietary improvement to improve hemoglobin to 12 to 13 g% is necessary. However, after improvement, if the symptoms improve, then it could be a possibility. Hope your thyroid tests are normal and these are not anxiety or panic attacks. Try some breathing exercises like pranayama and meditation for relaxation. Inhaler maybe useful if there is an allergic reaction or bronchospasm. In case of serious shortness of breath and even if it mildly helpful, better to use during the episodes. For further information consult a hematologist online --> |
Q. Will banging head against wall lead to ADHD? | Hi doctor, I am not living together with my husband and we have a six year old boy. My child is living with my husband only. He used to meet me for some time and tell all the information what he had done. Before four years, when he was 2 years old, he said that, my husband banged my son's head five to six times on the wall and made his nose bleeding. Now, we got to know that my son has ADHD. Now, what should I do to know whether my son is fine or not? | Hi. First of all, let me tell you that you are doing a great job managing a kid with ADHD along with some family issues what you had mentioned. For further information consult a child health specialist online --> Clinical examination by a pediatrician. |
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Hi doctor, I am not living together with my husband and we have a six year old boy. My child is living with my husband only. He used to meet me for some time and tell all the information what he had done. Before four years, when he was 2 years old, he said that, my husband banged my son's head five to six times on the wall and made his nose bleeding. Now, we got to know that my son has ADHD. Now, what should I do to know whether my son is fine or not? [/INST] Hi. First of all, let me tell you that you are doing a great job managing a kid with ADHD along with some family issues what you had mentioned. For further information consult a child health specialist online --> Clinical examination by a pediatrician. |
Q. How long should my husband and I wait to try for a baby if we did cocaine? | Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. | Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> |
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Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. [/INST] Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> |
Q. Can Yasmin birth control pill be used as an emergency contraceptive pill? | Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? | Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> |
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Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? [/INST] Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> |
Q. Please explain the poisonous effect of phenol ingestion. | Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. | Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> |
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Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. [/INST] Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> |
Q. For how long should I take Kalachikai powder to overcome PCOD problem? | Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? | Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> |
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Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? [/INST] Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> |
Q. Why do periods get delayed after first time sex? | Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? | Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> |
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Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? [/INST] Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> |
Q. Is this a tooth abscess or root canal? | Hello doctor,Is this a tooth abscess or root canal may be? | Hi. How are you doing? I have seen the images (attachment removed to protect patient identity) and based on that, I would say that your wisdom tooth has caries (cavity) that seems to be deep. Secondly, it has not erupted (come out) completely into the oral cavity and the gums or flap covering it is inflamed and enlarged. A few questions, do you have pain, especially while chewing or sleeping? Is there any painful swelling, especially below the angle of the lower jaw (lymphadenopathy)? The permanent solution for this is tooth removal (extraction or surgical removal, which can be confirmed after seeing X-ray: OPG or IOPA). Again, an X-ray only can confirm whether any abscess is there or not. If you do not have pain, then you can delay the removal a bit. But, get it removed as soon as possible. Yes, a tooth with such a cavity can receive a root canal treatment if the cavity reaches pulp (blood supply) of the tooth. But, this wisdom tooth is advisable for removal only. I will explain why. This tooth is not completely erupted into the oral cavity and does not have space too. Secondly, maintaining oral hygiene in this area is difficult and access to the dentist for the treatment is difficult too. Even after root canal, placement of crown (cap) in this area is difficult and a total waste. So, why to waste your money and the dentist's efforts. Thirdly, this tooth, by evolution, has become non-functional, so its removal is not going to affect you much with mastication. So, keeping all this in mind, removal is the only best option for this tooth. You can attach the X-ray and answer regarding the pain (if you have) so that I can help you further. Take care. For more information consult a dentist online --> |
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Hello doctor,Is this a tooth abscess or root canal may be? [/INST] Hi. How are you doing? I have seen the images (attachment removed to protect patient identity) and based on that, I would say that your wisdom tooth has caries (cavity) that seems to be deep. Secondly, it has not erupted (come out) completely into the oral cavity and the gums or flap covering it is inflamed and enlarged. A few questions, do you have pain, especially while chewing or sleeping? Is there any painful swelling, especially below the angle of the lower jaw (lymphadenopathy)? The permanent solution for this is tooth removal (extraction or surgical removal, which can be confirmed after seeing X-ray: OPG or IOPA). Again, an X-ray only can confirm whether any abscess is there or not. If you do not have pain, then you can delay the removal a bit. But, get it removed as soon as possible. Yes, a tooth with such a cavity can receive a root canal treatment if the cavity reaches pulp (blood supply) of the tooth. But, this wisdom tooth is advisable for removal only. I will explain why. This tooth is not completely erupted into the oral cavity and does not have space too. Secondly, maintaining oral hygiene in this area is difficult and access to the dentist for the treatment is difficult too. Even after root canal, placement of crown (cap) in this area is difficult and a total waste. So, why to waste your money and the dentist's efforts. Thirdly, this tooth, by evolution, has become non-functional, so its removal is not going to affect you much with mastication. So, keeping all this in mind, removal is the only best option for this tooth. You can attach the X-ray and answer regarding the pain (if you have) so that I can help you further. Take care. For more information consult a dentist online --> |
Q. What are the reasons for bleeding gums? | Hi doctor, I have bleeding gums over only one tooth. The gums are neither swollen nor painful. But, I have bright red lining just above that tooth when I finish brushing. I would like to stress that it is the only area that bleeds. Also, the next to that tooth I had a root canal treatment before two and a half years. It seems that I may need another one soon since they never put a cap over it. What could be wrong with the gum around that tooth? I really do not believe it as an abscess. | Hello. Revert back with the photos to a dentist online --> |
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Hi doctor, I have bleeding gums over only one tooth. The gums are neither swollen nor painful. But, I have bright red lining just above that tooth when I finish brushing. I would like to stress that it is the only area that bleeds. Also, the next to that tooth I had a root canal treatment before two and a half years. It seems that I may need another one soon since they never put a cap over it. What could be wrong with the gum around that tooth? I really do not believe it as an abscess. [/INST] Hello. Revert back with the photos to a dentist online --> |
Q. Is my shortness of breath due to infection of the heart? | Hello doctor, I just went to my general practitioner due to recently having some issues with shortness of breath and an odd sensation in my heart area. I suspected it was nothing but went in anyways just to be sure. The sensation in my heart area is not at all painful, but just a sensation of "fullness" or "tightness". I got an EKG done, and the results said I have a "minor interior repolarization disturbance, consider ischemia, LV overload or aspecific change. flat or low negative T in AVF with negative T in III" I am a 29 year old male in generally good shape. I smoked for about 10 years but quit two years ago. I still smoke marijuana daily. Also, about eight years ago, I had a root canal done, and it has now re-infected twice. I am scheduled for an apicoectomy next month to deal with the asymptomatic infection. I only mention this as I am worried that maybe the untreated infection could have spread from the root of the tooth to my heart? Also, I live at 7,000 feet elevation which I am sure does not help the shortness of breath, but have lived here about six years. I am currently very nervous thinking I have a serious issue. Can anyone tell me what these results mean? My general practitioner referred me to a cardiologist but I do not want to be a nervous wreck until I hear from them. | Hello. I have carefully reviewed your detailed query. You definitely need an in-person cardiologist consultation for appropriate evaluation of the issues. Only EKG is not conclusive in such a case. We need to listen to the heart and then go for thorough physical exam. Tests may include but not limited to exercise stress test, echocardiography, thallium scan, chest X-ray, CT scan, angiography and others if needed. Once ruled out we can say with confidence if there is any issue that needs proper management. Yes, an infection can spread from the teeth and throat infection to heart and can be diagnosed. Blood work also helps in this regards to find out infectious agents in blood and due to infection, any changes in the blood. If there is blockage to any of the blood vessels supplying the heart, there are chances of shortness of breath and patient can be short of breath even talking for some time, little physical activity or climbing the stairs. Do not panic and just follow as directed by your primary care and go for cardiologist evaluation. Meanwhile, go for apicoectomy and keep in touch with your dentist. Hope it helps. For more information consult a cardiologist online --> |
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Hello doctor, I just went to my general practitioner due to recently having some issues with shortness of breath and an odd sensation in my heart area. I suspected it was nothing but went in anyways just to be sure. The sensation in my heart area is not at all painful, but just a sensation of "fullness" or "tightness". I got an EKG done, and the results said I have a "minor interior repolarization disturbance, consider ischemia, LV overload or aspecific change. flat or low negative T in AVF with negative T in III" I am a 29 year old male in generally good shape. I smoked for about 10 years but quit two years ago. I still smoke marijuana daily. Also, about eight years ago, I had a root canal done, and it has now re-infected twice. I am scheduled for an apicoectomy next month to deal with the asymptomatic infection. I only mention this as I am worried that maybe the untreated infection could have spread from the root of the tooth to my heart? Also, I live at 7,000 feet elevation which I am sure does not help the shortness of breath, but have lived here about six years. I am currently very nervous thinking I have a serious issue. Can anyone tell me what these results mean? My general practitioner referred me to a cardiologist but I do not want to be a nervous wreck until I hear from them. [/INST] Hello. I have carefully reviewed your detailed query. You definitely need an in-person cardiologist consultation for appropriate evaluation of the issues. Only EKG is not conclusive in such a case. We need to listen to the heart and then go for thorough physical exam. Tests may include but not limited to exercise stress test, echocardiography, thallium scan, chest X-ray, CT scan, angiography and others if needed. Once ruled out we can say with confidence if there is any issue that needs proper management. Yes, an infection can spread from the teeth and throat infection to heart and can be diagnosed. Blood work also helps in this regards to find out infectious agents in blood and due to infection, any changes in the blood. If there is blockage to any of the blood vessels supplying the heart, there are chances of shortness of breath and patient can be short of breath even talking for some time, little physical activity or climbing the stairs. Do not panic and just follow as directed by your primary care and go for cardiologist evaluation. Meanwhile, go for apicoectomy and keep in touch with your dentist. Hope it helps. For more information consult a cardiologist online --> |
Q. What are the possible ways to manage morning sickness during pregnancy? | Hello doctor, I am around 8 to 9 weeks pregnant and really struggling with morning sickness. I have not been able to keep anything down for nearly a week now. I constantly feel queasy. I have tried just plain foods and every old wives tale known to man. Nothing seems to be helping and it is really starting to affect my work now too. | Hi, Welcome back to icliniq.com. Take your prenatal and Folic acid tablet. Get a thyroid profile done and other blood tests like a complete blood count and sugar levels. You should eat only what you feel like and what you can sustain like fruits, a dry toast with butter or jam bread. You can have cornflakes with cold milk as the hyperacidity reduces with that. You can have a semolina porridge or a sandwich. It is alright. Everyone goes through it. Some have bad phases but eventually, it will be over or at least decreased considerably by 12 to 13 weeks. Get an ultrasound to check if there is twin gestation as in twins the throwing up episodes is exceptionally high. Reassurance to self and stay with family. Consult a doctor personally. |
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Hello doctor, I am around 8 to 9 weeks pregnant and really struggling with morning sickness. I have not been able to keep anything down for nearly a week now. I constantly feel queasy. I have tried just plain foods and every old wives tale known to man. Nothing seems to be helping and it is really starting to affect my work now too. [/INST] Hi, Welcome back to icliniq.com. Take your prenatal and Folic acid tablet. Get a thyroid profile done and other blood tests like a complete blood count and sugar levels. You should eat only what you feel like and what you can sustain like fruits, a dry toast with butter or jam bread. You can have cornflakes with cold milk as the hyperacidity reduces with that. You can have a semolina porridge or a sandwich. It is alright. Everyone goes through it. Some have bad phases but eventually, it will be over or at least decreased considerably by 12 to 13 weeks. Get an ultrasound to check if there is twin gestation as in twins the throwing up episodes is exceptionally high. Reassurance to self and stay with family. Consult a doctor personally. |
Q. IVF got canceled due to empty egg syndrome. What should I do? | Hello doctor, I am 40 years old. I have no medical history except TSH a bit high around 7, on Thyronorm 25 mcg. My AMH is 0.7, hormones are all normal, HSG test shows patent tubes and husband sperm normal except little high liquefaction time around 335 minutes. Got IVF cycle agonist technique done but could not retrieve any eggs. IVF cycle got canceled due to empty egg syndrome. Now, what should I do? | Hello. Your AMH (anti-mullerian hormone) levels are very low indicating poor ovarian reserve and a TSH (thyroid stimulating hormone) of 7 at 25 mcg Thyroxine is still high. It should be less than 4 ideally to support folliculogenesis and ovulation. As IVF (in-vitro fertilization) could not yield any eggs with agonist cycle, it is suggested that you can be placed on DHEAS (Dehydroepiandrosterone) 75 mg tablet daily for 48 days along with low dose oral contraceptive pill for two cycles and then should repeat your AMH to see if it improves and ovarian reserve is improved and then you can opt for another IVF cycle post that. Discuss with your IVF specialist and take an informed decision. |
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Hello doctor, I am 40 years old. I have no medical history except TSH a bit high around 7, on Thyronorm 25 mcg. My AMH is 0.7, hormones are all normal, HSG test shows patent tubes and husband sperm normal except little high liquefaction time around 335 minutes. Got IVF cycle agonist technique done but could not retrieve any eggs. IVF cycle got canceled due to empty egg syndrome. Now, what should I do? [/INST] Hello. Your AMH (anti-mullerian hormone) levels are very low indicating poor ovarian reserve and a TSH (thyroid stimulating hormone) of 7 at 25 mcg Thyroxine is still high. It should be less than 4 ideally to support folliculogenesis and ovulation. As IVF (in-vitro fertilization) could not yield any eggs with agonist cycle, it is suggested that you can be placed on DHEAS (Dehydroepiandrosterone) 75 mg tablet daily for 48 days along with low dose oral contraceptive pill for two cycles and then should repeat your AMH to see if it improves and ovarian reserve is improved and then you can opt for another IVF cycle post that. Discuss with your IVF specialist and take an informed decision. |
Q. I have severe pain in spine and lower back with history of fibromyalgia. Please help. | Hello doctor, For the last month, I have been suffering with pain on my spine and lower back. When I touch a specific point on my spine the pain is severe. It hurts when I bend or sit it feels very sore. I visited a GP and she said that she thinks it is a muscle insertion that causes the pain but she is not sure. She did a neurological examination and all was normal. I wanted your opinion as my ankles and shin bone now started being painful too. I was diagnosed with fibromyalgia four months ago and wanted to know if it is this that causes bone pain. My posture is quite bad too so I am not sure what it could be. I am very worried in case it is something very serious. What I should do now? | Hello. From your history and being unable to examine you I can only speculate on the cause. Yes, fibromyalgia can lead to trigger spots like tender areas which can be over the muscle belly or their attachment on the bone. The good thing was that the neurological exam was normal. Now coming to your concern that the shin and ankles had become painful. I will recommend that you get your ESR (erythrocyte sedimentation rate), CRP (C-reactive protein), complete blood count (CBC), urine routine, Vitamin D levels, and blood sugar tested. This will generally show indication about any inflammatory process and bars on that you can be started on antiinflammatory medication including steroids and possibly vitamin D too. Please let me know your investigation results. |
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Hello doctor, For the last month, I have been suffering with pain on my spine and lower back. When I touch a specific point on my spine the pain is severe. It hurts when I bend or sit it feels very sore. I visited a GP and she said that she thinks it is a muscle insertion that causes the pain but she is not sure. She did a neurological examination and all was normal. I wanted your opinion as my ankles and shin bone now started being painful too. I was diagnosed with fibromyalgia four months ago and wanted to know if it is this that causes bone pain. My posture is quite bad too so I am not sure what it could be. I am very worried in case it is something very serious. What I should do now? [/INST] Hello. From your history and being unable to examine you I can only speculate on the cause. Yes, fibromyalgia can lead to trigger spots like tender areas which can be over the muscle belly or their attachment on the bone. The good thing was that the neurological exam was normal. Now coming to your concern that the shin and ankles had become painful. I will recommend that you get your ESR (erythrocyte sedimentation rate), CRP (C-reactive protein), complete blood count (CBC), urine routine, Vitamin D levels, and blood sugar tested. This will generally show indication about any inflammatory process and bars on that you can be started on antiinflammatory medication including steroids and possibly vitamin D too. Please let me know your investigation results. |
Q. The tooth has become a bit yellow in a child after taking antibiotic. What is the reason? | Hello doctor, My 16 months old was on a 10 day antibiotic for a bad throat infection. It looks like one of her teeth has gone a bit yellow after it. Is that normal to happen with an antibiotic? | Hello. I have been through your query and I can understand your concern. You do not need to panic. Generally, the discoloration of the teeth is a reversible process and when the medication is stopped, the discoloration also gets corrected. The tooth discoloration has many reasons and yes one of them is medicine. There are several medications that may cause discoloration of the teeth like Tetracycline antibiotics cause blackish to brownish discoloration. However, sometimes it is not the medication as such that causes the discoloration. The medicines of babies usually contain some sweetening agent in order to make the drug sweet to taste. On regular consumption of the drug, the teeth might show decay or yellow discoloration. I would suggest you visit the same doctor who prescribed the medication for your baby and ask him if the medicine might have any side effects of causing discoloration. You can also send me the name of the antibiotics that the baby is on, so I can see if those drugs could cause any kind of discoloration. Meanwhile, maintain good oral health of your baby. Rinse his or her mouth with water after taking medication and foods (breastfed milk included). Clean his teeth with cotton ball gently and massage his gums gently. This will ensure safety from further damage to the teeth. I would suggest you to keep on continuing these cleaning tips till the baby is 2 years old. After 2 years, the toothbrush can be used to clean the teeth. If you are able to maintain the oral hygiene of your baby till 3 years, the overall oral health of the baby for the coming future will be good and there will be a decrease in the incidence of the dental related problems. |
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Hello doctor, My 16 months old was on a 10 day antibiotic for a bad throat infection. It looks like one of her teeth has gone a bit yellow after it. Is that normal to happen with an antibiotic? [/INST] Hello. I have been through your query and I can understand your concern. You do not need to panic. Generally, the discoloration of the teeth is a reversible process and when the medication is stopped, the discoloration also gets corrected. The tooth discoloration has many reasons and yes one of them is medicine. There are several medications that may cause discoloration of the teeth like Tetracycline antibiotics cause blackish to brownish discoloration. However, sometimes it is not the medication as such that causes the discoloration. The medicines of babies usually contain some sweetening agent in order to make the drug sweet to taste. On regular consumption of the drug, the teeth might show decay or yellow discoloration. I would suggest you visit the same doctor who prescribed the medication for your baby and ask him if the medicine might have any side effects of causing discoloration. You can also send me the name of the antibiotics that the baby is on, so I can see if those drugs could cause any kind of discoloration. Meanwhile, maintain good oral health of your baby. Rinse his or her mouth with water after taking medication and foods (breastfed milk included). Clean his teeth with cotton ball gently and massage his gums gently. This will ensure safety from further damage to the teeth. I would suggest you to keep on continuing these cleaning tips till the baby is 2 years old. After 2 years, the toothbrush can be used to clean the teeth. If you are able to maintain the oral hygiene of your baby till 3 years, the overall oral health of the baby for the coming future will be good and there will be a decrease in the incidence of the dental related problems. |
Q. Do people who have spina bifida develop fertility issues? | Hello doctor, Do people who have spina bifida and have urinary and bowel incontinence also have fertility issues? | Hi. I understand that you are inquiring about spina bifida causing fertility related problems in humans. The nerve damage in spina bifida that affects urinary and bowel functions may also affect sexual functioning. It has been found that most males and females with spina bifida are fertile. Many of the issues surrounding reduced fertility in spina bifida are due to mechanical and anatomical reasons. 75% of men with spina bifida achieve erections, but maintaining erections is a problem, and some may be merely reflexive in nature. Most of these men show marked improvement with Sildenafil though ejaculation may not occur in all men. Most of the women with spina bifida are fertile. |
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Hello doctor, Do people who have spina bifida and have urinary and bowel incontinence also have fertility issues? [/INST] Hi. I understand that you are inquiring about spina bifida causing fertility related problems in humans. The nerve damage in spina bifida that affects urinary and bowel functions may also affect sexual functioning. It has been found that most males and females with spina bifida are fertile. Many of the issues surrounding reduced fertility in spina bifida are due to mechanical and anatomical reasons. 75% of men with spina bifida achieve erections, but maintaining erections is a problem, and some may be merely reflexive in nature. Most of these men show marked improvement with Sildenafil though ejaculation may not occur in all men. Most of the women with spina bifida are fertile. |
Q. I get loose motion and stomach upset whenever I eat watermelon. Why does this happen? | Hello doctor, Yesterday during lunch, I ate drumstick leaves curry. Whenever I eat that, in an hour or two, I go to the toilet (little loose stools) two times. Is this normal? Yesterday I had the same, further after about 5 hours, I ate grapes. After an hour, I had to go to the toilet often (loose motion). Why does this happen? Did I eat anything in the wrong combination? I also get loose motion and stomach upset whenever I eat watermelon after food, especially it becomes severe and affects for two days. Am I sensitive to any such components? I understand that eating fruits after food can cause indigestion, but my friends seem to be not affected, even if they eat a lot of melon after lunch. | Hello. You seem to have allergy to some food products. You should do an allergy sensitivity test for food products and fruits. This test will tell you which food and fruits you are allergic to and you should avoid having those foods. What is your age? Did you have any fever or rash on your body? For now, try tablet Levocet (Levocetirizine) twice a day for 5 days. Also, take tablet Loperamide 2 mg twice a day for 5 days. Take care. |
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Hello doctor, Yesterday during lunch, I ate drumstick leaves curry. Whenever I eat that, in an hour or two, I go to the toilet (little loose stools) two times. Is this normal? Yesterday I had the same, further after about 5 hours, I ate grapes. After an hour, I had to go to the toilet often (loose motion). Why does this happen? Did I eat anything in the wrong combination? I also get loose motion and stomach upset whenever I eat watermelon after food, especially it becomes severe and affects for two days. Am I sensitive to any such components? I understand that eating fruits after food can cause indigestion, but my friends seem to be not affected, even if they eat a lot of melon after lunch. [/INST] Hello. You seem to have allergy to some food products. You should do an allergy sensitivity test for food products and fruits. This test will tell you which food and fruits you are allergic to and you should avoid having those foods. What is your age? Did you have any fever or rash on your body? For now, try tablet Levocet (Levocetirizine) twice a day for 5 days. Also, take tablet Loperamide 2 mg twice a day for 5 days. Take care. |
Q. What does the growth hormone test report of a child with short stature indicate? | Hi doctor, Following is the growth hormone test report of my son aged 11 years and 7 months and his height is about 129 cm and weight is 32 kg. I am very concerned about his growth. Please comment in detail about the possible treatment and their side effects, if any? | Hello. I just read your report about your son and I am sorry to say that he has a growth hormone deficiency (attachment removed to protect patient identity). He needs to take growth hormone injections for it. These are to be taken on a proper prescription from a pediatric endocrinologist in your place. These are to be taken daily. The side effects are listed here like peripheral edema, edema, arthralgia, paresthesia, skeletal pain, flu-like symptoms, rhinitis, pain, hypertension, gastrointestinal side effects. |
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Hi doctor, Following is the growth hormone test report of my son aged 11 years and 7 months and his height is about 129 cm and weight is 32 kg. I am very concerned about his growth. Please comment in detail about the possible treatment and their side effects, if any? [/INST] Hello. I just read your report about your son and I am sorry to say that he has a growth hormone deficiency (attachment removed to protect patient identity). He needs to take growth hormone injections for it. These are to be taken on a proper prescription from a pediatric endocrinologist in your place. These are to be taken daily. The side effects are listed here like peripheral edema, edema, arthralgia, paresthesia, skeletal pain, flu-like symptoms, rhinitis, pain, hypertension, gastrointestinal side effects. |
Q. We had sex within 10 days of my abortion. I am bleeding now. Am I pregnant again? | Hello doctor, I recently got an abortion done. Within 10 of it, we had sex using a condom. There was bleeding and now it has been 2 days. The bleeding has stopped, but I feel nausea and weakness just like during pregnancy. Am I pregnant again? | Hi. How did you get your abortion done, by D and C (Dilatation and Curettage) or by abortion pills? You had sex within 10 days of abortion using a condom, so the chances of another pregnancy are almost nil. But you had some heavy bleeding and feeling symptoms like that of pregnancy. Sometimes, this may happen if the abortion is not complete, i.e., some remnants may be inside. In such a case, you should do a urine pregnancy test and an ultrasound scan of the pelvis to see if the pregnancy is completely cleared or not. |
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Hello doctor, I recently got an abortion done. Within 10 of it, we had sex using a condom. There was bleeding and now it has been 2 days. The bleeding has stopped, but I feel nausea and weakness just like during pregnancy. Am I pregnant again? [/INST] Hi. How did you get your abortion done, by D and C (Dilatation and Curettage) or by abortion pills? You had sex within 10 days of abortion using a condom, so the chances of another pregnancy are almost nil. But you had some heavy bleeding and feeling symptoms like that of pregnancy. Sometimes, this may happen if the abortion is not complete, i.e., some remnants may be inside. In such a case, you should do a urine pregnancy test and an ultrasound scan of the pelvis to see if the pregnancy is completely cleared or not. |
Q. How long should my husband and I wait to try for a baby if we did cocaine? | Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. | Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> |
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Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. [/INST] Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> |
Q. Can Yasmin birth control pill be used as an emergency contraceptive pill? | Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? | Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> |
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Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? [/INST] Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> |
Q. Please explain the poisonous effect of phenol ingestion. | Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. | Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> |
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Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. [/INST] Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> |
Q. For how long should I take Kalachikai powder to overcome PCOD problem? | Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? | Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> |
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Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? [/INST] Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> |
Q. Why do periods get delayed after first time sex? | Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? | Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> |
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Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? [/INST] Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> |
Q. My 4-year-old daughter has redness in eyes which aggravates on rubbing the eyes. Please help. | Hello doctor, My 4-year-old daughter is having redness in eyes. We consulted her pediatrician and he advised Moxicip and Mezol eye drops for five days but the redness has not gone away but it is reduced. | Hello. For how many days you have used these drops? Is she having itching also? Any symptoms like running nose, cough, or fever? Is there problem in only one eye or both eyes? |
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Hello doctor, My 4-year-old daughter is having redness in eyes. We consulted her pediatrician and he advised Moxicip and Mezol eye drops for five days but the redness has not gone away but it is reduced. [/INST] Hello. For how many days you have used these drops? Is she having itching also? Any symptoms like running nose, cough, or fever? Is there problem in only one eye or both eyes? |
Q. I am having terrible acne issues since my teenage. Can I take Isotretinoin? | Hello doctor, I am a 28 year old male, having terrible acne issues since my teenage. Now I am married and a father of a child, and I still have pimples all the time. I have been treated for acne for many years. Some of the doctors suggested me to take Doxycycline 20 mg daily for 3 months. It delayed the appearance of pimples but did not stop them. Then, I moved on and got help from another skin specialist. He treated me and gave me soap and face wash. He also gave me another antibiotic called Azithromycin 500 mg for 3 days in a week for about 2 months. He also gave me topical creams (Deriva-CMS, Adapalene microspheres, Clindamycin phosphate gel). But the same thing happened again. The acne eruption stopped only for a few months when I was taking medicines, and after that, it started coming back.These pimples are also seen in my back. But now, only very few pimples are left in my back. I guess due to all these medications it has reduced but not permanently gone. I heard about Isotretinoin medication which is also an option for acne, but I have not tried it. I am really suffering from acne issues for quite a long time. Please help me get rid of this. | Hello. I have reviewed the images (attachment removed to protect patient identity) Moderately severe to severe grade of acne and persisting since years such as in your case is an automatic choice for treatment with Oral Retinoids i.e Isotretinoin. You may continue with other topical medications like Adapalene, Clindamycin, and Benzoyl peroxide gel and oral antibiotics such as Azithromycin. |
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Hello doctor, I am a 28 year old male, having terrible acne issues since my teenage. Now I am married and a father of a child, and I still have pimples all the time. I have been treated for acne for many years. Some of the doctors suggested me to take Doxycycline 20 mg daily for 3 months. It delayed the appearance of pimples but did not stop them. Then, I moved on and got help from another skin specialist. He treated me and gave me soap and face wash. He also gave me another antibiotic called Azithromycin 500 mg for 3 days in a week for about 2 months. He also gave me topical creams (Deriva-CMS, Adapalene microspheres, Clindamycin phosphate gel). But the same thing happened again. The acne eruption stopped only for a few months when I was taking medicines, and after that, it started coming back.These pimples are also seen in my back. But now, only very few pimples are left in my back. I guess due to all these medications it has reduced but not permanently gone. I heard about Isotretinoin medication which is also an option for acne, but I have not tried it. I am really suffering from acne issues for quite a long time. Please help me get rid of this. [/INST] Hello. I have reviewed the images (attachment removed to protect patient identity) Moderately severe to severe grade of acne and persisting since years such as in your case is an automatic choice for treatment with Oral Retinoids i.e Isotretinoin. You may continue with other topical medications like Adapalene, Clindamycin, and Benzoyl peroxide gel and oral antibiotics such as Azithromycin. |
Q. My ankle got twisted and I am unable to walk. Please help. | Hello doctor, I was running, and I fell into a pit. My ankle got twisted, and I could feel some cracking sound. I had a swollen ankle immediately. I have been icing for 2 days and now the swelling has reduced. I am unable to walk. I have pain when I try to move or walk. I had a fracture fibula of the same ankle 5 years back. Please help. | Hello,Welcome to icliniq.com.As there is a history of twisting injury to your ankle with a kind of cracking sound or sensation which you have felt, I will advise you to undergo an immediate x-ray of the affected part to rule out any bone injury. X-ray ankle (anteroposterior and lateral views). Getting an x-ray is all the more important as you have a prior history of fracture fibula of the same ankle. You need to do the following till the x-rays are done: |
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Hello doctor, I was running, and I fell into a pit. My ankle got twisted, and I could feel some cracking sound. I had a swollen ankle immediately. I have been icing for 2 days and now the swelling has reduced. I am unable to walk. I have pain when I try to move or walk. I had a fracture fibula of the same ankle 5 years back. Please help. [/INST] Hello,Welcome to icliniq.com.As there is a history of twisting injury to your ankle with a kind of cracking sound or sensation which you have felt, I will advise you to undergo an immediate x-ray of the affected part to rule out any bone injury. X-ray ankle (anteroposterior and lateral views). Getting an x-ray is all the more important as you have a prior history of fracture fibula of the same ankle. You need to do the following till the x-rays are done: |
Q. Will stopping Paxil for OCD bring back the symptoms? | Hello doctor, I am a 36-year-old woman and I take Paxil for OCD, 40 mg a day. When I went off the medicines several years ago, I had a long period of time before I had symptoms again, but then they did return. So after some time, I began the Paxil again. I had been very slowly weaning off and I had been taking 7 mg or less per day for five months before I noticed any problems. Before that, I was taking about 14 mg per day for another five months. Is that normal? I mean it makes me wonder if I really need the medication because I had a long time on a low dose or none at all without symptoms. | Hi. Medicines are prescribed in little high doses to quell the acute symptoms and then maintenance doses to maintain the minimum threshold. Weaning off is to maintain the satisfactory threshold and to stop. But in the majority of the cases, weaning off or rather the whole process of treatment should be augmented with psychotherapies associated with the diagnosed condition. In your case, CBT (cognitive behavior therapy) should be augmented with the medicine. Combining medicines with CBT provides the brain with the much-required equilibrium and help maintain the chemical balance. Thus, when you wean off the medicine, the natural threshold can be maintained without medicine and with CBT. Talk to your psychiatrist or therapist regarding the procedure. Take care. |
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Hello doctor, I am a 36-year-old woman and I take Paxil for OCD, 40 mg a day. When I went off the medicines several years ago, I had a long period of time before I had symptoms again, but then they did return. So after some time, I began the Paxil again. I had been very slowly weaning off and I had been taking 7 mg or less per day for five months before I noticed any problems. Before that, I was taking about 14 mg per day for another five months. Is that normal? I mean it makes me wonder if I really need the medication because I had a long time on a low dose or none at all without symptoms. [/INST] Hi. Medicines are prescribed in little high doses to quell the acute symptoms and then maintenance doses to maintain the minimum threshold. Weaning off is to maintain the satisfactory threshold and to stop. But in the majority of the cases, weaning off or rather the whole process of treatment should be augmented with psychotherapies associated with the diagnosed condition. In your case, CBT (cognitive behavior therapy) should be augmented with the medicine. Combining medicines with CBT provides the brain with the much-required equilibrium and help maintain the chemical balance. Thus, when you wean off the medicine, the natural threshold can be maintained without medicine and with CBT. Talk to your psychiatrist or therapist regarding the procedure. Take care. |
Q. Please help with my delayed conception. | Hi doctor, My age is 34 and I have regular period. I am trying to conceive for the last four months. My period bleeding is only for three or four days. Please help me. | Hi. I suggest you Folic acid supplements and Iron supplements. Consult your specialist doctor, discuss with him or her and take the medicine with consent.Send me details of your cycle, so that I can guide you with fertile period. Get your complete blood count and thyroid profile done. Also get a pelvic scan done. If required, we will get your husband's semen analysis done later once your test reports are satisfactory. Revert back with the reports to an obstetrician and gynaecologist online --> |
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Hi doctor, My age is 34 and I have regular period. I am trying to conceive for the last four months. My period bleeding is only for three or four days. Please help me. [/INST] Hi. I suggest you Folic acid supplements and Iron supplements. Consult your specialist doctor, discuss with him or her and take the medicine with consent.Send me details of your cycle, so that I can guide you with fertile period. Get your complete blood count and thyroid profile done. Also get a pelvic scan done. If required, we will get your husband's semen analysis done later once your test reports are satisfactory. Revert back with the reports to an obstetrician and gynaecologist online --> |
Q. I have tooth pain and a white lump on my upper gum. What could it be? | Hello doctor,I recently started having tooth pain and it has not gone away. I do have a white lump on my upper gum but I have had it for a while. Sometimes, it goes away and then comes back. My tooth pain almost feels like a cavity but I am not sure. | Hello. It seems your tooth is having a chronic abscess due to infection reaching the pulp and beyond the roots of the tooth and the white swelling is an abscess. I suggest you consult your dentist who will take an X-ray of the tooth and will confirm the diagnosis and explain the treatment and prescribe the medication. Mostly, if the case is of abscess and if there is enough tooth structure, you will have to go for a root canal treatment followed by a crown. So, do not worry. Another possibility can be a gingival abscess, but in this, pain on chewing is rare. For more information consult a dentist online --> |
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Hello doctor,I recently started having tooth pain and it has not gone away. I do have a white lump on my upper gum but I have had it for a while. Sometimes, it goes away and then comes back. My tooth pain almost feels like a cavity but I am not sure. [/INST] Hello. It seems your tooth is having a chronic abscess due to infection reaching the pulp and beyond the roots of the tooth and the white swelling is an abscess. I suggest you consult your dentist who will take an X-ray of the tooth and will confirm the diagnosis and explain the treatment and prescribe the medication. Mostly, if the case is of abscess and if there is enough tooth structure, you will have to go for a root canal treatment followed by a crown. So, do not worry. Another possibility can be a gingival abscess, but in this, pain on chewing is rare. For more information consult a dentist online --> |
Q. I have shortness of breath and anemia since giving birth. Please advise. | Hello doctor, I have: Shortness of breath and ongoing anemia since giving birth. Bruising stomach, right arm and behind the chest. Painful legs. I am attaching files. | Hi. Shortness of breath can occur secondary to anemia postpartum and are interrelated. However, bruising of arm and stomach may indicate underlying coagulopathy or embolic phenomena secondary to deep vein thrombosis. On observations in the contrast CT scan attached as above (attachment removed to protect patient identity) - For more information consult a radiologist online --> |
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Hello doctor, I have: Shortness of breath and ongoing anemia since giving birth. Bruising stomach, right arm and behind the chest. Painful legs. I am attaching files. [/INST] Hi. Shortness of breath can occur secondary to anemia postpartum and are interrelated. However, bruising of arm and stomach may indicate underlying coagulopathy or embolic phenomena secondary to deep vein thrombosis. On observations in the contrast CT scan attached as above (attachment removed to protect patient identity) - For more information consult a radiologist online --> |
Q. Can I take Spirulina 500 mg tablet twice, to replace the intake of 2. 5 mg Folic acid and Vitamin B? | Hi doctor, Can Spirulina 500 mg tablet be taken twice to replace the intake of 2.5 mg folic acid and vitamin B? | Hi. The amount of folic acid or vitamin B available in a capsule of Spirulina is not sufficient to meet the daily requirements of these vitamins. So, it is essential to substitute it by other vitamin supplements. |
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Hi doctor, Can Spirulina 500 mg tablet be taken twice to replace the intake of 2.5 mg folic acid and vitamin B? [/INST] Hi. The amount of folic acid or vitamin B available in a capsule of Spirulina is not sufficient to meet the daily requirements of these vitamins. So, it is essential to substitute it by other vitamin supplements. |
Q. Which drug can be advised to a hypertensive in whom spasmodic foods raise BP? | Hello doctor, I have hypertension. 138 mmHg systolic, 80 mmHg diastolic, 82 heart rate. Spasmodic foods (like yogurt) make higher hypertension. Antispasmodic foods (alkali, basic foods) do not cause higher hypertension. Which drug can I take? 57 years old, 72-kilogram weight. | Hi. BP of 138/80 is considered as high normal BP. You did not mention any other cardiovascular risk factors which put you in the low-risk category. In the first instance, I recommend lifestyle changes with regular exercise such as 40 minutes brisk walk on daily basis, reduce salt and caffeine, and smoking cessation (if you smoke). If after three months of lifestyle changes your BP remains above 130/85 then we can consider adding tablets at this stage, you do not need any tablets. |
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Hello doctor, I have hypertension. 138 mmHg systolic, 80 mmHg diastolic, 82 heart rate. Spasmodic foods (like yogurt) make higher hypertension. Antispasmodic foods (alkali, basic foods) do not cause higher hypertension. Which drug can I take? 57 years old, 72-kilogram weight. [/INST] Hi. BP of 138/80 is considered as high normal BP. You did not mention any other cardiovascular risk factors which put you in the low-risk category. In the first instance, I recommend lifestyle changes with regular exercise such as 40 minutes brisk walk on daily basis, reduce salt and caffeine, and smoking cessation (if you smoke). If after three months of lifestyle changes your BP remains above 130/85 then we can consider adding tablets at this stage, you do not need any tablets. |
Q. I want to completely cure paralysis in extremities caused due to stroke. Please help. | Hello doctor, I am 55 years old. For the past 20 years, I have been paralyzed in the right extremities. Initially, I took allopathy treatment but it was not helping. So, took Ayurveda and really it helped a lot. My voice came back but with stuttering. When I talk about something I forget some words. My right leg is at the moment fine on the whole but we can make out that when I walk, there is a slight deviation. Now, my right hand has not been in use ever since the stroke. I am now on Ayurvedic medicines Mahayogaraja guggulu 1 - 1, Rasnadhi guggulu 1 - 1, Gandharvahastadi kashayam 15 ml with 30 ml warm water 1 - 1, Triphala churnam 10 gm, for massage Ksheerabala tailum and Valiya sahacharadhi tailum. The results are very slow. I want to ask you to help to vanish my stroke. I am a BP patient also. | Hi. I have read your query. You have weakness of the right half of body which is more in right arm than in right leg for the last twenty years. There is a history of hypertension. You had a stroke involving left cerebral cortex leading to weakness in the right half of body. I cannot be sure without neuroimaging like CT scan brain or MRI brain whether it was an ischemic stroke (cessation of blood flow to the brain) or hemorrhagic stroke (bleeding into brain substance). Stroke causes damage to the brain due to underlying cardiovascular disease with time damage is permanent. There is currently no treatment for complete recovery after such a long time since the occurrence of stroke. New treatments focus on early thrombolysis when the patient reaches at stroke center within three to four and a half hours of the start of the stroke to receive thrombolysis if it is an ischaemic stroke. The best management plan for you is control of blood pressure and rehabilitation and prevention of further stroke. |
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Hello doctor, I am 55 years old. For the past 20 years, I have been paralyzed in the right extremities. Initially, I took allopathy treatment but it was not helping. So, took Ayurveda and really it helped a lot. My voice came back but with stuttering. When I talk about something I forget some words. My right leg is at the moment fine on the whole but we can make out that when I walk, there is a slight deviation. Now, my right hand has not been in use ever since the stroke. I am now on Ayurvedic medicines Mahayogaraja guggulu 1 - 1, Rasnadhi guggulu 1 - 1, Gandharvahastadi kashayam 15 ml with 30 ml warm water 1 - 1, Triphala churnam 10 gm, for massage Ksheerabala tailum and Valiya sahacharadhi tailum. The results are very slow. I want to ask you to help to vanish my stroke. I am a BP patient also. [/INST] Hi. I have read your query. You have weakness of the right half of body which is more in right arm than in right leg for the last twenty years. There is a history of hypertension. You had a stroke involving left cerebral cortex leading to weakness in the right half of body. I cannot be sure without neuroimaging like CT scan brain or MRI brain whether it was an ischemic stroke (cessation of blood flow to the brain) or hemorrhagic stroke (bleeding into brain substance). Stroke causes damage to the brain due to underlying cardiovascular disease with time damage is permanent. There is currently no treatment for complete recovery after such a long time since the occurrence of stroke. New treatments focus on early thrombolysis when the patient reaches at stroke center within three to four and a half hours of the start of the stroke to receive thrombolysis if it is an ischaemic stroke. The best management plan for you is control of blood pressure and rehabilitation and prevention of further stroke. |
Q. I am being ignored by people who are emotionally close to me. What should I do? | Hello doctor, Of late I am feeling like an orphan. My mother is always concerned about my sister who got married last year and has an infant. I feel my sister has no time for me and my mother has forgotten me. I give a lot in a relationship but I do not get even a quarter of it in return. | Hi. I understand you are going through a tough time emotionally. You are very close to your mother and sister emotionally and feel let down by them. You have mentioned that your sister has an infant and your mother is spending more time with her. Probably your mother feels at this point of time your sister needs her more as this being her first child. She may need all the physical and emotional support possible. A baby does take up a lot of effort. So probably your mother and sister do not realize that they are ignoring you and your needs even if they are doing so unintentionally. I would advise you to talk to them openly about it. You can begin by how happy your are about the new addition to the family and how you would love to be involved by the family in the process. Gradually tell them how you have been feeling ignored. You never realize how open communications can really help improve relationships. Every relationship has ups and downs. I am sure you will be able to resolve issues with your mother and sister. |
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Hello doctor, Of late I am feeling like an orphan. My mother is always concerned about my sister who got married last year and has an infant. I feel my sister has no time for me and my mother has forgotten me. I give a lot in a relationship but I do not get even a quarter of it in return. [/INST] Hi. I understand you are going through a tough time emotionally. You are very close to your mother and sister emotionally and feel let down by them. You have mentioned that your sister has an infant and your mother is spending more time with her. Probably your mother feels at this point of time your sister needs her more as this being her first child. She may need all the physical and emotional support possible. A baby does take up a lot of effort. So probably your mother and sister do not realize that they are ignoring you and your needs even if they are doing so unintentionally. I would advise you to talk to them openly about it. You can begin by how happy your are about the new addition to the family and how you would love to be involved by the family in the process. Gradually tell them how you have been feeling ignored. You never realize how open communications can really help improve relationships. Every relationship has ups and downs. I am sure you will be able to resolve issues with your mother and sister. |
Q. After getting dental aligners, I found a little white contour around the lower gums. What is that? | Hello doctor, I currently have aligners on and since I started the treatment I noticed a little white contour around my gums lower teeth, they lift a little bit. Is it something to be alarmed about? | Hello, Welcome to icliniq.com. No, your gums are absolutely fine and nothing to be alarmed for. They are minor issues due to the realignment of the contour of your gums. Do continue to use aligner. When you remove your aligner please apply Rexidine M forte gel (if you feel any discomfort). It is just contouring your gums to the same level. If you carefully look to the image you uploaded you will notice those white lines only on the tooth that placed below. Realignment of the gingiva (contouring it on the same level). Continue using aligners. I do not think there might be any sharp edge, do mention to your dentist if present. Follow up after seven days. Apply the gel when not using your aligner. Use a simple mouthwash like Colgate plux after brushing your teeth to keep your gums healthy. Warm saline gargle occasionally. |
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Hello doctor, I currently have aligners on and since I started the treatment I noticed a little white contour around my gums lower teeth, they lift a little bit. Is it something to be alarmed about? [/INST] Hello, Welcome to icliniq.com. No, your gums are absolutely fine and nothing to be alarmed for. They are minor issues due to the realignment of the contour of your gums. Do continue to use aligner. When you remove your aligner please apply Rexidine M forte gel (if you feel any discomfort). It is just contouring your gums to the same level. If you carefully look to the image you uploaded you will notice those white lines only on the tooth that placed below. Realignment of the gingiva (contouring it on the same level). Continue using aligners. I do not think there might be any sharp edge, do mention to your dentist if present. Follow up after seven days. Apply the gel when not using your aligner. Use a simple mouthwash like Colgate plux after brushing your teeth to keep your gums healthy. Warm saline gargle occasionally. |
Q. How long should my husband and I wait to try for a baby if we did cocaine? | Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. | Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> |
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Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. [/INST] Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> |
Q. Can Yasmin birth control pill be used as an emergency contraceptive pill? | Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? | Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> |
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Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? [/INST] Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> |
Q. Please explain the poisonous effect of phenol ingestion. | Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. | Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> |
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Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. [/INST] Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> |
Q. For how long should I take Kalachikai powder to overcome PCOD problem? | Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? | Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> |
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Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? [/INST] Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> |
Q. Why do periods get delayed after first time sex? | Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? | Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> |
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Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? [/INST] Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> |
Q. What can be done for bleeding and pain 24 hours after taking Mifepristone and Misoprostol? | Hello doctor, My friend underwent a USG and she was detected with 6-week pregnancy and then she took Mifepristone and then next day four Misoprostol (mouth dissolving). Now it has been more than 24 hours. She is bleeding continuously with clots and having severe pain. Kindly suggest what to do now for pain and bleeding? | Hi. It is the pregnancy products coming out. Heavy bleeding is expected after medical termination of pregnancy. Sometimes, however, if the medical abortion is not complete and some products remain stuck in the uterus, the bleeding may continue or even be excessive to a level where you need to visit an emergency. The medicine should be taken under the strict supervision of your gynecologist. |
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Hello doctor, My friend underwent a USG and she was detected with 6-week pregnancy and then she took Mifepristone and then next day four Misoprostol (mouth dissolving). Now it has been more than 24 hours. She is bleeding continuously with clots and having severe pain. Kindly suggest what to do now for pain and bleeding? [/INST] Hi. It is the pregnancy products coming out. Heavy bleeding is expected after medical termination of pregnancy. Sometimes, however, if the medical abortion is not complete and some products remain stuck in the uterus, the bleeding may continue or even be excessive to a level where you need to visit an emergency. The medicine should be taken under the strict supervision of your gynecologist. |
Q. Kindly advise the management of mammary duct ectasia with chronic granulomatous mastitis. | Hello doctor,I am 33 years old female. Before four years, I had a baby girl but she never did breastfeeding on my left breast. Now before one month, I have noticed I have breast lump which is never painful for me. I had reduced my weight to 8 to 10 kg from last 10 months. That is the only symptom that matches here. The doctor suggested mammogram followed by biopsy but the result was active chronic mastitis with giant cell reaction. So, the doctor prescribed antibiotics but after 20 days lump is of the same size. The next visit she suggested was an excisional biopsy of the lump. So, finally, I did an excisional biopsy or removed lump with surgery and then now biopsy report says mammary duct ectasia with chronic granulomatous mastitis. There is no evidence of malignancy in the examined material. Now my doctor is confused about what kind of treatment has to be started here as disease says for chances of repeated again but what kind of treatment will be effective here. Can you please advice here, if possible? | Hi. First of all, you can relax well as there is nothing to worry with this report (attachment removed to protect patient identity). The breast lump excision biopsy (the removed lump) has no evidence of cancerous tissue. It has evidence of inflammation and infection. Now few changes are noted in the biopsy are also seen in tuberculosis. But there is no strong evidence to suggest tuberculosis. This might have made your treating doctor confused. My suggestions would be you can get the slides reviewed by another pathologist, just for a second opinion. If it is non-specific, you can be just on follow up. |
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Hello doctor,I am 33 years old female. Before four years, I had a baby girl but she never did breastfeeding on my left breast. Now before one month, I have noticed I have breast lump which is never painful for me. I had reduced my weight to 8 to 10 kg from last 10 months. That is the only symptom that matches here. The doctor suggested mammogram followed by biopsy but the result was active chronic mastitis with giant cell reaction. So, the doctor prescribed antibiotics but after 20 days lump is of the same size. The next visit she suggested was an excisional biopsy of the lump. So, finally, I did an excisional biopsy or removed lump with surgery and then now biopsy report says mammary duct ectasia with chronic granulomatous mastitis. There is no evidence of malignancy in the examined material. Now my doctor is confused about what kind of treatment has to be started here as disease says for chances of repeated again but what kind of treatment will be effective here. Can you please advice here, if possible? [/INST] Hi. First of all, you can relax well as there is nothing to worry with this report (attachment removed to protect patient identity). The breast lump excision biopsy (the removed lump) has no evidence of cancerous tissue. It has evidence of inflammation and infection. Now few changes are noted in the biopsy are also seen in tuberculosis. But there is no strong evidence to suggest tuberculosis. This might have made your treating doctor confused. My suggestions would be you can get the slides reviewed by another pathologist, just for a second opinion. If it is non-specific, you can be just on follow up. |
Q. What measure can be taken to reduce tooth pain as I am out of home? | Hi doctor, Since yesterday I am getting tooth pain in my upper left canine. It is paining four to five times a day and it is very severe pain. It is there for 15 minutes. Afterward, everything is normal. My question is what might be the problem? Can you please suggest any temporary relief medicine or technique from this pain for the next four days as I am on a tour. | Hi. Almost dental caries can cause pain whether it is constant pain or intermittent. According to your condition, it is almost caries bacteria cavitated inside the tooth and pain results from the infected bacteria reaching the pulp chamber (the sensory area inside the tooth). So, actually, you will feel pain and discomfort frequently. I suggest you reach a dentist as soon as possible but you can take analgesics to subside the pain temporarily. You can take Acetominaphen tablet 200 mg one tablet twice a day for five days. Also, if you could place small cotton with a little clove oil, it will be very helpful. You can apply the piece of cotton with clove oil inside the cavity of the canine 3 to 4 times frequently or you can use this technique at the time you feel pain. Bacterial infection. Acute pulpitis. Small cotton with clove oil. |
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Hi doctor, Since yesterday I am getting tooth pain in my upper left canine. It is paining four to five times a day and it is very severe pain. It is there for 15 minutes. Afterward, everything is normal. My question is what might be the problem? Can you please suggest any temporary relief medicine or technique from this pain for the next four days as I am on a tour. [/INST] Hi. Almost dental caries can cause pain whether it is constant pain or intermittent. According to your condition, it is almost caries bacteria cavitated inside the tooth and pain results from the infected bacteria reaching the pulp chamber (the sensory area inside the tooth). So, actually, you will feel pain and discomfort frequently. I suggest you reach a dentist as soon as possible but you can take analgesics to subside the pain temporarily. You can take Acetominaphen tablet 200 mg one tablet twice a day for five days. Also, if you could place small cotton with a little clove oil, it will be very helpful. You can apply the piece of cotton with clove oil inside the cavity of the canine 3 to 4 times frequently or you can use this technique at the time you feel pain. Bacterial infection. Acute pulpitis. Small cotton with clove oil. |
Q. What should be done for supravalvular pulmonary membrane in a baby? | Hello doctor, My little daughter has a supravalvular pulmonary membrane that causes minimal stenosis. So I do not know what to do. The doctor said that the stenosis is very small and will wait and see. So I need to know what should I do and what is the next step. Can this be treated without surgery? Now she is 10 months old. | Hi. This condition is more of pediatric cardiology rather than adult cardiology. However, I think that if the stenosis is minimal then it should only be observed at this stage with regular yearly echos. If the stenosis progresses and become of severe degree, then this can be managed with means of balloon dilatation in the first instance in young age group and only if this fails, then she can have surgery. I wish your daughter good recovery and happy life. |
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Hello doctor, My little daughter has a supravalvular pulmonary membrane that causes minimal stenosis. So I do not know what to do. The doctor said that the stenosis is very small and will wait and see. So I need to know what should I do and what is the next step. Can this be treated without surgery? Now she is 10 months old. [/INST] Hi. This condition is more of pediatric cardiology rather than adult cardiology. However, I think that if the stenosis is minimal then it should only be observed at this stage with regular yearly echos. If the stenosis progresses and become of severe degree, then this can be managed with means of balloon dilatation in the first instance in young age group and only if this fails, then she can have surgery. I wish your daughter good recovery and happy life. |
Q. Is it advisable to consume brown rice by a diabetic taking Metformin and Glimepiride? | Hello doctor, My sugar level is 190. Metformin 500 with Glimepiride 2 is my daily medicine. I take half twice daily. Can I eat brown rice regularly? | Hello. I understand your concern. You can safely eat brown rice or whatever kind of rice or grains that your ancestors have been eating. However, it is important to control the sizes of your food portions. I recommend that you use a measuring cup of whatever size you want. Use this same cup to measure your food at every meal. Start your meal by eating one full cucumber. Then you can eat your meal which should have one cup of rice or grain and three cups of vegetables (all measured in the same cup). Finish your meal with 250 ml of thin buttermilk. You should make sure that you eat all this in one meal. If you think it is too much to eat, reduce the size of the cup. You will be amazed at how little rice you really need to sustain yourself. |
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Hello doctor, My sugar level is 190. Metformin 500 with Glimepiride 2 is my daily medicine. I take half twice daily. Can I eat brown rice regularly? [/INST] Hello. I understand your concern. You can safely eat brown rice or whatever kind of rice or grains that your ancestors have been eating. However, it is important to control the sizes of your food portions. I recommend that you use a measuring cup of whatever size you want. Use this same cup to measure your food at every meal. Start your meal by eating one full cucumber. Then you can eat your meal which should have one cup of rice or grain and three cups of vegetables (all measured in the same cup). Finish your meal with 250 ml of thin buttermilk. You should make sure that you eat all this in one meal. If you think it is too much to eat, reduce the size of the cup. You will be amazed at how little rice you really need to sustain yourself. |
Q. I have hives on my body which turns painful on scratching. Please suggest medication. | Hello doctor, I just want to ask what is the best medicine for allergy? I have hives on my body and so itchy when I scratch them it turns painful. I even have them on my soles and palm. I am currently on Loratadine. | Hi. Itching with hives has various causes. Treatment of it is mostly according to the cause. Another treatment is symptomatic. Loratadine is antihistaminic and antiallergic medicine. In your case of itching with hives, you can take Desloratadine with Montelukast (Dazit M) or Fexofenadine with Montelukast (Allegra M). But to search for the cause of itching with hives will be more beneficial. |
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Hello doctor, I just want to ask what is the best medicine for allergy? I have hives on my body and so itchy when I scratch them it turns painful. I even have them on my soles and palm. I am currently on Loratadine. [/INST] Hi. Itching with hives has various causes. Treatment of it is mostly according to the cause. Another treatment is symptomatic. Loratadine is antihistaminic and antiallergic medicine. In your case of itching with hives, you can take Desloratadine with Montelukast (Dazit M) or Fexofenadine with Montelukast (Allegra M). But to search for the cause of itching with hives will be more beneficial. |
Q. Noticed some change in my skin color over my arm. Please help me. | Hello doctor, The last year my skin complexion changed on my hand and then it spread up to my elbow. I consulted the doctor and he advised for biopsy test. The result of which was fine. From this year my arm is paining because of this and the mark has spread up to my shoulder. Please help me in this regard. | Hi. Can you please attach the picture of your hand? And also the biopsy report? Is it on just one side? Or both the arms? What do you mean by complexion change? Is it becoming dark or light? |
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Hello doctor, The last year my skin complexion changed on my hand and then it spread up to my elbow. I consulted the doctor and he advised for biopsy test. The result of which was fine. From this year my arm is paining because of this and the mark has spread up to my shoulder. Please help me in this regard. [/INST] Hi. Can you please attach the picture of your hand? And also the biopsy report? Is it on just one side? Or both the arms? What do you mean by complexion change? Is it becoming dark or light? |
Q. I am just 14 years old and I experience extreme pain in my hip. What could it be? | Hello doctor, I am a 14 year old female. My height is 5'5", and I weigh about 140 pounds. I experience extreme pain in my hip. It is difficult for me to walk or climb stairs. Also, it keeps me awake at night. Please help. | Hi. My worry here is that you may have a Slipped Capital Femoral Epiphysis (SCFE) and you need an urgent orthopedic opinion to help rule this out. The reason I say so is that the pain and limp from the hip in an adolescent has only a few causes one of which is SCFE. The other cause is an infection and it is equally important. I hope you ask your parents to arrange a visit to an orthopaedician for physical examination at the earliest. This will certainly help, as a full examination of the hip and x-rays and blood reports will help clear any doubts. |
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Hello doctor, I am a 14 year old female. My height is 5'5", and I weigh about 140 pounds. I experience extreme pain in my hip. It is difficult for me to walk or climb stairs. Also, it keeps me awake at night. Please help. [/INST] Hi. My worry here is that you may have a Slipped Capital Femoral Epiphysis (SCFE) and you need an urgent orthopedic opinion to help rule this out. The reason I say so is that the pain and limp from the hip in an adolescent has only a few causes one of which is SCFE. The other cause is an infection and it is equally important. I hope you ask your parents to arrange a visit to an orthopaedician for physical examination at the earliest. This will certainly help, as a full examination of the hip and x-rays and blood reports will help clear any doubts. |
Q. I get irritated and I do not get along with my mom. Please help. | Hello doctor, I have a burning sensation on top of my head. This happens after my mom disturbs me whenever I try to study. I get irritated and I do not get along with her because she does not encourage me to study. How can I get rid of this feeling? Please help me. | Hello. First of all, you need to relax about your studies that for sure you will be able to manage it and be confident about yourself. The second important thing is that whenever you feel your mother is disturbing, you need to take a break for 15 minutes, go out to an open place and take deep breaths for 5-7 minutes and avoid thinking about your mother and continue study at that time. This will help you to vent your feelings out. You need to do deep breathing exercises four to five times a day which will include: Within 21 days, this will definitely help you. |
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Hello doctor, I have a burning sensation on top of my head. This happens after my mom disturbs me whenever I try to study. I get irritated and I do not get along with her because she does not encourage me to study. How can I get rid of this feeling? Please help me. [/INST] Hello. First of all, you need to relax about your studies that for sure you will be able to manage it and be confident about yourself. The second important thing is that whenever you feel your mother is disturbing, you need to take a break for 15 minutes, go out to an open place and take deep breaths for 5-7 minutes and avoid thinking about your mother and continue study at that time. This will help you to vent your feelings out. You need to do deep breathing exercises four to five times a day which will include: Within 21 days, this will definitely help you. |
Q. I want a jaw setback surgery as I find my face structure very unappealing. What are the risks involved? | Hello doctor, I am a 18 year old female. I was 13 years old when I got my braces. My orthodontist made it in such a way that the lower set of teeth were slanting inwards so that my upper row could be in front. I do not have trouble chewing. I want a jaw setback surgery as I find my face structure very unappealing. I do experience stiffness when I open my jaw, even while yawning. I wanted to ask what the surgery actually does, take out bone segments or just push the whole lower jaw back? And what is the risk involved? I have heard that it can damage nerves and cause permanent loss of sensation. Also, is it possible to do nose plastic surgery along with the jaw surgery? I want both the surgeries in one go. Please advice. | Hi. Yes, you can undergo surgery to reduce the lower jaw, i.e., mandible by around 5 mm or so if needed. It is only a slight difference. The advantage is a slight increase in aesthetics later on probably. Some disadvantage is always present like you said, i.e., nerve damage like permanent anesthesia of partial parts of cheek, teeth, and lips or sometimes disfigurement. But the surgery can be done without much external scarring. The surgical procedure includes removing around 2 to 3 mm of bone from mandible on both left and right sides and push the mandible slightly back. It is done by an oral and maxillofacial surgeon involving plastic surgeons too. You can do rhinoplasty or nasal bone correction to straighten the surface and give a sharper look. This procedure is done by plastic surgeons mostly. The main thing is to decide whether correcting the aesthetics would provide you with the perfect look which you desire. Ask your doctor to show a photo of yours with the modified look, so that you can decide on your own whether it is worth to undergo surgery. After seeing the attached photos of your facial profile, according to my personal opinion, I would say that your profile is acceptable as it is. (attachment removed to protect patient identity) Also get an opinion from a plastic surgeon whether the surgery would be fruitful to you. |
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Hello doctor, I am a 18 year old female. I was 13 years old when I got my braces. My orthodontist made it in such a way that the lower set of teeth were slanting inwards so that my upper row could be in front. I do not have trouble chewing. I want a jaw setback surgery as I find my face structure very unappealing. I do experience stiffness when I open my jaw, even while yawning. I wanted to ask what the surgery actually does, take out bone segments or just push the whole lower jaw back? And what is the risk involved? I have heard that it can damage nerves and cause permanent loss of sensation. Also, is it possible to do nose plastic surgery along with the jaw surgery? I want both the surgeries in one go. Please advice. [/INST] Hi. Yes, you can undergo surgery to reduce the lower jaw, i.e., mandible by around 5 mm or so if needed. It is only a slight difference. The advantage is a slight increase in aesthetics later on probably. Some disadvantage is always present like you said, i.e., nerve damage like permanent anesthesia of partial parts of cheek, teeth, and lips or sometimes disfigurement. But the surgery can be done without much external scarring. The surgical procedure includes removing around 2 to 3 mm of bone from mandible on both left and right sides and push the mandible slightly back. It is done by an oral and maxillofacial surgeon involving plastic surgeons too. You can do rhinoplasty or nasal bone correction to straighten the surface and give a sharper look. This procedure is done by plastic surgeons mostly. The main thing is to decide whether correcting the aesthetics would provide you with the perfect look which you desire. Ask your doctor to show a photo of yours with the modified look, so that you can decide on your own whether it is worth to undergo surgery. After seeing the attached photos of your facial profile, according to my personal opinion, I would say that your profile is acceptable as it is. (attachment removed to protect patient identity) Also get an opinion from a plastic surgeon whether the surgery would be fruitful to you. |
Q. I am on Rosuvastatin and Amlodipine. What are my lipid profile and liver test showing? | Hello doctor, I need you to please analyze my lipid profile and liver test where I can see that a few numbers are at a very high end. Currently, I am taking following medicines Rosuvastatin 10 mg one tablet daily, Amlodipine Besylate 5 mg one tablet daily. I am a chain smoker and smoke average 20 to 25 cigarettes daily. | Hi. Your liver enzymes are raised a bit, and lipid profile is deranged a bit, for which you are taking Rosuvastatin. Rosuvastatin may cause the liver function to derange. Since how long are you taking Rosuvastatin or any other lipid-lowering medicine? If the liver function was normal before starting Rosuvastatin and deranged after taking it, I will advise you to continue taking it and re-monitor LFTs (liver function test) after two months. If it rises even more, then stop statin and remeasure levels after two months. If you have muscle pain, fatigue, etc., do creatine kinase levels. Do regular exercise, stop smoking immediately. Follow up after one month. |
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Hello doctor, I need you to please analyze my lipid profile and liver test where I can see that a few numbers are at a very high end. Currently, I am taking following medicines Rosuvastatin 10 mg one tablet daily, Amlodipine Besylate 5 mg one tablet daily. I am a chain smoker and smoke average 20 to 25 cigarettes daily. [/INST] Hi. Your liver enzymes are raised a bit, and lipid profile is deranged a bit, for which you are taking Rosuvastatin. Rosuvastatin may cause the liver function to derange. Since how long are you taking Rosuvastatin or any other lipid-lowering medicine? If the liver function was normal before starting Rosuvastatin and deranged after taking it, I will advise you to continue taking it and re-monitor LFTs (liver function test) after two months. If it rises even more, then stop statin and remeasure levels after two months. If you have muscle pain, fatigue, etc., do creatine kinase levels. Do regular exercise, stop smoking immediately. Follow up after one month. |
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 pain in my decayed tooth even after filling. Could this be an infection? | Hello doctor, I had tooth decay and got it fixed at my dentist. After that, I started feeling pain and my dentist told me it is because of the sinus, I started using salt sprays. After a few days, I could still feel the pain. Yet he did an x-ray and could not figure out what is wrong but I am still in pain. Today, I have a fever, stomachache, and my molar still hurts me. I read it could be an infection or is this wrong? | Hello, Welcome to icliniq.com. Yes, you are certainly correct. Do warm saline gargle three to four times a day. Your dentist should have taken an x-ray before filling it. Please take tablet Sporidex (Cephalexin) 500 mg 1 tablet twice after meals for five days, Metrogyl ER 1 tablet twice after meal for five days, Zerodol SP (Acaclofenac and Serratiopeptidase) 1 tablet twice after meal for five days, Rantac D (Ranitidine) 1 tablet twice before meal for five days. Your doubts are certainly correct, later you might need a root canal or extraction to eliminate the cause completely. Please do not worry so much it is nothing serious and it will subside once you are on these medications and get proper treatment. I hope this helps. Periapical abscess. Root canal or Extraction. Warm saline gargle. Betadine mouth rinses twice or thrice a day. After seven days. |
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Hello doctor, I had tooth decay and got it fixed at my dentist. After that, I started feeling pain and my dentist told me it is because of the sinus, I started using salt sprays. After a few days, I could still feel the pain. Yet he did an x-ray and could not figure out what is wrong but I am still in pain. Today, I have a fever, stomachache, and my molar still hurts me. I read it could be an infection or is this wrong? [/INST] Hello, Welcome to icliniq.com. Yes, you are certainly correct. Do warm saline gargle three to four times a day. Your dentist should have taken an x-ray before filling it. Please take tablet Sporidex (Cephalexin) 500 mg 1 tablet twice after meals for five days, Metrogyl ER 1 tablet twice after meal for five days, Zerodol SP (Acaclofenac and Serratiopeptidase) 1 tablet twice after meal for five days, Rantac D (Ranitidine) 1 tablet twice before meal for five days. Your doubts are certainly correct, later you might need a root canal or extraction to eliminate the cause completely. Please do not worry so much it is nothing serious and it will subside once you are on these medications and get proper treatment. I hope this helps. Periapical abscess. Root canal or Extraction. Warm saline gargle. Betadine mouth rinses twice or thrice a day. After seven days. |
Q. My sister got dengue fever for the second time. Is she in danger? | Hi doctor, My sister has been suffering from dengue for the past four days. She has got this fever for the second time now. The first time being eight years ago. Her platelet count today is 2.6 lakhs, PCV is 34 and WBC TC is 1900. She is being given saline along with Sumol, Ondem, Levazeo and Milk of Magnesia. She is still having fever of above 102 degrees Fahrenheit. Is her life in danger? | Hello. I had gone through all the data posted. Dengue is a common viral illness. The difference is there will be profound dehydration, so keep her well hydrated. Let the saline be there and if she does not have vomitings, then give her fruit juices, ORS packets (oral rehydration salt) mixed with water for 3 to 4 liters per day. Give her soft diet to keep stools soft and monitor for any bleeding manifestations, which usually occur if platelet count is less than 20,000. From the reports that are posted, she is holding on and continue all the medications. Dolo 650 mg (Acetaminophen) to be taken according to body weight and age three times a day and keep doing tepid sponging. Consult your doctor, discuss with him or her and take the medicine with consent. Kindly do liver function test and repeat malaria test by doing peripheral smear method. Send me all report and WBC (white blood cells) showing the percentage of lymphocytes and neutrophils of all days; so that we can guess how many more days we need to wait. As for now, her condition is fine. We need to continue the same treatment and rule out the other causes of fever if any mainly malaria as it can mimic dengue. For further information consult a general medicine physician online --> |
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Hi doctor, My sister has been suffering from dengue for the past four days. She has got this fever for the second time now. The first time being eight years ago. Her platelet count today is 2.6 lakhs, PCV is 34 and WBC TC is 1900. She is being given saline along with Sumol, Ondem, Levazeo and Milk of Magnesia. She is still having fever of above 102 degrees Fahrenheit. Is her life in danger? [/INST] Hello. I had gone through all the data posted. Dengue is a common viral illness. The difference is there will be profound dehydration, so keep her well hydrated. Let the saline be there and if she does not have vomitings, then give her fruit juices, ORS packets (oral rehydration salt) mixed with water for 3 to 4 liters per day. Give her soft diet to keep stools soft and monitor for any bleeding manifestations, which usually occur if platelet count is less than 20,000. From the reports that are posted, she is holding on and continue all the medications. Dolo 650 mg (Acetaminophen) to be taken according to body weight and age three times a day and keep doing tepid sponging. Consult your doctor, discuss with him or her and take the medicine with consent. Kindly do liver function test and repeat malaria test by doing peripheral smear method. Send me all report and WBC (white blood cells) showing the percentage of lymphocytes and neutrophils of all days; so that we can guess how many more days we need to wait. As for now, her condition is fine. We need to continue the same treatment and rule out the other causes of fever if any mainly malaria as it can mimic dengue. For further information consult a general medicine physician online --> |
Q. I have shortness of breath and pain in shoulder. Can you give any suggestions? | Hello doctor, I have shortness of breath, and pain in the shoulder for past eight years. Currently, I am taking Zolahart 40, Stablon, Flavedon MR, Rabekind Dar, Ezidoc 20, Ecosprin 75, and Pregaba 75. | Hello. Your ECG is showing changes (attachment removed to protect patient identity) which indicate some kind of heart damage either ischemia, hypertension induced or other. You mentioned here about angiography and it is showing only 30 percent blockages. So have you undergone echocardiography to rule out other causes? If not, you should undergo. Next thing, you mentioned about shortness of breath, which can occur due to heart dysfunction which can be seen on echo or may be due to low hemoglobin. Were you smoked in your life? It can cause lung damage and shortness of breath. Also, regarding shoulder and body pain, this commonly occurs due to low vitamin D and cervical spine problem. Do you also have neck pain, tingling, numbness in arms, which may be due to cervical spine problem? You should have a healthy lifestyle like avoiding fatty, oily and high-calorie diet. Have low salt diet and monitor blood pressure regularly. Regular exercises like brisk walking, jogging, according to your capacity at least 30 minutes a day and five days a week. So overall, you should get back with some more information like echo, history of smoking, tingling, and numbness history. Should get vitamin D, hemoglobin tested. Also, you mentioned about Arzedoc, is it having Atorvastatin as a content, please clarify. For more information consult a cardiologist online --> |
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Hello doctor, I have shortness of breath, and pain in the shoulder for past eight years. Currently, I am taking Zolahart 40, Stablon, Flavedon MR, Rabekind Dar, Ezidoc 20, Ecosprin 75, and Pregaba 75. [/INST] Hello. Your ECG is showing changes (attachment removed to protect patient identity) which indicate some kind of heart damage either ischemia, hypertension induced or other. You mentioned here about angiography and it is showing only 30 percent blockages. So have you undergone echocardiography to rule out other causes? If not, you should undergo. Next thing, you mentioned about shortness of breath, which can occur due to heart dysfunction which can be seen on echo or may be due to low hemoglobin. Were you smoked in your life? It can cause lung damage and shortness of breath. Also, regarding shoulder and body pain, this commonly occurs due to low vitamin D and cervical spine problem. Do you also have neck pain, tingling, numbness in arms, which may be due to cervical spine problem? You should have a healthy lifestyle like avoiding fatty, oily and high-calorie diet. Have low salt diet and monitor blood pressure regularly. Regular exercises like brisk walking, jogging, according to your capacity at least 30 minutes a day and five days a week. So overall, you should get back with some more information like echo, history of smoking, tingling, and numbness history. Should get vitamin D, hemoglobin tested. Also, you mentioned about Arzedoc, is it having Atorvastatin as a content, please clarify. For more information consult a cardiologist online --> |
Q. What can be done to manage an aggressive patient who speaks loud and beats? | Hello doctor,My father is 69 years old. We live in a one room small house. He continuously speaks loudly the whole day long. He beats my elder sister and always argues with everyone at home. Every other day there is quarrel in my house. He is not an alcoholic but he never understands others. He always mentally tortures us, taunts us. It has been impossible for me to live there. This excessive mental torture is too much for me. I am totally frustrated. Please suggest me something otherwise it will be not possible for me to live life. He is rude to us only and listens to the radio. He is suffering from thyroid and taking 50 mg medicine for this. | Hi. I understand the problem you are facing, your father has some definite problems. If this behavior is since long like from his middle age then it may be a bipolar disorder. If this behavior has occurred during old age then it is pathological means he needs to be examined and investigated properly for all health-related test for diabetes, hypertension, cholesterol, liver function test, renal function test, test related to prostate and most importantly the MRI brain which may reflect the sings of dementia and Parkinson's disease. His memory needs to be assessed and related to his mental condition. He immediately needs some psychiatric medication to control his behavior which may be mood stabilizers and/or psychotropic medication, it would be multidisciplinary approach means physician, neurologist, and psychiatrist. |
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Hello doctor,My father is 69 years old. We live in a one room small house. He continuously speaks loudly the whole day long. He beats my elder sister and always argues with everyone at home. Every other day there is quarrel in my house. He is not an alcoholic but he never understands others. He always mentally tortures us, taunts us. It has been impossible for me to live there. This excessive mental torture is too much for me. I am totally frustrated. Please suggest me something otherwise it will be not possible for me to live life. He is rude to us only and listens to the radio. He is suffering from thyroid and taking 50 mg medicine for this. [/INST] Hi. I understand the problem you are facing, your father has some definite problems. If this behavior is since long like from his middle age then it may be a bipolar disorder. If this behavior has occurred during old age then it is pathological means he needs to be examined and investigated properly for all health-related test for diabetes, hypertension, cholesterol, liver function test, renal function test, test related to prostate and most importantly the MRI brain which may reflect the sings of dementia and Parkinson's disease. His memory needs to be assessed and related to his mental condition. He immediately needs some psychiatric medication to control his behavior which may be mood stabilizers and/or psychotropic medication, it would be multidisciplinary approach means physician, neurologist, and psychiatrist. |
Q. I have sharpness in tooth after composite restoration bonding. Please help. | Hello doctor, I am not satisfied with dental bonding done on the front left tooth. Enamel was removed to make room for the composite resin and the enamel is now too thin and feels sharp to the tongue's touch because of this. Shape and feel is not consistent with the natural front right tooth. Is there any way to fix this? Want to be as conservative as possible to avoid further damage. | Hi. According to your query, I believe it will be easy to solve that problem you have, just a little bit of enamel sharpness or roughness can usually come from a previous bonded composite filling done especially at anterior teeth. So at that time, you should go to a cosmetic dentist or expert. He will do for you abrasive smoothness by composite finishing burs to get the same consistency and then you will feel comfortable or he will go for changing the old filling to get a new one. Do not be afraid about further damage of your teeth. A doctor can do what is must to do for you to restore the aesthetics and function of your tooth. It would be good if you could attach an image of your tooth here to get further details of your question. |
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Hello doctor, I am not satisfied with dental bonding done on the front left tooth. Enamel was removed to make room for the composite resin and the enamel is now too thin and feels sharp to the tongue's touch because of this. Shape and feel is not consistent with the natural front right tooth. Is there any way to fix this? Want to be as conservative as possible to avoid further damage. [/INST] Hi. According to your query, I believe it will be easy to solve that problem you have, just a little bit of enamel sharpness or roughness can usually come from a previous bonded composite filling done especially at anterior teeth. So at that time, you should go to a cosmetic dentist or expert. He will do for you abrasive smoothness by composite finishing burs to get the same consistency and then you will feel comfortable or he will go for changing the old filling to get a new one. Do not be afraid about further damage of your teeth. A doctor can do what is must to do for you to restore the aesthetics and function of your tooth. It would be good if you could attach an image of your tooth here to get further details of your question. |
Q. What is the recommended dose of Folic acid while planning for pregnancy? | Hi doctor, I am an epileptic patient and currently on Lamictal 200 mg twice a day. I am planning for pregnancy. I would like to know the dosage of Folic acid I should start. | Hi. I suggest you tablet Folvite 5 mg of Folic acid one tablet per day. The recommended dose of folic acid is a controversial topic. Various doctors favor 1 mg to 5 mg per day. The best part is that the Folic acid has no side effects. It is a water-soluble vitamin and an excess of it gets excreted in urine. So, we recommend 5 mg per day to all our patients. When sufficient dose is harmless, there is no need to take a chance by giving low doses. One more concern of mine is that you have to check with your neurologist if it is safe to go ahead with pregnancy while on Lamictal (Lamotrigine). The safety of Lamictal is not established by studies. But, if your physician has good experience with personal case series, then I think you can continue. For further information consult a neurologist online --> |
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Hi doctor, I am an epileptic patient and currently on Lamictal 200 mg twice a day. I am planning for pregnancy. I would like to know the dosage of Folic acid I should start. [/INST] Hi. I suggest you tablet Folvite 5 mg of Folic acid one tablet per day. The recommended dose of folic acid is a controversial topic. Various doctors favor 1 mg to 5 mg per day. The best part is that the Folic acid has no side effects. It is a water-soluble vitamin and an excess of it gets excreted in urine. So, we recommend 5 mg per day to all our patients. When sufficient dose is harmless, there is no need to take a chance by giving low doses. One more concern of mine is that you have to check with your neurologist if it is safe to go ahead with pregnancy while on Lamictal (Lamotrigine). The safety of Lamictal is not established by studies. But, if your physician has good experience with personal case series, then I think you can continue. For further information consult a neurologist online --> |
Q. I am diabetic, and I have dry mouth and burning sensation in my feet. Why? | Hello doctor, I am a male aged 29 years 3 months, height is 5 feet 8 inches, weight 77 kg. My doctor checked my HbA1c a year back and found it 4.2. Recently, I was facing little dryness in my mouth and that is why drinking more water too. Also facing some little burn in my feet. Other things are fine till now. Is there any probability that I got diabetes by this time? Should I go for another test? | Hello. I understand your concern. Your HbA1c report is in the normal range, you do not have diabetes. If your test was done in a reliable laboratory, there is absolutely no need to repeat this. The dryness of mouth can occur due to dehydration. So I recommend that you drink at least 2 to 3 liters of water daily. Burning sensation in the feet can be due to vitamin B12 deficiency. You can get your vitamin B12 level checked by a blood test done early in the morning after 12-hour fasting. That means, if you are going for your test at 8 AM, you should have finished your last meal at 8 PM the previous night. |
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Hello doctor, I am a male aged 29 years 3 months, height is 5 feet 8 inches, weight 77 kg. My doctor checked my HbA1c a year back and found it 4.2. Recently, I was facing little dryness in my mouth and that is why drinking more water too. Also facing some little burn in my feet. Other things are fine till now. Is there any probability that I got diabetes by this time? Should I go for another test? [/INST] Hello. I understand your concern. Your HbA1c report is in the normal range, you do not have diabetes. If your test was done in a reliable laboratory, there is absolutely no need to repeat this. The dryness of mouth can occur due to dehydration. So I recommend that you drink at least 2 to 3 liters of water daily. Burning sensation in the feet can be due to vitamin B12 deficiency. You can get your vitamin B12 level checked by a blood test done early in the morning after 12-hour fasting. That means, if you are going for your test at 8 AM, you should have finished your last meal at 8 PM the previous night. |
Q. What can cause sores in the mouth with tooth pain? | Hi doctor, I am concerned about sores in the mouth with a tooth pain. | Hello. I have been through your query and I can understand your concern. The multiple sores you referred to surrounding your back tooth are the sinuses from the periapical infection (attachment removed to protect patient identity). This occurs when there is infected pulp tissue (inner part of the tooth) and there occurs pus formation at the bottom of the root of the tooth. Now when this pus gets more and more formed, it tries to push the surrounding tissue to come out of the tissue. This leads to the formation of the sinus. It is characterized by sore mouth taste frequently and also if the infection is acute, there may be a pain in the tooth. Here the filling you have in the tooth might be the cause of the infection as sometimes the fillings when old and not routinely checked to develop cracks (especially amalgam or silver metal fillings) which lead to the entry of microorganisms into the inner tissue of tooth leading to pus formation. I would advise you to have a visit to your nearest dentist and get an X-ray for the tooth. The tooth may require a root canal treatment (confirmed on the X-ray). Meanwhile, you may take an analgesic for the pain and an antibiotic for the infection for three days. If you were not allergic to these medicines, I would suggest you take Aceclofenac 100 mg when there is a pain in the tooth, and Amoxicillin plus Clavulanate 625 mg two times daily for three days and then visit a dentist. Also, maintain the good oral hygiene by brushing, flossing and using oral rinses regularly. |
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Hi doctor, I am concerned about sores in the mouth with a tooth pain. [/INST] Hello. I have been through your query and I can understand your concern. The multiple sores you referred to surrounding your back tooth are the sinuses from the periapical infection (attachment removed to protect patient identity). This occurs when there is infected pulp tissue (inner part of the tooth) and there occurs pus formation at the bottom of the root of the tooth. Now when this pus gets more and more formed, it tries to push the surrounding tissue to come out of the tissue. This leads to the formation of the sinus. It is characterized by sore mouth taste frequently and also if the infection is acute, there may be a pain in the tooth. Here the filling you have in the tooth might be the cause of the infection as sometimes the fillings when old and not routinely checked to develop cracks (especially amalgam or silver metal fillings) which lead to the entry of microorganisms into the inner tissue of tooth leading to pus formation. I would advise you to have a visit to your nearest dentist and get an X-ray for the tooth. The tooth may require a root canal treatment (confirmed on the X-ray). Meanwhile, you may take an analgesic for the pain and an antibiotic for the infection for three days. If you were not allergic to these medicines, I would suggest you take Aceclofenac 100 mg when there is a pain in the tooth, and Amoxicillin plus Clavulanate 625 mg two times daily for three days and then visit a dentist. Also, maintain the good oral hygiene by brushing, flossing and using oral rinses regularly. |
Q. How can I manage depression and anxiety due to my husband's behavior? | Hello doctor, I am suffering from total depression and anxiety. I am 28 years old and married. Also six months pregnant. I have always felt that I and my partner are not compatible, I do not connect with him. Ours is a love marriage, but I never felt the love and care one should feel in such a relationship. He is not a romantic person. He does not understand me and my feelings. And he is never there when I need him. His behaviour has been giving me anxiety and I am always depressed. Also, we are in a beautiful phase of our life but I do not see him cherishing any moments with me. I feel too bad for myself and our baby on the way. I am in desperate need of help. | Hi. See at this time where you have to think for only yourself and to care for your pregnancy, at this time cannot do much rather than taking maximum care and getting yourself busy in daily work and go out to find some little things for your upcoming baby and have good sleep and a good diet and plenty of water. As far as your relationship is concerned, you both need marital counseling to resolve conflicts advising at one side would not be beneficial, and most importantly, start admiring him for everything, for his dressing, his smile and, whatever he is doing for you, and appreciate him for being husband and reduce your expectation at this point of time and it may work in a way that he may be there for you, which you are expecting. |
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Hello doctor, I am suffering from total depression and anxiety. I am 28 years old and married. Also six months pregnant. I have always felt that I and my partner are not compatible, I do not connect with him. Ours is a love marriage, but I never felt the love and care one should feel in such a relationship. He is not a romantic person. He does not understand me and my feelings. And he is never there when I need him. His behaviour has been giving me anxiety and I am always depressed. Also, we are in a beautiful phase of our life but I do not see him cherishing any moments with me. I feel too bad for myself and our baby on the way. I am in desperate need of help. [/INST] Hi. See at this time where you have to think for only yourself and to care for your pregnancy, at this time cannot do much rather than taking maximum care and getting yourself busy in daily work and go out to find some little things for your upcoming baby and have good sleep and a good diet and plenty of water. As far as your relationship is concerned, you both need marital counseling to resolve conflicts advising at one side would not be beneficial, and most importantly, start admiring him for everything, for his dressing, his smile and, whatever he is doing for you, and appreciate him for being husband and reduce your expectation at this point of time and it may work in a way that he may be there for you, which you are expecting. |
Q. BP has not come under control after taking Telma and Cilacar. Why? | Hello doctor, My dad is having a persistent BP of 150/95 even after taking Telma 40 in the morning and Cilacar 20 in the evening. What should be done and how much risky is this BP? | Hi. Telama is Telmisartan and your dad is talking 40 mg once a day. If he has been on it for over two weeks and the kidney function is stable, then it can be increased to 80 mg in one dose or divided dosage, that is either 80 mg in the morning or 40 mg morning and 40 mg evening and he is to continue in Cilacar 20. Ideal BP should be less than 130 for the systolic (top number) and less than 85 for the diastolic (low number). If the BP is not controlled to the above recommendations then other medicines are to be added. |
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Hello doctor, My dad is having a persistent BP of 150/95 even after taking Telma 40 in the morning and Cilacar 20 in the evening. What should be done and how much risky is this BP? [/INST] Hi. Telama is Telmisartan and your dad is talking 40 mg once a day. If he has been on it for over two weeks and the kidney function is stable, then it can be increased to 80 mg in one dose or divided dosage, that is either 80 mg in the morning or 40 mg morning and 40 mg evening and he is to continue in Cilacar 20. Ideal BP should be less than 130 for the systolic (top number) and less than 85 for the diastolic (low number). If the BP is not controlled to the above recommendations then other medicines are to be added. |
Q. Is bleeding during pregnancy related to miscarriage? | Hello doctor, I am female, 20 years old, 5'2" and 45.3 kg. I am pregnant but during my ultrasound, there is no embryo and yolk sac. My uterus is seven weeks and three days having 3.1 mm. Seven days after the ultrasound I had bleeding but it was light, the color was dark red, brown or black and it was like an intestine like a tube. I went to my doctor two days after I noticed the bleeding. My doctor said that it was a uterine tissue. She did an ultrasound on me again and its size was 3.3 mm, eight weeks pregnant. Still no yolk sack and embryo. I still have bleeding after my ultrasound and it has been three days. Now my blood is reddish and I have some blood clot that colors black or dark red. What to do? Do I have a miscarriage? | Hi. It is anembryonic pregnancy, and at 8 weeks still, there is no embryo, no sac and have clots or bleeding. So it is more likely going to abort. There could be conservative, medical and surgical management. In conservative, you can wait for nature to take a step for miscarriage and can have a natural process of miscarriage but might need medical or surgical management. Medical management needs to treat with medicine that stimulates cleaning of the uterus but might need surgery. In surgical management, evacuation is done actually but might need medical treatment for that. In case of severe bleeding or pain, you need to report to the tertiary care center. Have a healthy diet, daily walk. |
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Hello doctor, I am female, 20 years old, 5'2" and 45.3 kg. I am pregnant but during my ultrasound, there is no embryo and yolk sac. My uterus is seven weeks and three days having 3.1 mm. Seven days after the ultrasound I had bleeding but it was light, the color was dark red, brown or black and it was like an intestine like a tube. I went to my doctor two days after I noticed the bleeding. My doctor said that it was a uterine tissue. She did an ultrasound on me again and its size was 3.3 mm, eight weeks pregnant. Still no yolk sack and embryo. I still have bleeding after my ultrasound and it has been three days. Now my blood is reddish and I have some blood clot that colors black or dark red. What to do? Do I have a miscarriage? [/INST] Hi. It is anembryonic pregnancy, and at 8 weeks still, there is no embryo, no sac and have clots or bleeding. So it is more likely going to abort. There could be conservative, medical and surgical management. In conservative, you can wait for nature to take a step for miscarriage and can have a natural process of miscarriage but might need medical or surgical management. Medical management needs to treat with medicine that stimulates cleaning of the uterus but might need surgery. In surgical management, evacuation is done actually but might need medical treatment for that. In case of severe bleeding or pain, you need to report to the tertiary care center. Have a healthy diet, daily walk. |
Q. I have frequent constipation issues. Please help. | Hello doctor, I am a 58-year-old male. I am 180 cm in height and weigh about 85 kg. I have frequent constipation issues. I am currently on Obimet SR 500, Glimisave M1, Pinom 40 mg, Pivasta 2 mg, and Clopilet 75 mg. | Hello. Would you please answer few of my following questions. How frequently do you pass stools per week? Have you felt any blood in stools? Do you feel pain in the anal area while passing stools? Have you noticed anything coming out from the anal area while passing stools? Have you noticed any loss of weight? If yes then how much? Any abdominal pain? Do you strain while defecating? Any feeling of incomplete evacuation after passing stools? Have you used any medication for constipation? Any change in drugs for diabetes and hypertension in the past six months? Do you have alternating diarrhea with constipation? Do you feel bloated? I will start symptomatic treatment and some workup for constipation. Please feel free to ask anything and answer my questions. CBC (complete blood count). HbA1C (glycated hemoglobin). TSH (thyroid-stimulating hormone). Serum calcium. Digital rectal examination. Ispaghol husk two teaspoons in a glass of water every night. Polyethylene glycol sachet in a glass of water every night for two weeks. Take plenty of water. Do 20-30 minutes walk daily. |
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Hello doctor, I am a 58-year-old male. I am 180 cm in height and weigh about 85 kg. I have frequent constipation issues. I am currently on Obimet SR 500, Glimisave M1, Pinom 40 mg, Pivasta 2 mg, and Clopilet 75 mg. [/INST] Hello. Would you please answer few of my following questions. How frequently do you pass stools per week? Have you felt any blood in stools? Do you feel pain in the anal area while passing stools? Have you noticed anything coming out from the anal area while passing stools? Have you noticed any loss of weight? If yes then how much? Any abdominal pain? Do you strain while defecating? Any feeling of incomplete evacuation after passing stools? Have you used any medication for constipation? Any change in drugs for diabetes and hypertension in the past six months? Do you have alternating diarrhea with constipation? Do you feel bloated? I will start symptomatic treatment and some workup for constipation. Please feel free to ask anything and answer my questions. CBC (complete blood count). HbA1C (glycated hemoglobin). TSH (thyroid-stimulating hormone). Serum calcium. Digital rectal examination. Ispaghol husk two teaspoons in a glass of water every night. Polyethylene glycol sachet in a glass of water every night for two weeks. Take plenty of water. Do 20-30 minutes walk daily. |
Q. I feel numbness and cold sensation on the left side of the body including face. Why? | Hi doctor, I am feeling numbness and cold sensation on the left side of my body from calf, legs up to arms, and face. I am 35 years old with a height of 169 cm and weigh about 64 kg. I am taking Pregabalin for the past two days. | Hello. Well, most of your symptoms do look like related to the nerves only as the feeling of tingling and numbness can be related to that. I have gone through your older reports as well (attachment removed to protect patient identity), where there is a mild spasm of the spine. But since it is affecting your hands, and face it probably looks like coming from the neck region this time. You can get an x-ray done as and when you get time but will guide you with the following lifestyle changes as well. You can continue Pregabalin for 15 days to 30 days at least. If you feel the relief is not adequate, you can increase the dose to twice daily for seven days. Include vitamin D along with Pregabalin as well to strengthen your bones. As for the postures: 1. Make sure you are not sitting in front of the laptop for too long with head bent forward. It should be at a good height so it does not strain your neck too much. 2. Daily walk for 20 minutes along with spine and neck strengthening exercises for 10 minutes. 3. You can use local sprays and gels over the neck for some relief. I hope this helps. Cervical radiculopathy. |
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Hi doctor, I am feeling numbness and cold sensation on the left side of my body from calf, legs up to arms, and face. I am 35 years old with a height of 169 cm and weigh about 64 kg. I am taking Pregabalin for the past two days. [/INST] Hello. Well, most of your symptoms do look like related to the nerves only as the feeling of tingling and numbness can be related to that. I have gone through your older reports as well (attachment removed to protect patient identity), where there is a mild spasm of the spine. But since it is affecting your hands, and face it probably looks like coming from the neck region this time. You can get an x-ray done as and when you get time but will guide you with the following lifestyle changes as well. You can continue Pregabalin for 15 days to 30 days at least. If you feel the relief is not adequate, you can increase the dose to twice daily for seven days. Include vitamin D along with Pregabalin as well to strengthen your bones. As for the postures: 1. Make sure you are not sitting in front of the laptop for too long with head bent forward. It should be at a good height so it does not strain your neck too much. 2. Daily walk for 20 minutes along with spine and neck strengthening exercises for 10 minutes. 3. You can use local sprays and gels over the neck for some relief. I hope this helps. Cervical radiculopathy. |
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. Do my symptoms mean cancer? | Hi doctor, I am a 24 year old female. I had an anal fissure a few months back due to constipation and it got healed with medication. For a week, I have constipation due to the change in my diet and lack of water intake. Whenever I had a bowel movement, I would get some prickly sensation in the anal area and itching. Two days back, I saw some blood and very tiny blood clots in stool. I took the same medicine, which was prescribed for anal fissure. My doctor told me to take the same whenever I had a fissure again. I have been taking that medicine for the past days and I did not see any blood or blood clot in the stool. The stool appears normal in texture and color. But still, when I pass motion, I feel a little swelling, slight pricking and itching in the anal area. Today, I read something called colorectal cancer or tumor. It has confused me. Many links say that the blood in the stool is the first symptom, there is a lot of bleeding and sometime bleeding cannot even be seen with the naked eye. Which is the truth? If the bleeding cannot be seen does it mean I still have a tumor or cancer in the rectal area? They also added up a lot of other symptoms like weakness, etc. I do not feel any of that. Apart from this, I am extremely healthy. I do not smoke or drink. My exercise includes yoga and dance. There is no history of cancer in my family as well. I am scared after reading that. I think even my normal appearing stool could have blood in it and there could be a tumor. I feel there is a little swelling or obstruction in the rectal area. I would like to go for colonoscopy. Will they do a colonoscopy to the patient of my age? I want to know whether my doubts are correct. Do my symptoms mean cancer? | Hi. Your symptoms of constipation associated with pricking pain and itching in the anal area as well as blood in stools lead to a unified diagnosis of anal fissure. An anal fissure is a small tear or crack in the lining of the anus. It may occur when passing large or hard stools or experiencing bouts of diarrhea. It can cause sharp pain and bleeding during and after bowel movements. It may also cause itching and burning in the anal area. It is usually a minor condition that goes away within six weeks. Its symptoms include a visible tear in the skin around the anus, a skin tag or a small lump of skin next to the tear, pain in the anal area during bowel movements, streaks of blood on stools or after wiping and burning or itching in the anal area. Please do not panic and get anxious. Colorectal carcinomas occur in later ages. Do you have any family history of the same or any polyps or any gastrointestinal complaints? In malignancy the symptoms are continuous and not episodic as in your case. Also, it will not subside by their own or respond to the treatment prescribed to you. In carcinomas, it is usually associated with iron deficiency anemia, weight loss, maroon colored and narrow stools. Still, if you have any iota of doubt, then go to your treating doctor and get your anal fissure re-examined. As per my view, you do not need any colonoscopy unless you have any positive family history or the above mentioned symptoms. For further information consult an internal medicine physician online --> |
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Hi doctor, I am a 24 year old female. I had an anal fissure a few months back due to constipation and it got healed with medication. For a week, I have constipation due to the change in my diet and lack of water intake. Whenever I had a bowel movement, I would get some prickly sensation in the anal area and itching. Two days back, I saw some blood and very tiny blood clots in stool. I took the same medicine, which was prescribed for anal fissure. My doctor told me to take the same whenever I had a fissure again. I have been taking that medicine for the past days and I did not see any blood or blood clot in the stool. The stool appears normal in texture and color. But still, when I pass motion, I feel a little swelling, slight pricking and itching in the anal area. Today, I read something called colorectal cancer or tumor. It has confused me. Many links say that the blood in the stool is the first symptom, there is a lot of bleeding and sometime bleeding cannot even be seen with the naked eye. Which is the truth? If the bleeding cannot be seen does it mean I still have a tumor or cancer in the rectal area? They also added up a lot of other symptoms like weakness, etc. I do not feel any of that. Apart from this, I am extremely healthy. I do not smoke or drink. My exercise includes yoga and dance. There is no history of cancer in my family as well. I am scared after reading that. I think even my normal appearing stool could have blood in it and there could be a tumor. I feel there is a little swelling or obstruction in the rectal area. I would like to go for colonoscopy. Will they do a colonoscopy to the patient of my age? I want to know whether my doubts are correct. Do my symptoms mean cancer? [/INST] Hi. Your symptoms of constipation associated with pricking pain and itching in the anal area as well as blood in stools lead to a unified diagnosis of anal fissure. An anal fissure is a small tear or crack in the lining of the anus. It may occur when passing large or hard stools or experiencing bouts of diarrhea. It can cause sharp pain and bleeding during and after bowel movements. It may also cause itching and burning in the anal area. It is usually a minor condition that goes away within six weeks. Its symptoms include a visible tear in the skin around the anus, a skin tag or a small lump of skin next to the tear, pain in the anal area during bowel movements, streaks of blood on stools or after wiping and burning or itching in the anal area. Please do not panic and get anxious. Colorectal carcinomas occur in later ages. Do you have any family history of the same or any polyps or any gastrointestinal complaints? In malignancy the symptoms are continuous and not episodic as in your case. Also, it will not subside by their own or respond to the treatment prescribed to you. In carcinomas, it is usually associated with iron deficiency anemia, weight loss, maroon colored and narrow stools. Still, if you have any iota of doubt, then go to your treating doctor and get your anal fissure re-examined. As per my view, you do not need any colonoscopy unless you have any positive family history or the above mentioned symptoms. For further information consult an internal medicine physician online --> |
Q. Can a patient with PCOD and lighter periods get pregnant? | Hello doctor, I have PCOD. My period is on the time but stays for 1 to 2 days and bleeding is very less. I am trying to conceive. The doctor gave me Dronis-30 and Rejumet tablet. My weight has also increased. Can I conceive? And two years ago the doctor gave me the Gardasil vaccine. I used Novelon two years ago but the period condition is the same. | Hi. Yes, definitely you can get pregnant. PCOS is a condition which can be easily reverted by diet, exercise, yoga, lifestyle modifications, and physical fitness. Get started with Folic acid supplements. Continue taking the medication as prescribed by your doctor. Try during your fertile period which is between 12 to 24 days of your periods. However, if you have a doubt then get back to me. Take care. |
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Hello doctor, I have PCOD. My period is on the time but stays for 1 to 2 days and bleeding is very less. I am trying to conceive. The doctor gave me Dronis-30 and Rejumet tablet. My weight has also increased. Can I conceive? And two years ago the doctor gave me the Gardasil vaccine. I used Novelon two years ago but the period condition is the same. [/INST] Hi. Yes, definitely you can get pregnant. PCOS is a condition which can be easily reverted by diet, exercise, yoga, lifestyle modifications, and physical fitness. Get started with Folic acid supplements. Continue taking the medication as prescribed by your doctor. Try during your fertile period which is between 12 to 24 days of your periods. However, if you have a doubt then get back to me. Take care. |
Q. I had shortness of breath and chest pain after breathing in steam. Am I at risk? | Hello doctor, I am a 26 year old male weighing in 185 and 5'9". I do not take any medications. I am worried if I am at risk of any complications after having breathed in some steam/air at about 350 F. I was covering a pot roast I had just taken out of the oven when I accidentally took a breath of its steam when I was directly overhead. After it happened, moments later I had shortness of breath and had pain on the left side of my chest. This happened six hours ago. Since then, I have slept and my breathing is normal. There is only a dull lingering pain on the left side of my chest now. I have no cough, my breathing remains steady when I lie down. I do not get dizzy either. | Hi. Based on the history, at times, though not very common, steam/air inhalation can cause inflammation of the airway leading to respiratory symptoms and even pulmonary edema. So, keep an eye on the following symptoms : If you develop hoarseness of voice, wheezing, stridor, breathlessness, or chest pain, immediately contact a doctor. For more information consult a general medicine physician online --> |
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Hello doctor, I am a 26 year old male weighing in 185 and 5'9". I do not take any medications. I am worried if I am at risk of any complications after having breathed in some steam/air at about 350 F. I was covering a pot roast I had just taken out of the oven when I accidentally took a breath of its steam when I was directly overhead. After it happened, moments later I had shortness of breath and had pain on the left side of my chest. This happened six hours ago. Since then, I have slept and my breathing is normal. There is only a dull lingering pain on the left side of my chest now. I have no cough, my breathing remains steady when I lie down. I do not get dizzy either. [/INST] Hi. Based on the history, at times, though not very common, steam/air inhalation can cause inflammation of the airway leading to respiratory symptoms and even pulmonary edema. So, keep an eye on the following symptoms : If you develop hoarseness of voice, wheezing, stridor, breathlessness, or chest pain, immediately contact a doctor. For more information consult a general medicine physician online --> |
Q. Should I take B12 supplement for folic acid deficiency? | Hi doctor, I took a blood test and found out that there is a folic acid deficiency. What is the standard dose taken for the folic acid deficiency? Should I have to take a B12 supplement along with it? If so, what is the dosage? | Hi. For folic acid deficiency, you can take a dose of 5 mg per day for three months. For vitamin B12 deficiency, you can take Mecobalamine 500 mcg once a day for three months. Did you test for vitamin D deficiency? |
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Hi doctor, I took a blood test and found out that there is a folic acid deficiency. What is the standard dose taken for the folic acid deficiency? Should I have to take a B12 supplement along with it? If so, what is the dosage? [/INST] Hi. For folic acid deficiency, you can take a dose of 5 mg per day for three months. For vitamin B12 deficiency, you can take Mecobalamine 500 mcg once a day for three months. Did you test for vitamin D deficiency? |
Q. How can fear be managed in a patient with depression and anxiety? | Hello doctor,First of all, thanks for this site and that you help people. Last year I had depression with anxiety episodes (diagnosed by the psychiatrist). I did not get any pills. I get well with some kind of psychological therapy. But this year I had several panic attack episodes and neurologist prescribed me Valium to get sublingual during the attack. Now I have some kind of fears, I am afraid when my heartbreaking arises, I am afraid of eating different foods (fear of intoxication), I am afraid of staying alone, etc. Too many fears in my life. I cannot live like this. Can you give me any advice, please? | Hi. We are happy to help. From what you have described of your problem, it seems anxiety is a greater problem for you. It is good that you have improved only on psychological therapy but then whatever has been taught in psychological therapy, you need to continuously practice it at home. Please look up Jacobson's progressive muscular relaxation and practice it 3 to 4 times a day. This exercise will significantly help you gain some control over the somatic symptoms of your anxiety. As far as medicines are concerned, Valium is a medicine which will relieve anxiety to some extent but will make you feel sleepy. If you have been experiencing anxiety episodes every single day or at least 3 to 4 times a week, I would advise you to take Paxil 12.5 mg in the morning and gradually consult a psychiatrist to alter the dosages. But if you have been experiencing anxiety only in specific social situations and require medication only to suppress the anxiety for the time being without feeling sleepy, I would advise you to take tablet Etizola SOS. |
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Hello doctor,First of all, thanks for this site and that you help people. Last year I had depression with anxiety episodes (diagnosed by the psychiatrist). I did not get any pills. I get well with some kind of psychological therapy. But this year I had several panic attack episodes and neurologist prescribed me Valium to get sublingual during the attack. Now I have some kind of fears, I am afraid when my heartbreaking arises, I am afraid of eating different foods (fear of intoxication), I am afraid of staying alone, etc. Too many fears in my life. I cannot live like this. Can you give me any advice, please? [/INST] Hi. We are happy to help. From what you have described of your problem, it seems anxiety is a greater problem for you. It is good that you have improved only on psychological therapy but then whatever has been taught in psychological therapy, you need to continuously practice it at home. Please look up Jacobson's progressive muscular relaxation and practice it 3 to 4 times a day. This exercise will significantly help you gain some control over the somatic symptoms of your anxiety. As far as medicines are concerned, Valium is a medicine which will relieve anxiety to some extent but will make you feel sleepy. If you have been experiencing anxiety episodes every single day or at least 3 to 4 times a week, I would advise you to take Paxil 12.5 mg in the morning and gradually consult a psychiatrist to alter the dosages. But if you have been experiencing anxiety only in specific social situations and require medication only to suppress the anxiety for the time being without feeling sleepy, I would advise you to take tablet Etizola SOS. |
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. Is it possible to get pain under the breastbone and abdomen due to GERD and hiatal hernia? | Hello doctor, I have had a painful abdominal feelings lately. The last few days I have had a dull pain on the right side of my belly button a little higher. This morning I woke up to sharp, on and off, needle pains in my upper right abdomen, right below my rib cage. That resolved in half an hour. For the past few hours, I have had sharp shooting pains right under my breastbone. I had never felt the pain before, I do have GERD and a hiatal hernia that is small. | Hi. The right side upper abdomen pain has many causes like ulcer up to the hepatobiliary. Kindly follow the following instructions. Go for USG abdomen to rule out any hepatobiliary cause. LFT, stool culture, ESR, serum amylase, lipase to rule out the pancreatic cause. Take tablet Udiliv (Ursodeoxycholic acid) 150 mg postoperatively once daily for 10 days. Stop eating oily foods. Take tablet Pansec D (Pantoprazole and Domperidone) once a day on empty stomach. Get back to me with reports. |
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Hello doctor, I have had a painful abdominal feelings lately. The last few days I have had a dull pain on the right side of my belly button a little higher. This morning I woke up to sharp, on and off, needle pains in my upper right abdomen, right below my rib cage. That resolved in half an hour. For the past few hours, I have had sharp shooting pains right under my breastbone. I had never felt the pain before, I do have GERD and a hiatal hernia that is small. [/INST] Hi. The right side upper abdomen pain has many causes like ulcer up to the hepatobiliary. Kindly follow the following instructions. Go for USG abdomen to rule out any hepatobiliary cause. LFT, stool culture, ESR, serum amylase, lipase to rule out the pancreatic cause. Take tablet Udiliv (Ursodeoxycholic acid) 150 mg postoperatively once daily for 10 days. Stop eating oily foods. Take tablet Pansec D (Pantoprazole and Domperidone) once a day on empty stomach. Get back to me with reports. |
Q. I am having persistent cough. My doctor told me that there is no need for taking x-ray,do you think the same? | Hello doctor, I am having a persistent cough for 14 days. I feel something like phlegm, but I am not able to spit it out. I feel shortness of breath also. The doctor has diagnosed bronchitis, but I want to be sure about it. My doctor told me that there is no need for taking an x-ray, do you think the same? He gave me a nasal spray, cough syrup, antibiotic, and one another medicine. I am taking a lot of fluids, and I have stopped drinking or eating cold items. Please let me know if the diagnosis done is right? | Hello. Yes, most likely you have bronchitis. But you should do sputum microscopy. Please answer the following: |
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Hello doctor, I am having a persistent cough for 14 days. I feel something like phlegm, but I am not able to spit it out. I feel shortness of breath also. The doctor has diagnosed bronchitis, but I want to be sure about it. My doctor told me that there is no need for taking an x-ray, do you think the same? He gave me a nasal spray, cough syrup, antibiotic, and one another medicine. I am taking a lot of fluids, and I have stopped drinking or eating cold items. Please let me know if the diagnosis done is right? [/INST] Hello. Yes, most likely you have bronchitis. But you should do sputum microscopy. Please answer the following: |
Q. I have twin baby girls. One of them is not gaining weight. Please help. | Hi doctor, I had a month old twin baby girls. They were born in the 34th week of pregnancy. One baby was 2.2 Kg, and the other was a little weaker weighing 2 Kg. Since there is not enough mother's milk after several attempts, I had to go for artificial milk powder. Initially, as suggested by the hospital pediatrician, they were given Dexolac Special Care, but after 20th day when their weight was around 2.4 Kg, they were given to Dexolac Premium 1. Out of the 2 babies, the weaker baby is responding well and quickly gaining weight (taking around 75 ml milk every 3 hours). But the baby which was born stronger is not drinking sufficient milk (45 ml in one feed, at an interval of around 3 hours), and is taking around an hour to take one feed. Also, she is having issues of gas and constipation. Because of constipation, she keeps crying. Now, this baby is not gaining weight and seem to be weaker. Please suggest what we can do in this case and shall we switch her milk to Lactogen or some other company? | Hello. Keep trying to give breastfeeds as much as possible till 6 months completion. Different brands of milk powder have different tastes. So, you can change what they like (as advised). Do not dilute more or give more concentrated milk. Usually, dilution mentioned on the package can be followed, that is, 30 ml for 1 scoop for most of the brands. But check with the manufractures' note. Do not use feeding bottle. Use bowl and spoon.You can use undiluted dairy milk (pasteurized). Check with your local pediatrician for supplements if needed. Check if there is adequate weight gain. Maintain proper hygiene while feeding, when using formula feed or top milk. Do not compromise on hygiene. I would like to know the following: Finally, breastfeeding is the best for the babies. |
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Hi doctor, I had a month old twin baby girls. They were born in the 34th week of pregnancy. One baby was 2.2 Kg, and the other was a little weaker weighing 2 Kg. Since there is not enough mother's milk after several attempts, I had to go for artificial milk powder. Initially, as suggested by the hospital pediatrician, they were given Dexolac Special Care, but after 20th day when their weight was around 2.4 Kg, they were given to Dexolac Premium 1. Out of the 2 babies, the weaker baby is responding well and quickly gaining weight (taking around 75 ml milk every 3 hours). But the baby which was born stronger is not drinking sufficient milk (45 ml in one feed, at an interval of around 3 hours), and is taking around an hour to take one feed. Also, she is having issues of gas and constipation. Because of constipation, she keeps crying. Now, this baby is not gaining weight and seem to be weaker. Please suggest what we can do in this case and shall we switch her milk to Lactogen or some other company? [/INST] Hello. Keep trying to give breastfeeds as much as possible till 6 months completion. Different brands of milk powder have different tastes. So, you can change what they like (as advised). Do not dilute more or give more concentrated milk. Usually, dilution mentioned on the package can be followed, that is, 30 ml for 1 scoop for most of the brands. But check with the manufractures' note. Do not use feeding bottle. Use bowl and spoon.You can use undiluted dairy milk (pasteurized). Check with your local pediatrician for supplements if needed. Check if there is adequate weight gain. Maintain proper hygiene while feeding, when using formula feed or top milk. Do not compromise on hygiene. I would like to know the following: Finally, breastfeeding is the best for the babies. |
Q. My mother had tablets for urinary infection and now she is having diarrhea. Please advice. | Hello doctor, My mother had a urinary infection caused by Escherichia coli. She was treated with a 10 days course of Nitrofurantoin. The count of bacteria in her urine then was 500 hpf and 50 WBCs. Her symptoms were relieved. But after a week, she feels slight burning sensation now. During the infection period and now she has been having an urge to go to the toilet quite often and some irritation while passing the stools too. The stool is watery. We got her routine blood tests done and her WBC count in blood is slightly higher. She has no fever. Please advice. | Hello. I reviewed all the attached reports (attachments removed to protect patient identity). Your mother has the stomach irritation and loose stools due to the medicines she had taken. She will be relieved from this in 2 or 3 days. She has iron deficiency anemia. So, you should give her foods which are rich in iron like spinach, red meat, and eggs. Also, you should give her plenty of fluids and cranberry juice. This will help her in her urinary tract infection (UTI). I suggest the following medicines for her. |
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Hello doctor, My mother had a urinary infection caused by Escherichia coli. She was treated with a 10 days course of Nitrofurantoin. The count of bacteria in her urine then was 500 hpf and 50 WBCs. Her symptoms were relieved. But after a week, she feels slight burning sensation now. During the infection period and now she has been having an urge to go to the toilet quite often and some irritation while passing the stools too. The stool is watery. We got her routine blood tests done and her WBC count in blood is slightly higher. She has no fever. Please advice. [/INST] Hello. I reviewed all the attached reports (attachments removed to protect patient identity). Your mother has the stomach irritation and loose stools due to the medicines she had taken. She will be relieved from this in 2 or 3 days. She has iron deficiency anemia. So, you should give her foods which are rich in iron like spinach, red meat, and eggs. Also, you should give her plenty of fluids and cranberry juice. This will help her in her urinary tract infection (UTI). I suggest the following medicines for her. |
Q. My vagina is very tight and I do not get any secretion during intercourse. Is this any health related issue? | Hi doctor, Initially, before having intercourse with my husband, I used to get some secretion from my vagina and post that we used to have intercourse. But these days, I am not getting that secretion. I feel that my vagina is very tight and a lot of times, we find this issue while having intercourse. I have PCOD. Is this any health-related issue? Are there any tests to do for further management? | Hi. Do you mean to say that you had secretions from the vagina before attempting intercourse in the past but, you are not having that in recent time? If yes, it indicates that you are not devoting sufficient time for foreplay (activities before intercourse like kissing, fondling, caressing). Foreplay is essential to get aroused and have secretions. Proper secretion does not occur many times when one or both of you are not interested in sex but, to please the other partner you carry out sexual activity. In conclusion, having proper intimacy and time devoted to sexual activity is important to get secretions from the vagina. Once you lose that intimacy, getting aroused becomes difficult and extra effort is needed from both partners. In my opinion, this is not a health issue but a relationship issue. Your feeling that the vagina is very tight again points out that there is a lack of proper lubrication. I would like to inform you that despite being small, a vagina can accommodate any size of a male penis. It is because of the fact that vagina is surrounded by soft tissue which has great stretchability. I hope you are taking treatment for PCOD although, there is nothing to do with sexual pleasure and PCOD. |
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Hi doctor, Initially, before having intercourse with my husband, I used to get some secretion from my vagina and post that we used to have intercourse. But these days, I am not getting that secretion. I feel that my vagina is very tight and a lot of times, we find this issue while having intercourse. I have PCOD. Is this any health-related issue? Are there any tests to do for further management? [/INST] Hi. Do you mean to say that you had secretions from the vagina before attempting intercourse in the past but, you are not having that in recent time? If yes, it indicates that you are not devoting sufficient time for foreplay (activities before intercourse like kissing, fondling, caressing). Foreplay is essential to get aroused and have secretions. Proper secretion does not occur many times when one or both of you are not interested in sex but, to please the other partner you carry out sexual activity. In conclusion, having proper intimacy and time devoted to sexual activity is important to get secretions from the vagina. Once you lose that intimacy, getting aroused becomes difficult and extra effort is needed from both partners. In my opinion, this is not a health issue but a relationship issue. Your feeling that the vagina is very tight again points out that there is a lack of proper lubrication. I would like to inform you that despite being small, a vagina can accommodate any size of a male penis. It is because of the fact that vagina is surrounded by soft tissue which has great stretchability. I hope you are taking treatment for PCOD although, there is nothing to do with sexual pleasure and PCOD. |
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 --> |
<s>[INST]
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 am getting shooting abdominal pain during and in between periods. Why? | Hello doctor, I am 18 years old, female, I am 5'2" and 129 lbs. Lately, I have been getting shooting pains across my abdomen, when I am off and on my period. I also cannot eat a lot or else I will get nauseous but I am still extremely hungry afterward. I have had an ovarian cyst in the past but this does not feel the same. | Hi. This is called primary dysmenorrhea. It can start anytime within five years of the beginning of periods in girls. Do not worry. It is a benign condition but definitely painful. I would advice start taking tablet Naproxen 250 mg twice daily with meal two days before your expected periods and take 500 mg twice daily on the day of the start of the cycle. You can continue for 2 to 3 days even after starting cycles if needed. This will help in preventing pain. When you grow up, mostly it will go away. |
<s>[INST]
Hello doctor, I am 18 years old, female, I am 5'2" and 129 lbs. Lately, I have been getting shooting pains across my abdomen, when I am off and on my period. I also cannot eat a lot or else I will get nauseous but I am still extremely hungry afterward. I have had an ovarian cyst in the past but this does not feel the same. [/INST] Hi. This is called primary dysmenorrhea. It can start anytime within five years of the beginning of periods in girls. Do not worry. It is a benign condition but definitely painful. I would advice start taking tablet Naproxen 250 mg twice daily with meal two days before your expected periods and take 500 mg twice daily on the day of the start of the cycle. You can continue for 2 to 3 days even after starting cycles if needed. This will help in preventing pain. When you grow up, mostly it will go away. |
Q. I have ROCD, anxiety, and depression. Can I continue with Paxil for anxiety? | Hello doctor, I have been taking Paxil 40 mg for three weeks now as prescribed by my GP. I have been taking it for ROCD anxiety and depression. Today and yesterday my anxiety has begun to surface more. The first two and a half weeks I was great. I do not know if I should switch medication. Keep going with it or what? Is it possible for my anxiety to get worse around week three? | Hi. I understand you are experiencing a great deal of anxiety in the past two days in spite of being on medications. Has some stressful event taken place at your workplace or at home in these past two to three days? Generally, anxiety gets better with time with medications. If Paxil has helped you, it would not make any sense to switch the medicines abruptly. Instead, you can consider augmenting it. Along with Paxil, you can take tablet Etizolam 0.5 mg SOS as and when you feel very anxious. So Paxil can take care of the long-term anxiety and Etizola will help you in the short term. Along with medications, also look up Jacobson's progressive muscular relaxation exercises. It takes 20 to 30 seconds to do this exercise. If you do these exercises 3 to 4 times a day, it will help you gain significant control over your anxiety. |
<s>[INST]
Hello doctor, I have been taking Paxil 40 mg for three weeks now as prescribed by my GP. I have been taking it for ROCD anxiety and depression. Today and yesterday my anxiety has begun to surface more. The first two and a half weeks I was great. I do not know if I should switch medication. Keep going with it or what? Is it possible for my anxiety to get worse around week three? [/INST] Hi. I understand you are experiencing a great deal of anxiety in the past two days in spite of being on medications. Has some stressful event taken place at your workplace or at home in these past two to three days? Generally, anxiety gets better with time with medications. If Paxil has helped you, it would not make any sense to switch the medicines abruptly. Instead, you can consider augmenting it. Along with Paxil, you can take tablet Etizolam 0.5 mg SOS as and when you feel very anxious. So Paxil can take care of the long-term anxiety and Etizola will help you in the short term. Along with medications, also look up Jacobson's progressive muscular relaxation exercises. It takes 20 to 30 seconds to do this exercise. If you do these exercises 3 to 4 times a day, it will help you gain significant control over your anxiety. |
Q. What are the causes of bad breath even after brushing? | Hello doctor, I have issues with my breath even after washing my teeth. | Hello. There are a number of things that can cause bad breath. It is usually the result of poor oral hygiene. You can try these things to improve your oral hygiene. Avoid foods and beverages that cause bad breath, eat more fruits and vegetables, take sufficient amount of water, try sugar-free gum if your mouth tends to get dry, brush your teeth at least twice a day. Make sure to reach the gum line as well as tooth surfaces, floss at least once a day, rinse with mouthwash twice a day. Take care of your digestion. Be sure to see your dentist at least twice a year for regular checkups and professional cleaning. Regular checkups allow your dentist to detect any problems such as gum disease or dry mouth. |
<s>[INST]
Hello doctor, I have issues with my breath even after washing my teeth. [/INST] Hello. There are a number of things that can cause bad breath. It is usually the result of poor oral hygiene. You can try these things to improve your oral hygiene. Avoid foods and beverages that cause bad breath, eat more fruits and vegetables, take sufficient amount of water, try sugar-free gum if your mouth tends to get dry, brush your teeth at least twice a day. Make sure to reach the gum line as well as tooth surfaces, floss at least once a day, rinse with mouthwash twice a day. Take care of your digestion. Be sure to see your dentist at least twice a year for regular checkups and professional cleaning. Regular checkups allow your dentist to detect any problems such as gum disease or dry mouth. |
Q. What treatment is available to manage deranged SGOT, lead, and uric acid levels? | Hello doctor, My SGOT level is 62.6. Lead level in my blood is 196.96, uric acid level is 7.5. Please suggest me better treatment. | Hello. I can understand your concern. I have gone through the reports you have attached (attachment removed to protect patient identity). Your uric acid and lead level are slightly high. So I would suggest you drink plenty of fluids orally, take fewer proteins in the diet and get done repeat uric acid and lead levels in one month. Please let me know if you have joint pain. Your SGOT is slightly elevated. Your lipid profile is also showing elevated total triglycerides and cholesterol levels. All these are suggestive of obesity and treatment is weight reduction and lipid-lowering drug (Rosuvastatin 10 mg once a day at night before going to sleep) for two months. Get done repeat SGOT and lipid profile after two months. Diet and aerobic exercise like running, cycling, swimming, etc., are also beneficial for weight loss. Do let me know if you have joint pains. |
<s>[INST]
Hello doctor, My SGOT level is 62.6. Lead level in my blood is 196.96, uric acid level is 7.5. Please suggest me better treatment. [/INST] Hello. I can understand your concern. I have gone through the reports you have attached (attachment removed to protect patient identity). Your uric acid and lead level are slightly high. So I would suggest you drink plenty of fluids orally, take fewer proteins in the diet and get done repeat uric acid and lead levels in one month. Please let me know if you have joint pain. Your SGOT is slightly elevated. Your lipid profile is also showing elevated total triglycerides and cholesterol levels. All these are suggestive of obesity and treatment is weight reduction and lipid-lowering drug (Rosuvastatin 10 mg once a day at night before going to sleep) for two months. Get done repeat SGOT and lipid profile after two months. Diet and aerobic exercise like running, cycling, swimming, etc., are also beneficial for weight loss. Do let me know if you have joint pains. |
Q. The fasting glucose level and cholesterol are not lowering after taking medicines. Please help. | Hello doctor, My mother is diabetic for the past 14 years and only five years back she was on Insulin for two months and she started taking Glynase MF from three years and from last month she is taking Ayurvedic medicine. Fasting blood glucose level is 304, high cholesterol. | Hi. I have read your query and seen laboratory report (attachment removed to protect patient identity). There is a high HbA1c level which is 11.8 and shows poor control of blood sugar level. BMI is 26.8 which shows that there is a trend towards obesity. Although she is overweight at present as per BMI. There is high blood cholesterol, total cholesterol as well as LDL cholesterol. These are risk factors for cardiovascular diseases. There is a good thing that other laboratory tests are normal. There is no microalbuminuria. GFR (glomerular filtration rate) is normal. Full blood count and renal function tests are normal. Management of the patient includes diet and lifestyle modification. Regular brisk walk at least 30 minutes a day. She should be on Insulin at least twice a day (mixed NPH and regular like premixed NPH/regular 70%/30%). The exact dosage to be adjusted according to blood sugar level taken at least two to three times daily. A starting regimen may be 20 units in the morning before breakfast and 16 units in the evening before dinner of premixed NPH/regular insulin, the dose can be adjusted keeping in view daily blood sugar and lifestyle of the patient. The patient regular follow-up and consultation unless blood sugar is controlled. Blood cholesterol if not controlled on diet should be treated with the statin. I hope she gets better with the treatment. |
<s>[INST]
Hello doctor, My mother is diabetic for the past 14 years and only five years back she was on Insulin for two months and she started taking Glynase MF from three years and from last month she is taking Ayurvedic medicine. Fasting blood glucose level is 304, high cholesterol. [/INST] Hi. I have read your query and seen laboratory report (attachment removed to protect patient identity). There is a high HbA1c level which is 11.8 and shows poor control of blood sugar level. BMI is 26.8 which shows that there is a trend towards obesity. Although she is overweight at present as per BMI. There is high blood cholesterol, total cholesterol as well as LDL cholesterol. These are risk factors for cardiovascular diseases. There is a good thing that other laboratory tests are normal. There is no microalbuminuria. GFR (glomerular filtration rate) is normal. Full blood count and renal function tests are normal. Management of the patient includes diet and lifestyle modification. Regular brisk walk at least 30 minutes a day. She should be on Insulin at least twice a day (mixed NPH and regular like premixed NPH/regular 70%/30%). The exact dosage to be adjusted according to blood sugar level taken at least two to three times daily. A starting regimen may be 20 units in the morning before breakfast and 16 units in the evening before dinner of premixed NPH/regular insulin, the dose can be adjusted keeping in view daily blood sugar and lifestyle of the patient. The patient regular follow-up and consultation unless blood sugar is controlled. Blood cholesterol if not controlled on diet should be treated with the statin. I hope she gets better with the treatment. |
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