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Q. What can be the cause for pain and burning sensation in left breast? | Hello doctor, I am having a lot of pain and burning in my chest. I had an ECG done about 20 days back which was normal. I have pain on the left side, (it is like on my breast) sometimes I feel it moves. I have been suffering from this since more than a year. Last year, I went through a complete evaluation and my ECG, 2D echo and TMT were normal. I was diagnosed with acidity but not on any medication now. | Hello. There are two possibilities in you, first is costochondritis (musculoskeletal) and the second possibility is of gastric reflux followed by fibroadenosis. Such a long duration of the pain and pain which increases on movements or pressing over the same site is usually costochondritis. Also, get your breast palpated once for any lumps (fibroadenosis), which can also cause pain if feeling pain is in the breast. You may continue Pantoprazole Domperidone combination (Pan DSR) for a week period, and if there is inadequate relief then get prescribed anti-inflammatory medicines from GP like Naproxen 250 mg twice a day along with Pantoprazole for five days. So, overall, the first possibility in you is of costochondritis and should have anti-inflammatory medicines like Naproxen. |
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Hello doctor, I am having a lot of pain and burning in my chest. I had an ECG done about 20 days back which was normal. I have pain on the left side, (it is like on my breast) sometimes I feel it moves. I have been suffering from this since more than a year. Last year, I went through a complete evaluation and my ECG, 2D echo and TMT were normal. I was diagnosed with acidity but not on any medication now. [/INST] Hello. There are two possibilities in you, first is costochondritis (musculoskeletal) and the second possibility is of gastric reflux followed by fibroadenosis. Such a long duration of the pain and pain which increases on movements or pressing over the same site is usually costochondritis. Also, get your breast palpated once for any lumps (fibroadenosis), which can also cause pain if feeling pain is in the breast. You may continue Pantoprazole Domperidone combination (Pan DSR) for a week period, and if there is inadequate relief then get prescribed anti-inflammatory medicines from GP like Naproxen 250 mg twice a day along with Pantoprazole for five days. So, overall, the first possibility in you is of costochondritis and should have anti-inflammatory medicines like Naproxen. |
Q. Is the lesion on the roof of the mouth a burn? | Hi doctor, I have something on the roof of my mouth. I am wondering if it is a burn or something else. | Hello. I have been through your query and I can understand your concern. From the picture, it seems that it is a burn (attachment removed to protect patient identity). But I want to know how long it has been there and if you had anything very hot liquid or food in the past days. The proper history is a must. Meanwhile, you can have cold water gargles for the relief. If it is a burn it will subside in a few days. Just do not have any hot meal till then. I would also advise you to have good oral hygiene and brush your teeth twice daily and floss regularly. |
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Hi doctor, I have something on the roof of my mouth. I am wondering if it is a burn or something else. [/INST] Hello. I have been through your query and I can understand your concern. From the picture, it seems that it is a burn (attachment removed to protect patient identity). But I want to know how long it has been there and if you had anything very hot liquid or food in the past days. The proper history is a must. Meanwhile, you can have cold water gargles for the relief. If it is a burn it will subside in a few days. Just do not have any hot meal till then. I would also advise you to have good oral hygiene and brush your teeth twice daily and floss regularly. |
Q. I get sudden sharp chest pain with arm pain. Please help. | Hello doctor, I am a 25-year-old boy. Since last 4 to 5 months sometimes sudden sharp chest pain is coming at different points and that comes only for 1 or 2 seconds only. And sometimes left arm is also paining but that also for a few seconds only. I have consulted an experienced cardiologist and done all necessary tests ECG, echo, cardio, doppler test, stress test, and lipid profile test. All reports came normal. For more confirmation, I want to show you my reports. Can you please check my reports and let me know what is the cause of this pain? | Hi. Your tests are normal (attachment removed to protect patient identity). Pain is not due to heart. Other common cause of pain is anxiety and stress. For that do regular exercise, reduce weight if you are overweight, avoid any addiction if you are addicted to smoking, etc. Stress and anxiety, musculoskeletal pain. If the pain is continuous take painkiller tablet Ibuprofen 400 mg at the time of pain. Avoid stress, daily exercise such as brisk walk for 30 minutes at least. |
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Hello doctor, I am a 25-year-old boy. Since last 4 to 5 months sometimes sudden sharp chest pain is coming at different points and that comes only for 1 or 2 seconds only. And sometimes left arm is also paining but that also for a few seconds only. I have consulted an experienced cardiologist and done all necessary tests ECG, echo, cardio, doppler test, stress test, and lipid profile test. All reports came normal. For more confirmation, I want to show you my reports. Can you please check my reports and let me know what is the cause of this pain? [/INST] Hi. Your tests are normal (attachment removed to protect patient identity). Pain is not due to heart. Other common cause of pain is anxiety and stress. For that do regular exercise, reduce weight if you are overweight, avoid any addiction if you are addicted to smoking, etc. Stress and anxiety, musculoskeletal pain. If the pain is continuous take painkiller tablet Ibuprofen 400 mg at the time of pain. Avoid stress, daily exercise such as brisk walk for 30 minutes at least. |
Q. Is it advisable to do bone marrow transplant for acute leukemia? | Hello doctor,My friend's brother is diagnosed with blood cancer and has gone through first chemotherapy three weeks ago. According to acute leukemia immunophenotyping by flow cytometry report, morphologic and immunophenotypic findings are consistent with acute myeloid leukemia. Immunophenotypic findings include 73.6 % of viable cells are myeloblasts. The blast range from small to intermediate in size by a forward light scatter and express moderate CD 117, dim CD113, dim to negative CD33, bright CD34, heterogeneous CD38, heterogeneous HLA-DR but negative for CD10, CD20, CD3, CD45, CD56, Cd64. Advise given include cryogenetic studies including t(8,21), FLT3-ITD, NPMI, and CEBP-alpha mutation studies. The doctor is suggesting to do a bone marrow transplant for survival. | Hi. Sorry to hear about his ill health. Let me tell you that after seven days of the first round of chemotherapy, bone marrow biopsy should be done to check for the percentage of the blast. Ideally, it should be less than 5 % blast after the first round of chemotherapy. Then consolidation chemotherapy is given to prevent relapse of leukemia cells. Stem cell transplantation can be done in young age group people but it is costly. So various chemotherapy and stem cell transplant is the only therapy available. The mentioned cytogenetic and mutation study will help in predicting prognosis. You can follow hematooncologist advise for your condition. AML. Cytogenetic study. Chemotherapy. Complete chemotherapy. |
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Hello doctor,My friend's brother is diagnosed with blood cancer and has gone through first chemotherapy three weeks ago. According to acute leukemia immunophenotyping by flow cytometry report, morphologic and immunophenotypic findings are consistent with acute myeloid leukemia. Immunophenotypic findings include 73.6 % of viable cells are myeloblasts. The blast range from small to intermediate in size by a forward light scatter and express moderate CD 117, dim CD113, dim to negative CD33, bright CD34, heterogeneous CD38, heterogeneous HLA-DR but negative for CD10, CD20, CD3, CD45, CD56, Cd64. Advise given include cryogenetic studies including t(8,21), FLT3-ITD, NPMI, and CEBP-alpha mutation studies. The doctor is suggesting to do a bone marrow transplant for survival. [/INST] Hi. Sorry to hear about his ill health. Let me tell you that after seven days of the first round of chemotherapy, bone marrow biopsy should be done to check for the percentage of the blast. Ideally, it should be less than 5 % blast after the first round of chemotherapy. Then consolidation chemotherapy is given to prevent relapse of leukemia cells. Stem cell transplantation can be done in young age group people but it is costly. So various chemotherapy and stem cell transplant is the only therapy available. The mentioned cytogenetic and mutation study will help in predicting prognosis. You can follow hematooncologist advise for your condition. AML. Cytogenetic study. Chemotherapy. Complete chemotherapy. |
Q. What is the reason for pain in the back and body while standing for long hours? | Hello doctor,I am in my late 40's and I feel weak and have been suffering from back pain, body pain, standing for long hours is also quite painful for me. What supplements should I take? | Hi. You could get Calcium supplements for a few weeks as calcium depletion at this age is common and women are more prone to a decreased bone density which can be symptoms like you have. However, it would be wise to get a thorough body check-up and get some blood work done for mineral levels and a full blood count. You can also get a serum electrolytes test done. Also, let me know if you have other symptoms like dizziness, low blood pressure, etc. You are dangerously underweight which explains your symptoms. Do you have an eating disorder or have you lost weight recently? Please let me know so that I can help you further. |
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Hello doctor,I am in my late 40's and I feel weak and have been suffering from back pain, body pain, standing for long hours is also quite painful for me. What supplements should I take? [/INST] Hi. You could get Calcium supplements for a few weeks as calcium depletion at this age is common and women are more prone to a decreased bone density which can be symptoms like you have. However, it would be wise to get a thorough body check-up and get some blood work done for mineral levels and a full blood count. You can also get a serum electrolytes test done. Also, let me know if you have other symptoms like dizziness, low blood pressure, etc. You are dangerously underweight which explains your symptoms. Do you have an eating disorder or have you lost weight recently? Please let me know so that I can help you further. |
Q. I get recurrent fungal infection in ear with pain and tinnitus. Why does it happen? | Hi doctor, I want to ask about the condition of my ear because I have pain in one ear and I had some fungi in addition to the tinnitus. I recently went to a doctor, so he gave me some drops to eliminate these fungi, but after getting rid of those few fungi, I do not hear as well as the other ear. Some blood started flowing, and the pain is more. I think that there are infections and something more dangerous because the blood has not stopped. Please help. | Hi. As you have rightly put it, there is a possibility of recurrent fungal infection what we call as otomycosis. This condition is very notorious for its recurrence even after treatment. Usually, usage of earbuds i.e. q-tip initiate the entire problem as often the cotton tip is not sterilized in a proper manner thereby introducing infection. The entire fungal blob can obstruct your ear canal, and you will have fullness along with itching and associated pain. It is very essential that the fungal blob be suctioned out completely not leaving backtraces of fungal hyphae as they can form another colony in no time. I recommend you to see an ENT to get this entire blob suctioned out. Continue to use the antifungal ear drops (I usually recommended a combination containing Clotrimazole as it is the most effective in treating such conditions). It will take a while before your ear gets back to normal and there is nothing you need to get stressed about as it is a very common entity we encounter in the outpatient department. I hope this helps. |
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Hi doctor, I want to ask about the condition of my ear because I have pain in one ear and I had some fungi in addition to the tinnitus. I recently went to a doctor, so he gave me some drops to eliminate these fungi, but after getting rid of those few fungi, I do not hear as well as the other ear. Some blood started flowing, and the pain is more. I think that there are infections and something more dangerous because the blood has not stopped. Please help. [/INST] Hi. As you have rightly put it, there is a possibility of recurrent fungal infection what we call as otomycosis. This condition is very notorious for its recurrence even after treatment. Usually, usage of earbuds i.e. q-tip initiate the entire problem as often the cotton tip is not sterilized in a proper manner thereby introducing infection. The entire fungal blob can obstruct your ear canal, and you will have fullness along with itching and associated pain. It is very essential that the fungal blob be suctioned out completely not leaving backtraces of fungal hyphae as they can form another colony in no time. I recommend you to see an ENT to get this entire blob suctioned out. Continue to use the antifungal ear drops (I usually recommended a combination containing Clotrimazole as it is the most effective in treating such conditions). It will take a while before your ear gets back to normal and there is nothing you need to get stressed about as it is a very common entity we encounter in the outpatient department. I hope this helps. |
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 deranged triglycerides and HDL. Why? | Hi doctor, My cholesterol is 170, triglycerides are 293, HDL 24 and LDL 107, non-HDL cholesterol 143. What measures should I take and when should I repeat my test? | Hello. I have gone through your report, and especially your triglycerides and HDL are deranged. These are not immediately life-threatening but may be harmful in long term. Firstly, I guess this was a fasting sample even without tea in the morning, if not then you should get it repeated with absolute fasting of at least eight hours as it can falsely elevate triglycerides. Next thing, you should have a period of 2 to 3 months with a healthy lifestyle before starting medicines as medicine may reduce triglycerides but it will again rise after you stop medicines. So maintenance is important with lifestyle changes. So, you should have a healthy lifestyle like avoiding fatty oily and a high-calorie diet. Avoid free sugar, cola drink, and other beverages. Plenty of green leafy vegetables. Reduce alcohol consumption and smoking, non-vegetarian especially meat and chicken, if any. Most important are the exercise to burn your lipids, so should have at least 30 minutes a day and at least five days a week of exercise like brisk walking or running according to your capacity. After 2 to 3 months of a healthy lifestyle, repeat lipid profile and see for the changes. If there is no response then you may take medicines like Fenofibrate. |
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Hi doctor, My cholesterol is 170, triglycerides are 293, HDL 24 and LDL 107, non-HDL cholesterol 143. What measures should I take and when should I repeat my test? [/INST] Hello. I have gone through your report, and especially your triglycerides and HDL are deranged. These are not immediately life-threatening but may be harmful in long term. Firstly, I guess this was a fasting sample even without tea in the morning, if not then you should get it repeated with absolute fasting of at least eight hours as it can falsely elevate triglycerides. Next thing, you should have a period of 2 to 3 months with a healthy lifestyle before starting medicines as medicine may reduce triglycerides but it will again rise after you stop medicines. So maintenance is important with lifestyle changes. So, you should have a healthy lifestyle like avoiding fatty oily and a high-calorie diet. Avoid free sugar, cola drink, and other beverages. Plenty of green leafy vegetables. Reduce alcohol consumption and smoking, non-vegetarian especially meat and chicken, if any. Most important are the exercise to burn your lipids, so should have at least 30 minutes a day and at least five days a week of exercise like brisk walking or running according to your capacity. After 2 to 3 months of a healthy lifestyle, repeat lipid profile and see for the changes. If there is no response then you may take medicines like Fenofibrate. |
Q. What does increased IgE and immunodeficiency states in report indicate? | Hello doctor, Today I received my blood report online. And in that, it is mentioned that my IgE serum level is increased by 4 %. And also there is an increase in the level of atopic/non-atopic allergy, hyper IgE syndrome, parasitic infections, IgE myeloma, pulmonary aspergillosis, immunodeficiency states, and autoimmune diseases. So please tell me what the report says. | Hello. You have not mentioned that reason for which you got this test done. Anyways most of the doctors send for this investigation considering allergy (to dust particles) in the blood. Hence, the test was done and the report suggested mild elevation of serum IgE which indicates you have a little affinity for dust allergy but this is not a very significant rise hence take precautions by avoiding dust, regular usage of masks or handkerchiefs, keeping your pillow covers and bed sheets clean. Allergy. Vitamin D levels. |
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Hello doctor, Today I received my blood report online. And in that, it is mentioned that my IgE serum level is increased by 4 %. And also there is an increase in the level of atopic/non-atopic allergy, hyper IgE syndrome, parasitic infections, IgE myeloma, pulmonary aspergillosis, immunodeficiency states, and autoimmune diseases. So please tell me what the report says. [/INST] Hello. You have not mentioned that reason for which you got this test done. Anyways most of the doctors send for this investigation considering allergy (to dust particles) in the blood. Hence, the test was done and the report suggested mild elevation of serum IgE which indicates you have a little affinity for dust allergy but this is not a very significant rise hence take precautions by avoiding dust, regular usage of masks or handkerchiefs, keeping your pillow covers and bed sheets clean. Allergy. Vitamin D levels. |
Q. What should be done for sensitivity in gums? | Hello doctor, I am suffering from pain in my mouth. It is like sensitivity pain. I cannot say it is pain exactly, it is irritating a lot. No pain in teeth. It is feeling like itching in my gums (middle of the teeth). Please tell me what can I do. | Hello. According to the characteristics you have mentioned, it seems that you have a mild gum infection. Do not worry it is common and not a big problem. You can follow some instructions given. Brush twice a day. Using floss at least once a day. Gum massage with gum ointment. Use antiseptic mouthwash or lukewarm water with a pinch of salt to rinse your mouth. Avoid too much cold or too hot food. You need a professional dental cleaning so see your dentist (attachment removed to protect patient identity). Poor oral hygiene. Clinical examination. Gingivitis, periodontitis. Generalized gingivitis. Oral prophylaxis. Avoid too hot and cold food. |
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Hello doctor, I am suffering from pain in my mouth. It is like sensitivity pain. I cannot say it is pain exactly, it is irritating a lot. No pain in teeth. It is feeling like itching in my gums (middle of the teeth). Please tell me what can I do. [/INST] Hello. According to the characteristics you have mentioned, it seems that you have a mild gum infection. Do not worry it is common and not a big problem. You can follow some instructions given. Brush twice a day. Using floss at least once a day. Gum massage with gum ointment. Use antiseptic mouthwash or lukewarm water with a pinch of salt to rinse your mouth. Avoid too much cold or too hot food. You need a professional dental cleaning so see your dentist (attachment removed to protect patient identity). Poor oral hygiene. Clinical examination. Gingivitis, periodontitis. Generalized gingivitis. Oral prophylaxis. Avoid too hot and cold food. |
Q. Took Addyzoa for five days during pregnancy. Will it harm me or baby? | Hello doctor, I am 23 weeks pregnant and by mistake, I have taken a wrong medicine by the name of Addyzoa for five days. I am attaching its wrapper for the prescription. I am very very tensed. Please check. Please let me know if this could do any harm to me or baby. | Hi. As Addyzoa is an ayurvedic drug, there are no safety trials reported with it in pregnancy. However, the dose was taken at 23 weeks when organogenesis (formation of different organs) has already taken place, the chance of any birth defects due to this incident will be very low. |
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Hello doctor, I am 23 weeks pregnant and by mistake, I have taken a wrong medicine by the name of Addyzoa for five days. I am attaching its wrapper for the prescription. I am very very tensed. Please check. Please let me know if this could do any harm to me or baby. [/INST] Hi. As Addyzoa is an ayurvedic drug, there are no safety trials reported with it in pregnancy. However, the dose was taken at 23 weeks when organogenesis (formation of different organs) has already taken place, the chance of any birth defects due to this incident will be very low. |
Q. What can be done if a child shows tantrums and speaks bad words? | Hello doctor, My child is 2.7 years old but is very aggressive and does what should not be done. Never listens, shows tantrums a lot but learns things very quickly and speaks bad words where people start to scold him and he does it repeatedly. | Hi. Nothing to worry here. Have to be very careful during this phase. This happens with most children, mostly males during this age group. Few tips: Never scold him publicly, never reinforce any instructions repeatedly. If any unwanted action is being performed, like badwords, just ignore it. He will stop doing once you are inattentive to those. Attention seeking behaviors need to be just ignored. Those members at home should also do the same. Love him well. Make him attentive to learning, like books, drawing, innovative toys, etc. Keep away from mobile games, television. Keep outing to gardens, parks, etc., and let him play with fellow kids. Parents need to be very careful to avoid rough behavior, rude words, etc., at home as these will be copied ditto by him, though he never understands the meaning of these. Most of the tantrums are transient, will last only a couple of months if you follow these. |
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Hello doctor, My child is 2.7 years old but is very aggressive and does what should not be done. Never listens, shows tantrums a lot but learns things very quickly and speaks bad words where people start to scold him and he does it repeatedly. [/INST] Hi. Nothing to worry here. Have to be very careful during this phase. This happens with most children, mostly males during this age group. Few tips: Never scold him publicly, never reinforce any instructions repeatedly. If any unwanted action is being performed, like badwords, just ignore it. He will stop doing once you are inattentive to those. Attention seeking behaviors need to be just ignored. Those members at home should also do the same. Love him well. Make him attentive to learning, like books, drawing, innovative toys, etc. Keep away from mobile games, television. Keep outing to gardens, parks, etc., and let him play with fellow kids. Parents need to be very careful to avoid rough behavior, rude words, etc., at home as these will be copied ditto by him, though he never understands the meaning of these. Most of the tantrums are transient, will last only a couple of months if you follow these. |
Q. I have painful pea-like lump on labia. Will it go on its own? | Hello doctor, I am having a pea-like lump in my labia it is not visible but it is like a ball and painful. I have started having Ciplox 500 and applying a warm compress. Please help as I am very scared regarding what is it and how will it go away? | Hi. Your history suggests a Bartholin abscess or maybe a fungal growth. The growth actually needs to be seen before I can give you any coherent advice. But I definitely suggest personal hygiene, wearing cotton underwear and preferably sun drying your underwear to prevent any infection. Good diet and exercise goes a long way to provide immunity against genital infections too. For relief, I suggest you start a warm sitz bath and avoid intercourse for a few days. Any over the counter painkillers like Paracetamol can be taken if you have no known drug sensitivity. But if still your symptoms do not subside you may have to take antibiotics. I hope this helps. |
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Hello doctor, I am having a pea-like lump in my labia it is not visible but it is like a ball and painful. I have started having Ciplox 500 and applying a warm compress. Please help as I am very scared regarding what is it and how will it go away? [/INST] Hi. Your history suggests a Bartholin abscess or maybe a fungal growth. The growth actually needs to be seen before I can give you any coherent advice. But I definitely suggest personal hygiene, wearing cotton underwear and preferably sun drying your underwear to prevent any infection. Good diet and exercise goes a long way to provide immunity against genital infections too. For relief, I suggest you start a warm sitz bath and avoid intercourse for a few days. Any over the counter painkillers like Paracetamol can be taken if you have no known drug sensitivity. But if still your symptoms do not subside you may have to take antibiotics. I hope this helps. |
Q. I have a 3 mm patent foramen ovale. Is treatment required? | Hello doctor, I recently suffered severe chest pains. Blood results were all fine but heart sonar indicated a 3 mm patent foramen ovale. I just want to know if there is a need for treatment. | Hi. Small PFO (patent foramen ovale) is usually silent but may cause a stroke or pulmonary embolism if thrombus travels across it from right to left or left to right respectively. Moreover, your report says aneurysm of 12 mm, that needs consideration. I would suggest transesophageal echo to study it in detail. Usually, PFO is closed by the device but an aneurysm may need surgery. So, I advise you to have a transesophageal echo done and then plan will be decided accordingly. |
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Hello doctor, I recently suffered severe chest pains. Blood results were all fine but heart sonar indicated a 3 mm patent foramen ovale. I just want to know if there is a need for treatment. [/INST] Hi. Small PFO (patent foramen ovale) is usually silent but may cause a stroke or pulmonary embolism if thrombus travels across it from right to left or left to right respectively. Moreover, your report says aneurysm of 12 mm, that needs consideration. I would suggest transesophageal echo to study it in detail. Usually, PFO is closed by the device but an aneurysm may need surgery. So, I advise you to have a transesophageal echo done and then plan will be decided accordingly. |
Q. Kindly suggest methods to quit smoking. | Hi doctor, My husband smokes a lot. How can I make him quit the smoke? Please help me with the answer. | Hello. Nicotex gum is may be useful in his case. The 4 mg dose of gum is recommended if he smokes 25 or more cigarettes per day, whereas the 2 mg dose if less. He should chew the gum whenever he has an urge to smoke. He can chew one piece of gum every one to two hours for six weeks, with a gradual reduction over a second six weeks, for a total duration of three months. Acidic beverages (like coffee, beverages) should be avoided before and during gum use. |
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Hi doctor, My husband smokes a lot. How can I make him quit the smoke? Please help me with the answer. [/INST] Hello. Nicotex gum is may be useful in his case. The 4 mg dose of gum is recommended if he smokes 25 or more cigarettes per day, whereas the 2 mg dose if less. He should chew the gum whenever he has an urge to smoke. He can chew one piece of gum every one to two hours for six weeks, with a gradual reduction over a second six weeks, for a total duration of three months. Acidic beverages (like coffee, beverages) should be avoided before and during gum use. |
Q. Any suggestions of quick relief for external hemorrhoid ? | Hi doctor, I am a software engineer. I got an external hemorrhoid for the past two days. There is no bleeding, but it is painful. Also, there is no constipation as such. Seven months back, it used to happen frequently and it used to go away on its own in a few days. I was exercising earlier and now stopped for the last three to four months. I am taking Pilex tablet and cream. I need to get quick relief as I have to travel. | Hi. You can apply Anovate cream (Beclomethasone, Phenylephrine and Lignocaine) for three to five times a day. Remember, all the local acting cream has duration of action of four to six hours and need to be applied again. If pain is severe, then try oral medication like Dolo 650 (Paracetamol) or Diclofenac. Please meet a surgeon for permanent surgical treatment. For further information consult a general practitioner online --> |
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Hi doctor, I am a software engineer. I got an external hemorrhoid for the past two days. There is no bleeding, but it is painful. Also, there is no constipation as such. Seven months back, it used to happen frequently and it used to go away on its own in a few days. I was exercising earlier and now stopped for the last three to four months. I am taking Pilex tablet and cream. I need to get quick relief as I have to travel. [/INST] Hi. You can apply Anovate cream (Beclomethasone, Phenylephrine and Lignocaine) for three to five times a day. Remember, all the local acting cream has duration of action of four to six hours and need to be applied again. If pain is severe, then try oral medication like Dolo 650 (Paracetamol) or Diclofenac. Please meet a surgeon for permanent surgical treatment. For further information consult a general practitioner online --> |
Q. How can I cure infected piercing? | Hello doctor, I have an infected piercing. It is already one month since I have got a piercing. My infection is getting worse so I removed it. What should I do to my wound? I removed my piercing. It is my first time to be pierced so I do not know how to clean it and I am using fake pieces of jewelry. I think I am allergic to that earrings. Every day it is getting worse and the hole of my earrings its getting bigger like the size of my earrings. I do not know if it is okay to remove it. | Hi. I am sorry for the infection site you are experiencing. You need to get evaluated by your physician. I think you need prescription oral antibiotics. Wash with warm water and antiseptic soap, rinse well, dry thoroughly, apply oxygenated water, then apply Betadine. At the end apply Gentamycin or Bacitracin ointment. During the day apply alternating hot and cold compresses locally to ease drainage. |
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Hello doctor, I have an infected piercing. It is already one month since I have got a piercing. My infection is getting worse so I removed it. What should I do to my wound? I removed my piercing. It is my first time to be pierced so I do not know how to clean it and I am using fake pieces of jewelry. I think I am allergic to that earrings. Every day it is getting worse and the hole of my earrings its getting bigger like the size of my earrings. I do not know if it is okay to remove it. [/INST] Hi. I am sorry for the infection site you are experiencing. You need to get evaluated by your physician. I think you need prescription oral antibiotics. Wash with warm water and antiseptic soap, rinse well, dry thoroughly, apply oxygenated water, then apply Betadine. At the end apply Gentamycin or Bacitracin ointment. During the day apply alternating hot and cold compresses locally to ease drainage. |
Q. Why is there no period after stopping Primolut N and taking I-pill? | Hello doctor, My wife took Primolut N when we were about to get married (for 17 days) and then on the 15th, 16th and the 17th day we had unprotected intercourse. In order to avoid pregnancy, she stopped her Primolut N dosage on the 17th day and tool an I-pill. In spite of doing so, she has not got her periods. Can she be pregnant? | Hi. Although history is not complete, she got an overdose of hormones which might effect withdrawal bleed as well as periods. Stress, overwork, illness, medications, hormonal imbalance all can delay periods. Have serum beta hCG to check pregnancy. If no pregnancy, then wait for weeks at least before menstrual induction (tablet Primolute N 10 mg twice daily for five days and wait for bleeding for 1 to 2 weeks). Next periods could be irregular after withdrawal bleed but gradually periods will get back to normal as soon as the body gets rid of externally induced hormones (I-pill, Primolut N). Missed periods post pill. Beta hCG. Beta hCG if negative have menstrual induction. Cocp (oral contraceptive pills) for regulating cycles. |
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Hello doctor, My wife took Primolut N when we were about to get married (for 17 days) and then on the 15th, 16th and the 17th day we had unprotected intercourse. In order to avoid pregnancy, she stopped her Primolut N dosage on the 17th day and tool an I-pill. In spite of doing so, she has not got her periods. Can she be pregnant? [/INST] Hi. Although history is not complete, she got an overdose of hormones which might effect withdrawal bleed as well as periods. Stress, overwork, illness, medications, hormonal imbalance all can delay periods. Have serum beta hCG to check pregnancy. If no pregnancy, then wait for weeks at least before menstrual induction (tablet Primolute N 10 mg twice daily for five days and wait for bleeding for 1 to 2 weeks). Next periods could be irregular after withdrawal bleed but gradually periods will get back to normal as soon as the body gets rid of externally induced hormones (I-pill, Primolut N). Missed periods post pill. Beta hCG. Beta hCG if negative have menstrual induction. Cocp (oral contraceptive pills) for regulating cycles. |
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 ear after getting a slap on my ear. What damage could it caused? | Hello doctor, I have semi acute pain in my left ear due to someone slapped in my ear while ragging last year. I did not visit a doctor because I feel uncomfortable about discussing this issue. But nowadays I feel a sound that is like when water enters our ear. Now, I have feared of phonophobia. Please suggest. | Hi. You might have developed an eardrum hole i.e. perforation since the eardrum is a very delicate structure and cannot tolerate a high volume and high impact gush of air. In such a circumstance, you will definitely have symptoms such as ringing sensations, feeling of air coming out, irritation, unable to tolerate loud sounds, and even decreased hearing. There is nothing to worry as the eardrum heals on its own in four to six weeks provided you follow certain precautionary measures. Precautionary measures include not allowing water to enter the ear. Place sterile cotton in the outer ear and wear a shower cap as well while having a head bath. Cotton places have to be changed every six hours during the day. There is no medication as such required unless your ear has got infected and there is discharge. In such a situation, the healing process might take even more time or sometimes if adequate care and hygiene are not maintained, the hole or perforation might not heal at all and might require surgery to get it closed. I hope this helps. |
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Hello doctor, I have semi acute pain in my left ear due to someone slapped in my ear while ragging last year. I did not visit a doctor because I feel uncomfortable about discussing this issue. But nowadays I feel a sound that is like when water enters our ear. Now, I have feared of phonophobia. Please suggest. [/INST] Hi. You might have developed an eardrum hole i.e. perforation since the eardrum is a very delicate structure and cannot tolerate a high volume and high impact gush of air. In such a circumstance, you will definitely have symptoms such as ringing sensations, feeling of air coming out, irritation, unable to tolerate loud sounds, and even decreased hearing. There is nothing to worry as the eardrum heals on its own in four to six weeks provided you follow certain precautionary measures. Precautionary measures include not allowing water to enter the ear. Place sterile cotton in the outer ear and wear a shower cap as well while having a head bath. Cotton places have to be changed every six hours during the day. There is no medication as such required unless your ear has got infected and there is discharge. In such a situation, the healing process might take even more time or sometimes if adequate care and hygiene are not maintained, the hole or perforation might not heal at all and might require surgery to get it closed. I hope this helps. |
Q. Are hair fall, skin infections, and overweight due to hypothyroidism? | Hello doctor, I have hypothyroidism. With that, I am facing hair fall, skin infections, overweight, high cholesterol, and memory loss. Are all these happening because of thyroid or there are other factors involved? I am a firm believer in Ayurveda but can this be treated with Ayurveda permanently? I do not want to pop hormone pills for the rest of my life. More details about the presenting complaint. I used to be a heavy smoker and drinker. I have started following a good diet from the last 2 to 3 months but the effects are negligible so far. Previous history of the same issue. Never got myself tested but I have been facing these symptoms from the last 4 to 5 years. The current medications: None at present. Past medications of the same issue include Medohar Vati, Brahmi, and Panch nimbadi vati. | Hi. Hypothyroidism may cause these symptoms as you have described. But it is other possibilities too. Hair fall may be due to infection, excessive use of different kinds of shampoo and conditioner, changes in food habits and water, stress, etc. Stress and anxiety may lead to loss of memory. A sedentary lifestyle may cause obesity. But according to your complaints, it seems like hypothyroidism is one of the major cause. It can be managed naturally through ayurvedic medicines and Yoga techniques. Dress, anxiety, changes in food habits, and lifestyles, lack of physical activity, etc. Thyroid profile, lipid profile, blood sugar, blood pressure. Obesity, diabetes. You are taking good medicines, and there is a need to add some other medicines too. Avoid spicy and fried junk foods. Quit smoking and drinking if you have these habits. Do regular Kapalbhati and Mandukasana as well as Pranayama like Anuloma vilom, Nadi sodhan, Bhramari, and Ujjaai. |
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Hello doctor, I have hypothyroidism. With that, I am facing hair fall, skin infections, overweight, high cholesterol, and memory loss. Are all these happening because of thyroid or there are other factors involved? I am a firm believer in Ayurveda but can this be treated with Ayurveda permanently? I do not want to pop hormone pills for the rest of my life. More details about the presenting complaint. I used to be a heavy smoker and drinker. I have started following a good diet from the last 2 to 3 months but the effects are negligible so far. Previous history of the same issue. Never got myself tested but I have been facing these symptoms from the last 4 to 5 years. The current medications: None at present. Past medications of the same issue include Medohar Vati, Brahmi, and Panch nimbadi vati. [/INST] Hi. Hypothyroidism may cause these symptoms as you have described. But it is other possibilities too. Hair fall may be due to infection, excessive use of different kinds of shampoo and conditioner, changes in food habits and water, stress, etc. Stress and anxiety may lead to loss of memory. A sedentary lifestyle may cause obesity. But according to your complaints, it seems like hypothyroidism is one of the major cause. It can be managed naturally through ayurvedic medicines and Yoga techniques. Dress, anxiety, changes in food habits, and lifestyles, lack of physical activity, etc. Thyroid profile, lipid profile, blood sugar, blood pressure. Obesity, diabetes. You are taking good medicines, and there is a need to add some other medicines too. Avoid spicy and fried junk foods. Quit smoking and drinking if you have these habits. Do regular Kapalbhati and Mandukasana as well as Pranayama like Anuloma vilom, Nadi sodhan, Bhramari, and Ujjaai. |
Q. How to treat canker sores with pus in them? | Hello doctor, I have a couple of canker sores and two are on my lip and has pus in them and two on the bottom. Can you tell me what to do with them? | Hello. I have been through your query and I can understand your concern. Canker sores are a characteristic feature of syphilis. This syphilis is a sexually transmitted disease. Purulent pustules are generally seen which burst to form canker sores. You should get yourself tested for the syphilis infection as soon as possible because syphilis should be treated immediately. Otherwise, it can lead to some of the serious complications to the brain, heart, nervous system, etc. However, you do not need to worry as once detected it can be completely eradicated from the body. I would advise you to have a visit to your nearest dentist and also make an appointment with the general physician for eliminating any other cause for the same. If you were my patient, after detailed drug history, I would have prescribed you antibiotics like Penicillin and topical analgesics (if the pain is in the sores) for the infection elimination. I would also advise you to adhere to not having sex during this period as it can spread through having sex. I would also advise you to have good oral hygiene and brush your teeth twice daily and floss regularly. |
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Hello doctor, I have a couple of canker sores and two are on my lip and has pus in them and two on the bottom. Can you tell me what to do with them? [/INST] Hello. I have been through your query and I can understand your concern. Canker sores are a characteristic feature of syphilis. This syphilis is a sexually transmitted disease. Purulent pustules are generally seen which burst to form canker sores. You should get yourself tested for the syphilis infection as soon as possible because syphilis should be treated immediately. Otherwise, it can lead to some of the serious complications to the brain, heart, nervous system, etc. However, you do not need to worry as once detected it can be completely eradicated from the body. I would advise you to have a visit to your nearest dentist and also make an appointment with the general physician for eliminating any other cause for the same. If you were my patient, after detailed drug history, I would have prescribed you antibiotics like Penicillin and topical analgesics (if the pain is in the sores) for the infection elimination. I would also advise you to adhere to not having sex during this period as it can spread through having sex. I would also advise you to have good oral hygiene and brush your teeth twice daily and floss regularly. |
Q. I have a white spot behind my lower molar with swelling and soreness. Why? | Hello doctor, I have just noticed a white spot embedded in my gum behind my lower back molar teeth. The area is a bit swollen and is a little sore. My throat is also a bit swollen and a little sore. | Hello. I have been through your query and I can understand your concern. I need to know if you have any cavity or carious tooth near that sore. If yes, it might be due to the infection of the tooth which is exudating via the gum. However, if no carious tooth is there, then it is an aphthous ulcer and it will subside on its own within a week or two. If the sore does not go after two weeks, make an appointment with your nearest dentist to get the sore tested for any anomaly. I would have prescribed you with Mouth Paint Ora-Gel or Dolo Gel in order to get relief from the pain (if any). Rub a drop or two over the white spot gently half an hour before meals. I would also suggest you do warm saline gargles in order to relieve your throat. I would advise you to have good oral hygiene and brush your teeth twice daily and floss regularly. Consider follow up after a week here. |
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Hello doctor, I have just noticed a white spot embedded in my gum behind my lower back molar teeth. The area is a bit swollen and is a little sore. My throat is also a bit swollen and a little sore. [/INST] Hello. I have been through your query and I can understand your concern. I need to know if you have any cavity or carious tooth near that sore. If yes, it might be due to the infection of the tooth which is exudating via the gum. However, if no carious tooth is there, then it is an aphthous ulcer and it will subside on its own within a week or two. If the sore does not go after two weeks, make an appointment with your nearest dentist to get the sore tested for any anomaly. I would have prescribed you with Mouth Paint Ora-Gel or Dolo Gel in order to get relief from the pain (if any). Rub a drop or two over the white spot gently half an hour before meals. I would also suggest you do warm saline gargles in order to relieve your throat. I would advise you to have good oral hygiene and brush your teeth twice daily and floss regularly. Consider follow up after a week here. |
Q. How are Meprate and intercourse related? Please explain. | Hi doctor, I am a childless woman for the past six years after marriage. Recently, we went to an IVF center. All my reports and my partner's reports were normal. The doctor prescribed me medicines such as Letrozole, Metital, Supradyn, Folmet, and Meprate. I am confused about Meprate. I am maintaining a calendar to track my menstrual cycle so that intercourse during ovulation can increase the chances of pregnancy. How are Meprate and intercourse related? Please guide me. | Hi. Most of the medications given in the process of treatment help in having a regular menstrual cycle, regular ovulation, and to get rid of irregular periods and to support conception. Meprate is progestin. It will act as progesterone which reduces the overgrowth of endometrial thickness, and they help in ovulation. They are given in patients having irregular cycles. After ovulation, it helps in conception. For quitting the medications, you have to consult your treating doctor. Have folic acid regularly. |
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Hi doctor, I am a childless woman for the past six years after marriage. Recently, we went to an IVF center. All my reports and my partner's reports were normal. The doctor prescribed me medicines such as Letrozole, Metital, Supradyn, Folmet, and Meprate. I am confused about Meprate. I am maintaining a calendar to track my menstrual cycle so that intercourse during ovulation can increase the chances of pregnancy. How are Meprate and intercourse related? Please guide me. [/INST] Hi. Most of the medications given in the process of treatment help in having a regular menstrual cycle, regular ovulation, and to get rid of irregular periods and to support conception. Meprate is progestin. It will act as progesterone which reduces the overgrowth of endometrial thickness, and they help in ovulation. They are given in patients having irregular cycles. After ovulation, it helps in conception. For quitting the medications, you have to consult your treating doctor. Have folic acid regularly. |
Q. What could a fever of two days duration and rigors be due to? | Hello doctor, A 58 year old man had a high fever with rigors yesterday. He has given blood for testing. After the completion of the blood test, he had a febrile illness. Can you suggest medications and do's and don'ts? | Hello. Fever of two days duration with rigors may be non-specific, viral, malaria or a urinary tract infection. Look for rashes on the body because viral fevers are prevalent now. Take Dolo 650 (Paracetamol) as when the fever comes, up to a maximum of four times a day. And, if the fever is more than 101 degrees, do a cold sponging. If he has a cold or cough, he can start antibiotic Augmentin 625 (Amoxicillin and Potassium Clavulanate) twice daily after food for five days. Do a complete blood picture and share the report. If you have any other queries please let me know. For more information consult an internal medicine physician online --> |
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Hello doctor, A 58 year old man had a high fever with rigors yesterday. He has given blood for testing. After the completion of the blood test, he had a febrile illness. Can you suggest medications and do's and don'ts? [/INST] Hello. Fever of two days duration with rigors may be non-specific, viral, malaria or a urinary tract infection. Look for rashes on the body because viral fevers are prevalent now. Take Dolo 650 (Paracetamol) as when the fever comes, up to a maximum of four times a day. And, if the fever is more than 101 degrees, do a cold sponging. If he has a cold or cough, he can start antibiotic Augmentin 625 (Amoxicillin and Potassium Clavulanate) twice daily after food for five days. Do a complete blood picture and share the report. If you have any other queries please let me know. For more information consult an internal medicine physician online --> |
Q. Can stiff neck and pain in arm be due to carpal tunnel syndrome? | Hello doctor, Six months back I was diagnosed by two doctors and tests with carpal tunnel syndrome. The suggestion was to go for an operation which regretfully I delayed until recently. The symptoms got worse. Now I have an appointment next month with a specialist. Meanwhile, I have pins and needles in the most upper part of my arm, basically in the shoulder for 15 to 20 minutes. They come totally unexpected, whether I move or not. They appear up to 15 times, typically in the morning when getting up. There is no pain, it is just very unpleasant and frightening since I cannot control it. Secondly, during the night when in bed my neck becomes very stiff, causing pain to wake me. A new medical cushion has not helped. My question is that are both symptoms related to CTS since I always thought this is located to the hand only. Can I expect relief after the operation or could this be something different? Currently, I am taking Atorvastatin, Atenolol, Exforge, Tamsulosin, Allopurinol. | Hi. Carpel tunnel syndrome will not cause any symptoms in the upper arm. However, it could be due to cervical nerve compression. This could be associated with or without the carpel tunnel syndrome independently. In my opinion, you should go for nerve conduction velocity NCV testing to be sure. |
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Hello doctor, Six months back I was diagnosed by two doctors and tests with carpal tunnel syndrome. The suggestion was to go for an operation which regretfully I delayed until recently. The symptoms got worse. Now I have an appointment next month with a specialist. Meanwhile, I have pins and needles in the most upper part of my arm, basically in the shoulder for 15 to 20 minutes. They come totally unexpected, whether I move or not. They appear up to 15 times, typically in the morning when getting up. There is no pain, it is just very unpleasant and frightening since I cannot control it. Secondly, during the night when in bed my neck becomes very stiff, causing pain to wake me. A new medical cushion has not helped. My question is that are both symptoms related to CTS since I always thought this is located to the hand only. Can I expect relief after the operation or could this be something different? Currently, I am taking Atorvastatin, Atenolol, Exforge, Tamsulosin, Allopurinol. [/INST] Hi. Carpel tunnel syndrome will not cause any symptoms in the upper arm. However, it could be due to cervical nerve compression. This could be associated with or without the carpel tunnel syndrome independently. In my opinion, you should go for nerve conduction velocity NCV testing to be sure. |
Q. I have heavy bleeding and spotting at times. Is there a possibility that I might have ectopic pregnancy? | Hello doctor, I am 21 years old. I decided to contact you because I do not know what to do. I had sex with my husband, and then we found out that he had a chlamydia infection. Since then, I am feeling sick all the time. My stomach was hurting a lot, and I had problems with passing urine, and it started to hurt deep inside. I went to a sexual health clinic, and I had a test (it came out as negative after one week), and they treated me for chlamydia. I was told to wait for a week for the symptoms to stop, but it was just getting worse and worse. I had heavy bleeding, spotting at times, and I was not able to move because of the pain. Those are just some of the symptoms I was having. I came back to the clinic, and they thought it could be PID (Pelvic Inflammatory Disease). So, they treated me for that. But those antibiotics did not help as well. I still have abdominal pain. I can feel something moving and kicking inside me. It is there all the time. I was at the clinic yesterday, and I had two pregnancy tests. The results came out the same (one clear line and the other one very light). The possibility of me being pregnant is very less because I was taking birth control pills for 2 years, and we always use condoms. Except for one time which was two months ago, but my husband did not ejaculate inside me. I did not have periods for 2 years, and that is why the bleeding worried me. I stopped taking birth control pills one week ago because I was worried that it could be pregnancy. I have read a lot about ectopic pregnancy, and the symptoms are the same as what I have been experiencing. I did two pregnancy tests at home, and they were negative. The sexual health clinic said that there is a possibility that I might have an ectopic pregnancy. I am very scared. It has been two months already, and I cannot stand it. What do I do? Am I pregnant? | Hello. If pregnancy is the concern, then the best way to find out is to get a blood serum beta hCG test done. This is a confirmatory test for pregnancy as the urine pregnancy kits may show false positive results. If the level of hCG is more than 1 or raised, then pregnancy is confirmed. If the level is less than 1, then pregnancy is completely ruled out. If the test is positive, then you should undergo an ultrasound pelvis to locate the pregnancy for its site, which could be intrauterine or possibly in the tubes (ectopic). If the USG shows extrauterine pregnancy, then you would require a laparoscopic salpingectomy to remove the damaged tube along with the ectopic pregnancy. If the pregnancy is intrauterine, then you may decide upon continuing the pregnancy. If the test is negative, then the possible cause remains UTI (Urinary Tract Infection) or a possible PID (Pelvic Inflammatory Disease) or endometriosis. Also, stress per se can cause derangement of hormonal balance and can cause heavy bleeding in spite of being on continuous progesterone pills. This can be controlled with antifibrinolytics in the absence of pregnancy. |
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Hello doctor, I am 21 years old. I decided to contact you because I do not know what to do. I had sex with my husband, and then we found out that he had a chlamydia infection. Since then, I am feeling sick all the time. My stomach was hurting a lot, and I had problems with passing urine, and it started to hurt deep inside. I went to a sexual health clinic, and I had a test (it came out as negative after one week), and they treated me for chlamydia. I was told to wait for a week for the symptoms to stop, but it was just getting worse and worse. I had heavy bleeding, spotting at times, and I was not able to move because of the pain. Those are just some of the symptoms I was having. I came back to the clinic, and they thought it could be PID (Pelvic Inflammatory Disease). So, they treated me for that. But those antibiotics did not help as well. I still have abdominal pain. I can feel something moving and kicking inside me. It is there all the time. I was at the clinic yesterday, and I had two pregnancy tests. The results came out the same (one clear line and the other one very light). The possibility of me being pregnant is very less because I was taking birth control pills for 2 years, and we always use condoms. Except for one time which was two months ago, but my husband did not ejaculate inside me. I did not have periods for 2 years, and that is why the bleeding worried me. I stopped taking birth control pills one week ago because I was worried that it could be pregnancy. I have read a lot about ectopic pregnancy, and the symptoms are the same as what I have been experiencing. I did two pregnancy tests at home, and they were negative. The sexual health clinic said that there is a possibility that I might have an ectopic pregnancy. I am very scared. It has been two months already, and I cannot stand it. What do I do? Am I pregnant? [/INST] Hello. If pregnancy is the concern, then the best way to find out is to get a blood serum beta hCG test done. This is a confirmatory test for pregnancy as the urine pregnancy kits may show false positive results. If the level of hCG is more than 1 or raised, then pregnancy is confirmed. If the level is less than 1, then pregnancy is completely ruled out. If the test is positive, then you should undergo an ultrasound pelvis to locate the pregnancy for its site, which could be intrauterine or possibly in the tubes (ectopic). If the USG shows extrauterine pregnancy, then you would require a laparoscopic salpingectomy to remove the damaged tube along with the ectopic pregnancy. If the pregnancy is intrauterine, then you may decide upon continuing the pregnancy. If the test is negative, then the possible cause remains UTI (Urinary Tract Infection) or a possible PID (Pelvic Inflammatory Disease) or endometriosis. Also, stress per se can cause derangement of hormonal balance and can cause heavy bleeding in spite of being on continuous progesterone pills. This can be controlled with antifibrinolytics in the absence of pregnancy. |
Q. My friend's son has been diagnosed with hypochondroplasia. Kindly suggest the best treatment. | Hello doctor, My friend's son has been diagnosed with hypochondroplasia. He is 11 months old. His height is 50 cm and weight is approximately 5 kg. Kindly suggest the best treatment. | Hi. Hypochondroplasia is a rare and genetically inherited condition. It involves the skeletal system, and the child's height and weight are definitely low. And birth history (attachment removed to protect patient identity) also suggests some abnormality. What about the parents status, is anyone affected or are they normal? Very rare tests have been performed, and he has been examined at reputed institutes and already seen by a genetic specialist. The child needs a multispeciality/multidisciplinary approach: Unfortunately, there are no medications to cure this disease. Genetic disorders can affect many body systems. The best we can do is treat the symptoms that are caused. There are more severe forms of the disease which can be life-threatening. Hypochondroplasia is only a milder form. Hope this information is helpful. |
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Hello doctor, My friend's son has been diagnosed with hypochondroplasia. He is 11 months old. His height is 50 cm and weight is approximately 5 kg. Kindly suggest the best treatment. [/INST] Hi. Hypochondroplasia is a rare and genetically inherited condition. It involves the skeletal system, and the child's height and weight are definitely low. And birth history (attachment removed to protect patient identity) also suggests some abnormality. What about the parents status, is anyone affected or are they normal? Very rare tests have been performed, and he has been examined at reputed institutes and already seen by a genetic specialist. The child needs a multispeciality/multidisciplinary approach: Unfortunately, there are no medications to cure this disease. Genetic disorders can affect many body systems. The best we can do is treat the symptoms that are caused. There are more severe forms of the disease which can be life-threatening. Hypochondroplasia is only a milder form. Hope this information is helpful. |
Q. My sister feels irritated, lonely, and emotionally unstable. What may be the reason? | Hello doctor, My cousin sister (age 25 years) is pursuing her studies and resides in a metro city. She lives alone. Often she feels irritated, lonely, and emotionally unstable. She also thinks that there is nothing to look forward to in her life, and she has no future. She is unable to concentrate on her studies. Sometimes she is in a good mood; however, that does not last long. What may be the reason? Please explain and suggest some remedial action. | Hi. I read your query and understand your concerns. From the available description, it is almost clear that she is suffering from depression. Depression is a common psychiatric disorder which occurs in 10 to 20 % of women and about 8 to 10% of men in their lifetime. Having said this, it is caused by multiple factors and treatment varies according to the cause. The most common is classical or unipolar depression. The second most common is bipolar disorder, which is characterized by both depression and manic episodes. The third possibility for her state is medical conditions induced depression, and it is also possible that she might have had a psychiatric disorder in the past and depression developed as a part of it. Whatever might be the cause, before we start treatment, we need to identify it. We also need to consider family history and support available for her. The third most important thing for treatment is to consider the severity of episodes. To get all these details, you need to give confidence to your cousin sister and consult a psychiatrist. |
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Hello doctor, My cousin sister (age 25 years) is pursuing her studies and resides in a metro city. She lives alone. Often she feels irritated, lonely, and emotionally unstable. She also thinks that there is nothing to look forward to in her life, and she has no future. She is unable to concentrate on her studies. Sometimes she is in a good mood; however, that does not last long. What may be the reason? Please explain and suggest some remedial action. [/INST] Hi. I read your query and understand your concerns. From the available description, it is almost clear that she is suffering from depression. Depression is a common psychiatric disorder which occurs in 10 to 20 % of women and about 8 to 10% of men in their lifetime. Having said this, it is caused by multiple factors and treatment varies according to the cause. The most common is classical or unipolar depression. The second most common is bipolar disorder, which is characterized by both depression and manic episodes. The third possibility for her state is medical conditions induced depression, and it is also possible that she might have had a psychiatric disorder in the past and depression developed as a part of it. Whatever might be the cause, before we start treatment, we need to identify it. We also need to consider family history and support available for her. The third most important thing for treatment is to consider the severity of episodes. To get all these details, you need to give confidence to your cousin sister and consult a psychiatrist. |
Q. I found mucous and blood in my stools. Is this normal? What should I do? | Hello doctor, I am a 22 year old female. My height is 5 feet and 6 inches, and I weigh 60 kg. A few days back, after dinner, I passed stools and while flushing, I found the stool to have mucous and blood. When I attempted to clean the anal region after defecating, I found all three tips of my fingers covered with blood. I cleaned it and checked again, and at that time, there was no blood. A few years back, I had the same complaints, but then it subsided without any treatment. I usually pass stools immediately after eating. Is this normal? What should I do? Please help. | Hi. Following are the possibilities according to your complaints: You need to consult a doctor for physical examination. You will need proctoscopy (medical examination of the anal cavity with a thin tube). If the doctor finds any piles, we will have to treat them. If he feels that there are any chance of Inflammatory Bowel Disease, he will plan a colonoscopy (examination of the inside of the colon). |
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Hello doctor, I am a 22 year old female. My height is 5 feet and 6 inches, and I weigh 60 kg. A few days back, after dinner, I passed stools and while flushing, I found the stool to have mucous and blood. When I attempted to clean the anal region after defecating, I found all three tips of my fingers covered with blood. I cleaned it and checked again, and at that time, there was no blood. A few years back, I had the same complaints, but then it subsided without any treatment. I usually pass stools immediately after eating. Is this normal? What should I do? Please help. [/INST] Hi. Following are the possibilities according to your complaints: You need to consult a doctor for physical examination. You will need proctoscopy (medical examination of the anal cavity with a thin tube). If the doctor finds any piles, we will have to treat them. If he feels that there are any chance of Inflammatory Bowel Disease, he will plan a colonoscopy (examination of the inside of the colon). |
Q. What is the treatment for Thygeson's superficial punctate keratitis? | Hi doctor, I am suffering from Thygeson's superficial punctate keratitis disease and it is chronic. My father has glaucoma. I have been using steroid eye drop. They are Fluorometholone ophthalmic suspension and Restasis eye drop. I have been having this eye problem since about two years. I am attaching my detailed description. Please help me. | Hello. For further information consult to an internal medicine physician online --> |
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Hi doctor, I am suffering from Thygeson's superficial punctate keratitis disease and it is chronic. My father has glaucoma. I have been using steroid eye drop. They are Fluorometholone ophthalmic suspension and Restasis eye drop. I have been having this eye problem since about two years. I am attaching my detailed description. Please help me. [/INST] Hello. For further information consult to an internal medicine physician online --> |
Q. How long should my husband and I wait to try for a baby if we did cocaine? | Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. | Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> |
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Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. [/INST] Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> |
Q. Can Yasmin birth control pill be used as an emergency contraceptive pill? | Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? | Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> |
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Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? [/INST] Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> |
Q. Please explain the poisonous effect of phenol ingestion. | Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. | Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> |
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Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. [/INST] Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> |
Q. For how long should I take Kalachikai powder to overcome PCOD problem? | Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? | Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> |
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Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? [/INST] Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> |
Q. Why do periods get delayed after first time sex? | Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? | Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> |
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Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? [/INST] Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> |
Q. What can be done for lower pelvic pain before periods due to hydrosalpinx? | Hello doctor, I developed right lower pelvic pain and was asked to do an ultrasound and diagnosed with the presence of hydrosalpinx 10 months ago and took antibiotic for two weeks. From then on I am suffering from right lower pelvic pain that pulls my veins till knee. It begins paining 10 days before my menstrual cycle, and I live with pain for two weeks a month until my period gets over. My period lasts for 8 to 9 days. Found with the bulky uterus and several small uterine fibroids also. I would be grateful if you suggest me some treatment that will bring back my regular life. My age is 37. I have two kids. Both are C-section babies. | Hi. Hydrosalpinx is a fallopian tube disorder. In this concern, fallopian tube blocks distally and forms a sausage-like structure. Sometimes it may become painful. A bulky uterus is due to chronic pelvic inflammatory issues. It may lead to irregular and painful menstruation. Fibroids also lead to such conditions. It may be due to genetical, hormonal imbalances or chronic pelvic inflammatory disorders. USG abdomen, estrogen, thyroid profile, lipid profile. Pelvic inflammatory disorders, PCOS, dysmenorrhoea, menororrhagia. If fibroids are present without symptoms then it can be managed naturally. Its size may change as per menstrual cycle. These ayurvedic medicines may be helpful. Rx, 1. Kuberakshadi Vati one tablet, Nityanand Rasa one tablet, Chandraprabha Vati one tablet, and Pushyanuga Churna 2 gm, Styplon one tablet with warm water after meals. 2. Ashokaristam 15 ml twice a day with an equal amount of water after meals. 3. Varunadi Kasayam 15 ml twice a day with an equal amount of water before meals. 1. Avoid spicy and fried junk foods. 2. Do regular Kapalbhati Mandukasana anuloma vilom nadi sodhan and bhramari. |
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Hello doctor, I developed right lower pelvic pain and was asked to do an ultrasound and diagnosed with the presence of hydrosalpinx 10 months ago and took antibiotic for two weeks. From then on I am suffering from right lower pelvic pain that pulls my veins till knee. It begins paining 10 days before my menstrual cycle, and I live with pain for two weeks a month until my period gets over. My period lasts for 8 to 9 days. Found with the bulky uterus and several small uterine fibroids also. I would be grateful if you suggest me some treatment that will bring back my regular life. My age is 37. I have two kids. Both are C-section babies. [/INST] Hi. Hydrosalpinx is a fallopian tube disorder. In this concern, fallopian tube blocks distally and forms a sausage-like structure. Sometimes it may become painful. A bulky uterus is due to chronic pelvic inflammatory issues. It may lead to irregular and painful menstruation. Fibroids also lead to such conditions. It may be due to genetical, hormonal imbalances or chronic pelvic inflammatory disorders. USG abdomen, estrogen, thyroid profile, lipid profile. Pelvic inflammatory disorders, PCOS, dysmenorrhoea, menororrhagia. If fibroids are present without symptoms then it can be managed naturally. Its size may change as per menstrual cycle. These ayurvedic medicines may be helpful. Rx, 1. Kuberakshadi Vati one tablet, Nityanand Rasa one tablet, Chandraprabha Vati one tablet, and Pushyanuga Churna 2 gm, Styplon one tablet with warm water after meals. 2. Ashokaristam 15 ml twice a day with an equal amount of water after meals. 3. Varunadi Kasayam 15 ml twice a day with an equal amount of water before meals. 1. Avoid spicy and fried junk foods. 2. Do regular Kapalbhati Mandukasana anuloma vilom nadi sodhan and bhramari. |
Q. What should be done to take care of a brain paralysis patient at home? | Hello doctor, My mother's age is 65 years. 15 days back she got brain paralysis on both sides (autoimmune encephalitis). Now the doctor is saying treatment is over. Now take her to home and just give nursing to her. Still feeding pipe is there. How we should take care of her at home? | Hello. Your concerns seem genuine. There are a lot of neurological conditions, medical conditions which do not get completely improved. Either they remain as such with a deficit or may have some clinical improvement with time. It is the limitations of medical science. But supportive care has to be continued for the survival of the patients. Feeding pipe for food, tracheostomy for airway protection, urinary catheter or diaper, regular nursing care, regular physiotherapy. If the patient is bed-bound, then give DVT prophylaxis. It is a little tough for a person (who has never seen or handled such) to handle these things. Luckily now a days there are professionals who can provide such care at home care or some rehabilitation centers. You can try to search out for them. |
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Hello doctor, My mother's age is 65 years. 15 days back she got brain paralysis on both sides (autoimmune encephalitis). Now the doctor is saying treatment is over. Now take her to home and just give nursing to her. Still feeding pipe is there. How we should take care of her at home? [/INST] Hello. Your concerns seem genuine. There are a lot of neurological conditions, medical conditions which do not get completely improved. Either they remain as such with a deficit or may have some clinical improvement with time. It is the limitations of medical science. But supportive care has to be continued for the survival of the patients. Feeding pipe for food, tracheostomy for airway protection, urinary catheter or diaper, regular nursing care, regular physiotherapy. If the patient is bed-bound, then give DVT prophylaxis. It is a little tough for a person (who has never seen or handled such) to handle these things. Luckily now a days there are professionals who can provide such care at home care or some rehabilitation centers. You can try to search out for them. |
Q. What treatment can be done for smashed thumb with swelling and blood clot except nail removal? | Hello doctor, I have a smashed thumb by the cricket ball. I was hit last week and there is blood clot under my nail. Thus I am still having pain in my finger and it is swollen. Now the pain reduced a bit but the swelling is unchanged and because of it I am still having pain and I cannot bend my finger. I showed myself to a doctor and he gave me some medicines and also I had an X-ray of the finger and the reports were good. Because there was not a lot of progress I went to the doctor again but my earlier doctor was not present and another doctor observed me and told to remove the nail. He told me to consult with a surgery specialist and he will tell me what to do. I do not want to remove the nail and for that, I have found the solution that by making a small hole through the nail, blood can be removed. Now please tell me what should I do. | Hello. After careful analysis of your history, it looks like a hematoma of the nail bed or contusion. Since you have mentioned that X-ray reports were negative, you do not have to worry about anything serious. Firstly, I would suggest you not to rely on any other information from anywhere as all of it is not right, and it would do more harm than good when not done under supervision. That is what doctors and specialists are for. Secondly, it seems like you have a dead nail as a result of the trauma, and if the doctor you consulted with has suggested you for a nail removal, do follow his or her advice. I know nail removal is a dreadful thought for people, but, that is normal. It would be done under anaesthesia and is a very simple and quick procedure. And your nail will grow back in time as well. So do not hesitate to carry the needed procedure out. As of now, do not do any procedures on your own. It would cause deep infections and may get worse. Stay healthy and be positive. |
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Hello doctor, I have a smashed thumb by the cricket ball. I was hit last week and there is blood clot under my nail. Thus I am still having pain in my finger and it is swollen. Now the pain reduced a bit but the swelling is unchanged and because of it I am still having pain and I cannot bend my finger. I showed myself to a doctor and he gave me some medicines and also I had an X-ray of the finger and the reports were good. Because there was not a lot of progress I went to the doctor again but my earlier doctor was not present and another doctor observed me and told to remove the nail. He told me to consult with a surgery specialist and he will tell me what to do. I do not want to remove the nail and for that, I have found the solution that by making a small hole through the nail, blood can be removed. Now please tell me what should I do. [/INST] Hello. After careful analysis of your history, it looks like a hematoma of the nail bed or contusion. Since you have mentioned that X-ray reports were negative, you do not have to worry about anything serious. Firstly, I would suggest you not to rely on any other information from anywhere as all of it is not right, and it would do more harm than good when not done under supervision. That is what doctors and specialists are for. Secondly, it seems like you have a dead nail as a result of the trauma, and if the doctor you consulted with has suggested you for a nail removal, do follow his or her advice. I know nail removal is a dreadful thought for people, but, that is normal. It would be done under anaesthesia and is a very simple and quick procedure. And your nail will grow back in time as well. So do not hesitate to carry the needed procedure out. As of now, do not do any procedures on your own. It would cause deep infections and may get worse. Stay healthy and be positive. |
Q. My hCG doubled in 72 hours. Does it mean I will miscarry? | Hello doctor, At six weeks and one-day pregnant, I had a gestational sac measuring at five weeks, six days. (I do not always have 28-day cycles, sometimes 30 days), and the gestational sac was empty (no yolk sac, no fetal pole). Two days prior to the ultrasound, my progesterone measured at 5.3 and my hCG was 6009. My hCG had doubled in 72 hours. My intuition is telling me that I am going to miscarry. Given my progesterone level and the fact that my gestational sac is measuring plenty big enough for at least a yolk sac to be seen. My doctor keeps saying just wait. My question is, given everything presented, am I correct to assume a miscarriage? I feel that I have prepared myself to expect it. | Hi. I could understand your concern. It seems you had a bit irregular periods as well. Now sac is there but no fetal pole or yolk sac around 5+ weeks. Beta hCG that shows a progression of pregnancy increasing more than 50 % as you described. This scenario is known as anembryonic pregnancy means no embryo development. It is better to wait for a week or 10 days. Here, you have not mentioned the exact measure of the gestational sac. In case of irregular periods or some other factors dates discrepancy also occurs but still point is that still no yolk sac or fetal pole as you said, then more chances could be suspected like missed miscarriage or anembryonic pregnancy, if still in coming days fetal pole could not be seen. You can prepare yourself to be positive whatever has been written for you as you could have a healthy conception again. In case of an abnormal product of conception normally miscarriage happens so do not be sad. Just wait and see and have rescanned after 7 to 10 days to reach any definite conclusion. In case of bleeding, cramps, abdominal pain immediately report to tertiary care gynecology emergency unit. Irregular periods or abnormal product of conception. Wait and have a transvaginal scan after 7 to 10 days with expertise hands. Anembryonic pregnancy or suspected missed miscarriage. Suspected missed miscarriage. Follow scan report to have a final conclusion for proper further intervention. In case of bleeding or pain immediately rush to a gynecologist or early pregnancy unit emergency. |
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Hello doctor, At six weeks and one-day pregnant, I had a gestational sac measuring at five weeks, six days. (I do not always have 28-day cycles, sometimes 30 days), and the gestational sac was empty (no yolk sac, no fetal pole). Two days prior to the ultrasound, my progesterone measured at 5.3 and my hCG was 6009. My hCG had doubled in 72 hours. My intuition is telling me that I am going to miscarry. Given my progesterone level and the fact that my gestational sac is measuring plenty big enough for at least a yolk sac to be seen. My doctor keeps saying just wait. My question is, given everything presented, am I correct to assume a miscarriage? I feel that I have prepared myself to expect it. [/INST] Hi. I could understand your concern. It seems you had a bit irregular periods as well. Now sac is there but no fetal pole or yolk sac around 5+ weeks. Beta hCG that shows a progression of pregnancy increasing more than 50 % as you described. This scenario is known as anembryonic pregnancy means no embryo development. It is better to wait for a week or 10 days. Here, you have not mentioned the exact measure of the gestational sac. In case of irregular periods or some other factors dates discrepancy also occurs but still point is that still no yolk sac or fetal pole as you said, then more chances could be suspected like missed miscarriage or anembryonic pregnancy, if still in coming days fetal pole could not be seen. You can prepare yourself to be positive whatever has been written for you as you could have a healthy conception again. In case of an abnormal product of conception normally miscarriage happens so do not be sad. Just wait and see and have rescanned after 7 to 10 days to reach any definite conclusion. In case of bleeding, cramps, abdominal pain immediately report to tertiary care gynecology emergency unit. Irregular periods or abnormal product of conception. Wait and have a transvaginal scan after 7 to 10 days with expertise hands. Anembryonic pregnancy or suspected missed miscarriage. Suspected missed miscarriage. Follow scan report to have a final conclusion for proper further intervention. In case of bleeding or pain immediately rush to a gynecologist or early pregnancy unit emergency. |
Q. Is it possible to get muscle vibration due to anxiety? | Hi doctor, I have been diagnosed with an anxiety disorder and have had tests to rule out possible causes for my symptoms. Currently, I have been feeling an internal shaking in my muscles and twitching. I also tend to have panic attacks almost every day and these muscles buzzing or vibrating symptoms are making me feel anxious although I am not. Sometimes they also set off panic attacks. Is this muscles vibrating sensation caused by anxiety? How can I stop this? | Hi. Muscle twitching or shivering could be due to dehydration, stress, anxiety, electrolyte imbalance, infections. Anxiety is pathological fear. The condition can be treated with medicines like Etizolam or mild dose of SSRI. But natural way to handle stress is very good and helpful to adjust you in daily routines. The best treatment of any anxiety disorder includes both medicines and psychotherapy. In medicines, the SSRI group of drugs (Fluoxetine, Paroxetine, Sertraline, Escitalopram) are the mainstay of the treatment. Benzodiazepines group of drugs (Clonazepam, Lorazepam, Alprazolam or Etizolam) are used initially for short duration for fast symptomatic relief. Relaxation technique like yoga, mediations, progressive muscle relaxation method will control your anxiety. You should consult a nearby psychiatrist for your problem as treatment of anxiety disorder is given by a psychiatrist. |
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Hi doctor, I have been diagnosed with an anxiety disorder and have had tests to rule out possible causes for my symptoms. Currently, I have been feeling an internal shaking in my muscles and twitching. I also tend to have panic attacks almost every day and these muscles buzzing or vibrating symptoms are making me feel anxious although I am not. Sometimes they also set off panic attacks. Is this muscles vibrating sensation caused by anxiety? How can I stop this? [/INST] Hi. Muscle twitching or shivering could be due to dehydration, stress, anxiety, electrolyte imbalance, infections. Anxiety is pathological fear. The condition can be treated with medicines like Etizolam or mild dose of SSRI. But natural way to handle stress is very good and helpful to adjust you in daily routines. The best treatment of any anxiety disorder includes both medicines and psychotherapy. In medicines, the SSRI group of drugs (Fluoxetine, Paroxetine, Sertraline, Escitalopram) are the mainstay of the treatment. Benzodiazepines group of drugs (Clonazepam, Lorazepam, Alprazolam or Etizolam) are used initially for short duration for fast symptomatic relief. Relaxation technique like yoga, mediations, progressive muscle relaxation method will control your anxiety. You should consult a nearby psychiatrist for your problem as treatment of anxiety disorder is given by a psychiatrist. |
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. Can getting a tattoo transmit HIV infection? | Hi doctor,I have found out that there is possible, though less likely to be infected by HIV through tattooing if done carefully and professionally with the equipment either sterilized or new. What I am anxious about is that my fiance got a tattoo done yesterday, unprofessionally (it was done by a local tattoo artist in our village who gives tattoos at the artist’s own home). My fiance had his parent's consent before he got this tattoo. But, young as we are, we are not yet aware of the risks of this unprofessional method of tattooing. This morning, my mother warned me about the risks of getting HIV through the tattoo.I am concerned because I was an eye-witness of the process, the artist just drafted the design with a pen. I saw the artist pour the ink from the bottle to a cup that has obviously been used before. I just found out today that new needles should be used, and I am troubled because I did not see the artist change the needles before he gave my fiance his tattoo. While tattooing the artist is wiping off the blood and extra ink off of my fiance’s skin with wet cotton (he just used tap water in a basin). Lastly, when the tattoo was done, he wiped Petroleum jelly over the area. Now, I am very anxious because months ago I found out that HIV and AIDS are very common in our area.These are my questions. Is it possible that my fiance might have acquired HIV through the tattoo process because of the unsterilized and reused equipment? How high is the risk of him being infected? Should I advise him to get an HIV test? And if yes, what specific type of test and when should he get the test? What other health issues are more likely acquired by my fiance after the tattoo session? | Hello. I understand your concern. Firstly, stop worrying. There is a solution to your problem. It is true that unsterile needles used for tattooing can lead to the spread of certain blood-borne infections. HIV virus is quite unstable outside the human body, so it is less likely for the virus to have been active on the needles, but we cannot rule out the chance of him acquiring the infection. HIV virus does not usually show up on blood tests very soon. The best thing to do is to talk to your doctor about the exposure and your fiance can take post-exposure prophylaxis. Some medicines will be given that will help to prevent infection in people who might have been exposed to the virus. There may be a risk of other blood-borne infections like hepatitis B, hepatitis C, tuberculosis or Staphylococcus aureus. These can be prevented by taking appropriate treatment. Please talk to your doctor. I hope that helps. |
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Hi doctor,I have found out that there is possible, though less likely to be infected by HIV through tattooing if done carefully and professionally with the equipment either sterilized or new. What I am anxious about is that my fiance got a tattoo done yesterday, unprofessionally (it was done by a local tattoo artist in our village who gives tattoos at the artist’s own home). My fiance had his parent's consent before he got this tattoo. But, young as we are, we are not yet aware of the risks of this unprofessional method of tattooing. This morning, my mother warned me about the risks of getting HIV through the tattoo.I am concerned because I was an eye-witness of the process, the artist just drafted the design with a pen. I saw the artist pour the ink from the bottle to a cup that has obviously been used before. I just found out today that new needles should be used, and I am troubled because I did not see the artist change the needles before he gave my fiance his tattoo. While tattooing the artist is wiping off the blood and extra ink off of my fiance’s skin with wet cotton (he just used tap water in a basin). Lastly, when the tattoo was done, he wiped Petroleum jelly over the area. Now, I am very anxious because months ago I found out that HIV and AIDS are very common in our area.These are my questions. Is it possible that my fiance might have acquired HIV through the tattoo process because of the unsterilized and reused equipment? How high is the risk of him being infected? Should I advise him to get an HIV test? And if yes, what specific type of test and when should he get the test? What other health issues are more likely acquired by my fiance after the tattoo session? [/INST] Hello. I understand your concern. Firstly, stop worrying. There is a solution to your problem. It is true that unsterile needles used for tattooing can lead to the spread of certain blood-borne infections. HIV virus is quite unstable outside the human body, so it is less likely for the virus to have been active on the needles, but we cannot rule out the chance of him acquiring the infection. HIV virus does not usually show up on blood tests very soon. The best thing to do is to talk to your doctor about the exposure and your fiance can take post-exposure prophylaxis. Some medicines will be given that will help to prevent infection in people who might have been exposed to the virus. There may be a risk of other blood-borne infections like hepatitis B, hepatitis C, tuberculosis or Staphylococcus aureus. These can be prevented by taking appropriate treatment. Please talk to your doctor. I hope that helps. |
Q. I have dryness and nightfall due to central diabetes insipidus. What to do? | Hello doctor, I am 30 male. I am suffering from central diabetes insipidus for the last three years. My all body, skin, and mucous membranes like penis glans, nose, nostrils and eyes have extreme dryness and frequent nightfall 4 to 5 times in a week. Please advice medicine. currently, I am taking Desmopressin. | Hi. Central diabetes insipidus is a very rare case of diabetes. In this condition blood sugar doses are normal but due to excessive urination, the body suffers from electrolyte imbalances which lead to excessive thirst, dryness weaknesses, and lethargy. It is due to lack or very less secretion of ADH hormones. ADH, vasopressin. The treatment plan would be to suppress extra urination and need to reduce dryness of skin. 1. Gokshuradi Guggulu two tablets twice a day after meals. 2. Prawal Panchamrita one tablet twice a day after meals. 3. Lakshadi Guggulu one tablet twice a day after meals. 4. Lodhrasava 10 ml twice a day with an equal amount of water after meals. 5. Guggulu tikta grita one spoon twice a day before food. |
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Hello doctor, I am 30 male. I am suffering from central diabetes insipidus for the last three years. My all body, skin, and mucous membranes like penis glans, nose, nostrils and eyes have extreme dryness and frequent nightfall 4 to 5 times in a week. Please advice medicine. currently, I am taking Desmopressin. [/INST] Hi. Central diabetes insipidus is a very rare case of diabetes. In this condition blood sugar doses are normal but due to excessive urination, the body suffers from electrolyte imbalances which lead to excessive thirst, dryness weaknesses, and lethargy. It is due to lack or very less secretion of ADH hormones. ADH, vasopressin. The treatment plan would be to suppress extra urination and need to reduce dryness of skin. 1. Gokshuradi Guggulu two tablets twice a day after meals. 2. Prawal Panchamrita one tablet twice a day after meals. 3. Lakshadi Guggulu one tablet twice a day after meals. 4. Lodhrasava 10 ml twice a day with an equal amount of water after meals. 5. Guggulu tikta grita one spoon twice a day before food. |
Q. Other than I-pill, is there any method to prevent pregnancy followed by unprotected sex? | Hello doctor, Yesterday, I and my wife had unprotected intercourse and we are not planning for a child. I made sure not to ejaculate inside her and I pulled out in time but we are worried about the effects of pre-ejaculation if that might cause pregnancy. Her period this month completed a few days ago and waiting for a month seems too long. I-pill was my choice but after learning about the side effects am wondering if there is another way to find out if she is pregnant or should we just go for the pill? | Hi. From day 1 to 10 of the period, it is a safe period. There is no chance of pregnancy as there is no ovulation happening during this period. So if you had intercourse during your safe period, there is no chance of pregnancy. Also, you say that you have followed a withdrawal method. So relax and do not worry. However, if you have a doubt then take an emergency contraceptive pill within 72 hours of intercourse. There is no chance of pregnancy. The side effects of the pills are minimal and temporary. However, if you have a doubt then get back to me. Take care. |
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Hello doctor, Yesterday, I and my wife had unprotected intercourse and we are not planning for a child. I made sure not to ejaculate inside her and I pulled out in time but we are worried about the effects of pre-ejaculation if that might cause pregnancy. Her period this month completed a few days ago and waiting for a month seems too long. I-pill was my choice but after learning about the side effects am wondering if there is another way to find out if she is pregnant or should we just go for the pill? [/INST] Hi. From day 1 to 10 of the period, it is a safe period. There is no chance of pregnancy as there is no ovulation happening during this period. So if you had intercourse during your safe period, there is no chance of pregnancy. Also, you say that you have followed a withdrawal method. So relax and do not worry. However, if you have a doubt then take an emergency contraceptive pill within 72 hours of intercourse. There is no chance of pregnancy. The side effects of the pills are minimal and temporary. However, if you have a doubt then get back to me. Take care. |
Q. Is it necessary to take another dose of I-pill if vomited after first dose? | Hello doctor, I took an I-pill immediately after unprotected sex. After five hours I had a reflux sort of vomiting, very little but now I do not know if I should take another pill or not? | Hello. Usually, it is not necessary to take an additional pill if one vomited after three hours. If just vomited a little then it is not necessary to take an additional pill. Then also confirm whether you had 0.75 mg or 1.5 mg tablet. If it was 1.5 mg then it is not necessary. However, if you have consumed 0.75 mg then it is better to take an additional 0.75 mg after 12 hours. So, overall it is not necessary to take any additional dose, just confirm the above factors for additional surety. |
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Hello doctor, I took an I-pill immediately after unprotected sex. After five hours I had a reflux sort of vomiting, very little but now I do not know if I should take another pill or not? [/INST] Hello. Usually, it is not necessary to take an additional pill if one vomited after three hours. If just vomited a little then it is not necessary to take an additional pill. Then also confirm whether you had 0.75 mg or 1.5 mg tablet. If it was 1.5 mg then it is not necessary. However, if you have consumed 0.75 mg then it is better to take an additional 0.75 mg after 12 hours. So, overall it is not necessary to take any additional dose, just confirm the above factors for additional surety. |
Q. Why am I having creamy and black teeth with bad smell? | Hi doctor, I am 18 years old. My problem is the teeth has become white for the past few years. The back portion of the teeth has become dark or black. Teeth are quite creamy. Often a bad smell spreads out from my mouth. My mother also suffers from this problem. I use whitening toothpaste but all are in vain. So, please doctor help me and give me a suggestion. | Hi. I read your query and can understand your concern. It seems like you have staining of teeth and plaque accumulation. Our mouth contains a great number of resident bacteria. Sometimes some individuals have staining bacteria which leads to physiological stains. This is not any pathology or disease. This staining often leads to plaque accumulation and bad smell from the mouth. You need professional teeth cleaning (scaling and polishing) regularly (usually every six months). Continue brushing twice daily with any toothpaste that suits you. |
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Hi doctor, I am 18 years old. My problem is the teeth has become white for the past few years. The back portion of the teeth has become dark or black. Teeth are quite creamy. Often a bad smell spreads out from my mouth. My mother also suffers from this problem. I use whitening toothpaste but all are in vain. So, please doctor help me and give me a suggestion. [/INST] Hi. I read your query and can understand your concern. It seems like you have staining of teeth and plaque accumulation. Our mouth contains a great number of resident bacteria. Sometimes some individuals have staining bacteria which leads to physiological stains. This is not any pathology or disease. This staining often leads to plaque accumulation and bad smell from the mouth. You need professional teeth cleaning (scaling and polishing) regularly (usually every six months). Continue brushing twice daily with any toothpaste that suits you. |
Q. How long should my husband and I wait to try for a baby if we did cocaine? | Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. | Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> |
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Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. [/INST] Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> |
Q. Can Yasmin birth control pill be used as an emergency contraceptive pill? | Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? | Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> |
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Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? [/INST] Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> |
Q. Please explain the poisonous effect of phenol ingestion. | Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. | Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> |
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Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. [/INST] Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> |
Q. For how long should I take Kalachikai powder to overcome PCOD problem? | Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? | Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> |
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Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? [/INST] Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> |
Q. Why do periods get delayed after first time sex? | Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? | Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> |
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Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? [/INST] Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> |
Q. Will Nano-Leo give permanent solution for erection problem? | Hello doctor, I am 48 years old. I am experiencing weak erection and difficulty in sustaining the same. This condition was observed 10 years back. Also, there is premature ejaculation. Other physical ailments that I have are, I am suffering from hypertension and taking Amlopres-L (Amlodipine and Lisinopril) for the last 10 years, high cholesterol and triglycerides. My cholesterol level is 225 and triglyceride is 200 for the last 12 years. I used to do frequent masturbation in early age. I do have erection during morning hours many times, particularly after sound sleep or if I had long walk previous day. I am having Sildenafil 25 mg or 5 mg Cialis, which is effective enough. But, I wish to get rid of tablet support and live natural way. I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days. I wish to have your second opinion on this. Please guide. | Hi. For further doubts consult a sexologist online --> |
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Hello doctor, I am 48 years old. I am experiencing weak erection and difficulty in sustaining the same. This condition was observed 10 years back. Also, there is premature ejaculation. Other physical ailments that I have are, I am suffering from hypertension and taking Amlopres-L (Amlodipine and Lisinopril) for the last 10 years, high cholesterol and triglycerides. My cholesterol level is 225 and triglyceride is 200 for the last 12 years. I used to do frequent masturbation in early age. I do have erection during morning hours many times, particularly after sound sleep or if I had long walk previous day. I am having Sildenafil 25 mg or 5 mg Cialis, which is effective enough. But, I wish to get rid of tablet support and live natural way. I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days. I wish to have your second opinion on this. Please guide. [/INST] Hi. For further doubts consult a sexologist online --> |
Q. I have pain in the stomach below rib cage with burning sensation. What is the reason? | Hello doctor, I am a 31-year-old male. I have discomfort, pain in my left side of the stomach below the rib cage for the last one year. It is there for 24 hours. Sometimes increases after eating rich food although I am not a heavy drinker, sometimes pain increases after five pegs. I did the following tests, USG: normal of all organs, endoscopy: normal of all parts, Colonoscopy test was normal. Stool test- Mucus +, starch +, vegetable +, pus 1-25. CT scan upper abdomen- Liver enlarged 165 mm and tiny cyst 3.7 mm. Conclusion: hepatomegaly with a small hepatic cyst. SGPT/SGOT normal. Amylase is normal. These are the test and reading. I have not been given any medicine. My question is what is the problem? Sometimes, I get burning sensation below the abdomen in the right side too. Please advise. | Hi. We are here to help you. You are suffering from irritable bowel syndrome (IBS). I would highly recommend you to stop alcohol, as it will otherwise harm you. I would advise following in such scenario. To take a proton pump inhibitor like Pantoprazole and Rabeprazole. To avoid fat, pepper in the diet. To take smooth muscle relaxant like Mebeverine for stomach pain. Drugs like Chlordiazepoxide and Clidinium bromide are used in refractory cases. These medicines will surely help you. I have lots of my patients who improved on these medicines. Share my opinion with your doctor before you act upon it. |
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Hello doctor, I am a 31-year-old male. I have discomfort, pain in my left side of the stomach below the rib cage for the last one year. It is there for 24 hours. Sometimes increases after eating rich food although I am not a heavy drinker, sometimes pain increases after five pegs. I did the following tests, USG: normal of all organs, endoscopy: normal of all parts, Colonoscopy test was normal. Stool test- Mucus +, starch +, vegetable +, pus 1-25. CT scan upper abdomen- Liver enlarged 165 mm and tiny cyst 3.7 mm. Conclusion: hepatomegaly with a small hepatic cyst. SGPT/SGOT normal. Amylase is normal. These are the test and reading. I have not been given any medicine. My question is what is the problem? Sometimes, I get burning sensation below the abdomen in the right side too. Please advise. [/INST] Hi. We are here to help you. You are suffering from irritable bowel syndrome (IBS). I would highly recommend you to stop alcohol, as it will otherwise harm you. I would advise following in such scenario. To take a proton pump inhibitor like Pantoprazole and Rabeprazole. To avoid fat, pepper in the diet. To take smooth muscle relaxant like Mebeverine for stomach pain. Drugs like Chlordiazepoxide and Clidinium bromide are used in refractory cases. These medicines will surely help you. I have lots of my patients who improved on these medicines. Share my opinion with your doctor before you act upon it. |
Q. Why did a large part of tooth broke off while eating soft food? | Hi doctor, I was eating something reasonably soft and all of a sudden quite a large part of my tooth broke off. I am 18 years old and have never had a dental issue before and I was wondering what the likely cause of this was and if there is any way to prevent it from happening again. | Hi. A certain type of decay starts in small pits on the tooth surface (pit caries). Progression pattern of that caries is like a triangle with the base facing inside and tip at the surface. So it will not be visible in its early stages but inside decay will be bigger in size. While you bite something hard, there is a chance of P as it is under surface being eroded. Consult a dentist at the earliest and get restoration (depends on the extent. May be normal filling or RCT). |
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Hi doctor, I was eating something reasonably soft and all of a sudden quite a large part of my tooth broke off. I am 18 years old and have never had a dental issue before and I was wondering what the likely cause of this was and if there is any way to prevent it from happening again. [/INST] Hi. A certain type of decay starts in small pits on the tooth surface (pit caries). Progression pattern of that caries is like a triangle with the base facing inside and tip at the surface. So it will not be visible in its early stages but inside decay will be bigger in size. While you bite something hard, there is a chance of P as it is under surface being eroded. Consult a dentist at the earliest and get restoration (depends on the extent. May be normal filling or RCT). |
Q. Is it fine to have the wires fixed to brackets in the braces treatment? | Hello doctor, My dad is a dentist and he has recently put braces in my upper jaw. But my braces are of the kind I have never seen before. All the braces I have ever seen have movable wires that move as our teeth get straighter but the ones I have are having the wire fixed onto the brackets by material so the wire does not move. | Hi. Wires are normally ligated or fixed to braces. With inherent potential and shape of wires the teeth move. The movements of teeth are normally at a slow pace that we may not be able to appreciate the changes taking place. You can compare the pictures previously and now to appreciate the changes. You can also send me pictures to understand your braces better. |
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Hello doctor, My dad is a dentist and he has recently put braces in my upper jaw. But my braces are of the kind I have never seen before. All the braces I have ever seen have movable wires that move as our teeth get straighter but the ones I have are having the wire fixed onto the brackets by material so the wire does not move. [/INST] Hi. Wires are normally ligated or fixed to braces. With inherent potential and shape of wires the teeth move. The movements of teeth are normally at a slow pace that we may not be able to appreciate the changes taking place. You can compare the pictures previously and now to appreciate the changes. You can also send me pictures to understand your braces better. |
Q. Why are there nosebleeding and getting blood while spitting? | Hello doctor, My father has been experiencing nosebleeding and blood whenever he spits. This has been ongoing for a month. He has no other complaints except for occasional headaches. Any advice? | Hello. For nose bleeding causes like traumatic internal nasal mucosa injury, polyp, rhinitis, sinusitis, etc., should be ruled out. For that, primary work-up, rhinoscopy, nose examination, CBC and PNS X-ray should be done. According to the cause, specific treatment is given. When bleeding occurs, the nose is pinched with index and thumb finger to stop bleeding. If no cause found then coagulopathy also should be checked. Take care. Consult otorhinolaryngologist for examination and accordingly further investigation. |
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Hello doctor, My father has been experiencing nosebleeding and blood whenever he spits. This has been ongoing for a month. He has no other complaints except for occasional headaches. Any advice? [/INST] Hello. For nose bleeding causes like traumatic internal nasal mucosa injury, polyp, rhinitis, sinusitis, etc., should be ruled out. For that, primary work-up, rhinoscopy, nose examination, CBC and PNS X-ray should be done. According to the cause, specific treatment is given. When bleeding occurs, the nose is pinched with index and thumb finger to stop bleeding. If no cause found then coagulopathy also should be checked. Take care. Consult otorhinolaryngologist for examination and accordingly further investigation. |
Q. I have chest pain despite lipid profile and echo being normal. Why? | Hello doctor, I am suffering from chest pain in the left side from 4 to 5 days, but my lipid profile and 2D echocardiography both reports are normal. What to do? What is the reason of chest pain? | Hi. Chronic reflux of stomach acids into your esophagus can irritate your esophagus. In severe cases, it can cause dysphagia. Scar tissue can develop in your esophagus. The scar tissue can narrow your esophagus. This is known as an esophageal stricture. In some cases, dysphagia can be a direct result of esophageal damage. The lining of the esophagus can alter to resemble the tissue that lines your intestines. This is a condition called Barrett’s esophagus. |
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Hello doctor, I am suffering from chest pain in the left side from 4 to 5 days, but my lipid profile and 2D echocardiography both reports are normal. What to do? What is the reason of chest pain? [/INST] Hi. Chronic reflux of stomach acids into your esophagus can irritate your esophagus. In severe cases, it can cause dysphagia. Scar tissue can develop in your esophagus. The scar tissue can narrow your esophagus. This is known as an esophageal stricture. In some cases, dysphagia can be a direct result of esophageal damage. The lining of the esophagus can alter to resemble the tissue that lines your intestines. This is a condition called Barrett’s esophagus. |
Q. I have painful bump behind my wisdom tooth with sore gums. Why? | Hello doctor, I have a white bump right behind where my wisdom tooth is and my gum is sore. It is swollen and hurts bad when I wake up then I get a stinging pain the rest of the day. | Hello. As I can see in the picture (attachment removed to protect patient identity), it seems like your upper last molar has sharp edges and these sharp edges hurt continually to lower gum tissue. Injury due to sharp edges of upper tooth cause sore or ulceration. I suggest you see your dentist, after clinical examination, he or she will smoothen up the edges and make sufficient space. Medicines will not be able to provide you relief. So please see your dentist. Thank you. Have a good day. Sharp edges. Clinical examination. Ulceration due to sharp edges. Smoothing of edges. Do not take too hot and spicy food. |
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Hello doctor, I have a white bump right behind where my wisdom tooth is and my gum is sore. It is swollen and hurts bad when I wake up then I get a stinging pain the rest of the day. [/INST] Hello. As I can see in the picture (attachment removed to protect patient identity), it seems like your upper last molar has sharp edges and these sharp edges hurt continually to lower gum tissue. Injury due to sharp edges of upper tooth cause sore or ulceration. I suggest you see your dentist, after clinical examination, he or she will smoothen up the edges and make sufficient space. Medicines will not be able to provide you relief. So please see your dentist. Thank you. Have a good day. Sharp edges. Clinical examination. Ulceration due to sharp edges. Smoothing of edges. Do not take too hot and spicy food. |
Q. What is the reason for pain after eating pulse post appendix surgery? | Hello doctor, My appendix was operated (open surgery) five months ago. I ate pulse one week ago and I feel little pain in this area. Can this wound be cured? | Hello. A pulse or legume, that has a specific kind of sugar called oligosaccharide which cannot be broken down by the human body on its own. For breaking of these oligosaccharides, bacteria in intestines come into action and break these sugars by fermentation and as a result, produce gases in the body owing to flatulence. The pain you are experiencing could be because of that. The other reason could be phantom pain which is a pain in the part of the body which no longer exists. These are sensations origination from the nerves via spinal cord and brain. However, if you have any other symptoms, like warmth over the surgical site or fever, you may need to be evaluated for surgical site infection. |
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Hello doctor, My appendix was operated (open surgery) five months ago. I ate pulse one week ago and I feel little pain in this area. Can this wound be cured? [/INST] Hello. A pulse or legume, that has a specific kind of sugar called oligosaccharide which cannot be broken down by the human body on its own. For breaking of these oligosaccharides, bacteria in intestines come into action and break these sugars by fermentation and as a result, produce gases in the body owing to flatulence. The pain you are experiencing could be because of that. The other reason could be phantom pain which is a pain in the part of the body which no longer exists. These are sensations origination from the nerves via spinal cord and brain. However, if you have any other symptoms, like warmth over the surgical site or fever, you may need to be evaluated for surgical site infection. |
Q. What can be done to cure irregular periods naturally? | Hi doctor, My age is 28 years, female, height 5 feet 4 inches, and current weight 79 kg. I have an issue of irregular periods. I am not sexually active, unmarried. I have started being physically active, do yoga, cardio and walking regularly. Two years ago when the same scenario of irregular periods for about four months happened, I consulted a gynecologist and did thyroid profile and ultrasound scan. TSH was 5.8, vitamin D 21, one 3 mm kidney stone and had one small cyst in ovary then. I was given Regestrone tablets for three days and after getting periods, asked to use Ovral pills two packs and one bottle of Eltroxin 25 mg for regularizing periods. I was also told that this is the treatment whenever periods go missing, I should repeat the same. That is why I do not wish to repeat everything again. This time I would wish to go as naturally as possible and cure myself of the roots. I have body pains all the time, I feel weakness, cannot focus on anything for a longer time, mood swings, anxiety. Also, please suggest vegetarian dietary changes, supplements related to this which solve the issue. | Hi. I have read your complaints carefully and understand your concern. All these symptoms that you are facing may be due to hormonal imbalances as you had previous PCOD history. It can be managed naturally through ayurvedic medicines and Yoga techniques. Hypothyroidism, PCOD, raised blood sugar or blood pressure, etc. Thyroid profile, lipid profile, blood sugar fasting and PP, blood pressure, USG abdomen. Inflammatory pelvic disease, irregular menstruation. Take the following medicines regularly for two months. In between medications you should provide your feedback. Rx, 1. Kuberakshadi Vati two tablets twice a day after meals. 2. Hyponidd one tablet thrice a day after meals. 3. Nityanand Rasa one tablet twice a day after meals. 4. Gokshuradi guggulu one tablet twice a day after meals. 5. Ashokaristam 15 ml twice a day with an equal amount of water after meals. 1. Avoid spicy and fried junk foods. 2. Avoid cold drinks, soft drinks, ice-cream, etc. 3. Do regular Kapalbhati, Mandukasana, Ardhamatsyendrasana, Anuloma vilom, Nadi sodhan, and Bhramari. |
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Hi doctor, My age is 28 years, female, height 5 feet 4 inches, and current weight 79 kg. I have an issue of irregular periods. I am not sexually active, unmarried. I have started being physically active, do yoga, cardio and walking regularly. Two years ago when the same scenario of irregular periods for about four months happened, I consulted a gynecologist and did thyroid profile and ultrasound scan. TSH was 5.8, vitamin D 21, one 3 mm kidney stone and had one small cyst in ovary then. I was given Regestrone tablets for three days and after getting periods, asked to use Ovral pills two packs and one bottle of Eltroxin 25 mg for regularizing periods. I was also told that this is the treatment whenever periods go missing, I should repeat the same. That is why I do not wish to repeat everything again. This time I would wish to go as naturally as possible and cure myself of the roots. I have body pains all the time, I feel weakness, cannot focus on anything for a longer time, mood swings, anxiety. Also, please suggest vegetarian dietary changes, supplements related to this which solve the issue. [/INST] Hi. I have read your complaints carefully and understand your concern. All these symptoms that you are facing may be due to hormonal imbalances as you had previous PCOD history. It can be managed naturally through ayurvedic medicines and Yoga techniques. Hypothyroidism, PCOD, raised blood sugar or blood pressure, etc. Thyroid profile, lipid profile, blood sugar fasting and PP, blood pressure, USG abdomen. Inflammatory pelvic disease, irregular menstruation. Take the following medicines regularly for two months. In between medications you should provide your feedback. Rx, 1. Kuberakshadi Vati two tablets twice a day after meals. 2. Hyponidd one tablet thrice a day after meals. 3. Nityanand Rasa one tablet twice a day after meals. 4. Gokshuradi guggulu one tablet twice a day after meals. 5. Ashokaristam 15 ml twice a day with an equal amount of water after meals. 1. Avoid spicy and fried junk foods. 2. Avoid cold drinks, soft drinks, ice-cream, etc. 3. Do regular Kapalbhati, Mandukasana, Ardhamatsyendrasana, Anuloma vilom, Nadi sodhan, and Bhramari. |
Q. How to calculate my ovulation period as I have irregular periods and trying to conceive? | Hello doctor, I had periods on 30th of last month. I do not really know when my ovulation is because I have irregular menses and I am trying to conceive. | Hi. It is a really short description of your query. In an irregular cycle, it seems around 30 to 35 days better to have sex on alternate days on expected days of ovulation. It is better to have combined oral contraceptive pills for three months to regulate your cycle and then try. Have a balanced diet and BMI with exercise daily. Lots of fruits and vegetables and try to have complete check and treatment of any health issue you and husband have. Have recreational activities and avoid recreational drugs you and husband both. If the cycle is of regular 28 days, then the fertile period is from day 9 to day 13 to have a continuous sex but in an irregular prolonged cycle, have sex on alternate days on suspected ovulatory days like from day 9 to day 20 of your cycle roughly on alternate nights. Have Folic acid. Cocp for three months if can wait otherwise have sex on alternate nights as advised. Normal weight and BMI, Folic acid, exercise daily, diet. |
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Hello doctor, I had periods on 30th of last month. I do not really know when my ovulation is because I have irregular menses and I am trying to conceive. [/INST] Hi. It is a really short description of your query. In an irregular cycle, it seems around 30 to 35 days better to have sex on alternate days on expected days of ovulation. It is better to have combined oral contraceptive pills for three months to regulate your cycle and then try. Have a balanced diet and BMI with exercise daily. Lots of fruits and vegetables and try to have complete check and treatment of any health issue you and husband have. Have recreational activities and avoid recreational drugs you and husband both. If the cycle is of regular 28 days, then the fertile period is from day 9 to day 13 to have a continuous sex but in an irregular prolonged cycle, have sex on alternate days on suspected ovulatory days like from day 9 to day 20 of your cycle roughly on alternate nights. Have Folic acid. Cocp for three months if can wait otherwise have sex on alternate nights as advised. Normal weight and BMI, Folic acid, exercise daily, diet. |
Q. Would a cardiologist find out where catheter ablation was done without seeing the report? | Hi doctor, Approximately 15 years ago I underwent a catheter ablation procedure to fix an irregular heartbeat. It was cured. My question is that can a cardiologist, who did not do the ablation, see exactly what was done without seeing a report of the procedure? I am currently taking Symbicort 200. | Hello. I understand your concern and would explain that a cardiac MRI can reveal the site of fibrosis, which correlates with the ablated region, in the myocardial tissues. This way a cardiologist who examines the cardiac MRI even years after the procedure can localize exactly the region of ablation, without the ablation procedure report. |
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Hi doctor, Approximately 15 years ago I underwent a catheter ablation procedure to fix an irregular heartbeat. It was cured. My question is that can a cardiologist, who did not do the ablation, see exactly what was done without seeing a report of the procedure? I am currently taking Symbicort 200. [/INST] Hello. I understand your concern and would explain that a cardiac MRI can reveal the site of fibrosis, which correlates with the ablated region, in the myocardial tissues. This way a cardiologist who examines the cardiac MRI even years after the procedure can localize exactly the region of ablation, without the ablation procedure report. |
Q. Every time I eat spicy food, I poop blood. Why? | Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I do not have a family history of colon cancer. I got blood tests done last night. Please find my reports attached. | Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online --> |
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Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I do not have a family history of colon cancer. I got blood tests done last night. Please find my reports attached. [/INST] Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online --> |
Q. How long should my husband and I wait to try for a baby if we did cocaine? | Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. | Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> |
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Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. [/INST] Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> |
Q. Can Yasmin birth control pill be used as an emergency contraceptive pill? | Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? | Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> |
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Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? [/INST] Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> |
Q. Please explain the poisonous effect of phenol ingestion. | Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. | Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> |
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Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. [/INST] Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> |
Q. For how long should I take Kalachikai powder to overcome PCOD problem? | Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? | Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> |
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Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? [/INST] Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> |
Q. Why do periods get delayed after first time sex? | Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? | Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> |
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Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? [/INST] Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> |
Q. I am a 20 year old boy having epigastric pain,sticky stools,lower back pain and loss of appetite. Is there any special treatment in ayurveda for that? | Hello, I am a 20 year old boy having epigastric pain only early in the morning before going to the toilet. I also have a complaint of sticky stools, lower back pain and loss of appetite. What would be the cause for my problems? Is it curable? Is it due to sexually transmitted diseases? Because,unfortunately, I did homosexual anal sex before two years. If it is amoebiasis due to homosexual anal sex, can it be cured permanently? Is there any special treatment in ayurveda for that? | Hi. Before advising any treatment, I would like to know the following: Following are the possibilities according to your complaints: You should be careful about the cleanliness during your sexual life. Revert back to an ayurveda specialist online for further follow up --> |
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Hello, I am a 20 year old boy having epigastric pain only early in the morning before going to the toilet. I also have a complaint of sticky stools, lower back pain and loss of appetite. What would be the cause for my problems? Is it curable? Is it due to sexually transmitted diseases? Because,unfortunately, I did homosexual anal sex before two years. If it is amoebiasis due to homosexual anal sex, can it be cured permanently? Is there any special treatment in ayurveda for that? [/INST] Hi. Before advising any treatment, I would like to know the following: Following are the possibilities according to your complaints: You should be careful about the cleanliness during your sexual life. Revert back to an ayurveda specialist online for further follow up --> |
Q. I have a swelling in my ankles. Is this because of heart failure? | Hello doctor, Since yesterday, I have been so tired, and I have a swelling in my ankles. It looks like a mild swelling, but I am scared. I have attached pictures of the swelling. Is this starting edema because of heart failure? I had some cardiac enlargement on MRI, but I had normal ejection fractions a year ago. What do I do now? | Hello. I have seen and reviewed the images which you have attached (attachment removed to protect patient identity). It looks like you have mild edema around your ankle. In the absence of any respiratory symptoms such as difficulty in breathing, or other cardiac symptoms such as chest pain, it is not related to any cardiac issues. It could be due to other factors such as slight renal parameter derangement, or wearing very tight socks. I will advise you to get a CBC (Complete Blood Count), RFT (Renal Function Test) and LFT (Liver Function Test) done. If these tests are normal, you can go ahead and get an ECG done. But as of now, there is no need to worry about heart failure. |
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Hello doctor, Since yesterday, I have been so tired, and I have a swelling in my ankles. It looks like a mild swelling, but I am scared. I have attached pictures of the swelling. Is this starting edema because of heart failure? I had some cardiac enlargement on MRI, but I had normal ejection fractions a year ago. What do I do now? [/INST] Hello. I have seen and reviewed the images which you have attached (attachment removed to protect patient identity). It looks like you have mild edema around your ankle. In the absence of any respiratory symptoms such as difficulty in breathing, or other cardiac symptoms such as chest pain, it is not related to any cardiac issues. It could be due to other factors such as slight renal parameter derangement, or wearing very tight socks. I will advise you to get a CBC (Complete Blood Count), RFT (Renal Function Test) and LFT (Liver Function Test) done. If these tests are normal, you can go ahead and get an ECG done. But as of now, there is no need to worry about heart failure. |
Q. I did not remove my make up after a party and slept off. And the very next day I got small red pimples on my face. Please help. | Hello doctor, I am 18 years old, and I have this problem for about two weeks. I think this is because I did not remove my make up after a party and slept off. And the very next day, I got small red pimples on my face. I have this redness or spots on both sides of my cheeks. What could this be? Please give some affordable medicines or cream, but recommend me a good product. | Hi. This might be allergic contact dermatitis or cosmetic-induced acne. Make sure that you do not get exposed to that chemical within the next 10 days otherwise there are chances of sensitization and can cause further flare-up of the disease. Apply the following medicines on the affected areas: As of now, I am not prescribing any oral medication, but it might be needed if the response to the topical application is poor. |
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Hello doctor, I am 18 years old, and I have this problem for about two weeks. I think this is because I did not remove my make up after a party and slept off. And the very next day, I got small red pimples on my face. I have this redness or spots on both sides of my cheeks. What could this be? Please give some affordable medicines or cream, but recommend me a good product. [/INST] Hi. This might be allergic contact dermatitis or cosmetic-induced acne. Make sure that you do not get exposed to that chemical within the next 10 days otherwise there are chances of sensitization and can cause further flare-up of the disease. Apply the following medicines on the affected areas: As of now, I am not prescribing any oral medication, but it might be needed if the response to the topical application is poor. |
Q. I noticed bright red blood on the toilet paper and my anus was bleeding. What could it be? | Hello doctor,I am an 18 year old female, and I am not on any medications. I am 5 feet 4 inches tall, and I weigh 133 pounds. About 3 to 4 days ago after having a bowel movement, I noticed a little bit of bright red blood on the toilet paper, and my anus was bleeding a little bit for the next minute or so and then it stopped. The next day, I had another bowel movement, and there was a lot less blood on the toilet paper than the day before. The next day it was completely gone. For the next two days, I did not have any bleeding. But yesterday, the bleeding was back except there was a lot more of it had dripped into the toilet. It went away shortly. The same thing happened today. I do not have any pain, constipation, diarrhea, weight loss, fatigue, or nausea. The only other symptom besides the bleeding is that the outer part of my anus feels irritated after I pass stools. | Hello. You need to get your stool examined for the possibility of parasites which can cause such local irritation. Also, malabsorption of certain compounds in food can lead to local irritation after passing stools. Fresh bleeding is possible if the stools are hard, but there is no such history in your case. I will advise you the following medicines for a week, and if it still does not resolve, please get yourself examined by your physician. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. Drink plenty of water and avoid spicy foods for a week. If the bleeding is persistent, please get yourself examined. |
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Hello doctor,I am an 18 year old female, and I am not on any medications. I am 5 feet 4 inches tall, and I weigh 133 pounds. About 3 to 4 days ago after having a bowel movement, I noticed a little bit of bright red blood on the toilet paper, and my anus was bleeding a little bit for the next minute or so and then it stopped. The next day, I had another bowel movement, and there was a lot less blood on the toilet paper than the day before. The next day it was completely gone. For the next two days, I did not have any bleeding. But yesterday, the bleeding was back except there was a lot more of it had dripped into the toilet. It went away shortly. The same thing happened today. I do not have any pain, constipation, diarrhea, weight loss, fatigue, or nausea. The only other symptom besides the bleeding is that the outer part of my anus feels irritated after I pass stools. [/INST] Hello. You need to get your stool examined for the possibility of parasites which can cause such local irritation. Also, malabsorption of certain compounds in food can lead to local irritation after passing stools. Fresh bleeding is possible if the stools are hard, but there is no such history in your case. I will advise you the following medicines for a week, and if it still does not resolve, please get yourself examined by your physician. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. Drink plenty of water and avoid spicy foods for a week. If the bleeding is persistent, please get yourself examined. |
Q. I have an eating disorder. Can this be fixed? What exactly is my problem? | Hello doctor, I am here today to finally address my problem. I am an 18 year old male, who plays football and loves to play golf. I am here today to say, and I have an eating disorder. In this case, I am assuming it is an eating disorder or some type of phobia. But anyway, my problem is eating in public. I never had a problem with it when I was young, but it probably started when I was 13 years old. I cannot eat out if I go to a restaurant or a fast food place, I feel like throwing up instantly when I sit down with my food. I cannot eat at school and the worst one is when I receive the body of Christ, I almost jump out of my shoes to try and not to throw up. But luckily that never happened. It is probably been about two years since I ate out of my house. I do not understand how it just happened. I mean like I was fine when I was younger, and now I have this problem. What should I do? My family does not really believe me when I tell them, they just say it is nerves. But since it has been two years, I think it is buried in my head. Now I have some questions. Can this be fixed? What exactly is my problem? Will I ever be able to eat at a restaurant or fast food place again? Can this be fixed without actually going to the doctor? You honestly do not know how much I would love to go sit down with my family at a restaurant and enjoy a meal. I need help and a confidence booster. I can eat perfectly fine at my own house and that is why I am confused. Please help me. | Hi. I think it is not an eating disorder because, in the case of an eating disorder, the problem should be everywhere including your home. However, your problem of eating in public could be because of social anxiety disorder or because of Obsessive-Compulsive Disorder (OCD). So, I would like to seek more clarification regarding the following points: Now, I would like to answer your questions. Yes, this problem of yours can be fixed. Do not worry about that. This could be a social anxiety disorder or obsessive-compulsive disorder. Yes, you will definitely be able to eat outside. You can revert with the answers to the above questions for me to arrive at the diagnosis so that we can decide if you have to meet the doctor in person. I can understand and feel your pain as well. There are pharmacological and non-pharmacological treatments to solve your problem. Take care. |
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Hello doctor, I am here today to finally address my problem. I am an 18 year old male, who plays football and loves to play golf. I am here today to say, and I have an eating disorder. In this case, I am assuming it is an eating disorder or some type of phobia. But anyway, my problem is eating in public. I never had a problem with it when I was young, but it probably started when I was 13 years old. I cannot eat out if I go to a restaurant or a fast food place, I feel like throwing up instantly when I sit down with my food. I cannot eat at school and the worst one is when I receive the body of Christ, I almost jump out of my shoes to try and not to throw up. But luckily that never happened. It is probably been about two years since I ate out of my house. I do not understand how it just happened. I mean like I was fine when I was younger, and now I have this problem. What should I do? My family does not really believe me when I tell them, they just say it is nerves. But since it has been two years, I think it is buried in my head. Now I have some questions. Can this be fixed? What exactly is my problem? Will I ever be able to eat at a restaurant or fast food place again? Can this be fixed without actually going to the doctor? You honestly do not know how much I would love to go sit down with my family at a restaurant and enjoy a meal. I need help and a confidence booster. I can eat perfectly fine at my own house and that is why I am confused. Please help me. [/INST] Hi. I think it is not an eating disorder because, in the case of an eating disorder, the problem should be everywhere including your home. However, your problem of eating in public could be because of social anxiety disorder or because of Obsessive-Compulsive Disorder (OCD). So, I would like to seek more clarification regarding the following points: Now, I would like to answer your questions. Yes, this problem of yours can be fixed. Do not worry about that. This could be a social anxiety disorder or obsessive-compulsive disorder. Yes, you will definitely be able to eat outside. You can revert with the answers to the above questions for me to arrive at the diagnosis so that we can decide if you have to meet the doctor in person. I can understand and feel your pain as well. There are pharmacological and non-pharmacological treatments to solve your problem. Take care. |
Q. Will Kalarchikai cure multiple ovarian cysts in PCOD? | Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well. | Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help. |
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Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well. [/INST] Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help. |
Q. I am suffering from stomach problems. Could you please help me with my situation? | Hello doctor,I am a 28 year old female. I am suffering from stomach problems. The symptoms include gas trouble, acidity, high frequency of passing stools, stools are slightly dark in color and do not float (stools are smelly though). When I have irritating feeling in my stomach, lower abdomen, along with pain, I also experience pain in lower back. Occasionally, I experience pain in left shoulder and armpit. Also, the pain or uneasy feeling is more pronounced in the lower right side of the abdomen. I recently shifted to another country. After shifting, my problem has worsened. My doctor said I could be suffering from giardiasis, and I was put on an antibiotic course including Enteroquinol and some other drug. I was better while taking that medication, but as soon as I stopped the medicines, my problem recurred. I had also taken an ayurvedic medicine called Kutajarishta. Could you please help me with my situation? | Hi. From what you have described, your clinical history, symptoms, and the test reports (attachment removed to protect patient identity), it seems that you have not been given the complete treatment which is required for your ailment. I guess an accurate and precise diagnosis was not made. Well, it is very clear from your symptoms that you are suffering from three different conditions which are: I suggest you try the following treatment, and I guarantee you that you shall be absolutely fine very soon. Medicines from serial number 3 to 7 are to be taken for 3 weeks. Make sure you do not miss even a single dose. You will start having relief in 2 to 3 days, but make sure you complete the treatment for full 3 weeks. Consult your specialist doctor, discuss with him or her and start taking medicines after their consent. |
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Hello doctor,I am a 28 year old female. I am suffering from stomach problems. The symptoms include gas trouble, acidity, high frequency of passing stools, stools are slightly dark in color and do not float (stools are smelly though). When I have irritating feeling in my stomach, lower abdomen, along with pain, I also experience pain in lower back. Occasionally, I experience pain in left shoulder and armpit. Also, the pain or uneasy feeling is more pronounced in the lower right side of the abdomen. I recently shifted to another country. After shifting, my problem has worsened. My doctor said I could be suffering from giardiasis, and I was put on an antibiotic course including Enteroquinol and some other drug. I was better while taking that medication, but as soon as I stopped the medicines, my problem recurred. I had also taken an ayurvedic medicine called Kutajarishta. Could you please help me with my situation? [/INST] Hi. From what you have described, your clinical history, symptoms, and the test reports (attachment removed to protect patient identity), it seems that you have not been given the complete treatment which is required for your ailment. I guess an accurate and precise diagnosis was not made. Well, it is very clear from your symptoms that you are suffering from three different conditions which are: I suggest you try the following treatment, and I guarantee you that you shall be absolutely fine very soon. Medicines from serial number 3 to 7 are to be taken for 3 weeks. Make sure you do not miss even a single dose. You will start having relief in 2 to 3 days, but make sure you complete the treatment for full 3 weeks. Consult your specialist doctor, discuss with him or her and start taking medicines after their consent. |
Q. Is it true that a child operated for ASD will have problem in the future? | Hello doctor, We, husband and wife, are (A+) same blood group. Also, our son is the same blood group (A+). He also had ASD problem treated and surgery also done completed. Will there be any problem for him in the future? | Hello. If the surgery was done at an earlier age then the prognosis is good. Prognosis also depends on the size of ASD and whether a pulmonary vascular obstruction is present or not. If no pulmonary vessel obstruction is present then the prognosis is very good. As far as risk is concerned ASD patient sometimes can develop atrial arrhythmia like condition in the future. Take care. |
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Hello doctor, We, husband and wife, are (A+) same blood group. Also, our son is the same blood group (A+). He also had ASD problem treated and surgery also done completed. Will there be any problem for him in the future? [/INST] Hello. If the surgery was done at an earlier age then the prognosis is good. Prognosis also depends on the size of ASD and whether a pulmonary vascular obstruction is present or not. If no pulmonary vessel obstruction is present then the prognosis is very good. As far as risk is concerned ASD patient sometimes can develop atrial arrhythmia like condition in the future. Take care. |
Q. What is the reason for bad breath? | Hello doctor,I am 25 years old having bad breath. And I have consulted many dentists for treatment. But no one has any idea about what problem is actually causing bad breath. I usually brush my teeth 2 to 3 times daily. | Hi. You can opt for the following treatments stepwise. Start using antibacterial or Chlorhexidine Gluconate mouthwash. This is best for bad breath or stinking mouth and halitosis. Use three times a day for two weeks. Another very helpful method for the cure of bad breath is saline water mouth rinses. (Take a small cup of lukewarm water, add 1/4th teaspoon of salt in it). Do these rinses three times a day for 10 days. It will help. But chronic halitosis or mouth stinking is not a healthy thing. You must get the cause identified. This bad breath can be due to any systemic problem (like acidity, stomach ulcer, etc.), mouth breathing habit, poor oral hygiene. Try to fix the problem accordingly first. If you need scaling, get it done and then start with mouthwash or mouthrinses. You will get rid of bad breath soon. Two times brushing of teeth in a day is quite enough, excessive brushing can damage the enamel of your teeth. You can give followup after two weeks. Along with a close picture of your teeth with gums can help me diagnose your cause of mouth stinking more properly. |
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Hello doctor,I am 25 years old having bad breath. And I have consulted many dentists for treatment. But no one has any idea about what problem is actually causing bad breath. I usually brush my teeth 2 to 3 times daily. [/INST] Hi. You can opt for the following treatments stepwise. Start using antibacterial or Chlorhexidine Gluconate mouthwash. This is best for bad breath or stinking mouth and halitosis. Use three times a day for two weeks. Another very helpful method for the cure of bad breath is saline water mouth rinses. (Take a small cup of lukewarm water, add 1/4th teaspoon of salt in it). Do these rinses three times a day for 10 days. It will help. But chronic halitosis or mouth stinking is not a healthy thing. You must get the cause identified. This bad breath can be due to any systemic problem (like acidity, stomach ulcer, etc.), mouth breathing habit, poor oral hygiene. Try to fix the problem accordingly first. If you need scaling, get it done and then start with mouthwash or mouthrinses. You will get rid of bad breath soon. Two times brushing of teeth in a day is quite enough, excessive brushing can damage the enamel of your teeth. You can give followup after two weeks. Along with a close picture of your teeth with gums can help me diagnose your cause of mouth stinking more properly. |
Q. I am unable to penetrate during sex. Please help. | Hello doctor, I am a 32-year-old male. My height is 5'10" and I weigh 82 kg. I got married two years back. We both are working professionals and love each other a lot. Since our marriage, we are trying to have intercourse but unable to. We are wanting to have a baby now, but are really worried about the situation. Also, we tried penetration a lot of times but the moment I come close to her I lose the erection. I am very uncomfortable with my foreskin rolled down and she is very uncomfortable when I touch her vagina as the sense of pain takes down the momentum and she feels stressed. She also feels dryness at her vagina. As we both are working hence at the end of the day we feel tired and have less sexual desire. You are requested to help us in our healthy sexual life and family planning too. | Hello. As you have explained, you never achieved intercourse? You both have fear about sex and you have fear for rolling of your foreskin and she also feels pain and uncomfortable. You both need therapy. You want to plan a baby but first, you achieve a successful intercourse, it is important. You have to do a simple exercise like try to uncover your foreskin when you urinate. Does that hurt? During masturbation try to uncover. And for your partner, you should visit a gynecologist for dryness of the vagina. There is vaginal cream that contains estrogen that will be helpful in dryness problem. If she has a fear that intercourse will be painful than there is vaginal dilator that will give her relief. In starting, you should enjoy foreplay. Forget about intercourse. When you both are at peak, then start sex but if you became already preoccupied with that thought that we cannot do then you cannot proceed further. The main problem is that you both are very sensitive and do not want to hurt each other but start playing with each other's genital part that will replace your hesitation to pleasure. |
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Hello doctor, I am a 32-year-old male. My height is 5'10" and I weigh 82 kg. I got married two years back. We both are working professionals and love each other a lot. Since our marriage, we are trying to have intercourse but unable to. We are wanting to have a baby now, but are really worried about the situation. Also, we tried penetration a lot of times but the moment I come close to her I lose the erection. I am very uncomfortable with my foreskin rolled down and she is very uncomfortable when I touch her vagina as the sense of pain takes down the momentum and she feels stressed. She also feels dryness at her vagina. As we both are working hence at the end of the day we feel tired and have less sexual desire. You are requested to help us in our healthy sexual life and family planning too. [/INST] Hello. As you have explained, you never achieved intercourse? You both have fear about sex and you have fear for rolling of your foreskin and she also feels pain and uncomfortable. You both need therapy. You want to plan a baby but first, you achieve a successful intercourse, it is important. You have to do a simple exercise like try to uncover your foreskin when you urinate. Does that hurt? During masturbation try to uncover. And for your partner, you should visit a gynecologist for dryness of the vagina. There is vaginal cream that contains estrogen that will be helpful in dryness problem. If she has a fear that intercourse will be painful than there is vaginal dilator that will give her relief. In starting, you should enjoy foreplay. Forget about intercourse. When you both are at peak, then start sex but if you became already preoccupied with that thought that we cannot do then you cannot proceed further. The main problem is that you both are very sensitive and do not want to hurt each other but start playing with each other's genital part that will replace your hesitation to pleasure. |
Q. How can muscular dystrophy be controlled? | Hello doctor, What is the procedure to control muscular dystrophy? | Hi. Most of the muscular dystrophies are genetic diseases, like myotonic dystrophies, Duchan- baker dystrophy. If someone has that, no treatment discovered yet, we did not have anything to cure disease, rather diseases are progressive. But dystrophy is due to some medication like statins medication or steroids, we can discontinue medicine and dystrophy will be reversed. Hopefully, I answered your questions. In the meantime, an aggressive fluid should be given to prevent kidney failure. |
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Hello doctor, What is the procedure to control muscular dystrophy? [/INST] Hi. Most of the muscular dystrophies are genetic diseases, like myotonic dystrophies, Duchan- baker dystrophy. If someone has that, no treatment discovered yet, we did not have anything to cure disease, rather diseases are progressive. But dystrophy is due to some medication like statins medication or steroids, we can discontinue medicine and dystrophy will be reversed. Hopefully, I answered your questions. In the meantime, an aggressive fluid should be given to prevent kidney failure. |
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 left armpit is sore with swollen left ankle and bruise in left groin. Please help. | Hello doctor, I have three medical concerns that I think might be related. One is that I have soreness in my left armpit, another is that my left ankle has been swollen lately, and finally I have a one in circle ark that looks like a faded bruise in my left groin. There is no swelling associated with this and no pain. The last one has been persistent for a few months (and the circle got darker when I went on Bactrim for a UTI but then got lighter again). Could these three things be related? Is there any cause for concern? | Hello. Since when are you suffering from this condition? It may be reactive arthritis (Reiter's syndrome) in which urethritis or UTI (urinary tract infection) followed by joint swelling and rash. It may be associated with dry mouth and dry eyes. It may be a different entity like groin rash which may be a fungal infection. Joint swelling may be due to arthritis or gout or crystal-induced inflammation. Left axillary pain may be due to herpes zoster or boils or shoulder joint arthritis or rotator cuff problem or hypothyroidism. Until examination is done it is difficult to say what it is. Get it done urine culture and sensitivity, CRP (C-reactive protein), ESR (erythrocyte sedimentation rate), and x-ray of left ankle joint. Use tablet Naproxen 250 mg twice a day for five days. Keep limb on elevation mode while sleeping. Please review with reports or consult with your physician he will examine and treat you accordingly. |
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Hello doctor, I have three medical concerns that I think might be related. One is that I have soreness in my left armpit, another is that my left ankle has been swollen lately, and finally I have a one in circle ark that looks like a faded bruise in my left groin. There is no swelling associated with this and no pain. The last one has been persistent for a few months (and the circle got darker when I went on Bactrim for a UTI but then got lighter again). Could these three things be related? Is there any cause for concern? [/INST] Hello. Since when are you suffering from this condition? It may be reactive arthritis (Reiter's syndrome) in which urethritis or UTI (urinary tract infection) followed by joint swelling and rash. It may be associated with dry mouth and dry eyes. It may be a different entity like groin rash which may be a fungal infection. Joint swelling may be due to arthritis or gout or crystal-induced inflammation. Left axillary pain may be due to herpes zoster or boils or shoulder joint arthritis or rotator cuff problem or hypothyroidism. Until examination is done it is difficult to say what it is. Get it done urine culture and sensitivity, CRP (C-reactive protein), ESR (erythrocyte sedimentation rate), and x-ray of left ankle joint. Use tablet Naproxen 250 mg twice a day for five days. Keep limb on elevation mode while sleeping. Please review with reports or consult with your physician he will examine and treat you accordingly. |
Q. I masturbate only by rubbing the tip of the penis. Is it a wrong way? | Hi doctor, During masturbation I just rub the tip of the penis and not the entire penis. Is it a wrong way of doing? I do not get excited during sex and unable to ejaculate. Only, rubbing the tip of the penis gives me excitement. Also, two weeks ago, I have undergone circumcision as my foreskin did not retract. Before circumcision too, I have the same problem. Please help. | Hi. For further doubts consult a sexologist online --> |
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Hi doctor, During masturbation I just rub the tip of the penis and not the entire penis. Is it a wrong way of doing? I do not get excited during sex and unable to ejaculate. Only, rubbing the tip of the penis gives me excitement. Also, two weeks ago, I have undergone circumcision as my foreskin did not retract. Before circumcision too, I have the same problem. Please help. [/INST] Hi. For further doubts consult a sexologist online --> |
Q. Semen analysis shows low sperm motility. How serious is it? | Hi doctor, Recently my husband had gone to semen analysis and doctor mentioned that he has low motility but not sure how serious is the issue. Here are the results of semen analysis volume 1 ml, the viscosity is normal, reaction alkaline liquefaction is 25, fructose is positive. Total sperm count is 90 mill/ml, rapid progressive motility 10 %, slow progressive motility 20 %, nonprogressive motility 10 %, non-motile sperms 60 %, live sperms 40 %, dead sperms 60 %, normal forms 80 %, abnormal forms 20 %. The doctor said that he has an infection and suggested Popson tablets and he is taking tablets from the past three months. Also, he has undergone circumcision three months ago as frenulum tear is happening frequently. Could you please suggest how serious is the issue? | Hello. Your husband is suffering from asthenoteratozoospermia where motility is very less and dead sperms are high, likely due to infection, yes. The life cycle of sperms is 120 days and hence at least three months of treatment is required with sperm energizers and antioxidants after two weeks course of antibiotics to increase the motility and number. The present count is the cause of male infertility and hence non-conception. |
<s>[INST]
Hi doctor, Recently my husband had gone to semen analysis and doctor mentioned that he has low motility but not sure how serious is the issue. Here are the results of semen analysis volume 1 ml, the viscosity is normal, reaction alkaline liquefaction is 25, fructose is positive. Total sperm count is 90 mill/ml, rapid progressive motility 10 %, slow progressive motility 20 %, nonprogressive motility 10 %, non-motile sperms 60 %, live sperms 40 %, dead sperms 60 %, normal forms 80 %, abnormal forms 20 %. The doctor said that he has an infection and suggested Popson tablets and he is taking tablets from the past three months. Also, he has undergone circumcision three months ago as frenulum tear is happening frequently. Could you please suggest how serious is the issue? [/INST] Hello. Your husband is suffering from asthenoteratozoospermia where motility is very less and dead sperms are high, likely due to infection, yes. The life cycle of sperms is 120 days and hence at least three months of treatment is required with sperm energizers and antioxidants after two weeks course of antibiotics to increase the motility and number. The present count is the cause of male infertility and hence non-conception. |
Q. I am having IVF failure even though there are good stimulation and embryo production. Why? | Hello doctor, Repeated IVF failure. I would just like an independent opinion, I am 34 years old and already had four failed IVF's. Not once was there a positive pregnancy test. I am healthy, gave birth to a healthy baby boy eight years back with my first husband who sadly passed on a few years ago. Remarried a few years later and have been struggling with infertility. Have been on numerous Clomid and IUI cycles with no success. Finally resorted to IVF and thought that after at least three attempts it would be successful as I had a good response to stimulation and good embryo production. The only issue was my husband's sperm morphology and viscosity. Fertilization was done via ICSI and was told that the blastocyst was top grade and perfect looking and already hatching. Is there any reason why the embryos are failing to implant. I am so frustrated, confused and depressed. The whole experience is emotionally and financially draining especially because I have no issues with my uterus, no hormonal issues, etc. My husband blames me, according to him, if the embryos were perfect looking than the problem surely is me. My clinic said I should come in and try again, however, I do not want to try again not knowing what the problem is or what can be done differently. | Hello. I completely empathize with you and understand your concerns here. The primary step where, in your case, things could have gone wrong is the stage of implantation over a non-receptive endometrium of the uterus when a top grade blastocyst is being transferred and each time there is a negative result. The implantation at endometrium is the issue in your case, most likely. Few things are important for a good endometrium. The endometrial thickness should be more than 9 mm at ET. Good endometrial blood flow in zone 2, 3 and 4 to check for receptivity through transvaginal Doppler study in the mid-cycle before embryo transfer. Before even contemplating IVF, an endometrial biopsy for histopathology report should be obtained to rule out any pre-existent endometritis or and acid-fast bacillus (tuberculous cause). The malefactor is taken care of by ICSI and IVF and hence a high-grade blastocyst is being achieved for transfer. I would like you to share with me the last IVF cycle medicinal protocol, scans, follicular monitoring reports and if possible reports of endometrial biopsy for a histopathology, pap smear report, high vaginal swab culture (if any) for further study and check to ascertain what went wrong in your case. |
<s>[INST]
Hello doctor, Repeated IVF failure. I would just like an independent opinion, I am 34 years old and already had four failed IVF's. Not once was there a positive pregnancy test. I am healthy, gave birth to a healthy baby boy eight years back with my first husband who sadly passed on a few years ago. Remarried a few years later and have been struggling with infertility. Have been on numerous Clomid and IUI cycles with no success. Finally resorted to IVF and thought that after at least three attempts it would be successful as I had a good response to stimulation and good embryo production. The only issue was my husband's sperm morphology and viscosity. Fertilization was done via ICSI and was told that the blastocyst was top grade and perfect looking and already hatching. Is there any reason why the embryos are failing to implant. I am so frustrated, confused and depressed. The whole experience is emotionally and financially draining especially because I have no issues with my uterus, no hormonal issues, etc. My husband blames me, according to him, if the embryos were perfect looking than the problem surely is me. My clinic said I should come in and try again, however, I do not want to try again not knowing what the problem is or what can be done differently. [/INST] Hello. I completely empathize with you and understand your concerns here. The primary step where, in your case, things could have gone wrong is the stage of implantation over a non-receptive endometrium of the uterus when a top grade blastocyst is being transferred and each time there is a negative result. The implantation at endometrium is the issue in your case, most likely. Few things are important for a good endometrium. The endometrial thickness should be more than 9 mm at ET. Good endometrial blood flow in zone 2, 3 and 4 to check for receptivity through transvaginal Doppler study in the mid-cycle before embryo transfer. Before even contemplating IVF, an endometrial biopsy for histopathology report should be obtained to rule out any pre-existent endometritis or and acid-fast bacillus (tuberculous cause). The malefactor is taken care of by ICSI and IVF and hence a high-grade blastocyst is being achieved for transfer. I would like you to share with me the last IVF cycle medicinal protocol, scans, follicular monitoring reports and if possible reports of endometrial biopsy for a histopathology, pap smear report, high vaginal swab culture (if any) for further study and check to ascertain what went wrong in your case. |
Q. Is it fine to get irregular periods after taking Kalarchikai in a PCOD patient? | Hi doctor, I have a small size of a cyst. The doctor told I have PCOD. I am taking Kalarchikkai with pepper and honey making small balls for the past 28 days. The first time I got period after 28 days second time I got after 13 days. Is it normal? Can I continue the medicine for 48 days? Or shall I stop? Please suggest ideas. | Hi. Nowadays, period anomalies mostly occur due to PCOD. PCOD may lead to menstrual cycle changes, a cyst in the ovary, trouble getting pregnant and other health issues. PCOD is linked to changes in the level of certain female hormones like estrogen and progesterone. USG abdomen, estrogen, LH, FSH, lipid profile, blood sugar. Hypothyroidism, inflammatory pelvic disorder. As per your description, you are already taking Kalachikai powder with honey. Kalachikai helps to manage cyst issues naturally. You should continue this powder 3 gm twice a day with honey after meals for 90 days. Along with this, you can also take Hyponidd charak Pharmacy two tablets twice a day after meals and Ashokaristam 15 ml twice a day with an equal amount of water after meals. Avoid spicy and fried junk foods. Do regular Kapalbhati and Mandukasana as well as pranayama like anuloma vilom nadi sodhan and bhramari. |
<s>[INST]
Hi doctor, I have a small size of a cyst. The doctor told I have PCOD. I am taking Kalarchikkai with pepper and honey making small balls for the past 28 days. The first time I got period after 28 days second time I got after 13 days. Is it normal? Can I continue the medicine for 48 days? Or shall I stop? Please suggest ideas. [/INST] Hi. Nowadays, period anomalies mostly occur due to PCOD. PCOD may lead to menstrual cycle changes, a cyst in the ovary, trouble getting pregnant and other health issues. PCOD is linked to changes in the level of certain female hormones like estrogen and progesterone. USG abdomen, estrogen, LH, FSH, lipid profile, blood sugar. Hypothyroidism, inflammatory pelvic disorder. As per your description, you are already taking Kalachikai powder with honey. Kalachikai helps to manage cyst issues naturally. You should continue this powder 3 gm twice a day with honey after meals for 90 days. Along with this, you can also take Hyponidd charak Pharmacy two tablets twice a day after meals and Ashokaristam 15 ml twice a day with an equal amount of water after meals. Avoid spicy and fried junk foods. Do regular Kapalbhati and Mandukasana as well as pranayama like anuloma vilom nadi sodhan and bhramari. |
Q. How can seizure and anxiety occured after surgery for brain hemorrhage be stopped? | Hello doctor, His age is 66 years (father). He had a brain hemorrhage two months back and an operation was held the next day itself. His left side upper and lower limbs are weak so physiotherapy is going on and improving day by day but on three weeks back he got fits and again twice this month. The intensity was high and lasted for five minutes. His medicines are phenytoin 100 mg Xarelto 10 mg for DVT in left leg Amlodipine 2.5 mg and yesterday Clobazam 10 mg at night started. What can we do to stop seizure and anxiety? | Hi. Seizures can occur following a brain hemorrhage. His current medications Phenytoin and Clobazam are anti-seizure medications. He needs to take these medications regularly without missing any doses. Sometimes two or more anti-seizure medications are required to prevent seizures. Wishing him a speedy recovery. |
<s>[INST]
Hello doctor, His age is 66 years (father). He had a brain hemorrhage two months back and an operation was held the next day itself. His left side upper and lower limbs are weak so physiotherapy is going on and improving day by day but on three weeks back he got fits and again twice this month. The intensity was high and lasted for five minutes. His medicines are phenytoin 100 mg Xarelto 10 mg for DVT in left leg Amlodipine 2.5 mg and yesterday Clobazam 10 mg at night started. What can we do to stop seizure and anxiety? [/INST] Hi. Seizures can occur following a brain hemorrhage. His current medications Phenytoin and Clobazam are anti-seizure medications. He needs to take these medications regularly without missing any doses. Sometimes two or more anti-seizure medications are required to prevent seizures. Wishing him a speedy recovery. |
Q. The patient is not eating properly after angioplasty. Why? | Hi doctor, My dad had gone through angioplasty a couple of weeks ago. He is not at all feeling hungry. At maximum, he is eating an apple a day. Due to this, he is feeling so low and worried. Hence I asked him to stop taking medicines for a day. Please guide what could be the reason. He is a diabetic and high BP patient. | Hi. It is normal after surgery, angioplasty and any other procedure to have lessened appetite for a few days to weeks. This is because of stress and anxiety. Just be relax and live a normal life. And never stop medicines even for a single day. The stent will get blocked and the other heart-attack will ensue. |
<s>[INST]
Hi doctor, My dad had gone through angioplasty a couple of weeks ago. He is not at all feeling hungry. At maximum, he is eating an apple a day. Due to this, he is feeling so low and worried. Hence I asked him to stop taking medicines for a day. Please guide what could be the reason. He is a diabetic and high BP patient. [/INST] Hi. It is normal after surgery, angioplasty and any other procedure to have lessened appetite for a few days to weeks. This is because of stress and anxiety. Just be relax and live a normal life. And never stop medicines even for a single day. The stent will get blocked and the other heart-attack will ensue. |
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