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Q. What are the methods to quit smoking without using medicine or nicotine gums? | Hello doctor, I want to quit smoking. Everyday something happens which makes me smoke another stick. I am sick of smoking but nothing is helping me out. I have already tried meditation to do some exercise and all but in the end, I cannot control and again I start smoking. I am not willing to have any medicine or nicotine gums as a solution, if something else you can recommend that would be helpful. | Hi. See smoking comes under the addiction to nicotine. Addiction has multifactorial etiology, for example, peer pressure, family history, personality factor, maladaptive way to deal with stressors, underlying anxiety, and depression. As far as treatment is concerned which is dependent on patients motivation, motivation should be strong enough to quit because treatment would only facilitate you for this action. You strongly require medication and counseling for motivation and to understand your psychological condition. Smoking. All baseline investors. Depression. Tablet Bupropion 75 mg three times a day. |
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Hello doctor, I want to quit smoking. Everyday something happens which makes me smoke another stick. I am sick of smoking but nothing is helping me out. I have already tried meditation to do some exercise and all but in the end, I cannot control and again I start smoking. I am not willing to have any medicine or nicotine gums as a solution, if something else you can recommend that would be helpful. [/INST] Hi. See smoking comes under the addiction to nicotine. Addiction has multifactorial etiology, for example, peer pressure, family history, personality factor, maladaptive way to deal with stressors, underlying anxiety, and depression. As far as treatment is concerned which is dependent on patients motivation, motivation should be strong enough to quit because treatment would only facilitate you for this action. You strongly require medication and counseling for motivation and to understand your psychological condition. Smoking. All baseline investors. Depression. Tablet Bupropion 75 mg three times a day. |
Q. I have pain in left arm along with feeling of sickness. Why? | Hi doctor, I just wanted an opinion on what I need to do. I have been having pain in my left arm along with feeling like I am going to get sick and tired. My mom passed at 34 with a heart attack. Then presently my younger brother has a blockage. I am wondering if I may be over-reacting or should I go to the hospital? | Hi. You have a strong family history of premature coronary artery disease, you are also at risk. Modify your lifestyle. Maintain weight with BMI less than 25, avoid tobacco and alcohol products if you consume. Reduce salt intake, and avoid fatty meals and fast foods. Have an ECG and echo done. Have fasting lipid profile done. Followup with reports. You have to manage it aggressively. Lipid profile, renal function test, ECG, echocardiography. |
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Hi doctor, I just wanted an opinion on what I need to do. I have been having pain in my left arm along with feeling like I am going to get sick and tired. My mom passed at 34 with a heart attack. Then presently my younger brother has a blockage. I am wondering if I may be over-reacting or should I go to the hospital? [/INST] Hi. You have a strong family history of premature coronary artery disease, you are also at risk. Modify your lifestyle. Maintain weight with BMI less than 25, avoid tobacco and alcohol products if you consume. Reduce salt intake, and avoid fatty meals and fast foods. Have an ECG and echo done. Have fasting lipid profile done. Followup with reports. You have to manage it aggressively. Lipid profile, renal function test, ECG, echocardiography. |
Q. Kindly suggest a diet plan to reduce fat in the stomach area. | Hi doctor, This is regarding fat accumulation at major fats at stomach area. Is there any method so that it could be reduced since my marriage is fixed in 15 days. Is there any diet plan? | Hello. Well, you have a very limited time then. Follow a strict regimen that should be performed regularly twice every day. Have a fat free, carbohydrate-less meal, protein-rich diet containing dal, pulses, green vegetables and fruits. Have a carrot, cucumber, every day in the morning after breakfast and in the evening to avoid binge eating. Walk twice a day, minimum for 30 minutes each is good. Sufficient sleep, pilates like hundreds, crunches are fruitful. Drinking enough water cuts fat deposit. At least four liters. Green tea instead of milk tea. Fibre rich diet with no rice, no banana, a low-fat milk should be included. Warm water intake in the morning before breakfast detoxifies the body. |
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Hi doctor, This is regarding fat accumulation at major fats at stomach area. Is there any method so that it could be reduced since my marriage is fixed in 15 days. Is there any diet plan? [/INST] Hello. Well, you have a very limited time then. Follow a strict regimen that should be performed regularly twice every day. Have a fat free, carbohydrate-less meal, protein-rich diet containing dal, pulses, green vegetables and fruits. Have a carrot, cucumber, every day in the morning after breakfast and in the evening to avoid binge eating. Walk twice a day, minimum for 30 minutes each is good. Sufficient sleep, pilates like hundreds, crunches are fruitful. Drinking enough water cuts fat deposit. At least four liters. Green tea instead of milk tea. Fibre rich diet with no rice, no banana, a low-fat milk should be included. Warm water intake in the morning before breakfast detoxifies the body. |
Q. I have microscopic hematuria. Is this curable? | Hello doctor, I am a software professional. I work in shifts from 2 PM to 11:30 PM. Recently, I got a complete health check-up done and found to have microscopic hematuria. Before this health check-up, I used to take medicines for headaches (Saridon and Headset tablets). I used to drink alcohol thrice weekly. Now sometimes I get headaches, feel dizzy, and have gastric problems like burning sensation in the stomach. I do not have any other problems like pain in the abdomen, back pain, etc. Is this a severe threat to my health or kidneys? Is this curable? What type of diet do I need to follow? Please give your valuable advice. | Hello. I have gone through all your reports (attachment removed to protect patient identity), and except for the microscopic hematuria, all your reports are fine and there is nothing to worry about. Regarding the microscopic hematuria, it could be due to subclinical UTI (Urinary Tract Infection), which happens due to poor hygiene or due to inadequate drinking of water. Since you are a working professional, I presume you do not get much time to care about your diet and general things such as drinking enough water on time. Due to this, the urine keeps turning acidic and makes it a good environment for the local microbial flora to grow and cause UTI. It is not at all a threat as of now. UTI in men can be difficult to treat with because of resistance of organisms to many antibiotics. However, I suggest you try doing the following things: Consult your specialist doctor, discuss with him or her and start taking medicines after their consent. Till then take the medicines and most importantly drink enough water. Take care. |
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Hello doctor, I am a software professional. I work in shifts from 2 PM to 11:30 PM. Recently, I got a complete health check-up done and found to have microscopic hematuria. Before this health check-up, I used to take medicines for headaches (Saridon and Headset tablets). I used to drink alcohol thrice weekly. Now sometimes I get headaches, feel dizzy, and have gastric problems like burning sensation in the stomach. I do not have any other problems like pain in the abdomen, back pain, etc. Is this a severe threat to my health or kidneys? Is this curable? What type of diet do I need to follow? Please give your valuable advice. [/INST] Hello. I have gone through all your reports (attachment removed to protect patient identity), and except for the microscopic hematuria, all your reports are fine and there is nothing to worry about. Regarding the microscopic hematuria, it could be due to subclinical UTI (Urinary Tract Infection), which happens due to poor hygiene or due to inadequate drinking of water. Since you are a working professional, I presume you do not get much time to care about your diet and general things such as drinking enough water on time. Due to this, the urine keeps turning acidic and makes it a good environment for the local microbial flora to grow and cause UTI. It is not at all a threat as of now. UTI in men can be difficult to treat with because of resistance of organisms to many antibiotics. However, I suggest you try doing the following things: Consult your specialist doctor, discuss with him or her and start taking medicines after their consent. Till then take the medicines and most importantly drink enough water. Take care. |
Q. How do I get stamina for running race? | Hello doctor, I am 20 years old. I have a sports day at my college coming up. How do I get stamina for a running race? | Hi. To increase your stamina, you should include the following in your diet: Wish you all the best. |
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Hello doctor, I am 20 years old. I have a sports day at my college coming up. How do I get stamina for a running race? [/INST] Hi. To increase your stamina, you should include the following in your diet: Wish you all the best. |
Q. Can pine tree pollen cause swollen throat? | Hello doctor, The symptoms I have are bad cold or strep throat, itchy eyes and throat but no cough. I do not have tonsils, but seems like there is a whitish puffiness on one side of my throat. It started five days ago and it has been getting mildly worse since then. I have been loading up on fruits, vegetables, preventative vitamins, raw garlic and even tried a saline sinus rinse. I just moved to a place where it is very dry and I am used to very humid climate. I have never had hay fever or sinus issues or been affected by pollen. Am I sick? Or is this a severe reaction to the blanket of green pine pollen all over the town? Can pine tree pollen cause swollen throat, earache and headache only on one side of my face? | Hello. Revert back to an allergy specialist online for further follow up --> |
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Hello doctor, The symptoms I have are bad cold or strep throat, itchy eyes and throat but no cough. I do not have tonsils, but seems like there is a whitish puffiness on one side of my throat. It started five days ago and it has been getting mildly worse since then. I have been loading up on fruits, vegetables, preventative vitamins, raw garlic and even tried a saline sinus rinse. I just moved to a place where it is very dry and I am used to very humid climate. I have never had hay fever or sinus issues or been affected by pollen. Am I sick? Or is this a severe reaction to the blanket of green pine pollen all over the town? Can pine tree pollen cause swollen throat, earache and headache only on one side of my face? [/INST] Hello. Revert back to an allergy specialist online for further follow up --> |
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 really intense pain in the right lower side of my abdomen due to ovarian cyst. Please help. | Hello doctor, I had cysts in both my ovaries. I had medications for a while, but I stopped using them. Since then, I have been vomiting almost everything I eat, and my stomach gets swollen all the time. I feel uncomfortable. I feel really sick every time I go to the restroom (almost every half hour). To be honest, I do not drink much water, and I do not eat well. I feel I lack nutrients and antioxidants. I also have really intense pain in the right lower side of my abdomen, and I also have pain during sexual intercourse. | Hi. Treatment of ovarian cysts depends on the size and type of the cysts and your age. If your age is less than 40 years and if the cyst is a simple one, it will resolve with medications. You can ask your doctor to prescribe some medicines to prevent acidity and vomiting and can continue your medicines (for cyst) along with them. If the cyst is a complex one and causes too much pain (as you have described), it is better to consult your doctor for the removal of the cyst. Most of such cysts can be removed laparoscopically. Hope this helps you. |
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Hello doctor, I had cysts in both my ovaries. I had medications for a while, but I stopped using them. Since then, I have been vomiting almost everything I eat, and my stomach gets swollen all the time. I feel uncomfortable. I feel really sick every time I go to the restroom (almost every half hour). To be honest, I do not drink much water, and I do not eat well. I feel I lack nutrients and antioxidants. I also have really intense pain in the right lower side of my abdomen, and I also have pain during sexual intercourse. [/INST] Hi. Treatment of ovarian cysts depends on the size and type of the cysts and your age. If your age is less than 40 years and if the cyst is a simple one, it will resolve with medications. You can ask your doctor to prescribe some medicines to prevent acidity and vomiting and can continue your medicines (for cyst) along with them. If the cyst is a complex one and causes too much pain (as you have described), it is better to consult your doctor for the removal of the cyst. Most of such cysts can be removed laparoscopically. Hope this helps you. |
Q. How can I find out if my filled teeth have caries under the restoration? | Hello doctor,I have three first molars that have been filled with amalgam three years ago. I need to know how can I find out if one of them has caries under the restoration because one more first molar was also restored by amalgam, and three years later, I was experiencing some pain. When the doctor checked, it turned out that it was full of caries, and I had an endodontic treatment. Is there any way to find out if my other amalgam restored molars have caries? Are there any other methods other than radiographs because I know that prolonged exposure to radiographs is not very healthy. And also, last month I was exposed to x-ray 11 times, besides experiencing that severe pain and leading to endodontic treatment. I have a panoramic radiograph which was taken a month ago. Can you tell me how to find out if there is caries underneath the restorations (like how caries looks in a radiograph)? | Hello, Welcome to icliniq.com. Yes, there are possibilities of caries (tooth decay) underneath amalgam restorations. Please check the panoramic radiograph and see if there are any dark patches below the amalgam fillings in the teeth. It would be best if you could send a photograph of your recent panoramic radiograph (OPG), for confirmation. Your panoramic radiograph is more than enough to find out if there is secondary caries (caries underneath restorations) in your molar teeth. Intra Oral Periapical radiograph (IOPA) is the x-ray of an individual tooth. IOPA might be needed for detailed investigation of an individual tooth during later stages of treatment. You could try digital x-rays which have very low-level radiation exposure compared to conventional x-rays. |
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Hello doctor,I have three first molars that have been filled with amalgam three years ago. I need to know how can I find out if one of them has caries under the restoration because one more first molar was also restored by amalgam, and three years later, I was experiencing some pain. When the doctor checked, it turned out that it was full of caries, and I had an endodontic treatment. Is there any way to find out if my other amalgam restored molars have caries? Are there any other methods other than radiographs because I know that prolonged exposure to radiographs is not very healthy. And also, last month I was exposed to x-ray 11 times, besides experiencing that severe pain and leading to endodontic treatment. I have a panoramic radiograph which was taken a month ago. Can you tell me how to find out if there is caries underneath the restorations (like how caries looks in a radiograph)? [/INST] Hello, Welcome to icliniq.com. Yes, there are possibilities of caries (tooth decay) underneath amalgam restorations. Please check the panoramic radiograph and see if there are any dark patches below the amalgam fillings in the teeth. It would be best if you could send a photograph of your recent panoramic radiograph (OPG), for confirmation. Your panoramic radiograph is more than enough to find out if there is secondary caries (caries underneath restorations) in your molar teeth. Intra Oral Periapical radiograph (IOPA) is the x-ray of an individual tooth. IOPA might be needed for detailed investigation of an individual tooth during later stages of treatment. You could try digital x-rays which have very low-level radiation exposure compared to conventional x-rays. |
Q. Why am I having redness, itchiness and swelling due to cosmetic cream? | Hello doctor, I got risings, itch, and redness from a cosmetic cream. Risings went off. Redness and itch are still here. It is the fourth day. And a little swelling like seems like I had botox. Is it normal to still have those? I only apply a cream for the itch. Should I take an antihistamine for the swelling and itch? Itch is manageble. | Hi. I have seen your query. With your descriptions, it seems you have developed irritant contact dermatitis to cosmetic cream which you have used. First of all, never use this cream and similar products in future otherwise on subsequent exposure may lead to fulminant reactions. If you feel your symptoms are regressing then nothing needs to be done, but if you are still symptomatic then can go for 1 % Hydrocortisone cream local application once daily for five days after consulting your GP or nearby dermatologist. |
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Hello doctor, I got risings, itch, and redness from a cosmetic cream. Risings went off. Redness and itch are still here. It is the fourth day. And a little swelling like seems like I had botox. Is it normal to still have those? I only apply a cream for the itch. Should I take an antihistamine for the swelling and itch? Itch is manageble. [/INST] Hi. I have seen your query. With your descriptions, it seems you have developed irritant contact dermatitis to cosmetic cream which you have used. First of all, never use this cream and similar products in future otherwise on subsequent exposure may lead to fulminant reactions. If you feel your symptoms are regressing then nothing needs to be done, but if you are still symptomatic then can go for 1 % Hydrocortisone cream local application once daily for five days after consulting your GP or nearby dermatologist. |
Q. I have a knot that keeps coming up just on the outside of my vagina. It hurts really bad. Is it something serious? | Hello doctor,I am 34 year old female weighing 300 pounds. My height is 5'2". I have a vaginal issue that I need advice about. I have a knot that keeps coming up just on the outside of my vagina, and it eventually bursts and bleeds for a while. This has happened twice now, and it has really started to scare me. The knot hurts really bad before it bursts. What can I do for this? Is it something serious that I need to go to the gynecologist? | Hi. From the description you have given, it appears to be either Bartholin's abscess or a boil. Both cases can be recurrent if immunity is low, most common cause being diabetes mellitus. Following is my advice for managing the symptoms: |
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Hello doctor,I am 34 year old female weighing 300 pounds. My height is 5'2". I have a vaginal issue that I need advice about. I have a knot that keeps coming up just on the outside of my vagina, and it eventually bursts and bleeds for a while. This has happened twice now, and it has really started to scare me. The knot hurts really bad before it bursts. What can I do for this? Is it something serious that I need to go to the gynecologist? [/INST] Hi. From the description you have given, it appears to be either Bartholin's abscess or a boil. Both cases can be recurrent if immunity is low, most common cause being diabetes mellitus. Following is my advice for managing the symptoms: |
Q. What can be done to remove the pimples and dark spots on my face? | Hello doctor, I just wanted to remove the marks from my face. These pimples and dark spots on my face disturb me a lot. | Hi. This is typical acne with blackheads or comedones. I would advice use acne soaps containing Benzyl peroxide once daily in the morning and start cream or gel Clindamycin 5 % on the affected area after washing face in the morning. For soap and gel, ask pharmacists as it comes in different brands in different countries, I just mentioned contents. Also, these blackheads will get better soon if you just get these removed manually. |
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Hello doctor, I just wanted to remove the marks from my face. These pimples and dark spots on my face disturb me a lot. [/INST] Hi. This is typical acne with blackheads or comedones. I would advice use acne soaps containing Benzyl peroxide once daily in the morning and start cream or gel Clindamycin 5 % on the affected area after washing face in the morning. For soap and gel, ask pharmacists as it comes in different brands in different countries, I just mentioned contents. Also, these blackheads will get better soon if you just get these removed manually. |
Q. Can I consume some powder to gain weight? | Hi doctor, I am a 33 year old male. My uric acid level is 7.2. Can I consume some powder for gaining weight? Sometime, I feel stiffness and joint pain. Please help me. | Hi. For further information consult a nutritionist online --> |
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Hi doctor, I am a 33 year old male. My uric acid level is 7.2. Can I consume some powder for gaining weight? Sometime, I feel stiffness and joint pain. Please help me. [/INST] Hi. For further information consult a nutritionist online --> |
Q. Why have I missed my period after taking Unwanted 72 post-unprotected sex? | Hello doctor, Last month I had periods on 10th. We had sex on the 23rd night and 24th and I had unwanted 72 on the 24th night. Now I was expecting to get my periods on 7th or maximum by 10th of this month but I have not got my periods yet. What can be the problem? Is it a sign of pregnancy? | Hello. As per the dates you have provided, you had sex on the 23rd of last month, that is 13 days from your period date, that is the most fertile period of the cycle. But you took emergency contraception, so chances of pregnancy are very less. Also, please can you tell that if your partner was using condoms or you were on any contraception apart for that emergency pill? When you take an emergency pill it also affects your period schedule. It can be 7 to 10 days before or after scheduled date, so the best course will be getting a pregnancy test done using home pregnancy kit. Kindly specify other details too so that I can guide you further. And do not panic, we are here to help. |
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Hello doctor, Last month I had periods on 10th. We had sex on the 23rd night and 24th and I had unwanted 72 on the 24th night. Now I was expecting to get my periods on 7th or maximum by 10th of this month but I have not got my periods yet. What can be the problem? Is it a sign of pregnancy? [/INST] Hello. As per the dates you have provided, you had sex on the 23rd of last month, that is 13 days from your period date, that is the most fertile period of the cycle. But you took emergency contraception, so chances of pregnancy are very less. Also, please can you tell that if your partner was using condoms or you were on any contraception apart for that emergency pill? When you take an emergency pill it also affects your period schedule. It can be 7 to 10 days before or after scheduled date, so the best course will be getting a pregnancy test done using home pregnancy kit. Kindly specify other details too so that I can guide you further. And do not panic, we are here to help. |
Q. If mother drinks alcohol during first trimester, what are the chances of FAS? | Hello doctor, I just found out that I am 9 weeks and 5 days pregnant and I have been drinking two standard glasses of wine a day, sometimes less but sometimes more. Twice I had a 50 ml shot of Gin. I will not drink again now. What are the chances my baby has FAS including facial defects? Will abstaining reverse the damage? I always take daily Multivitamins and Minerals and Omega 3 anyway. | Hi. If you are regularly having alcohol, then yes, there are 10 to 15 percentage chances of having fetal alcohol syndrome. You should get NT scan done at 11 weeks 4 days. Start Folic Acid twice a day. After NT scan, take a decision whether to continue the pregnancy or not. |
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Hello doctor, I just found out that I am 9 weeks and 5 days pregnant and I have been drinking two standard glasses of wine a day, sometimes less but sometimes more. Twice I had a 50 ml shot of Gin. I will not drink again now. What are the chances my baby has FAS including facial defects? Will abstaining reverse the damage? I always take daily Multivitamins and Minerals and Omega 3 anyway. [/INST] Hi. If you are regularly having alcohol, then yes, there are 10 to 15 percentage chances of having fetal alcohol syndrome. You should get NT scan done at 11 weeks 4 days. Start Folic Acid twice a day. After NT scan, take a decision whether to continue the pregnancy or not. |
Q. Will myopia -4 in power progress as I am not eligible for LASIK? | Hello doctor, I have myopia -4 in power and I am not eligible for LASIK. I am 25. Is this progressive? What long-term complications can be there as my cornea thickness is too low for LASIK surgery. | Hello. Even though your power of - 4 is well within the correctable range and your power has been stable for two years, your corneas were too thin on topography maps for surgery (attachment removed to protect patient identity). The doctors deferred surgery because, during the process of LASIK, we will be removing tissue from your cornea and in a cornea not thick enough this can cause problems like for example keratoconus or in severe cases perforation. Regarding the long-term implications, thin corneas are harmless and usually do not progress unless associated with keratoconus or other similar problems. In case you do have keratoconus, it may show some progress in thinning during pregnancy and lactation. In case you still want to be spectacle-free, the option of implantable contact lenses is viable, provided there are no additional problems in your eye. |
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Hello doctor, I have myopia -4 in power and I am not eligible for LASIK. I am 25. Is this progressive? What long-term complications can be there as my cornea thickness is too low for LASIK surgery. [/INST] Hello. Even though your power of - 4 is well within the correctable range and your power has been stable for two years, your corneas were too thin on topography maps for surgery (attachment removed to protect patient identity). The doctors deferred surgery because, during the process of LASIK, we will be removing tissue from your cornea and in a cornea not thick enough this can cause problems like for example keratoconus or in severe cases perforation. Regarding the long-term implications, thin corneas are harmless and usually do not progress unless associated with keratoconus or other similar problems. In case you do have keratoconus, it may show some progress in thinning during pregnancy and lactation. In case you still want to be spectacle-free, the option of implantable contact lenses is viable, provided there are no additional problems in your eye. |
Q. Please explain the CBP blood report taken for fever in a child. | Hi doctor, I would like to know more about my kids CBP blood report. Her age is 6 years. Last month she got a viral fever and we got her tested for CBP along with other tests. As part of that, we found that she has less absolute neutrophil count. Though pediatrician said it is fine, we were worried. So, repeated test after one month and looks this time some other values are in not expected range. We see she is having frequent colds but she is very active. | Hello. I have checked your attached reports (attachment removed to protect patient identity). Your latest reports show absolute neutrophil count slightly low. But your count improved as compared to the last month report. The frequent cold might be the reason for low absolute neutrophils and high lymphocytes. The peripheral smear examination report is normal and any specific abnormality is not mentioned in the peripheral smear report of WBC. So, you may need not to worry about your CBC report as per my opinion. If your kid has clinically improved, then no need to worry. |
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Hi doctor, I would like to know more about my kids CBP blood report. Her age is 6 years. Last month she got a viral fever and we got her tested for CBP along with other tests. As part of that, we found that she has less absolute neutrophil count. Though pediatrician said it is fine, we were worried. So, repeated test after one month and looks this time some other values are in not expected range. We see she is having frequent colds but she is very active. [/INST] Hello. I have checked your attached reports (attachment removed to protect patient identity). Your latest reports show absolute neutrophil count slightly low. But your count improved as compared to the last month report. The frequent cold might be the reason for low absolute neutrophils and high lymphocytes. The peripheral smear examination report is normal and any specific abnormality is not mentioned in the peripheral smear report of WBC. So, you may need not to worry about your CBC report as per my opinion. If your kid has clinically improved, then no need to worry. |
Q. Can washing private parts with sperm spilled hand cause pregnancy? | Hello doctor, I am a 21-year-old female. My partner and I were intimate and he came on my hands. We were sitting side by side and there was no genital contact. There was also no fingering or intercourse. I then proceeded to wash my hands with running water and some bodywash gel. I then washed down there using a jet spray and one hand only on the outsides and did not do fingering while washing either. Is there a risk of pregnancy? I also took an Ipill within three hours after that. Please do help. | Hello. There is no risk of pregnancy as intercourse was not resorted to. Also before touching your genitals, you washed with soap which would have killed the sperms right away. There was no requirement of taking an Ipill, but now that you have taken it, it is just double protection and you should wait for your withdrawal bleed in the next few days. Once the bleed starts it would mean endometrial shed and indicate that you are pregnancy safe. There are possibilities that you may face some side effects due to high dose Progesterones like a headache, nausea, bloating before the bleed, but that is normal and can be countered by increasing your water intake till the bleeding starts. |
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Hello doctor, I am a 21-year-old female. My partner and I were intimate and he came on my hands. We were sitting side by side and there was no genital contact. There was also no fingering or intercourse. I then proceeded to wash my hands with running water and some bodywash gel. I then washed down there using a jet spray and one hand only on the outsides and did not do fingering while washing either. Is there a risk of pregnancy? I also took an Ipill within three hours after that. Please do help. [/INST] Hello. There is no risk of pregnancy as intercourse was not resorted to. Also before touching your genitals, you washed with soap which would have killed the sperms right away. There was no requirement of taking an Ipill, but now that you have taken it, it is just double protection and you should wait for your withdrawal bleed in the next few days. Once the bleed starts it would mean endometrial shed and indicate that you are pregnancy safe. There are possibilities that you may face some side effects due to high dose Progesterones like a headache, nausea, bloating before the bleed, but that is normal and can be countered by increasing your water intake till the bleeding starts. |
Q. How long should my husband and I wait to try for a baby if we did cocaine? | Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. | Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> |
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Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. [/INST] Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> |
Q. Can Yasmin birth control pill be used as an emergency contraceptive pill? | Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? | Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> |
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Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? [/INST] Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> |
Q. Please explain the poisonous effect of phenol ingestion. | Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. | Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> |
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Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. [/INST] Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> |
Q. For how long should I take Kalachikai powder to overcome PCOD problem? | Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? | Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> |
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Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? [/INST] Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> |
Q. Why do periods get delayed after first time sex? | Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? | Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> |
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Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? [/INST] Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> |
Q. Can oral sex result in STD? | Hi doctor, Four days ago, I had oral sex with a lady, who I already know. Though no intercourse happened, I am worried about STDs. Please suggest if I have to undergo any test. I am very tensed for this and I want to clear my mind. I do not have any problem except stress. Also, please explain where should I get the test done. | Hi. Oral sex does not cause HIV (human immunodeficiency virus) to the recipient. It may cause genital herpes, gonorrhea, chlamydia, syphilis and warts if these infections are present in the partner. Your doctor may advise you to get HSV 1 and 2 (herpes simplex virus) and VDRL (venereal disease research laboratory) tests to detect sexually transmitted disease. Urine test for gonorrhea is done only if there is any burning or pain while micturition. These tests are usually free in government hospitals and private laboratory can also perform these tests. For further doubts consult a HIV AIDS specialist online --> |
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Hi doctor, Four days ago, I had oral sex with a lady, who I already know. Though no intercourse happened, I am worried about STDs. Please suggest if I have to undergo any test. I am very tensed for this and I want to clear my mind. I do not have any problem except stress. Also, please explain where should I get the test done. [/INST] Hi. Oral sex does not cause HIV (human immunodeficiency virus) to the recipient. It may cause genital herpes, gonorrhea, chlamydia, syphilis and warts if these infections are present in the partner. Your doctor may advise you to get HSV 1 and 2 (herpes simplex virus) and VDRL (venereal disease research laboratory) tests to detect sexually transmitted disease. Urine test for gonorrhea is done only if there is any burning or pain while micturition. These tests are usually free in government hospitals and private laboratory can also perform these tests. For further doubts consult a HIV AIDS specialist online --> |
Q. My newborn's iris gives rainbowish look. Why? | Hi doctor, My baby is 1 month old and has a certain type of rainbowish type of layers in eyes or let us say some part looks darker and some looks lighter in the iris. It looks as if scratches or as if the little part of dark color with the rainbowish look. What might it be? | Hello. The medical terminology for having different colors at different parts of the iris is heterochromia iridis. Although some people naturally have this since birth, it could be a possible early sign of a few eye related disorders. I would also consider you lucky, thanks to your keen observation, it has made it possible for this condition to be picked up early. My advice to you is to get your child's eye checked by your ophthalmologists regarding this issue soon. |
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Hi doctor, My baby is 1 month old and has a certain type of rainbowish type of layers in eyes or let us say some part looks darker and some looks lighter in the iris. It looks as if scratches or as if the little part of dark color with the rainbowish look. What might it be? [/INST] Hello. The medical terminology for having different colors at different parts of the iris is heterochromia iridis. Although some people naturally have this since birth, it could be a possible early sign of a few eye related disorders. I would also consider you lucky, thanks to your keen observation, it has made it possible for this condition to be picked up early. My advice to you is to get your child's eye checked by your ophthalmologists regarding this issue soon. |
Q. Is it possible for E-coli to cause infertility? | Hi doctor, I (34) and my wife (30) have been trying to conceive for about 15 months. Due to a slightly low AMH for her age (16 pmol) my wife was recommended to go straight to IVF from our fertility clinic. With all of the above, no issues were found and we are diagnosed with unexplained. My wife went for vaginal swab testing in preparation for the IVF where although no major STDs were found they discovered a large amount of E.Coli bacteria colonized within the reproductive tract (presumably vagina and cervix). There was a small number of leukocytes found too. The doctor wrote a prescription for antibiotics which he said should clear it out. Our concern now is, could the E-coli be the reason for infertility? My wife has not taken antibiotics for a long time and we are presuming that she could have had the bacteria there for a long time. I have read that E-coli does pretty much clump sperm together and stop them from moving. Do you have any advice on the matter? | Hi. Since the vaginal swab shows E-coli (attachment removed to protect patient identity), it would be better to undergo a course of antibiotics for you and your wife in order to improve chances of IVF. If you wish you can request your doctor to go for IUI if both fallopian tubes are patent. |
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Hi doctor, I (34) and my wife (30) have been trying to conceive for about 15 months. Due to a slightly low AMH for her age (16 pmol) my wife was recommended to go straight to IVF from our fertility clinic. With all of the above, no issues were found and we are diagnosed with unexplained. My wife went for vaginal swab testing in preparation for the IVF where although no major STDs were found they discovered a large amount of E.Coli bacteria colonized within the reproductive tract (presumably vagina and cervix). There was a small number of leukocytes found too. The doctor wrote a prescription for antibiotics which he said should clear it out. Our concern now is, could the E-coli be the reason for infertility? My wife has not taken antibiotics for a long time and we are presuming that she could have had the bacteria there for a long time. I have read that E-coli does pretty much clump sperm together and stop them from moving. Do you have any advice on the matter? [/INST] Hi. Since the vaginal swab shows E-coli (attachment removed to protect patient identity), it would be better to undergo a course of antibiotics for you and your wife in order to improve chances of IVF. If you wish you can request your doctor to go for IUI if both fallopian tubes are patent. |
Q. I am having numbness in legs and arms after taking Nortriptyline. Why? | Hello doctor,I had a head injury, asthma and been on Amitriptyline for five weeks started at 10 mg and worked up to 50 mg. Headaches did not go away. Switched to Nortriptyline 50 mg for less than a week and started to experience numbness in legs and arms and tingly or pins and needles in same limbs. Numbness started to affect the skin on my back, face, chest. The doctor advised to stop Nortriptyline but did not express concern over the reaction. What happened? | Hello. I read carefully your question and would explain that the complaints that you describe, are not common adverse effects related to Amitriptyline or Nortriptyline. I do not find anything really concerning in your symptoms, besides the fact that these drugs do not seem to be effective in controlling your headaches. Coming to this point, I would first recommend performing a brain CT scan or MRI in order to be sure that it is a primary headache. Some blood laboratory tests are also necessary. Considering the numbness in your limbs, get complete blood count for anemia, thyroid hormone levels for thyroid dysfunction, PCR, ESR for inflammation, blood electrolytes for possible imbalances. You should discuss with your doctor on the above tests, before switching to another drug. In the meantime, it is fine to gradually stop Nortriptyline. |
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Hello doctor,I had a head injury, asthma and been on Amitriptyline for five weeks started at 10 mg and worked up to 50 mg. Headaches did not go away. Switched to Nortriptyline 50 mg for less than a week and started to experience numbness in legs and arms and tingly or pins and needles in same limbs. Numbness started to affect the skin on my back, face, chest. The doctor advised to stop Nortriptyline but did not express concern over the reaction. What happened? [/INST] Hello. I read carefully your question and would explain that the complaints that you describe, are not common adverse effects related to Amitriptyline or Nortriptyline. I do not find anything really concerning in your symptoms, besides the fact that these drugs do not seem to be effective in controlling your headaches. Coming to this point, I would first recommend performing a brain CT scan or MRI in order to be sure that it is a primary headache. Some blood laboratory tests are also necessary. Considering the numbness in your limbs, get complete blood count for anemia, thyroid hormone levels for thyroid dysfunction, PCR, ESR for inflammation, blood electrolytes for possible imbalances. You should discuss with your doctor on the above tests, before switching to another drug. In the meantime, it is fine to gradually stop Nortriptyline. |
Q. What can be done for bleeding and pus discharge from toenail? | Hi doctor, I have toenail problem. I had bleeding and pus formation. I consulted a doctor and she had prescribed the following treatment. Tablet Novamox CV 625 three times a day for five days. Apply T-bact ointment twice a day. After taking the above treatment, the pus formation stopped. But there is some bleeding and wound. I am attaching the images so that you can have a better look. I am getting married in a couple weeks, so I do not want to opt for nail removal. Kindly let me know what needs to be done. | Hi. How did this start? Did you have trauma to the nail? Is it painful? Is it only one to nail? How many times it has bled? You have mentioned there was pus, was it greenish? Or just frank white pus? Does it smell bad? Your other toenails appear yellow (attachment removed to protect patient identity). Are you using any cream or lotion like Betadine or Turmeric? When did you take the last dose of the antibiotic pill? It looks like pyogenic granuloma growing underneath as per the pictures you have attached, also there is a secondary infection. Pyogenic granuloma is a benign growth of blood capillaries that are usually painless but bleeds with trauma. It can also be pseudomonas nail infection. Can you please answer the above questions so that I can make a concrete diagnosis? |
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Hi doctor, I have toenail problem. I had bleeding and pus formation. I consulted a doctor and she had prescribed the following treatment. Tablet Novamox CV 625 three times a day for five days. Apply T-bact ointment twice a day. After taking the above treatment, the pus formation stopped. But there is some bleeding and wound. I am attaching the images so that you can have a better look. I am getting married in a couple weeks, so I do not want to opt for nail removal. Kindly let me know what needs to be done. [/INST] Hi. How did this start? Did you have trauma to the nail? Is it painful? Is it only one to nail? How many times it has bled? You have mentioned there was pus, was it greenish? Or just frank white pus? Does it smell bad? Your other toenails appear yellow (attachment removed to protect patient identity). Are you using any cream or lotion like Betadine or Turmeric? When did you take the last dose of the antibiotic pill? It looks like pyogenic granuloma growing underneath as per the pictures you have attached, also there is a secondary infection. Pyogenic granuloma is a benign growth of blood capillaries that are usually painless but bleeds with trauma. It can also be pseudomonas nail infection. Can you please answer the above questions so that I can make a concrete diagnosis? |
Q. What is an acceptable range for blood glucose levels? Some people say the lower end is 70 and some others say the lower end is 130. | Hello doctor, I have gotten different answers from various different doctors on this question. Maybe, you can give me a straight answer. What is the acceptable range for blood glucose levels? Some people say the lower end is 70 and some others say the lower end is 130. Please explain. | Hi. Many types of blood sugar testings are there, and the values for that are different. But worldwide, the most commonly used tests for the detection of diabetes are Fasting Blood Sugar and Post Prandial Blood Sugar. Fasting blood sugar test is done by taking the blood sample from a patient after a period of fasting. Usually, patients are asked to report for the test in the morning, before breakfast (after about 8 hours of fasting). The normal range of fasting blood sugar is 70 to 100 mg/dL. Anything between 100 to125 mg/dL is considered as Impaired Fasting Glucose (IFG) or pre-diabetes. And anything more than 125 mg/dL is considered as diabetes. Post-prandial blood sugar test is done by taking the blood sample from a patient after a meal. Usually, the test is done after 2 hours after a meal. The normal range of post meals blood sugar should be less than 180 mg/dL. Anything between 180 to 200 mg/dL is considered Impaired Glucose tolerance or pre-diabetic state. And anything more than 200 mg/dL is considered as diabetes. Hope this answers your query. |
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Hello doctor, I have gotten different answers from various different doctors on this question. Maybe, you can give me a straight answer. What is the acceptable range for blood glucose levels? Some people say the lower end is 70 and some others say the lower end is 130. Please explain. [/INST] Hi. Many types of blood sugar testings are there, and the values for that are different. But worldwide, the most commonly used tests for the detection of diabetes are Fasting Blood Sugar and Post Prandial Blood Sugar. Fasting blood sugar test is done by taking the blood sample from a patient after a period of fasting. Usually, patients are asked to report for the test in the morning, before breakfast (after about 8 hours of fasting). The normal range of fasting blood sugar is 70 to 100 mg/dL. Anything between 100 to125 mg/dL is considered as Impaired Fasting Glucose (IFG) or pre-diabetes. And anything more than 125 mg/dL is considered as diabetes. Post-prandial blood sugar test is done by taking the blood sample from a patient after a meal. Usually, the test is done after 2 hours after a meal. The normal range of post meals blood sugar should be less than 180 mg/dL. Anything between 180 to 200 mg/dL is considered Impaired Glucose tolerance or pre-diabetic state. And anything more than 200 mg/dL is considered as diabetes. Hope this answers your query. |
Q. Is it possible that mine and my husband's blood types which could be incompatible, kept me not conceiving all these 8 years? | Hello doctor, I am not sure of mine or my parent's blood types, but my sister's is O-negative and is Rh-negative. Does this mean I am also Rh-negative? And is it possible that mine and my husband's blood types, which could be incompatible, kept me from conceiving from 8 years? | Hi. There is a 50 % possibility that you could be an Rh-negative blood group. There is no blood group combination between couples that has known to cause problems in conception. If you are Rh-negative and your husband Rh-positive, then the problem of Rh incompatibility arises in the baby, that too in the second child. But it can be easily dealt with and identified at conception. Do not worry. Just get yours and your husband's blood group checked and consult an obstetrician and gynecologist. |
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Hello doctor, I am not sure of mine or my parent's blood types, but my sister's is O-negative and is Rh-negative. Does this mean I am also Rh-negative? And is it possible that mine and my husband's blood types, which could be incompatible, kept me from conceiving from 8 years? [/INST] Hi. There is a 50 % possibility that you could be an Rh-negative blood group. There is no blood group combination between couples that has known to cause problems in conception. If you are Rh-negative and your husband Rh-positive, then the problem of Rh incompatibility arises in the baby, that too in the second child. But it can be easily dealt with and identified at conception. Do not worry. Just get yours and your husband's blood group checked and consult an obstetrician and gynecologist. |
Q. My father has developed enteritis and his abdomen is swollen. Please help. | Hello doctor, After receiving 10 radiations, my father has developed enteritis and his abdomen is swollen. Antibiotics and IV treatment are being carried out. I need further advise here. | Hi. I understand your concern. Radiation enteritis is a very common side effect of radiation therapy. I need to know the following: |
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Hello doctor, After receiving 10 radiations, my father has developed enteritis and his abdomen is swollen. Antibiotics and IV treatment are being carried out. I need further advise here. [/INST] Hi. I understand your concern. Radiation enteritis is a very common side effect of radiation therapy. I need to know the following: |
Q. Is Hepatitis B a contagious disease? | Hello doctor, I want to know about Hepatitis B virus. I have been affected by this disease. Is it a contagious disease? Can others use the things which I use? Can others drink water with my used glass? How does this virus spread? In people who have already taken hepatitis B virus vaccine, is there any chance of virus affecting them? My wife has taken hepatitis B vaccine. Can we have sex? Is there any chance of hepatitis B virus affecting my wife? Can my wife breastfeed our child? Is there any chance of virus transmission from my wife to our kid? | Hi. Hepatitis B virus is transmitted through sexual contact with an infected person and through blood, mucous membranes, and wounds. Yes, other persons can use your things and drink water from your glass if they do not have any injury. You should not have sexual contact with your wife. And she should check herself for hepatitis B. Are you taking any injections for hepatitis B, like interferons? You should do the tests - HBsAg, Anti HBc and Liver Function Test (LFT). If you have already done these tests, you can upload the report here. Yes, in rare cases, it can affect a breastfed child. But, I think your wife must have been tested for hepatitis B and C before delivery. Your wife needs booster doses of hepatitis B vaccine if she had taken the vaccination during childhood. She also has to check antibodies against hepatitis B. For further queries, revert back to a general practitioner online --> |
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Hello doctor, I want to know about Hepatitis B virus. I have been affected by this disease. Is it a contagious disease? Can others use the things which I use? Can others drink water with my used glass? How does this virus spread? In people who have already taken hepatitis B virus vaccine, is there any chance of virus affecting them? My wife has taken hepatitis B vaccine. Can we have sex? Is there any chance of hepatitis B virus affecting my wife? Can my wife breastfeed our child? Is there any chance of virus transmission from my wife to our kid? [/INST] Hi. Hepatitis B virus is transmitted through sexual contact with an infected person and through blood, mucous membranes, and wounds. Yes, other persons can use your things and drink water from your glass if they do not have any injury. You should not have sexual contact with your wife. And she should check herself for hepatitis B. Are you taking any injections for hepatitis B, like interferons? You should do the tests - HBsAg, Anti HBc and Liver Function Test (LFT). If you have already done these tests, you can upload the report here. Yes, in rare cases, it can affect a breastfed child. But, I think your wife must have been tested for hepatitis B and C before delivery. Your wife needs booster doses of hepatitis B vaccine if she had taken the vaccination during childhood. She also has to check antibodies against hepatitis B. For further queries, revert back to a general practitioner online --> |
Q. I get cough almost every month. I cannot breathe properly. How can I overcome these problems? | Hello doctor, I am an electrical engineering student. My age is 21 years. I have been facing some problems in the last five years. I get cough almost every month. When I get cough, I feel uneasy. If I do not take any medicine, water comes out of my nose and irritates me. I consulted many doctors. They advised cough syrups. One doctor advised to take a syrup which contains Ambroxol. Another doctor advised to take a syrup which contains Guaifenesin + Pseudoephedrine + Triprolidine HCl. Now when I get cold, I take Guaifenesin + Pseudoephedrine + Triprolidine HCl. I want to know why do I have cough periodically. When I take bath in cold water, I cannot breathe properly. So, I always use hot water to bathe. I consulted a local doctor to solve this problem. But, he advised to take bath in cold water and also said that it is not a problem at all. This also worsened my cough. How do I reduce it? I cannot travel by regular bus. When the bus window is opened and when the outside air circulates and if the air flows through my mouth, my mouth becomes dry and I cannot breathe. So, I always travel by air-conditioned buses in which the windows stay closed. How can I overcome these problems? Please help. | Hello. It is clear from your case history and symptoms that you are suffering from two disorders namely: Kindly get the following tests done from a good lab so that I can evaluate your reports and prescribe you the appropriate treatment. Do not worry. Your condition is treatable. Hope this helps. Revert back to a pulmonologist online for further follow up --> |
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Hello doctor, I am an electrical engineering student. My age is 21 years. I have been facing some problems in the last five years. I get cough almost every month. When I get cough, I feel uneasy. If I do not take any medicine, water comes out of my nose and irritates me. I consulted many doctors. They advised cough syrups. One doctor advised to take a syrup which contains Ambroxol. Another doctor advised to take a syrup which contains Guaifenesin + Pseudoephedrine + Triprolidine HCl. Now when I get cold, I take Guaifenesin + Pseudoephedrine + Triprolidine HCl. I want to know why do I have cough periodically. When I take bath in cold water, I cannot breathe properly. So, I always use hot water to bathe. I consulted a local doctor to solve this problem. But, he advised to take bath in cold water and also said that it is not a problem at all. This also worsened my cough. How do I reduce it? I cannot travel by regular bus. When the bus window is opened and when the outside air circulates and if the air flows through my mouth, my mouth becomes dry and I cannot breathe. So, I always travel by air-conditioned buses in which the windows stay closed. How can I overcome these problems? Please help. [/INST] Hello. It is clear from your case history and symptoms that you are suffering from two disorders namely: Kindly get the following tests done from a good lab so that I can evaluate your reports and prescribe you the appropriate treatment. Do not worry. Your condition is treatable. Hope this helps. Revert back to a pulmonologist online for further follow up --> |
Q. Are there any drawbacks in using contact lenses? | Hello doctor, I would like to use contact lens instead of normal spectacles. Could you please tell me the types of contact lenses available? Which one should I use? Are there any drawbacks in using contact lenses? | Hi. Spectacles are the first option for refractive errors and contact lenses are only secondary. There are many types of contact lenses in various brands. Commonly used are soft contact lenses. There are daily disposable ones, monthly disposable ones and those which can be used for more than a month. These are available in different price ranges. Drawbacks: I suggest you use monthly disposable contact lenses just for six to eight hours per day and only about five times a week. Hope this helps. Consult an eye care ophthalmologist online for further clarifications --> |
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Hello doctor, I would like to use contact lens instead of normal spectacles. Could you please tell me the types of contact lenses available? Which one should I use? Are there any drawbacks in using contact lenses? [/INST] Hi. Spectacles are the first option for refractive errors and contact lenses are only secondary. There are many types of contact lenses in various brands. Commonly used are soft contact lenses. There are daily disposable ones, monthly disposable ones and those which can be used for more than a month. These are available in different price ranges. Drawbacks: I suggest you use monthly disposable contact lenses just for six to eight hours per day and only about five times a week. Hope this helps. Consult an eye care ophthalmologist online for further clarifications --> |
Q. Is salt therapy beneficial for non-specific interstitial pneumonia? | Hi doctor, What is non-specific interstitial pneumonia? Is salt therapy beneficial for non-specific interstitial pneumonia? Please explain. | Hi. For further information consult a pulmonologist online --> |
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Hi doctor, What is non-specific interstitial pneumonia? Is salt therapy beneficial for non-specific interstitial pneumonia? Please explain. [/INST] Hi. For further information consult a pulmonologist 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 having recurrent vaginal yeast infection. Please help. | Hello doctor, I have been having recurrent vaginal yeast infections for the last six months. I have taken medications earlier. The gynecologist prescribed Azithral 500 mg in the beginning. After that, the doctor gave me tablet Orni-O. The first time it got cured. When it came back again, she prescribed Vibact-DS for one month and Flucon 150 once in a week for three weeks. The infection came back again after two months and she gave me Candid V3 vaginal tablets. Now again, I am feeling the infection. I am also taking treatment for acne (Elvac-20 from last six months). Is Elvac 20, the reason for my recurrent infection? I am 31 years old unmarried woman, but in a relationship since last four years. This is the first time in my 31 years life that I am experiencing this repeated infection. Please help. | Hi. As you have repeated yeast infection, you require following investigations: And also your sexual partner should be simultaneously treated as these kinds of infections are transmitted through sexual intercourse. Revert back with the reports to an obstetrician and gynaecologist online --> |
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Hello doctor, I have been having recurrent vaginal yeast infections for the last six months. I have taken medications earlier. The gynecologist prescribed Azithral 500 mg in the beginning. After that, the doctor gave me tablet Orni-O. The first time it got cured. When it came back again, she prescribed Vibact-DS for one month and Flucon 150 once in a week for three weeks. The infection came back again after two months and she gave me Candid V3 vaginal tablets. Now again, I am feeling the infection. I am also taking treatment for acne (Elvac-20 from last six months). Is Elvac 20, the reason for my recurrent infection? I am 31 years old unmarried woman, but in a relationship since last four years. This is the first time in my 31 years life that I am experiencing this repeated infection. Please help. [/INST] Hi. As you have repeated yeast infection, you require following investigations: And also your sexual partner should be simultaneously treated as these kinds of infections are transmitted through sexual intercourse. Revert back with the reports to an obstetrician and gynaecologist online --> |
Q. The level of anti TPO antibodies is 492. Doctors say it is a state of euthyroid. I am worried about my prognosis. | Hello doctor, The level of anti-TPO antibodies is 492. The doctors say it is a state of euthyroid. I am worried about my prognosis. I am a medical student, can I still become a surgeon? | Hi. Going by the details you have provided you have euthyroid. This means that you do have normal TSH with normal T4 and T3. The most common cause is autoimmune thyroid disease, which is confirmed by positive anti-TPO (anti-Thyroid Peroxidase) antibodies. Positive anti-TPO means you have these antibodies in your body which act against the thyroid cells. Most often this is a progressive disease. As of today, we do not have treatment against autoimmunity. Therefore, we replace thyroid hormone in the form of Thyroxine. With TSH near 10 and strongly positive antibodies, I suggest you get your TSH done after 6 weeks. If normal, there is nothing to worry. Apart from the destruction of thyroid cells, anti-TPO antibodies do not cause any other harm. Disease per se is harmless if TSH is kept normal. Keep track of TSH and treat it accordingly. This will never affect your future, and you can continue your studies without fear of not becoming a surgeon. You will become a surgeon, all the best. |
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Hello doctor, The level of anti-TPO antibodies is 492. The doctors say it is a state of euthyroid. I am worried about my prognosis. I am a medical student, can I still become a surgeon? [/INST] Hi. Going by the details you have provided you have euthyroid. This means that you do have normal TSH with normal T4 and T3. The most common cause is autoimmune thyroid disease, which is confirmed by positive anti-TPO (anti-Thyroid Peroxidase) antibodies. Positive anti-TPO means you have these antibodies in your body which act against the thyroid cells. Most often this is a progressive disease. As of today, we do not have treatment against autoimmunity. Therefore, we replace thyroid hormone in the form of Thyroxine. With TSH near 10 and strongly positive antibodies, I suggest you get your TSH done after 6 weeks. If normal, there is nothing to worry. Apart from the destruction of thyroid cells, anti-TPO antibodies do not cause any other harm. Disease per se is harmless if TSH is kept normal. Keep track of TSH and treat it accordingly. This will never affect your future, and you can continue your studies without fear of not becoming a surgeon. You will become a surgeon, all the best. |
Q. I have been having tremors, pain near spinal cord and head stiffness. Please advise. | Hello doctor, For the past few years, I have been having the following symptoms: Tremors. Pain near the spinal cord. Head stiffness. Getting stuck when thinking or solving things. Please advise. | Hi. I will advise immediate MRI of the brain to rule out degenerative diseases. Please consult a neurologist online with further information --> |
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Hello doctor, For the past few years, I have been having the following symptoms: Tremors. Pain near the spinal cord. Head stiffness. Getting stuck when thinking or solving things. Please advise. [/INST] Hi. I will advise immediate MRI of the brain to rule out degenerative diseases. Please consult a neurologist online with further information --> |
Q. I had my wisdom tooth removed yesterday. When can I have solid food? | Hello doctor, I had my bottom left wisdom tooth removed yesterday. I am 25 years old and 11 weeks pregnant. I have been eating soft foods like mashed potatoes, jello, and pudding. However, I was wondering when I can begin to eat foods such as peanut butter and jelly sandwiches, cereals, pasta, etc. | Hi. You can start with a solid diet in another one day hopefully. Make sure you are following the postoperative instructions regularly. Do lukewarm saline water mouth rinses (put some salt in half glass of warm water) at least 3 times a day and continue for a week. This would enhance wound healing in the extraction site. This would not affect your blood pressure, as you are not taking in the salt water, you just have to rinse. After every meal, make sure you gargle or rinse and do not let any food debris stay on the wound, as it may cause infection. Then surely you may start with a normal healthy diet in 2 days. |
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Hello doctor, I had my bottom left wisdom tooth removed yesterday. I am 25 years old and 11 weeks pregnant. I have been eating soft foods like mashed potatoes, jello, and pudding. However, I was wondering when I can begin to eat foods such as peanut butter and jelly sandwiches, cereals, pasta, etc. [/INST] Hi. You can start with a solid diet in another one day hopefully. Make sure you are following the postoperative instructions regularly. Do lukewarm saline water mouth rinses (put some salt in half glass of warm water) at least 3 times a day and continue for a week. This would enhance wound healing in the extraction site. This would not affect your blood pressure, as you are not taking in the salt water, you just have to rinse. After every meal, make sure you gargle or rinse and do not let any food debris stay on the wound, as it may cause infection. Then surely you may start with a normal healthy diet in 2 days. |
Q. What is the reason for OCD and fear of something bad happening? | Hello doctor, For the past one year without my knowledge, I have been suffering from OCD thoughts and am not able to do even small things like watching a particular movie, read a book, wear a particular shirt, etc., because of the fear of something bad might happen. For example, a few months back I wanted to watch a tv series and started, the next day morning something disappointing thing happened. Then I stopped it. Even though I wanted to start to watch, I was having this thought of fear that something bad might happen again. This happens for even small things. So I wanted to come out of these thoughts and lead a normal life. Please help me with your valuable suggestions. | Hi. Yes, you have an obsessive thought, especially obsessional phobias. You are relating these thoughts to something worse which might happen, during this period tray to say stop to these thoughts every time they come into your mind and ask yourself that is there anything which happened in a way the way your mind thinks or for which you are feared of. It means you are so stuck to your thoughts and developed a fear that worse might happen so better to say stop these thoughts and get yourself busy in daily activities and go for walk daily at least for 30 to 45 minutes in a day, see the response in next week. If you cannot control, then medication can be started. |
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Hello doctor, For the past one year without my knowledge, I have been suffering from OCD thoughts and am not able to do even small things like watching a particular movie, read a book, wear a particular shirt, etc., because of the fear of something bad might happen. For example, a few months back I wanted to watch a tv series and started, the next day morning something disappointing thing happened. Then I stopped it. Even though I wanted to start to watch, I was having this thought of fear that something bad might happen again. This happens for even small things. So I wanted to come out of these thoughts and lead a normal life. Please help me with your valuable suggestions. [/INST] Hi. Yes, you have an obsessive thought, especially obsessional phobias. You are relating these thoughts to something worse which might happen, during this period tray to say stop to these thoughts every time they come into your mind and ask yourself that is there anything which happened in a way the way your mind thinks or for which you are feared of. It means you are so stuck to your thoughts and developed a fear that worse might happen so better to say stop these thoughts and get yourself busy in daily activities and go for walk daily at least for 30 to 45 minutes in a day, see the response in next week. If you cannot control, then medication can be started. |
Q. Is there a need to consult a doctor for jerks of a 7 months old baby? | Hi doctor, My 7 months old baby boy is dropping down his head occasionally. Sometimes, he has some mild jerks. Jerks were at the time after his feeding or after he wakes up. That time, he just swallows or lick his lips with tongue. Otherwise, his activities are very normal. He can hear us, identify us clearly, take his toys on his own choice, starts to grasping things, etc.. He started to crawl and got his milk teeth. For example, if we ask where is the fan, then he automatically sees the roof. If the fan is switched off, then he just sees it and cry. If he crosses some particular color lights or television, he will turn his head towards it and watch it. When I took him to his pediatrician, he said he is absolutely normal. Also, his health is good. He asked us not to worry. But, it makes me fear while he drop his head down or getting jerk. He is our second son and it was a cesarean. Now, he is having cold. He got his vaccinations on correct time. Is there any need to take him to a neurologist? | Hi.I have read your question with care and understand that you are concerned about few jerks your kid has. First and foremost, I would like to appreciate and congratulate you for giving detailed descriptions. For further information consult a neurologist online --> |
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Hi doctor, My 7 months old baby boy is dropping down his head occasionally. Sometimes, he has some mild jerks. Jerks were at the time after his feeding or after he wakes up. That time, he just swallows or lick his lips with tongue. Otherwise, his activities are very normal. He can hear us, identify us clearly, take his toys on his own choice, starts to grasping things, etc.. He started to crawl and got his milk teeth. For example, if we ask where is the fan, then he automatically sees the roof. If the fan is switched off, then he just sees it and cry. If he crosses some particular color lights or television, he will turn his head towards it and watch it. When I took him to his pediatrician, he said he is absolutely normal. Also, his health is good. He asked us not to worry. But, it makes me fear while he drop his head down or getting jerk. He is our second son and it was a cesarean. Now, he is having cold. He got his vaccinations on correct time. Is there any need to take him to a neurologist? [/INST] Hi.I have read your question with care and understand that you are concerned about few jerks your kid has. First and foremost, I would like to appreciate and congratulate you for giving detailed descriptions. For further information consult a neurologist online --> |
Q. Can children develop hypertrophic scars after scar excision? | Hello doctor, My son has one somewhat large scar on the right side of his neck and a small scar on the left side of his neck from a burn injury since 10 months ago. He has received three laser treatments, and it looks much, much better. My son is almost 2 years old. Our plastic surgeon would do a scar excision if we wanted him too (or more laser treatments) but is leaving it up to us. I have read that other plastic surgeons say to wait until the teens so that the natural growth factors produced by a child do not result in a more hypertrophic scar after scar excision. Are children really more susceptible to the formation of hypertrophic scars after scar excision? I am trying to determine if scar excision is really the best option for him. | Hi. Your son has a post-burn hypertrophic scar over the submandibular region. Post-burn hypertrophic scar. It is better not to do any surgery now for the scar as if the surgery is done, there will be a risk of hypertrophic scar again. This scar will improve over the period. Scar revision can be done later if wanted when the patient is a little grown-up. To improve scar, the following can be done. Scar massage, silicone gel to be applied twice a day, pressure garment if possible to reduce the chance of hypertrophic scarring. |
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Hello doctor, My son has one somewhat large scar on the right side of his neck and a small scar on the left side of his neck from a burn injury since 10 months ago. He has received three laser treatments, and it looks much, much better. My son is almost 2 years old. Our plastic surgeon would do a scar excision if we wanted him too (or more laser treatments) but is leaving it up to us. I have read that other plastic surgeons say to wait until the teens so that the natural growth factors produced by a child do not result in a more hypertrophic scar after scar excision. Are children really more susceptible to the formation of hypertrophic scars after scar excision? I am trying to determine if scar excision is really the best option for him. [/INST] Hi. Your son has a post-burn hypertrophic scar over the submandibular region. Post-burn hypertrophic scar. It is better not to do any surgery now for the scar as if the surgery is done, there will be a risk of hypertrophic scar again. This scar will improve over the period. Scar revision can be done later if wanted when the patient is a little grown-up. To improve scar, the following can be done. Scar massage, silicone gel to be applied twice a day, pressure garment if possible to reduce the chance of hypertrophic scarring. |
Q. Why am I having fear of talking to people due to difficult childhood? | Hi doctor, I am a 45-year-old male, the youngest of my other five siblings. All through my childhood years up to the age of 20, my parents and other four of my siblings were exposed to a very angry behavior of my elder brother, the oldest of my siblings. The age gap between him and me is 15 years difference. For all I could remember is that almost every day this brother would punch my sister (who is three years younger than him) in the face, pull her hair and drag her across the room just because of talking and laughing at home and for his sake when we were at home no one is to talk or laugh in the house. I used to come from school and hide under a sofa untill my mom got home from work. When I got to the age of 20, it was this time that my parents convinced him to get a shock therapy and was given medication for his schizophrenic behavior but after some months he refused to take any medication saying that he is not a sick person. Eventually, my parents convinced him to stay at our native place house where he still resides alone. As a result of this trauma and my silent behavior, I became an easy target to bullies in the school and my surrounding neighborhood areas. I had contemplated suicide sometimes. My sisters (three) are now all married and settled.This experience has affected me and my sister (who is six years older to me) the most as we were very young compared to the other siblings at the time of this trauma. Both of us experienced the same ridicule and sometimes our heads used to jerk suddenly for which we could not control. Now we have overcome this head jerk nervous condition after many years. The ages of my siblings now, in the order of seniority which is 60 years, brother with mental illness, 59 years, sister, 57 years, sister, 54 years, brother, 51 years, sister, 45 years, myself. Please advise on my condition so I may lead the remainder of my life as normal as possible. | Hi. After I read your history that you had a very difficult past, for your brother who is schizophrenic patient, who need proper treatment and if unable to manage, he needs institutional care. As far as your history is concerned which shows depression and anxiety, can you mention that what are the current issues? Do depression and anxiety occur nowadays? How is your sleep, appetite, mood, any addiction history? |
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Hi doctor, I am a 45-year-old male, the youngest of my other five siblings. All through my childhood years up to the age of 20, my parents and other four of my siblings were exposed to a very angry behavior of my elder brother, the oldest of my siblings. The age gap between him and me is 15 years difference. For all I could remember is that almost every day this brother would punch my sister (who is three years younger than him) in the face, pull her hair and drag her across the room just because of talking and laughing at home and for his sake when we were at home no one is to talk or laugh in the house. I used to come from school and hide under a sofa untill my mom got home from work. When I got to the age of 20, it was this time that my parents convinced him to get a shock therapy and was given medication for his schizophrenic behavior but after some months he refused to take any medication saying that he is not a sick person. Eventually, my parents convinced him to stay at our native place house where he still resides alone. As a result of this trauma and my silent behavior, I became an easy target to bullies in the school and my surrounding neighborhood areas. I had contemplated suicide sometimes. My sisters (three) are now all married and settled.This experience has affected me and my sister (who is six years older to me) the most as we were very young compared to the other siblings at the time of this trauma. Both of us experienced the same ridicule and sometimes our heads used to jerk suddenly for which we could not control. Now we have overcome this head jerk nervous condition after many years. The ages of my siblings now, in the order of seniority which is 60 years, brother with mental illness, 59 years, sister, 57 years, sister, 54 years, brother, 51 years, sister, 45 years, myself. Please advise on my condition so I may lead the remainder of my life as normal as possible. [/INST] Hi. After I read your history that you had a very difficult past, for your brother who is schizophrenic patient, who need proper treatment and if unable to manage, he needs institutional care. As far as your history is concerned which shows depression and anxiety, can you mention that what are the current issues? Do depression and anxiety occur nowadays? How is your sleep, appetite, mood, any addiction history? |
Q. Will I transmit TB to my partner after completion of the TB medicine? | Hello doctor, I am having pulmonary TB and this is the third month since taking medicine. I had blood in sputum few times and sputum test showed negative but based on CT scan, the doctor suspected pulmonary TB. I was recommended medicine for six months. I am feeling better after taking medicine and no more cough or blood in sputum. There is a marriage plan in the family but I have doubts about recovering from this disease. These are some queries in this regard. Whether any other treatments are required after completing six months of medicine? If yes, mention details. What is the chance of transmitting TB to partner after completion of medicine? How long one should wait for marriage after completion of TB medicine? What kind of risks a TB patient carries even after completion of medicine? Whether I am still infectious to others after taking medicine? | Hi, Welcome to icliniq. com. I would need to know that have you got a repeat sputum test or chest X-ray after the treatment has started. I need to see that before I could answer your questions. |
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Hello doctor, I am having pulmonary TB and this is the third month since taking medicine. I had blood in sputum few times and sputum test showed negative but based on CT scan, the doctor suspected pulmonary TB. I was recommended medicine for six months. I am feeling better after taking medicine and no more cough or blood in sputum. There is a marriage plan in the family but I have doubts about recovering from this disease. These are some queries in this regard. Whether any other treatments are required after completing six months of medicine? If yes, mention details. What is the chance of transmitting TB to partner after completion of medicine? How long one should wait for marriage after completion of TB medicine? What kind of risks a TB patient carries even after completion of medicine? Whether I am still infectious to others after taking medicine? [/INST] Hi, Welcome to icliniq. com. I would need to know that have you got a repeat sputum test or chest X-ray after the treatment has started. I need to see that before I could answer your questions. |
Q. Can taking Plan B and Depo shots after sex prevent pregnancy? | Hello doctor, My last Depo was eight months back. I started getting my period four months back. Last week, I started up Depo again (not on my period). 10 days back I had unprotected sex. I am not even sure if he came in me. I took a Plan B the next day. I was supposed to get my period two days later. Should I be worried about pregnancy? I feel like I just flooded my body with hormones. | Hi. Which day did you start Depo again? If we look into your query, you had sex and took I-pill in 24 hours. If the emergency contraceptive pill was taken in proper dose within 48 hours post unprotected sex without vomitings, then it will work and most probably will give withdrawal bleed in 1 to 2 weeks if not taken during periods. I hope you will get periods but as sex was not done in the most fertile period of the cycle, so least chances of pregnancy are there but the withdrawal bleed will come along with periods or periods might get delayed. To be on the safe side and for your satisfaction, you can have serum beta hCG to check your pregnancy status but I hope it will be least likely positive. I will recommend waiting for some time for bleeding. If unable to bleed this whole week then follow up. Unprotected sex with Depo injection. Beta hCG if you want to confirm pregnancy status. |
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Hello doctor, My last Depo was eight months back. I started getting my period four months back. Last week, I started up Depo again (not on my period). 10 days back I had unprotected sex. I am not even sure if he came in me. I took a Plan B the next day. I was supposed to get my period two days later. Should I be worried about pregnancy? I feel like I just flooded my body with hormones. [/INST] Hi. Which day did you start Depo again? If we look into your query, you had sex and took I-pill in 24 hours. If the emergency contraceptive pill was taken in proper dose within 48 hours post unprotected sex without vomitings, then it will work and most probably will give withdrawal bleed in 1 to 2 weeks if not taken during periods. I hope you will get periods but as sex was not done in the most fertile period of the cycle, so least chances of pregnancy are there but the withdrawal bleed will come along with periods or periods might get delayed. To be on the safe side and for your satisfaction, you can have serum beta hCG to check your pregnancy status but I hope it will be least likely positive. I will recommend waiting for some time for bleeding. If unable to bleed this whole week then follow up. Unprotected sex with Depo injection. Beta hCG if you want to confirm pregnancy status. |
Q. Is it advisable to get surgery done after radio and chemotherapy for adenocarcinoma? | Hi doctor, My father got cancer and the treatment was done. According to the reports, some of the doctors said he must need the surgery right now, and some of his doctors said he is fine after radiotherapy and chemo as the tumor and cancer cells are unseen in his body right now. So what do you suggest after seeing all his reports on the file there? Please help me with your valuable opinion. | Hi. I have seen all your reports (attachment removed to protect patient identity), suggesting adenocarcinoma of text, which is 3 cm from anal verge with infiltrating surrounding lymph nodes. As I will tell you they did chemotherapy to reduce the extension of cancer cells surrounding the anal canal. As it is now very important to resection of that tumorpart, to prevent further extension. As good news is that this kind of cancer response is good for the surgery, so surgery must be done to treat this condition. So, your doctor has advised correctly. |
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Hi doctor, My father got cancer and the treatment was done. According to the reports, some of the doctors said he must need the surgery right now, and some of his doctors said he is fine after radiotherapy and chemo as the tumor and cancer cells are unseen in his body right now. So what do you suggest after seeing all his reports on the file there? Please help me with your valuable opinion. [/INST] Hi. I have seen all your reports (attachment removed to protect patient identity), suggesting adenocarcinoma of text, which is 3 cm from anal verge with infiltrating surrounding lymph nodes. As I will tell you they did chemotherapy to reduce the extension of cancer cells surrounding the anal canal. As it is now very important to resection of that tumorpart, to prevent further extension. As good news is that this kind of cancer response is good for the surgery, so surgery must be done to treat this condition. So, your doctor has advised correctly. |
Q. How long should my husband and I wait to try for a baby if we did cocaine? | Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. | Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> |
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Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. [/INST] Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> |
Q. Can Yasmin birth control pill be used as an emergency contraceptive pill? | Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? | Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> |
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Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? [/INST] Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> |
Q. Please explain the poisonous effect of phenol ingestion. | Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. | Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> |
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Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. [/INST] Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> |
Q. For how long should I take Kalachikai powder to overcome PCOD problem? | Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? | Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> |
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Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? [/INST] Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> |
Q. Why do periods get delayed after first time sex? | Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? | Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> |
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Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? [/INST] Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> |
Q. Can venous aneurysm cause headache? | Hi doctor,I have a 8 x 12 mm sac type aneurysm on the vein of Galen. I am 50 years old and otherwise in a good health. I have had bad headaches and nausea for about seven months. It led MRV and that found the aneurysm. I know the risks of an arterial aneurysm rupturing, but do venous ones rupture? Is it very unusual for them to do that? My family tends to have a long lifespan. Could I have another 30 or 40 years of life with this? My BP is normal. My current medications include Meloxicam, Claritin, Nexium and Zofran. | Hi. For further information consult a neuro surgeon online --> |
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Hi doctor,I have a 8 x 12 mm sac type aneurysm on the vein of Galen. I am 50 years old and otherwise in a good health. I have had bad headaches and nausea for about seven months. It led MRV and that found the aneurysm. I know the risks of an arterial aneurysm rupturing, but do venous ones rupture? Is it very unusual for them to do that? My family tends to have a long lifespan. Could I have another 30 or 40 years of life with this? My BP is normal. My current medications include Meloxicam, Claritin, Nexium and Zofran. [/INST] Hi. For further information consult a neuro surgeon online --> |
Q. Why are there gap and sensitivity in teeth even after filling? | Hello doctor, I had a root canal five months back and it has caused a lot of problems. The root canal left a gap between the molar and the tooth beside it. Food got stuck inside and it was causing pain. I came back and she said it was the tooth next to my root canal which was causing the gap. Now that tooth had a filling in it so she offered to redo it so the gap would disappear. After the new filling, the gap was still there so she put some kind of hardening fluid in between the gap and told me not to floss on that tooth. A few weeks later and the gap is back and now my tooth with redone filling is very sensitive. I am starting to feel like this is a lost cause and I do not know where to go from here. | Hi. Your case has become a bit complicated. It would have not gone this bad if the filling of the adjacent tooth would have been done before taking size for the cap, then the gap would have adjusted and you would not be having any food sticking complaint. But do not worry, there is an end to every pain and suffering. You might have to go for these stages of treatment now. First of all, an X-ray of the adjacent tooth that is feeling sensitive should be taken and assessed. The following could be the treatment options you could have. If there is some internal carious activity detected that is causing sensitivity and has not touched the pulp or root of the tooth, then again you have to go for deep filling with some regenerative dressing in the deeper part of the cavity that may regenerate the tissues above the root, reduces sensitivity and inhibits the further carious activity. If there is some carious activity that has touched the pulp of tooth then you would be going for root canal treatment and capping as done before. Then cap will be placed and it will fix your gap. You can have an option of capping at sensitive tooth after deep filling if caries has not reached pulp. Cap size will be adjusted to fill the gap and you will be relieved. It would be great if you can provide me with some of your clinical pictures of teeth and X-ray of both RCT treated and sensitive tooth. Then I could suggest better which option will suit you. |
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Hello doctor, I had a root canal five months back and it has caused a lot of problems. The root canal left a gap between the molar and the tooth beside it. Food got stuck inside and it was causing pain. I came back and she said it was the tooth next to my root canal which was causing the gap. Now that tooth had a filling in it so she offered to redo it so the gap would disappear. After the new filling, the gap was still there so she put some kind of hardening fluid in between the gap and told me not to floss on that tooth. A few weeks later and the gap is back and now my tooth with redone filling is very sensitive. I am starting to feel like this is a lost cause and I do not know where to go from here. [/INST] Hi. Your case has become a bit complicated. It would have not gone this bad if the filling of the adjacent tooth would have been done before taking size for the cap, then the gap would have adjusted and you would not be having any food sticking complaint. But do not worry, there is an end to every pain and suffering. You might have to go for these stages of treatment now. First of all, an X-ray of the adjacent tooth that is feeling sensitive should be taken and assessed. The following could be the treatment options you could have. If there is some internal carious activity detected that is causing sensitivity and has not touched the pulp or root of the tooth, then again you have to go for deep filling with some regenerative dressing in the deeper part of the cavity that may regenerate the tissues above the root, reduces sensitivity and inhibits the further carious activity. If there is some carious activity that has touched the pulp of tooth then you would be going for root canal treatment and capping as done before. Then cap will be placed and it will fix your gap. You can have an option of capping at sensitive tooth after deep filling if caries has not reached pulp. Cap size will be adjusted to fill the gap and you will be relieved. It would be great if you can provide me with some of your clinical pictures of teeth and X-ray of both RCT treated and sensitive tooth. Then I could suggest better which option will suit you. |
Q. What can be done to manage a stubborn and excited geriatric patient? | Hello doctor, My father is 85 years old and now he has become very stubborn and is not listening to anyone. He is excited many times and shouted at his son. He used to do some housework like electric, water seeping anything and spoiled it because now he cannot do anything in a proper way. So he damaged the things but whenever anybody wants to stop him he becomes very horrible and excited. Please give me some medicine to make him cool and calm. He had his open heart surgery before two years. | Hello. You can start Chamomilla 200 five pills in the morning, noon, evening and night, Alfalfa mother tincture 10 drops in half cup of water in the morning noon and night. Along with these try to do the following: It is very common in old age. Do not take it on mind much. Let him do what he wants as he allowed you in childhood. You did also tantrum in childhood that time he bore you. As same as him, you bear it with a smile. He has now few years only then you will be free from all worries. If you will not interfere with his work he will enjoy that for few minutes then he will leave himself as he does not have much power. Do not force him to stop, tell him in a slow tone and not in an order form. Behave with them like a kid. This age they become a kid. This age he needs coziness from you. Just think you have a small kid and you have to tackle that kid. Definitely, you will see changes in him and your mind. Medicines will help you but your patience and love will make dramatic changes. Try these just as medicines. I know damage cannot come back as money is important but just a fewmonths or years. God will look after you. |
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Hello doctor, My father is 85 years old and now he has become very stubborn and is not listening to anyone. He is excited many times and shouted at his son. He used to do some housework like electric, water seeping anything and spoiled it because now he cannot do anything in a proper way. So he damaged the things but whenever anybody wants to stop him he becomes very horrible and excited. Please give me some medicine to make him cool and calm. He had his open heart surgery before two years. [/INST] Hello. You can start Chamomilla 200 five pills in the morning, noon, evening and night, Alfalfa mother tincture 10 drops in half cup of water in the morning noon and night. Along with these try to do the following: It is very common in old age. Do not take it on mind much. Let him do what he wants as he allowed you in childhood. You did also tantrum in childhood that time he bore you. As same as him, you bear it with a smile. He has now few years only then you will be free from all worries. If you will not interfere with his work he will enjoy that for few minutes then he will leave himself as he does not have much power. Do not force him to stop, tell him in a slow tone and not in an order form. Behave with them like a kid. This age they become a kid. This age he needs coziness from you. Just think you have a small kid and you have to tackle that kid. Definitely, you will see changes in him and your mind. Medicines will help you but your patience and love will make dramatic changes. Try these just as medicines. I know damage cannot come back as money is important but just a fewmonths or years. God will look after you. |
Q. Fasting sugar is 297. But still there is no weakness or tiredness. Please help. | Hello doctor, My father's fasting sugar is 297. But my father is feeling better, no weakness, not feeling tired. Why? | Hi. Blood sugar levels fluctuate in the body every minute. If sugar level continuously remains on a higher level, then it is very dangerous to the body because it can create some serious health issues like diabetic neuropathy, nephropathy, retinopathy, ketoacidosis, and coma. So, kindly start him on treatment either oral hypoglycemic agents or human Insulin. Take medicines regularly. Low insulin level in the body. Fasting and postprandial blood sugar level, HbA1c. Diabetes mellitus, hyperglycemia. Diabetes mellitus. Tablet Metformin 500 mg BD. Avoid sugar added foods and drinks. |
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Hello doctor, My father's fasting sugar is 297. But my father is feeling better, no weakness, not feeling tired. Why? [/INST] Hi. Blood sugar levels fluctuate in the body every minute. If sugar level continuously remains on a higher level, then it is very dangerous to the body because it can create some serious health issues like diabetic neuropathy, nephropathy, retinopathy, ketoacidosis, and coma. So, kindly start him on treatment either oral hypoglycemic agents or human Insulin. Take medicines regularly. Low insulin level in the body. Fasting and postprandial blood sugar level, HbA1c. Diabetes mellitus, hyperglycemia. Diabetes mellitus. Tablet Metformin 500 mg BD. Avoid sugar added foods and drinks. |
Q. How to cure cough that occurs due to a hard laugh? | Hi doctor, How to cure the cough that occurs on a hard laugh? | Hi. The cough that occurs due to a hard laugh is usually due to dryness occurring in the respiratory tract. Normally, you would not need to do anything. At first, you can drink some water and see if it provides any relief. If you are experiencing too much of irritation, you can do warm salt water gargles or have a teaspoon of honey. |
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Hi doctor, How to cure the cough that occurs on a hard laugh? [/INST] Hi. The cough that occurs due to a hard laugh is usually due to dryness occurring in the respiratory tract. Normally, you would not need to do anything. At first, you can drink some water and see if it provides any relief. If you are experiencing too much of irritation, you can do warm salt water gargles or have a teaspoon of honey. |
Q. My baby will be 6 months old in another 3 weeks time. I have never given her solid foods so far. Please advise. | Hello doctor, My baby will be 6 months old in another three weeks time. I have never given her solid foods so far. I have to get back to my office after three weeks. My working time is from 10 AM to 5 PM. Please advise me on how to manage this situation. | Hi. You can start weaning (gradually reduce mother's milk and start giving solids). Start giving semisolid food after she is 6 months. If you are breastfeeding your baby then, you can express breast milk and store it for rest of the day before you go to work. Breast milk can be stored for 24 hours in a refrigerator. Regarding solid foods, homemade rice with dal water is a good food to start with. Start with the rice variant which is least allergic. Partially grind the cooked rice and make it easy for the baby to swallow. Banana is another solid food which you can give during the evenings. Start with one banana a day and then make it twice a day. Introduce one new food to your baby at a time with a gap of one week at least, so that you know which food your baby is able to digest easily and which she is allergic to. You can continue with boiled potato, carrot, beetroot one by one. Readymade preparations like cerelac, nestum or farex are also an alternative. Consult a paediatrician online for further clarifications --> |
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Hello doctor, My baby will be 6 months old in another three weeks time. I have never given her solid foods so far. I have to get back to my office after three weeks. My working time is from 10 AM to 5 PM. Please advise me on how to manage this situation. [/INST] Hi. You can start weaning (gradually reduce mother's milk and start giving solids). Start giving semisolid food after she is 6 months. If you are breastfeeding your baby then, you can express breast milk and store it for rest of the day before you go to work. Breast milk can be stored for 24 hours in a refrigerator. Regarding solid foods, homemade rice with dal water is a good food to start with. Start with the rice variant which is least allergic. Partially grind the cooked rice and make it easy for the baby to swallow. Banana is another solid food which you can give during the evenings. Start with one banana a day and then make it twice a day. Introduce one new food to your baby at a time with a gap of one week at least, so that you know which food your baby is able to digest easily and which she is allergic to. You can continue with boiled potato, carrot, beetroot one by one. Readymade preparations like cerelac, nestum or farex are also an alternative. Consult a paediatrician online for further clarifications --> |
Q. I have been experiencing memory loss. I also feel extremely tired and my hands are shaky. | Hello doctor, I am 22 years old and I have been experiencing memory loss. I struggle to remember things. This happened when I was younger, for example, I was discussing something that happened years ago with a friend and realized that I had no memory of it. My memory of things which have happened more recently is clearer but not as good as it used to be. I also experience time loss, I feel like I have suddenly come to a place and have no idea how I got there or what I was doing. I usually only lose a couple of minutes. I have also been becoming increasingly forgetful, that is, forgetting things which I had told that I would do or things my boss has asked me to do. None of this is something I would normally experience. I think it has developed over the last one year. Along with this, I also experience fainting when I stand up and stationary for too long. I am fine if I am moving and I am often dizzy when I stand up. I often feel extremely tired even when I have slept well and sometimes I become very shaky for no reason, especially my hands. I have been experiencing this for years and have been to my doctor. I have been tested for malaria, anemia, diabetes and thyroid problems. All tests came back negative. An ECG of my heart showed no problems and my blood pressure is normal. My doctor recommended an MRI but, as it is expensive I do not wish to do this unless it is really necessary. I used to smoke but have quit and I rarely drink. I will have maybe a couple of glasses of wine a week. Do you have any idea on what could be causing this? | Hi. Thanks for sharing such a detailed information with us. I can understand your problem very well. At your age memory disturbances are not usual, because dementia (the most common cause of memory loss) is very common in old age but at your age dementia is very rare. So, in your case, we have to proceed accordingly to rule out other causes as well. Other causes at your age could be thyroid disturbances, diabetes, anemia (nutritional deficiencies), hypertension (increased blood pressure) and heart diseases (ruled out with your ECG). I think you have ruled out most of the physical causes by investigating, as you have mentioned that these tests were negative in your case. Next issue which can cause memory loss at your age could be seizure disorder like absence seizure or other types of seizures. If you cannot afford an MRI scan, you can go for a cheaper option like CT scan/EEG to rule out seizures. Another common cause for your memory loss (which is good to be called as cognitive disturbances) in your case could be due to either depression or anxiety (as you have mentioned above that you never feel refreshed after sleep, often feel tired, shaky hands, fainting, restlessness). I would like to tell you other symptoms which can be suggestive of depressive disorder are low mood/sad mood, loss of interest in work, hopelessness, appetite disturbances, reduced concentration and attention; reduced self-esteem and self-confidence; ideas of guilt and unworthiness (even in a mild type of episode); bleak and pessimistic views of the future; ideas or acts of self-harm or suicide. Symptoms suggestive of anxiety disorders are apprehension (worries about future misfortunes, feeling "on edge", difficulty in concentrating, etc.); motor tension (fidgeting, tension headaches, trembling, inability to relax); and autonomic overactivity (lightheadedness, sweating, tachycardia - increased heartbeat or tachypnoea - increased respiratory rate, epigastric discomfort, dizziness, dry mouth, etc.) in addition to the memory disturbances. So, after getting all the necessary investigations like EEG/CT scan done, you can provide a more detailed history of your disease and we can make a particular diagnosis. One more thing I would like to ask you is that, are you having some repeated thoughts in your mind which you fail to resist or are you more conscious about dirt? Do you keep checking the locks? These are the symptoms of OCD (Obsessive Compulsive Disorder) which also can be presented with forgetfulness sometimes. If all the investigations are normal, then you can start pharmacological as well as non-pharmacological methods of treatment for depression and anxiety. You can use some relaxation techniques like breathing exercises, yoga therapy for anxiety symptoms. There are many safe drugs available for early and good recovery, but you have to be sure about your diagnosis first. You can start SSRIs (Selective Serotonin Reuptake Inhibitors) in low doses and increase them slowly and your problem will resolve definitely. Revert back with the reports to a psychiatrist online --> |
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Hello doctor, I am 22 years old and I have been experiencing memory loss. I struggle to remember things. This happened when I was younger, for example, I was discussing something that happened years ago with a friend and realized that I had no memory of it. My memory of things which have happened more recently is clearer but not as good as it used to be. I also experience time loss, I feel like I have suddenly come to a place and have no idea how I got there or what I was doing. I usually only lose a couple of minutes. I have also been becoming increasingly forgetful, that is, forgetting things which I had told that I would do or things my boss has asked me to do. None of this is something I would normally experience. I think it has developed over the last one year. Along with this, I also experience fainting when I stand up and stationary for too long. I am fine if I am moving and I am often dizzy when I stand up. I often feel extremely tired even when I have slept well and sometimes I become very shaky for no reason, especially my hands. I have been experiencing this for years and have been to my doctor. I have been tested for malaria, anemia, diabetes and thyroid problems. All tests came back negative. An ECG of my heart showed no problems and my blood pressure is normal. My doctor recommended an MRI but, as it is expensive I do not wish to do this unless it is really necessary. I used to smoke but have quit and I rarely drink. I will have maybe a couple of glasses of wine a week. Do you have any idea on what could be causing this? [/INST] Hi. Thanks for sharing such a detailed information with us. I can understand your problem very well. At your age memory disturbances are not usual, because dementia (the most common cause of memory loss) is very common in old age but at your age dementia is very rare. So, in your case, we have to proceed accordingly to rule out other causes as well. Other causes at your age could be thyroid disturbances, diabetes, anemia (nutritional deficiencies), hypertension (increased blood pressure) and heart diseases (ruled out with your ECG). I think you have ruled out most of the physical causes by investigating, as you have mentioned that these tests were negative in your case. Next issue which can cause memory loss at your age could be seizure disorder like absence seizure or other types of seizures. If you cannot afford an MRI scan, you can go for a cheaper option like CT scan/EEG to rule out seizures. Another common cause for your memory loss (which is good to be called as cognitive disturbances) in your case could be due to either depression or anxiety (as you have mentioned above that you never feel refreshed after sleep, often feel tired, shaky hands, fainting, restlessness). I would like to tell you other symptoms which can be suggestive of depressive disorder are low mood/sad mood, loss of interest in work, hopelessness, appetite disturbances, reduced concentration and attention; reduced self-esteem and self-confidence; ideas of guilt and unworthiness (even in a mild type of episode); bleak and pessimistic views of the future; ideas or acts of self-harm or suicide. Symptoms suggestive of anxiety disorders are apprehension (worries about future misfortunes, feeling "on edge", difficulty in concentrating, etc.); motor tension (fidgeting, tension headaches, trembling, inability to relax); and autonomic overactivity (lightheadedness, sweating, tachycardia - increased heartbeat or tachypnoea - increased respiratory rate, epigastric discomfort, dizziness, dry mouth, etc.) in addition to the memory disturbances. So, after getting all the necessary investigations like EEG/CT scan done, you can provide a more detailed history of your disease and we can make a particular diagnosis. One more thing I would like to ask you is that, are you having some repeated thoughts in your mind which you fail to resist or are you more conscious about dirt? Do you keep checking the locks? These are the symptoms of OCD (Obsessive Compulsive Disorder) which also can be presented with forgetfulness sometimes. If all the investigations are normal, then you can start pharmacological as well as non-pharmacological methods of treatment for depression and anxiety. You can use some relaxation techniques like breathing exercises, yoga therapy for anxiety symptoms. There are many safe drugs available for early and good recovery, but you have to be sure about your diagnosis first. You can start SSRIs (Selective Serotonin Reuptake Inhibitors) in low doses and increase them slowly and your problem will resolve definitely. Revert back with the reports to a psychiatrist online --> |
Q. I have been having mild pain around genital area and numbness in the penis during orgasm. | Hello doctor, I am a 23 year old male. I get numbness in the penis during orgasm. I have been doing lower back exercises since two days for my back pain. Since then, I think I have been having mild pain around the genital area and this problem of numbness. Is it temporary? | Hi. You have not provided any information regarding your marital status and education which are also relevant for me to diagnose. Numbness around in the genital area after orgasm can be calledrefractory period. This refractory period after orgasm is quite natural and normal in men. This period can last from a few minutes to one hour. So, you need not worry about this. Secondly, the lower back exercises might have not caused numbness of the penis in your case. When we do exercise after a long time, it is natural to have pain in and around that site initially for a few days. This is because our muscle becomes contracted and causes the pain. In case the pain is such that it disturbs your normal activities, then you can take a painkiller on a temporary basis. Consult a sexologist online for further queries --> |
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Hello doctor, I am a 23 year old male. I get numbness in the penis during orgasm. I have been doing lower back exercises since two days for my back pain. Since then, I think I have been having mild pain around the genital area and this problem of numbness. Is it temporary? [/INST] Hi. You have not provided any information regarding your marital status and education which are also relevant for me to diagnose. Numbness around in the genital area after orgasm can be calledrefractory period. This refractory period after orgasm is quite natural and normal in men. This period can last from a few minutes to one hour. So, you need not worry about this. Secondly, the lower back exercises might have not caused numbness of the penis in your case. When we do exercise after a long time, it is natural to have pain in and around that site initially for a few days. This is because our muscle becomes contracted and causes the pain. In case the pain is such that it disturbs your normal activities, then you can take a painkiller on a temporary basis. Consult a sexologist online for further queries --> |
Q. I am losing weight rapidly. I have been taking supplements. But they are of no help. | Hello doctor, I am losing weight rapidly. I have been taking supplements. But they are of no help. What do I do? | Hi. You are losing weight and you are taking supplements and even then you are not gaining weight. Your history is incomplete. I need to know a detailed history before I can suggest you any remedy. I would like to tell you that, if you are losing weight rapidly, then there is some underlying issue to be taken care of. Few common causes of rapid weight loss are: hyperthyroidism, tuberculosis, diabetes mellitus, and acute disease. Symptoms related to the above-mentioned diseases are: I would request you to kindly share your detailed history so that I can reach a differential diagnosis and suggest you measures to gain weight.Other than this, eat well and eat on time. Banana promotes weight gain and also drink adequate water. Revert back with the details to a general medicine physician online --> |
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Hello doctor, I am losing weight rapidly. I have been taking supplements. But they are of no help. What do I do? [/INST] Hi. You are losing weight and you are taking supplements and even then you are not gaining weight. Your history is incomplete. I need to know a detailed history before I can suggest you any remedy. I would like to tell you that, if you are losing weight rapidly, then there is some underlying issue to be taken care of. Few common causes of rapid weight loss are: hyperthyroidism, tuberculosis, diabetes mellitus, and acute disease. Symptoms related to the above-mentioned diseases are: I would request you to kindly share your detailed history so that I can reach a differential diagnosis and suggest you measures to gain weight.Other than this, eat well and eat on time. Banana promotes weight gain and also drink adequate water. Revert back with the details to a general medicine physician online --> |
Q. I am having severe headache. I am having teeth clattering with cramps all over the body. Why is this happening? | Hello doctor, I am having a severe headache on the right side and on the back side of the right ear. Also same time, I am having teeth clattering with cramps all over the body. Why is this happening? | Hi. Please get the following investigations done: There can be various causes which need to be ruled out. It can be a deficiency of vitamin B12 or calcium which is a very common cause for such a problem. Get CT head to rule out any brain-related problems. Follow these instructions as of now: Revert back with the reports to a general medicine physician online for further follow up --> |
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Hello doctor, I am having a severe headache on the right side and on the back side of the right ear. Also same time, I am having teeth clattering with cramps all over the body. Why is this happening? [/INST] Hi. Please get the following investigations done: There can be various causes which need to be ruled out. It can be a deficiency of vitamin B12 or calcium which is a very common cause for such a problem. Get CT head to rule out any brain-related problems. Follow these instructions as of now: Revert back with the reports to a general medicine physician online for further follow up --> |
Q. Which one is better? Electric or manual toothbrush? | Hello doctor, My question is that some days ago, I changed my brush from regular brush to electronic toothbrush. It vibrates and clean teeth. Is it safe for my tooth? Can it harm my tooth if I use it for a long time? Which one is better? Traditional toothbrush or this type of electronic toothbrush? | Hey. You did a good job. Buying an electronic toothbrush. It is more useful than a manual one in the following ways. It removes plaque from teeth in a better way with its vibratory motion. You do not have to be cautious about your motion techniques of brushing anymore. It covers all. Yes, it can harm your teeth if you do brushing more than 2 to 3 minutes at a time. That can cause abrasion on your teeth surfaces that wears off enamel but this damage due to long time brushing can happen with manual brushing too so it has nothing to do with a manual or electric toothbrush. You have to manage time and force to avoid abrasion. You can change the electric toothbrush after six months. You can see the difference yourself. Oral hygiene maintained with electric tooth brush would be far better than the normal one. |
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Hello doctor, My question is that some days ago, I changed my brush from regular brush to electronic toothbrush. It vibrates and clean teeth. Is it safe for my tooth? Can it harm my tooth if I use it for a long time? Which one is better? Traditional toothbrush or this type of electronic toothbrush? [/INST] Hey. You did a good job. Buying an electronic toothbrush. It is more useful than a manual one in the following ways. It removes plaque from teeth in a better way with its vibratory motion. You do not have to be cautious about your motion techniques of brushing anymore. It covers all. Yes, it can harm your teeth if you do brushing more than 2 to 3 minutes at a time. That can cause abrasion on your teeth surfaces that wears off enamel but this damage due to long time brushing can happen with manual brushing too so it has nothing to do with a manual or electric toothbrush. You have to manage time and force to avoid abrasion. You can change the electric toothbrush after six months. You can see the difference yourself. Oral hygiene maintained with electric tooth brush would be far better than the normal one. |
Q. Is there a permanent cure for abdomen pain caused by uterus fibroids? | Hi doctor, My sister is 46 years old now. She got married 17 years back and have a girl child of age 15. For nearly 10 years, she is having abdominal pain, which will occur during the periods and will last for five days. It will start two days before periods and will last three or four days after it. The pain will be more and sometimes intolerable. It will not even reduce with painkiller and the pain will be more during night-time with the following symptoms. Lack of appetite, lower abdominal pain, breathing difficulty, indigestion, bolting and constipation. All these symptoms will persist until the pain is there. She had been frequently visiting doctors for treatment, but the doctor says that she has no major problem in the stomach. She was diagnosed with fibroid 10 years back and the size was small. The doctors also said that the fibroid will not have pain as she feel. Whenever the pain is more she used to visits the hospital. It will be six to seven visit a year and yearly once she will be treated with antibiotics for severe infection. During her last period 30 days back the pain started and did not reduce until now. The pain was so severe and for the last four days she had mild fever. So, she visited a doctor and he advised for a CT scan. After seeing the results he suggested to immediately go for surgery and advised to get her uterus removed and also said she might have cancer. When we went for a second opinion to another doctor, she said there is some uterus infection and advised medicine for that and asked to come back after two weeks. I have attached the CT scan and report, kindly comment on it. Based on the results, is there a chance of cancer, which the local doctor has said? The problem exists for nearly 10 years and many times due to intolerable pain, she used to roll on the floor, Is there any permanent cure for it? I have attached the prescription too. Can we continue it or should go for further investigations? Why infections reappear yearly? As advised by the local doctor, is removal of the uterus is necessary? Will it give a permanent solution? Please suggest me if any other investigation or treatment is needed or to be followed? | Hi. After going through the detailed information given by you, the issues I think need resolution are as follows: Regarding fibroid it need removal as that is an important cause of pain abdomen. It can be done laparoscopically at this age. My suggestion is to remove the uterus instead of the fibroid alone. For pancreatic lipoma, you should get a second opinion on this with gastroenterology specialists before planning fibroid surgery. Vaginal infections can be tackled easily. It is not a major concern. After gastroenterologist opinion, we will plan for MRI scan if required. Endometrial biopsy or dilation and curettage with pap smear is mandatory prior to definitive surgery. Surgery - Hysterectomy. Revert back for further doubts to an obstetrician and gynaecologist online.---> |
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Hi doctor, My sister is 46 years old now. She got married 17 years back and have a girl child of age 15. For nearly 10 years, she is having abdominal pain, which will occur during the periods and will last for five days. It will start two days before periods and will last three or four days after it. The pain will be more and sometimes intolerable. It will not even reduce with painkiller and the pain will be more during night-time with the following symptoms. Lack of appetite, lower abdominal pain, breathing difficulty, indigestion, bolting and constipation. All these symptoms will persist until the pain is there. She had been frequently visiting doctors for treatment, but the doctor says that she has no major problem in the stomach. She was diagnosed with fibroid 10 years back and the size was small. The doctors also said that the fibroid will not have pain as she feel. Whenever the pain is more she used to visits the hospital. It will be six to seven visit a year and yearly once she will be treated with antibiotics for severe infection. During her last period 30 days back the pain started and did not reduce until now. The pain was so severe and for the last four days she had mild fever. So, she visited a doctor and he advised for a CT scan. After seeing the results he suggested to immediately go for surgery and advised to get her uterus removed and also said she might have cancer. When we went for a second opinion to another doctor, she said there is some uterus infection and advised medicine for that and asked to come back after two weeks. I have attached the CT scan and report, kindly comment on it. Based on the results, is there a chance of cancer, which the local doctor has said? The problem exists for nearly 10 years and many times due to intolerable pain, she used to roll on the floor, Is there any permanent cure for it? I have attached the prescription too. Can we continue it or should go for further investigations? Why infections reappear yearly? As advised by the local doctor, is removal of the uterus is necessary? Will it give a permanent solution? Please suggest me if any other investigation or treatment is needed or to be followed? [/INST] Hi. After going through the detailed information given by you, the issues I think need resolution are as follows: Regarding fibroid it need removal as that is an important cause of pain abdomen. It can be done laparoscopically at this age. My suggestion is to remove the uterus instead of the fibroid alone. For pancreatic lipoma, you should get a second opinion on this with gastroenterology specialists before planning fibroid surgery. Vaginal infections can be tackled easily. It is not a major concern. After gastroenterologist opinion, we will plan for MRI scan if required. Endometrial biopsy or dilation and curettage with pap smear is mandatory prior to definitive surgery. Surgery - Hysterectomy. Revert back for further doubts to an obstetrician and gynaecologist online.---> |
Q. How long should my husband and I wait to try for a baby if we did cocaine? | Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. | Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> |
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Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. [/INST] Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> |
Q. Can Yasmin birth control pill be used as an emergency contraceptive pill? | Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? | Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> |
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Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? [/INST] Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> |
Q. Please explain the poisonous effect of phenol ingestion. | Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. | Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> |
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Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. [/INST] Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> |
Q. For how long should I take Kalachikai powder to overcome PCOD problem? | Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? | Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> |
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Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? [/INST] Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> |
Q. Why do periods get delayed after first time sex? | Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? | Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> |
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Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? [/INST] Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> |
Q. Is it advisable to take Kalarchikai choornam for irregular periods? | Hi doctor, I got Kalarchikai chooranam for irregular periods. I have to take with pepper powder or with honey. I am planning to take by my own. Is it suitable for all body type? | Hi. Kalarchikai is a herb to manage PCOD (polycystic ovarian disease). Its botanical name is Caesalpinia bonducela. Its seed is used for medicinal purposes. You can prepare at home by Kalachikai seeds or churnam. Before starting medicine once you should check out your USG abdomen to rule out PCOD and thyroid profile to rule out hypothyroidism. Take 2 to 3 grams of Kalarchikai choornam twice a day after meals with warm water. You can also take it as ayurvedic preparations available like Kokilakshakam kashayam or Vati. |
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Hi doctor, I got Kalarchikai chooranam for irregular periods. I have to take with pepper powder or with honey. I am planning to take by my own. Is it suitable for all body type? [/INST] Hi. Kalarchikai is a herb to manage PCOD (polycystic ovarian disease). Its botanical name is Caesalpinia bonducela. Its seed is used for medicinal purposes. You can prepare at home by Kalachikai seeds or churnam. Before starting medicine once you should check out your USG abdomen to rule out PCOD and thyroid profile to rule out hypothyroidism. Take 2 to 3 grams of Kalarchikai choornam twice a day after meals with warm water. You can also take it as ayurvedic preparations available like Kokilakshakam kashayam or Vati. |
Q. I have Genu Valgum. I am developing pain in my left knee. | Hi doctor, I am 26 years old. I have Genu valgum. I am developing pain in my left knee, and the pain has also started in my ankle and shin. How do I get rid of this pain? | Hi. Genu valgum is commonly called the knock-knees. It is the inability to touch both the feet together due to inward angulation of the knee. It is a physiological condition mostly, but less commonly pathological. The management will depend upon: Perhaps if you post your standing x-rays of both legs called long leg views or hip knee ankle views, it will be helpful for me to advise you further. |
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Hi doctor, I am 26 years old. I have Genu valgum. I am developing pain in my left knee, and the pain has also started in my ankle and shin. How do I get rid of this pain? [/INST] Hi. Genu valgum is commonly called the knock-knees. It is the inability to touch both the feet together due to inward angulation of the knee. It is a physiological condition mostly, but less commonly pathological. The management will depend upon: Perhaps if you post your standing x-rays of both legs called long leg views or hip knee ankle views, it will be helpful for me to advise you further. |
Q. My son vomits or gags at the sight or thought of food. I need to know what is going on. Please help. | Hello doctor, I have a 7 year old son who vomits or gags at the sight or thought of food that he does not like. He has been doing it for as long as I can remember. Every time I talk to his pediatrician about it, she says that it is no big deal, but I feel it is. He has to sit alone at lunch while at school. He also vomits every day at school. I need to know what is going on. Please help. | Hi. Vomiting at the sight of food is psychological, but I would like to know to which kind of foods does he do that like is it for milk products, etc.? This also means he might be allergic to some foods. Those foods can be avoided. Is his weight normal for his age? If he vomits daily, I would suggest some medications like Domperidone or Ranitidine. Sitting alone during lunch might not be good in the long run. Try to talk to him at home. The other way is to expose him to foods which he does not like in a graded manner, that is with a little amount initially and then increase the quantity gradually. Your child needs counseling for boosting confidence so that he does not face social isolation in the future. |
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Hello doctor, I have a 7 year old son who vomits or gags at the sight or thought of food that he does not like. He has been doing it for as long as I can remember. Every time I talk to his pediatrician about it, she says that it is no big deal, but I feel it is. He has to sit alone at lunch while at school. He also vomits every day at school. I need to know what is going on. Please help. [/INST] Hi. Vomiting at the sight of food is psychological, but I would like to know to which kind of foods does he do that like is it for milk products, etc.? This also means he might be allergic to some foods. Those foods can be avoided. Is his weight normal for his age? If he vomits daily, I would suggest some medications like Domperidone or Ranitidine. Sitting alone during lunch might not be good in the long run. Try to talk to him at home. The other way is to expose him to foods which he does not like in a graded manner, that is with a little amount initially and then increase the quantity gradually. Your child needs counseling for boosting confidence so that he does not face social isolation in the future. |
Q. I have been feeling tired the whole day. I do not really want to do anything and I do not know why. | Hi doctor, I am an 18 year old female. I weigh 110 pounds, and I am 5 feet tall. I have been feeling a bit weird lately. I have been feeling tired; like no matter how much sleep I get, I still feel so tired. And when I eat any sweets, I feel weird. I do not know how to explain it. I feel like my heartbeat gets faster sometimes, but when I check my pulse, it feels normal. But today when I ate some chocolate cookies, I laid down because I felt tired and weak. My left arm felt really weak. Then when I got up, I got really dizzy, like more dizzy than I usually get when I wake up, and I had to wait a few seconds so that I can go downstairs without falling. And I always just want to lay down. I always feel so lazy and do not really want to do anything, and I do not know why. Should I be worried? | Hi. No need to be worried, but yes you need to get evaluated for the cause of your problems because at the age of 18, tiredness all the day and weakness is not common. Your problems could be due to low hemoglobin, vitamin D or B12 deficiency, or due to thyroid problems or diabetes. I advise you to get the following tests done: |
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Hi doctor, I am an 18 year old female. I weigh 110 pounds, and I am 5 feet tall. I have been feeling a bit weird lately. I have been feeling tired; like no matter how much sleep I get, I still feel so tired. And when I eat any sweets, I feel weird. I do not know how to explain it. I feel like my heartbeat gets faster sometimes, but when I check my pulse, it feels normal. But today when I ate some chocolate cookies, I laid down because I felt tired and weak. My left arm felt really weak. Then when I got up, I got really dizzy, like more dizzy than I usually get when I wake up, and I had to wait a few seconds so that I can go downstairs without falling. And I always just want to lay down. I always feel so lazy and do not really want to do anything, and I do not know why. Should I be worried? [/INST] Hi. No need to be worried, but yes you need to get evaluated for the cause of your problems because at the age of 18, tiredness all the day and weakness is not common. Your problems could be due to low hemoglobin, vitamin D or B12 deficiency, or due to thyroid problems or diabetes. I advise you to get the following tests done: |
Q. I want to know if having sex during pregnancy will harm my baby? | Hello doctor, I am 20 weeks pregnant. I wanted to know that does having sex during pregnancy harm my baby? And is it safe? | Hi. Having sex during your entire pregnancy is safe. Some precautions should be taken: |
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Hello doctor, I am 20 weeks pregnant. I wanted to know that does having sex during pregnancy harm my baby? And is it safe? [/INST] Hi. Having sex during your entire pregnancy is safe. Some precautions should be taken: |
Q. What are the risk factors of chest pain? | Hi doctor, I am a 35 year old female. I have on and off sharp pain in the left upper chest. Sometimes, it radiates to the neck and sometimes shoulder and upper arm. My ECG, bloods and chest x-ray were normal. With all these tests, is it likely to be the heart? Movement does not seem to influence the pain. Sometimes, I get a bit dizzy too. Pain seems to come randomly. Doctor prescribed Diclac 50 mg thrice a day and Clorom 500 mg twice a day. What else could it be? Colonoscopy has done recently due to family history of cancer and that was clear. Ultrasound of the abdomen was also clear. | Hi. I have carefully worked through your case and can well realize your health worries. Thanks for uploading the details of some laboratory reports (attachment removed to protect patient identity). For further information consult a cardiologist online --> |
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Hi doctor, I am a 35 year old female. I have on and off sharp pain in the left upper chest. Sometimes, it radiates to the neck and sometimes shoulder and upper arm. My ECG, bloods and chest x-ray were normal. With all these tests, is it likely to be the heart? Movement does not seem to influence the pain. Sometimes, I get a bit dizzy too. Pain seems to come randomly. Doctor prescribed Diclac 50 mg thrice a day and Clorom 500 mg twice a day. What else could it be? Colonoscopy has done recently due to family history of cancer and that was clear. Ultrasound of the abdomen was also clear. [/INST] Hi. I have carefully worked through your case and can well realize your health worries. Thanks for uploading the details of some laboratory reports (attachment removed to protect patient identity). For further information consult a cardiologist online --> |
Q. Is the bleeding in between periods indicative of pregnancy? | Hi doctor, I had my period two weeks ago roughly. Just a few minutes back, I had some medium dark colored bleeding. What could this mean? Is it pregnancy? | Hi. It is a very short description of your query. It could be implantation bleeding if you had recently unprotected sex, or any infection that is appearing as vaginal discharge or could be bleeding or discharge from a local lesion or could be signs and symptoms of cervical erosion or any other pelvic pathology or just unscheduled bleeding due to hormonal effects, etc. Check if you have been taking any contraceptive or any hormonal treatment or imbalance or had any other medical disorder? Have serum beta hCG to exclude pregnancy. If it comes negative, then have tests advised below. Have a vaginal swab to exclude infection, complete blood count and thyroid function test. Have one transvaginal scan, cervical smear and if possible outpatient hysteroscopic examination by a gynecologist. Check on the regularity of cycles, any other abnormal symptoms, revise your medications by discussing with the related specialist and to have complete treatment with regular follow ups. Collect laboratory results and discuss here. Have a strict hygiene, use condoms to avoid transmission of infectons. Have a balanced diet, daily walk and try to have normal BMI. I hope things would be better. In case of positive pregnancy test no need to have more tests but start Folic acid daily and do have a scan after 2 to 3 weeks if remains asymptomatic. Implantation or contraceptive or medicine use. Beta hCG if comes negative then only cervical smear, CBC, TFTS, transvaginal scan. Unscheduled bleeding. Hygiene, revise medication, complete check-up and regular treatment of any health issue you have. |
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Hi doctor, I had my period two weeks ago roughly. Just a few minutes back, I had some medium dark colored bleeding. What could this mean? Is it pregnancy? [/INST] Hi. It is a very short description of your query. It could be implantation bleeding if you had recently unprotected sex, or any infection that is appearing as vaginal discharge or could be bleeding or discharge from a local lesion or could be signs and symptoms of cervical erosion or any other pelvic pathology or just unscheduled bleeding due to hormonal effects, etc. Check if you have been taking any contraceptive or any hormonal treatment or imbalance or had any other medical disorder? Have serum beta hCG to exclude pregnancy. If it comes negative, then have tests advised below. Have a vaginal swab to exclude infection, complete blood count and thyroid function test. Have one transvaginal scan, cervical smear and if possible outpatient hysteroscopic examination by a gynecologist. Check on the regularity of cycles, any other abnormal symptoms, revise your medications by discussing with the related specialist and to have complete treatment with regular follow ups. Collect laboratory results and discuss here. Have a strict hygiene, use condoms to avoid transmission of infectons. Have a balanced diet, daily walk and try to have normal BMI. I hope things would be better. In case of positive pregnancy test no need to have more tests but start Folic acid daily and do have a scan after 2 to 3 weeks if remains asymptomatic. Implantation or contraceptive or medicine use. Beta hCG if comes negative then only cervical smear, CBC, TFTS, transvaginal scan. Unscheduled bleeding. Hygiene, revise medication, complete check-up and regular treatment of any health issue you have. |
Q. Can missed period after having sex during fertile period mean pregnancy? | Hello doctor, I have been on Ava 20 (hormonal contraceptive pill) for about three years. I recently just stopped taking it. I had sex about 3 to 4 time in my fertile period. I have missed my period by a few days. So, I took a pregnancy test and it came back negative. I have been having a few symptoms too like sore nipples and breasts, weeing a bit more than usual, acne, fatigue. | Hi. Since you have been actively trying to conceive and having unprotected sexual intercourse on fertile days does put the possibility of pregnancy high up on the list especially coupled with a missed period. A home pregnancy test can be negative in the first few days after the missed period even in case of successful fertilization owing to insufficient beta hCG hormones. I suggest you take another urine strip test after a week if you still do not get your periods. Or could get a blood test for serum beta hCG in a few days which is more sensitive. In any case, you should treat it as a possible pregnancy unless proven otherwise and take your vitamins. |
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Hello doctor, I have been on Ava 20 (hormonal contraceptive pill) for about three years. I recently just stopped taking it. I had sex about 3 to 4 time in my fertile period. I have missed my period by a few days. So, I took a pregnancy test and it came back negative. I have been having a few symptoms too like sore nipples and breasts, weeing a bit more than usual, acne, fatigue. [/INST] Hi. Since you have been actively trying to conceive and having unprotected sexual intercourse on fertile days does put the possibility of pregnancy high up on the list especially coupled with a missed period. A home pregnancy test can be negative in the first few days after the missed period even in case of successful fertilization owing to insufficient beta hCG hormones. I suggest you take another urine strip test after a week if you still do not get your periods. Or could get a blood test for serum beta hCG in a few days which is more sensitive. In any case, you should treat it as a possible pregnancy unless proven otherwise and take your vitamins. |
Q. Can viral infection cause dilated cardiomyopathy in adult? | Hi doctor, For the past 10 months, my wife (age 32 years) started developing symptoms of bronchitis (complaints of SOB and fatigue). Her feet and ankles started to swell and used to take Lasix (to treat edema) on SOS basis for the past seven months, which gave her temporary relief. Next month she underwent checkups (did chest X-ray, echo and ECG) and everything was normal with exception of sinus tachycardia (HR was 110+). and slight fatty changes in liver. The doctor also advised taking Hep-B vaccine (Engerix-B), for which she has taken two doses already and the next one is due in a month. Two months back, she traveled for a period of three weeks. There she suffered from acute breathlessness, stomach bloating, feet and ankle swelling, bloating of the stomach. She could barely lie down on her back. After visiting a gastroenterologist and a pulmonologist, she was advised to undergo USG-abdomen. The USG revealed ascites, bilateral pelural effusion. We saw a cardiologist and was advised to do echo, ECG and chest X-ray. The echo resulted in very poor LV EF (25 %) and dilated LV, LA. She is under medication (Cardivas 6.25, Vymada 100, Nexpro RD 40, Rivotril 0.25, Bevon]. She was also advised to undergo cardiac MRI. The MRI results were pretty much the same as echo (did not result in anything conclusive). Blood tests were also conducted (Na, K are normal, NT-PRO BNP is high 504 pg/ml, bilirubin is a little high 1.14). I want to get an opinion and advise on the below. The cause of dilated cardiomyopathy in such a young person. Is it viral infection? She did not have a fever. What is the treatment? Is the condition reversible? Will the dilation get back to normal? | Hi. Your wife has multiple issues including dilated cardiomyopathy and PCOS (attachment removed to protect patient identity). There are multiple causes of dilated cardiomyopathy including viral infections, pregnancy, familial and idiopathic, tachycardia, PVCs, amyloidosis in late stages, etc. Treatment is going well which you told. Carvedilol dose can be increased if heart failure condition allows, Vymada can also be increased upto 200 mg if BP allows, Lasix can be added and Spironolactone should also be started at 25 mg per day. Doses should slowly be uptitrated. Yes sometimes condition is reversible, but after one year chances of reversibility are rare. Then a device called ICD is implanted in the heart to prevent cardiac arrest or CRTd for heart failure symptoms and to prevent cardiac arrest. For PCOS, consult a gynecologist. Praying for your wife's health. |
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Hi doctor, For the past 10 months, my wife (age 32 years) started developing symptoms of bronchitis (complaints of SOB and fatigue). Her feet and ankles started to swell and used to take Lasix (to treat edema) on SOS basis for the past seven months, which gave her temporary relief. Next month she underwent checkups (did chest X-ray, echo and ECG) and everything was normal with exception of sinus tachycardia (HR was 110+). and slight fatty changes in liver. The doctor also advised taking Hep-B vaccine (Engerix-B), for which she has taken two doses already and the next one is due in a month. Two months back, she traveled for a period of three weeks. There she suffered from acute breathlessness, stomach bloating, feet and ankle swelling, bloating of the stomach. She could barely lie down on her back. After visiting a gastroenterologist and a pulmonologist, she was advised to undergo USG-abdomen. The USG revealed ascites, bilateral pelural effusion. We saw a cardiologist and was advised to do echo, ECG and chest X-ray. The echo resulted in very poor LV EF (25 %) and dilated LV, LA. She is under medication (Cardivas 6.25, Vymada 100, Nexpro RD 40, Rivotril 0.25, Bevon]. She was also advised to undergo cardiac MRI. The MRI results were pretty much the same as echo (did not result in anything conclusive). Blood tests were also conducted (Na, K are normal, NT-PRO BNP is high 504 pg/ml, bilirubin is a little high 1.14). I want to get an opinion and advise on the below. The cause of dilated cardiomyopathy in such a young person. Is it viral infection? She did not have a fever. What is the treatment? Is the condition reversible? Will the dilation get back to normal? [/INST] Hi. Your wife has multiple issues including dilated cardiomyopathy and PCOS (attachment removed to protect patient identity). There are multiple causes of dilated cardiomyopathy including viral infections, pregnancy, familial and idiopathic, tachycardia, PVCs, amyloidosis in late stages, etc. Treatment is going well which you told. Carvedilol dose can be increased if heart failure condition allows, Vymada can also be increased upto 200 mg if BP allows, Lasix can be added and Spironolactone should also be started at 25 mg per day. Doses should slowly be uptitrated. Yes sometimes condition is reversible, but after one year chances of reversibility are rare. Then a device called ICD is implanted in the heart to prevent cardiac arrest or CRTd for heart failure symptoms and to prevent cardiac arrest. For PCOS, consult a gynecologist. Praying for your wife's health. |
Q. I am having fear about something bad happening along with crying. Why is it so? | Hello doctor, I am a student. l am from a very poor family, preparing for the entrance exam and need selection to help my parents. I live alone, away from my home for study. From the past four months, I am struggling with a continuous fear, that my house is weak and it may break and my parents may get attacked by it. I am unconsciously feeling this fear all the time crying, and weeping. I have pain in body, neck, acidity, and memory loss and am under medication for depression for the past two years. | Hi. Your history is clear that you have relapse depressive symptoms along with anxiety symptoms. You have obvious reasons for your symptoms like you live away from your home, poverty, basic needs of life like home and your sensitive personality like you are most of the time uncertain that worse could happen. I would suggest you should start antidepressants as soon as possible. 1.Tablet Escitalopram 10 mg at night daily. 2.Capsule Dexlansoprazole 30 mg two times a day for your acidity. If symptoms do not get better or get worse, kindly visit mental health service nearby. |
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Hello doctor, I am a student. l am from a very poor family, preparing for the entrance exam and need selection to help my parents. I live alone, away from my home for study. From the past four months, I am struggling with a continuous fear, that my house is weak and it may break and my parents may get attacked by it. I am unconsciously feeling this fear all the time crying, and weeping. I have pain in body, neck, acidity, and memory loss and am under medication for depression for the past two years. [/INST] Hi. Your history is clear that you have relapse depressive symptoms along with anxiety symptoms. You have obvious reasons for your symptoms like you live away from your home, poverty, basic needs of life like home and your sensitive personality like you are most of the time uncertain that worse could happen. I would suggest you should start antidepressants as soon as possible. 1.Tablet Escitalopram 10 mg at night daily. 2.Capsule Dexlansoprazole 30 mg two times a day for your acidity. If symptoms do not get better or get worse, kindly visit mental health service nearby. |
Q. Can bloating and headache be due to stomach problem? | Hello doctor, I am female, age 39, height 5' 3", weight about 89 kg. I feel bloated most of the time and sometime get headache. If I have burning sensation in feet, I take Mucaine syrup sometimes. I also feel slight pain on left arm. I feel this is due to gas or stomach problem. Help me to cure it. | Hello. Firstly, I would like to assure you that you are right about the problem being a gastric problem. In medical terms, it is called gastritis. Having said that, since you have mentioned the presence of slight pain along your left arm, I would suggest you take an ECG at any clinic. There is nothing to worry about. It is always good to rule out the possibility of any underlying problems. As of now, you need to follow the below advice. It is very important to make lifestyle changes before succumbing to medications for treating gastritis. Having mentioned your BMI, it seems to be on the more obese scale. You need to keep a check on your weight. The first step is to make diet modifications. You need to consider a more balanced diet in the most practical way possible. Start having three meals a day, each meal should be consumed four hours apart. Each meal should consist of one portion each of a carbohydrate, a protein, and a fat source. For example, breakfast could include a brown bread, boiled or poached egg (not fried), and vegetable fillings. Include a lot of fruits and vegetables in your diet. You can add a fresh orange or mixed fruit juice (made at home), along with the breakfast. You can also end the day with a bowl of fruit salad. Try to start the day with any detox drinks, like warm water with lemon, honey, and ginger. You need to consume at least two glasses of water before moving to breakfast. Make sure to have at least 8 to 9 glasses of water in a day. Cut down on any hot beverages like tea or coffee. Avoid dairy, including milk, cheese, etc. Next step is to maintain a good physical health through physical activity. Start with walking daily for one hour in the morning or evening. You can also choose to practice yoga. It helps with gastritis and helps maintain an energetic lifestyle. Later, include aerobics and cardio and power exercises. It is very important to exercises at least three times a week. It helps in bloating and maintaining good health. Start taking capsule Pantoprazole 40 mg twice daily for two weeks. Make sure you carry out the lifestyle modifications simultaneously. Try to avoid, lentils, dal, and chickpeas for a short period of time. They would cause gastritis. Try including a lot of home-made soups and juices in your diet too. Do not worry, you will completely be alright. You just need to follow the above advice. Stay healthy and positive. |
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Hello doctor, I am female, age 39, height 5' 3", weight about 89 kg. I feel bloated most of the time and sometime get headache. If I have burning sensation in feet, I take Mucaine syrup sometimes. I also feel slight pain on left arm. I feel this is due to gas or stomach problem. Help me to cure it. [/INST] Hello. Firstly, I would like to assure you that you are right about the problem being a gastric problem. In medical terms, it is called gastritis. Having said that, since you have mentioned the presence of slight pain along your left arm, I would suggest you take an ECG at any clinic. There is nothing to worry about. It is always good to rule out the possibility of any underlying problems. As of now, you need to follow the below advice. It is very important to make lifestyle changes before succumbing to medications for treating gastritis. Having mentioned your BMI, it seems to be on the more obese scale. You need to keep a check on your weight. The first step is to make diet modifications. You need to consider a more balanced diet in the most practical way possible. Start having three meals a day, each meal should be consumed four hours apart. Each meal should consist of one portion each of a carbohydrate, a protein, and a fat source. For example, breakfast could include a brown bread, boiled or poached egg (not fried), and vegetable fillings. Include a lot of fruits and vegetables in your diet. You can add a fresh orange or mixed fruit juice (made at home), along with the breakfast. You can also end the day with a bowl of fruit salad. Try to start the day with any detox drinks, like warm water with lemon, honey, and ginger. You need to consume at least two glasses of water before moving to breakfast. Make sure to have at least 8 to 9 glasses of water in a day. Cut down on any hot beverages like tea or coffee. Avoid dairy, including milk, cheese, etc. Next step is to maintain a good physical health through physical activity. Start with walking daily for one hour in the morning or evening. You can also choose to practice yoga. It helps with gastritis and helps maintain an energetic lifestyle. Later, include aerobics and cardio and power exercises. It is very important to exercises at least three times a week. It helps in bloating and maintaining good health. Start taking capsule Pantoprazole 40 mg twice daily for two weeks. Make sure you carry out the lifestyle modifications simultaneously. Try to avoid, lentils, dal, and chickpeas for a short period of time. They would cause gastritis. Try including a lot of home-made soups and juices in your diet too. Do not worry, you will completely be alright. You just need to follow the above advice. Stay healthy and positive. |
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. Following a fall, my thumb got swollen. How to cure it? | Hi doctor, Last week, I fell and jammed my thumb into the floor. It instantly hurt and I knew I had sprained or jammed something. The next day, my palm and the thumb muscle were swollen with a painful lump. I could not grab or hold anything, but I can move it around. So, I know it did not break. It has almost been a week and is still very sore. There is no pain in the knuckle and I still cannot hold heavy things and grab things. On bending it is very painful. I wanted to give it some time before seeing a doctor if it is just a mild sprain. Typing and working is very difficult, so I was wondering if seeing a doctor would help or if it is just going to take time? | Hi. For further doubts consult an internal medicine physician online --> |
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Hi doctor, Last week, I fell and jammed my thumb into the floor. It instantly hurt and I knew I had sprained or jammed something. The next day, my palm and the thumb muscle were swollen with a painful lump. I could not grab or hold anything, but I can move it around. So, I know it did not break. It has almost been a week and is still very sore. There is no pain in the knuckle and I still cannot hold heavy things and grab things. On bending it is very painful. I wanted to give it some time before seeing a doctor if it is just a mild sprain. Typing and working is very difficult, so I was wondering if seeing a doctor would help or if it is just going to take time? [/INST] Hi. For further doubts consult an internal medicine physician online --> |
Q. Is it advisable to take Ksheerabala tablets for back pain in an angioplasty patient? | Hello doctor, My husband is suffering from lower back pain. If he stands for more than five minutes, his legs start shaking and he has to sit. He also underwent an angioplasty six years back and is under medication. Can he take Ksheera bala tablets for his condition? | Hi. The low back pain is very common due to the strain of the muscles, ligaments or tendons connected to the backbones or vertebrae. Sometimes it is due to an intervertebral disc prolapse or compression of nerves. When muscles unable to hold weight they causes severing. This pain may be acute, subacute or chronic. Long-standing, long sitting, riding vehicles, trauma, tumor or obesity. There are several risk factors to causes back pain like smoking, drinking, obesity, age-related, etc. X-ray, MRI, CT scan, CBC. Diagnosis is based on symptoms and investigation reports. Oileation therapy is the best way to manage it. As per your complaints, he underwent angioplasty but you can give him Ksheerbala tablet or capsules. Do regular anuloma vilom for 15 minutes. Avoid to stand or sit for a long time, keep body weight in equal distribution, toes must be able to move freely, the bed must be firm and soft. Avoid to use the pillow or use a thin pillow. |
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Hello doctor, My husband is suffering from lower back pain. If he stands for more than five minutes, his legs start shaking and he has to sit. He also underwent an angioplasty six years back and is under medication. Can he take Ksheera bala tablets for his condition? [/INST] Hi. The low back pain is very common due to the strain of the muscles, ligaments or tendons connected to the backbones or vertebrae. Sometimes it is due to an intervertebral disc prolapse or compression of nerves. When muscles unable to hold weight they causes severing. This pain may be acute, subacute or chronic. Long-standing, long sitting, riding vehicles, trauma, tumor or obesity. There are several risk factors to causes back pain like smoking, drinking, obesity, age-related, etc. X-ray, MRI, CT scan, CBC. Diagnosis is based on symptoms and investigation reports. Oileation therapy is the best way to manage it. As per your complaints, he underwent angioplasty but you can give him Ksheerbala tablet or capsules. Do regular anuloma vilom for 15 minutes. Avoid to stand or sit for a long time, keep body weight in equal distribution, toes must be able to move freely, the bed must be firm and soft. Avoid to use the pillow or use a thin pillow. |
Q. How can pacemaker affect arrythmia? | Hello doctor, I am 63 years old male. I am a known case of atrial fibrillation 20 years. I had a brain hemorrhage 23 years back. I have a paroxysmal type of afib. Recently its frequency has markedly increased. I am taking Sotalol 80 mg and 80 mg. But now Sotalol increase is required which causes bradycardia when the rhythm is sinus. My cardiologist wants to implant a pacemaker to pace the heart in bradycardia. Please let me know about the role of PM in arrhythmia. My cardiologist says during abnormal rythm PM is inactive. | Hi. The rate in AF is controlled with beta blockers, calcium channel blocker or Digoxin. You are taking Sotalol which is a beta blocker as well as the anti-arrhythmic drug. The permanent pacemaker is implanted when there is tachy-brady syndrome. It means sometimes there is tachycardia episode and sometimes bradycardia episode. If we control tachycardia, during bradycardia episode there will be even more severe bradycardia and if we control bradycardia, tachycardia episode will be severe. So, in this situation, a pacemaker is implanted to avoid bradycardia, and for the tachycardia, medicine is continued. The pacemaker is programmed to pace the heart when the rate drops to a certain threshold such as 60 bpm. Paroxysmal AF is one in which rhythm is restored to sinus within seven days, persistent is seven days to 12 months, long-standing persistent is more than 12 months. Cryoablation technique is used to revert rhythm back to normal sinus. It is done in paroxysmal AF, but some trials exist even for persistent and long-standing persistent AF as successful ablation can be done. Please consult your cardiac electrophysiologist about the possibility of this procedure in your case. |
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Hello doctor, I am 63 years old male. I am a known case of atrial fibrillation 20 years. I had a brain hemorrhage 23 years back. I have a paroxysmal type of afib. Recently its frequency has markedly increased. I am taking Sotalol 80 mg and 80 mg. But now Sotalol increase is required which causes bradycardia when the rhythm is sinus. My cardiologist wants to implant a pacemaker to pace the heart in bradycardia. Please let me know about the role of PM in arrhythmia. My cardiologist says during abnormal rythm PM is inactive. [/INST] Hi. The rate in AF is controlled with beta blockers, calcium channel blocker or Digoxin. You are taking Sotalol which is a beta blocker as well as the anti-arrhythmic drug. The permanent pacemaker is implanted when there is tachy-brady syndrome. It means sometimes there is tachycardia episode and sometimes bradycardia episode. If we control tachycardia, during bradycardia episode there will be even more severe bradycardia and if we control bradycardia, tachycardia episode will be severe. So, in this situation, a pacemaker is implanted to avoid bradycardia, and for the tachycardia, medicine is continued. The pacemaker is programmed to pace the heart when the rate drops to a certain threshold such as 60 bpm. Paroxysmal AF is one in which rhythm is restored to sinus within seven days, persistent is seven days to 12 months, long-standing persistent is more than 12 months. Cryoablation technique is used to revert rhythm back to normal sinus. It is done in paroxysmal AF, but some trials exist even for persistent and long-standing persistent AF as successful ablation can be done. Please consult your cardiac electrophysiologist about the possibility of this procedure in your case. |
Q. I am not able to open mouth wide after wisdom tooth removal. Why? | Hello doctor, I just got my wisdom teeth pulled out. All four of them. I cannot open my mouth all the way to even stick my toothbrush to brush my teeth. What should I do? I got them pulled a few days back and just been brushing the front and sides of my teeth and using a Qtip to wash the back teeth. Another concern I have is that my back teeth have white pus on the top of them. I believe it is the scab from the extraction, it is on my other teeth and I am worried should I try ripping them off. I do not want to hurt myself though or should I just leave it alone? Will it cause any problem like make bacteria grow? Should I try rinsing my mouth out with salt until I can properly brush my teeth? | Hey. That is perfect you got rid of all your wisdom teeth at once. Now you are facing some temporary postoperative difficulties that will end soon and you will be relieved. It will take most likely a week to open your mouth properly, so it is fine if you cannot brush teeth at back. After a few days, you will be able to do the proper cleaning. Regarding the white scab, it is the dead tissue formed that is not much harmful, it will shred away itself during this phase of healing if you are doing your rinses properly. Take a cup of lukewarm water and add 1/4th teaspoon of salt in it and do its mouth rinses five times a day. It is mandatory for two weeks. If you will skip it then some re-infection in the bone can happen which is very painful. So, it is better to be safe than sorry. Hopefully, everything will be good soon. |
<s>[INST]
Hello doctor, I just got my wisdom teeth pulled out. All four of them. I cannot open my mouth all the way to even stick my toothbrush to brush my teeth. What should I do? I got them pulled a few days back and just been brushing the front and sides of my teeth and using a Qtip to wash the back teeth. Another concern I have is that my back teeth have white pus on the top of them. I believe it is the scab from the extraction, it is on my other teeth and I am worried should I try ripping them off. I do not want to hurt myself though or should I just leave it alone? Will it cause any problem like make bacteria grow? Should I try rinsing my mouth out with salt until I can properly brush my teeth? [/INST] Hey. That is perfect you got rid of all your wisdom teeth at once. Now you are facing some temporary postoperative difficulties that will end soon and you will be relieved. It will take most likely a week to open your mouth properly, so it is fine if you cannot brush teeth at back. After a few days, you will be able to do the proper cleaning. Regarding the white scab, it is the dead tissue formed that is not much harmful, it will shred away itself during this phase of healing if you are doing your rinses properly. Take a cup of lukewarm water and add 1/4th teaspoon of salt in it and do its mouth rinses five times a day. It is mandatory for two weeks. If you will skip it then some re-infection in the bone can happen which is very painful. So, it is better to be safe than sorry. Hopefully, everything will be good soon. |
Q. What can be done to lower alkaline phosphatase level? | Hello doctor, Can you please tell me how to treat high alkaline phosphatase in blood? | Hello. Alkaline phosphatase levels are measured to detect any kind of liver or bone disorder in the body. ALP raises with blockage of bile ducts which owing to conditions called cirrhosis, inflammation of the gallbladder, the presence of stones in the gallbladder or maybe due to hepatitis. Bone diseases presenting with high ALP include vitamin D or calcium deficiency. I need answers of a few questions before I can suggest treatment. What is your age? Are you on any medications or have you used any medicine in the past six months? Do you have a history of liver or bone disease? Do you have any symptoms of pain? Other than these, I want you to share your ALP report. Liver disease, drug intake. Complete LFTs, vitamin D levels, USG abdomen. Hepatitis, liver cirrhosis, vitamin D deficiency. Avoid food rich in zinc such as spinach and meat, increase fluid and dairy intake. |
<s>[INST]
Hello doctor, Can you please tell me how to treat high alkaline phosphatase in blood? [/INST] Hello. Alkaline phosphatase levels are measured to detect any kind of liver or bone disorder in the body. ALP raises with blockage of bile ducts which owing to conditions called cirrhosis, inflammation of the gallbladder, the presence of stones in the gallbladder or maybe due to hepatitis. Bone diseases presenting with high ALP include vitamin D or calcium deficiency. I need answers of a few questions before I can suggest treatment. What is your age? Are you on any medications or have you used any medicine in the past six months? Do you have a history of liver or bone disease? Do you have any symptoms of pain? Other than these, I want you to share your ALP report. Liver disease, drug intake. Complete LFTs, vitamin D levels, USG abdomen. Hepatitis, liver cirrhosis, vitamin D deficiency. Avoid food rich in zinc such as spinach and meat, increase fluid and dairy intake. |
Q. I have pain in a recently root canal treated tooth. Why? | Hello doctor, I had a root canal done five months back. I started to experience pain yesterday where the crown is, and overnight the pain got severe. The crown feels sensitive when I touch it. So I am afraid there is an infection underneath it. My dentist is closed for the weekend. Nothing I do stops the pain. My regular doctor said she would need an X-ray to confirm an infection. | Hi. I understand this would be a very painful condition. If it has started with pain so hard inside the crown then infection has definitely occurred. In such cases, re-treatment is done with a very poor prognosis or tooth extraction is done that rules out the cause of infection with 100 % prognosis rate. Things to do right now include taking Ibuprofen 600 mg TDS (thrice a day, that is, eight hourly for three days). Start saline water mouthrinses 4 to 5 times a day. (Take a cup of lukewarm water and add 1/4th teaspoon of salt in it and do its rinses). Do not lay down straight. It will trigger up a toothache. Keep pillows a bit high or some more cushions under your neck while trying to sleep. If only painkiller Ibuprofen does not help much with pain in a day, then you must start with this antibiotic regime as soon as possible. Tablet Augmentin 625 mg BD (twice a day), tablet Gramex (generic: Metronidazole) 400 mg (twice a day), tablet Ibuprofen 600 mg (thrice a day). That is the best regime to be followed in tooth infections provided that you are not allergic to any of such medicines. Hopefully, it will help. |
<s>[INST]
Hello doctor, I had a root canal done five months back. I started to experience pain yesterday where the crown is, and overnight the pain got severe. The crown feels sensitive when I touch it. So I am afraid there is an infection underneath it. My dentist is closed for the weekend. Nothing I do stops the pain. My regular doctor said she would need an X-ray to confirm an infection. [/INST] Hi. I understand this would be a very painful condition. If it has started with pain so hard inside the crown then infection has definitely occurred. In such cases, re-treatment is done with a very poor prognosis or tooth extraction is done that rules out the cause of infection with 100 % prognosis rate. Things to do right now include taking Ibuprofen 600 mg TDS (thrice a day, that is, eight hourly for three days). Start saline water mouthrinses 4 to 5 times a day. (Take a cup of lukewarm water and add 1/4th teaspoon of salt in it and do its rinses). Do not lay down straight. It will trigger up a toothache. Keep pillows a bit high or some more cushions under your neck while trying to sleep. If only painkiller Ibuprofen does not help much with pain in a day, then you must start with this antibiotic regime as soon as possible. Tablet Augmentin 625 mg BD (twice a day), tablet Gramex (generic: Metronidazole) 400 mg (twice a day), tablet Ibuprofen 600 mg (thrice a day). That is the best regime to be followed in tooth infections provided that you are not allergic to any of such medicines. Hopefully, it will help. |
Q. When can we expect consciousness after a surgery for FTP contusion and acute SDH? | Hi doctor, My dad is 60 years old. Before 15 days, he met with an accident and was injured on the right side of the head. There was bleeding on both the ears and some cholesterol like thing was there in one ear. We have noticed that, but not sure what it was. We have admitted him in the hospital and he had a surgery for left FTP contusion and acute SDH. He looks like he has eyeball movement inside, but he did not open his eyes still. What is the reason? How many days will be taken to open his eyes? When we speak something to him there is no response from him. Can we expect that he will get conscious? When we give him a pain he is moving his hand and leg, but when we touch him simply, there is no response. What would be the reason? Can we expect him back as he was earlier? He is not speaking anything. The injury was on the right side head and the operation was done on the left side. Would like to know why the operation done on the opposite side? Otherwise, he is passing the urine and motion regularly. I will also attach the scan report. Please look at that and help me on my doubts and provide me the status of him. | Hi. I have gone through your query with diligence and would like you to know that I am here to help you. He is in coma. The time to recovery will be longer and we cannot predict that now. As he is in coma, he can only feel the pain and not touch. Also, he will not be able to react much while in coma. While in coma, the patient will be unconscious ans so he cannot speak. Moreover, since the injury is on the left side, the speech areas in the brain may be affected. Some injuries like fracture and EDH (epidural hematoma) occur on the same side. Some like SDH (subdural hematoma) and contusion occur on the opposite side. Since you have mentioned it as SDH and contusion, it would have happened on the opposite side. |
<s>[INST]
Hi doctor, My dad is 60 years old. Before 15 days, he met with an accident and was injured on the right side of the head. There was bleeding on both the ears and some cholesterol like thing was there in one ear. We have noticed that, but not sure what it was. We have admitted him in the hospital and he had a surgery for left FTP contusion and acute SDH. He looks like he has eyeball movement inside, but he did not open his eyes still. What is the reason? How many days will be taken to open his eyes? When we speak something to him there is no response from him. Can we expect that he will get conscious? When we give him a pain he is moving his hand and leg, but when we touch him simply, there is no response. What would be the reason? Can we expect him back as he was earlier? He is not speaking anything. The injury was on the right side head and the operation was done on the left side. Would like to know why the operation done on the opposite side? Otherwise, he is passing the urine and motion regularly. I will also attach the scan report. Please look at that and help me on my doubts and provide me the status of him. [/INST] Hi. I have gone through your query with diligence and would like you to know that I am here to help you. He is in coma. The time to recovery will be longer and we cannot predict that now. As he is in coma, he can only feel the pain and not touch. Also, he will not be able to react much while in coma. While in coma, the patient will be unconscious ans so he cannot speak. Moreover, since the injury is on the left side, the speech areas in the brain may be affected. Some injuries like fracture and EDH (epidural hematoma) occur on the same side. Some like SDH (subdural hematoma) and contusion occur on the opposite side. Since you have mentioned it as SDH and contusion, it would have happened on the opposite side. |
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