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Q. For anxiety, should I use SSRI or 5-HTPn? | Hi doctor, I am suffering from panic disorder. I am currently on Paroxetine CR 12.5. For anxiety, should I use SSRI or 5-HTPn? | Hi. I read your query and understand your concerns. Regarding treatment of choice for anxiety, SSRI (selective serotonin reuptake inhibitor) groups of medicines are very effective when compared with 5HTPn (5-Hydroxytryptophan). In fact, according to available literature, SSRI is the drug of choice for anxiety. 5HTPn is useful for mild anxiety and most individuals fail to respond to it. In case there is mild anxiety, you can proceed with behavioral methods of treatment rather than medication. Talk therapies are equally effective in mild anxiety. |
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Hi doctor, I am suffering from panic disorder. I am currently on Paroxetine CR 12.5. For anxiety, should I use SSRI or 5-HTPn? [/INST] Hi. I read your query and understand your concerns. Regarding treatment of choice for anxiety, SSRI (selective serotonin reuptake inhibitor) groups of medicines are very effective when compared with 5HTPn (5-Hydroxytryptophan). In fact, according to available literature, SSRI is the drug of choice for anxiety. 5HTPn is useful for mild anxiety and most individuals fail to respond to it. In case there is mild anxiety, you can proceed with behavioral methods of treatment rather than medication. Talk therapies are equally effective in mild anxiety. |
Q. My daughter swallowed a button cell. Will it come out through waste? | Hi doctor, My daughter aged 10 years had swallowed button cell accidentally. In the x-ray, it is in the intestine. Will it come out through waste? | Hello. I can understand your concern about your daughter's health. Yes, button cell would come with stool generally. But sometimes it get stuck at the junction of the large intestine and small intestine. In such a case, she might require a colonoscopy or surgery to remove the cell. But the possibility for such a scenario is very rare. You should give her a soft, semi-solid diet which is good in digestion and also facilitate intesine movement. |
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Hi doctor, My daughter aged 10 years had swallowed button cell accidentally. In the x-ray, it is in the intestine. Will it come out through waste? [/INST] Hello. I can understand your concern about your daughter's health. Yes, button cell would come with stool generally. But sometimes it get stuck at the junction of the large intestine and small intestine. In such a case, she might require a colonoscopy or surgery to remove the cell. But the possibility for such a scenario is very rare. You should give her a soft, semi-solid diet which is good in digestion and also facilitate intesine movement. |
Q. During second sitting of RCT, the canal is bleeding. Why? | Hi doctor, I want to ask about canal root treatment. The tooth is 37. I was on holiday with colossal pain. I visited the dentist, and he immediately started the process. He opened the tooth, and the tooth has four roots. He removed the nerves and everthing. On my second visit, it was a day later, when he wanted to fill the tooth he said that two of the roots are bleeding so he cannot fill them and finish the process. So, I need help your help here. Thank you. | Hi. Thanks for the query. In case if the canals are bleeding, then there is a possibility that the dentist is good too deep beyond the root tips causing bleeding or the infection has not yet subsided. So, first of all, your dentist can fill the canals with Calcium hydroxide and leave it for a week. It is an antibacterial and will help in resolving the infection and will ease in filling of the root canals. Along with it, you can also be advised a course of oral antibiotics for fixing the infection. Please send me the scan of your x-ray so that I can have a look and advise you how to proceed further towards most appropriate treatment. Also, please tell that is there any pain present in the tooth on chewing or spontaneously too. Please revert back with answers for further help. Regards. |
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Hi doctor, I want to ask about canal root treatment. The tooth is 37. I was on holiday with colossal pain. I visited the dentist, and he immediately started the process. He opened the tooth, and the tooth has four roots. He removed the nerves and everthing. On my second visit, it was a day later, when he wanted to fill the tooth he said that two of the roots are bleeding so he cannot fill them and finish the process. So, I need help your help here. Thank you. [/INST] Hi. Thanks for the query. In case if the canals are bleeding, then there is a possibility that the dentist is good too deep beyond the root tips causing bleeding or the infection has not yet subsided. So, first of all, your dentist can fill the canals with Calcium hydroxide and leave it for a week. It is an antibacterial and will help in resolving the infection and will ease in filling of the root canals. Along with it, you can also be advised a course of oral antibiotics for fixing the infection. Please send me the scan of your x-ray so that I can have a look and advise you how to proceed further towards most appropriate treatment. Also, please tell that is there any pain present in the tooth on chewing or spontaneously too. Please revert back with answers for further help. Regards. |
Q. Kindly explain the TRUS guided prostate biopsy report and further treatment. | Hi doctor, The patient is a 59-year-old male with whose weight is 52.3 kg and height is 166 cm. His PSA was 247.5. He had a TRUS guided biopsy, and the report is as follows. 1. Moderately differentiated adenocarcinoma.2. Gleason grade 4+4.3. Perineural invasion present. What does the biopsy report say? What will be the next step? What medicine should the patient take at the initial stage before any surgery? The patient is on Tamdura for the prostate issue and Diamicron MR 30 for diabetes. | Hi. I am sorry to know about the problem. The biopsy report says that prostate has a cancer disease. Since PSA is very high, it means that there is a chance that it has spread outside the prostate. The next step will be PSMA PET scan to find out the areas in the body affected by prostate cancer. If this scan is not available, you can get an MRI scan of the abdomen to check local involvement or lymph node involvement along with bone scan to find out bone metastasis. The treatment depends on the stage of disease. If it has spread to bones, then bilateral orchidectomy (removal of testes) is the standard treatment. If the patient does not want orchidectomy, then can get regular injections (once in 3 months) to suppress the testicular function. The patient should also take injection Zoledronic acid once in every 3-4 weeks to control bone spread. Other than these, there is a need for calcium supplements and iron supplements. Please consult the Urologist for regular follow up, since the treatment needs to be modified according to the response of PSA and clinical factors. PSMA PET scan or MRI abdomen with bone scan. Metastatic carcinoma prostate. |
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Hi doctor, The patient is a 59-year-old male with whose weight is 52.3 kg and height is 166 cm. His PSA was 247.5. He had a TRUS guided biopsy, and the report is as follows. 1. Moderately differentiated adenocarcinoma.2. Gleason grade 4+4.3. Perineural invasion present. What does the biopsy report say? What will be the next step? What medicine should the patient take at the initial stage before any surgery? The patient is on Tamdura for the prostate issue and Diamicron MR 30 for diabetes. [/INST] Hi. I am sorry to know about the problem. The biopsy report says that prostate has a cancer disease. Since PSA is very high, it means that there is a chance that it has spread outside the prostate. The next step will be PSMA PET scan to find out the areas in the body affected by prostate cancer. If this scan is not available, you can get an MRI scan of the abdomen to check local involvement or lymph node involvement along with bone scan to find out bone metastasis. The treatment depends on the stage of disease. If it has spread to bones, then bilateral orchidectomy (removal of testes) is the standard treatment. If the patient does not want orchidectomy, then can get regular injections (once in 3 months) to suppress the testicular function. The patient should also take injection Zoledronic acid once in every 3-4 weeks to control bone spread. Other than these, there is a need for calcium supplements and iron supplements. Please consult the Urologist for regular follow up, since the treatment needs to be modified according to the response of PSA and clinical factors. PSMA PET scan or MRI abdomen with bone scan. Metastatic carcinoma prostate. |
Q. My SGPT is 49. Is it dangerous to liver? | Hello doctor, My SGPT test result is 49. Is it dangerous for the liver? | Hello. Well, you did not share your body weight? Do you feel any symptoms like fatigue, weakness, or loss of energy? This information is important because only SGPT which is just nearly one and a half times raised cannot tell a diagnosis on its own. To answer your concern that it is harmful? yes it is, but whether it is less harmful or highly harmful, that depends upon the underlying condition. The causes of such raised SGPT are many folds. But of note, viral hepatitis, obesity, alcohol, and autoimmune hepatitis are the top most reasons for asymptomatic elevation. Some drugs have a tendency to cause raised SGPT commonly Paracetamol. Your rest of the urine report is completely normal (attachment removed to protect patient identity). I want you to tell me about your symptoms and current body weight before I can suggest a target set of investigations. Let me know about yourself in detail, like prior history of hepatitis, family history of hepatitis, prior blood transfusion, any travel history. I also want to know some personal information, like alcohol consumption, marital status, and sexual history. Recommending your investigation without any information regarding the case is not a cost effective option. I hope you understand my point. Raised SGPT (serum glutamic pyruvate transaminase). Viral hepatitis. Alcohol hepatitis. NAFLD (non-alcoholic fatty liver disease). Autoimmune hepatitis. Follow up to provide more information, as I can be in better position to suggest you investigation and treatment plan. |
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Hello doctor, My SGPT test result is 49. Is it dangerous for the liver? [/INST] Hello. Well, you did not share your body weight? Do you feel any symptoms like fatigue, weakness, or loss of energy? This information is important because only SGPT which is just nearly one and a half times raised cannot tell a diagnosis on its own. To answer your concern that it is harmful? yes it is, but whether it is less harmful or highly harmful, that depends upon the underlying condition. The causes of such raised SGPT are many folds. But of note, viral hepatitis, obesity, alcohol, and autoimmune hepatitis are the top most reasons for asymptomatic elevation. Some drugs have a tendency to cause raised SGPT commonly Paracetamol. Your rest of the urine report is completely normal (attachment removed to protect patient identity). I want you to tell me about your symptoms and current body weight before I can suggest a target set of investigations. Let me know about yourself in detail, like prior history of hepatitis, family history of hepatitis, prior blood transfusion, any travel history. I also want to know some personal information, like alcohol consumption, marital status, and sexual history. Recommending your investigation without any information regarding the case is not a cost effective option. I hope you understand my point. Raised SGPT (serum glutamic pyruvate transaminase). Viral hepatitis. Alcohol hepatitis. NAFLD (non-alcoholic fatty liver disease). Autoimmune hepatitis. Follow up to provide more information, as I can be in better position to suggest you investigation and treatment plan. |
Q. What is the reason for double vision following an accident? | Hi doctor, My daughter is 16 years old. She met with an accident and got an injury on her face. It was operated by a maxillofacial surgeon. The upper portion of the right eye is red. She can open her eye, but she is having double vision. What to do? | Hi. Revert back with the medical records and photos to an eye care ophthalmologist online --> |
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Hi doctor, My daughter is 16 years old. She met with an accident and got an injury on her face. It was operated by a maxillofacial surgeon. The upper portion of the right eye is red. She can open her eye, but she is having double vision. What to do? [/INST] Hi. Revert back with the medical records and photos to an eye care ophthalmologist 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 true that home glucose monitor always shows 10% higher value of the actual lab result? | Hi doctor, My doctor says that glucose reading given by home monitor is always 10% higher than the actual glucose reading from the laboratory test result. So, if my reading in the home monitor is 90 mg/dl, then my actual glucose is 81 (90 minus 9, 10% of 90). Is he right? Do you agree with this? | Hi. It is not like home glucose monitor will be 10% higher. It can be higher or the same or even lower than laboratory results. In fact, in my observations, I have noticed it be slightly lower than the laboratory test result. What I recommend is calibrate your home glucose monitor with the actual laboratory test report. I mean to say do the blood check immediately when the blood sample is being taken for laboratory test. |
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Hi doctor, My doctor says that glucose reading given by home monitor is always 10% higher than the actual glucose reading from the laboratory test result. So, if my reading in the home monitor is 90 mg/dl, then my actual glucose is 81 (90 minus 9, 10% of 90). Is he right? Do you agree with this? [/INST] Hi. It is not like home glucose monitor will be 10% higher. It can be higher or the same or even lower than laboratory results. In fact, in my observations, I have noticed it be slightly lower than the laboratory test result. What I recommend is calibrate your home glucose monitor with the actual laboratory test report. I mean to say do the blood check immediately when the blood sample is being taken for laboratory test. |
Q. Is there any cure for pruritus ani? | Hello doctor, I have been suffering from a condition known as pruritus ani for almost a year. It gives me uncomfortable itching around the anal area. I have tried creams, seen a doctor and a colorectal specialist, taken Metamucil and sitz baths. I did pretty much everything, but the problem persists. Some days are better than others, but the problem has never entirely gone away, and I cannot take it anymore. Is there any way that this condition can be cured once and for all? I want my normal life back. Please help me. | Hi. I can understand your concerns regarding pruritus ani as I have analyzed each detail that you have provided. I have managed lots of cases with a matching condition and feel that you too will make good use of the information and suggestions. First, please get your stool tests done on three consecutive days. You need to wear loose undergarments made of thin cotton and dry up skin after every bath and whenever there is moisture. Use antibiotic and antifungal creams mixed in equal quantities to take care of any germs inhabiting the area. For now, no steroid creams need to be used. If you are using one, taper that off slowly till you are comfortable without one. It might lead to a temporary increase in discomfort, but it is an absolute requirement. You can have sufficient antiallergics like Levocetirizine once or twice a day to neutralize itching completely. The affected area need not be touched, and for that, the above medication helps a lot plus there is a useful contribution from one's determination too. Deworm your GI system with Albendazole or another suitable agent about which you can get advice from your physician. I am sure the problem can be managed even though it might not be possible to do so in a matter of days. The key to treatment is to let the skin heal, remove any cause of irritation, and break the cycle of itch and scratch, which is bound to have resulted in thickening of the affected skin. |
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Hello doctor, I have been suffering from a condition known as pruritus ani for almost a year. It gives me uncomfortable itching around the anal area. I have tried creams, seen a doctor and a colorectal specialist, taken Metamucil and sitz baths. I did pretty much everything, but the problem persists. Some days are better than others, but the problem has never entirely gone away, and I cannot take it anymore. Is there any way that this condition can be cured once and for all? I want my normal life back. Please help me. [/INST] Hi. I can understand your concerns regarding pruritus ani as I have analyzed each detail that you have provided. I have managed lots of cases with a matching condition and feel that you too will make good use of the information and suggestions. First, please get your stool tests done on three consecutive days. You need to wear loose undergarments made of thin cotton and dry up skin after every bath and whenever there is moisture. Use antibiotic and antifungal creams mixed in equal quantities to take care of any germs inhabiting the area. For now, no steroid creams need to be used. If you are using one, taper that off slowly till you are comfortable without one. It might lead to a temporary increase in discomfort, but it is an absolute requirement. You can have sufficient antiallergics like Levocetirizine once or twice a day to neutralize itching completely. The affected area need not be touched, and for that, the above medication helps a lot plus there is a useful contribution from one's determination too. Deworm your GI system with Albendazole or another suitable agent about which you can get advice from your physician. I am sure the problem can be managed even though it might not be possible to do so in a matter of days. The key to treatment is to let the skin heal, remove any cause of irritation, and break the cycle of itch and scratch, which is bound to have resulted in thickening of the affected skin. |
Q. Is it advisable to take Oasoft for arthritis? | Hi doctor, My wife is taking Glycomet GP 2, one in the morning and one before dinner, to control her blood sugar. Now, she has developed arthritis. Is it advisable to take Oasoft two tablets twice daily? Which is the better medicine for RA? | Hello. She has probably osteoarthritis, not RA (rheumatoid arthritis). Oasoft (Glucosamine) is given for osteoarthritis, especially knee. She can take one tablet two times a day. The important is physiotherapy which can be practiced with the help of physiotherapists and weight loss to decrease stress over the joint. Also, she should use hot water fomentation, Diclofenac gel or spray whenever needed for pain. She can also use Capsaicin ointment if Diclofenac is not helpful, which is applied as a thin film two times a day. If the pain is still present, she can also use Tab Naproxen 250 mg whenever needed. So you can get these prescribed, and visit orthopedician for the same. Hope this helps you and get back if you have any doubts. |
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Hi doctor, My wife is taking Glycomet GP 2, one in the morning and one before dinner, to control her blood sugar. Now, she has developed arthritis. Is it advisable to take Oasoft two tablets twice daily? Which is the better medicine for RA? [/INST] Hello. She has probably osteoarthritis, not RA (rheumatoid arthritis). Oasoft (Glucosamine) is given for osteoarthritis, especially knee. She can take one tablet two times a day. The important is physiotherapy which can be practiced with the help of physiotherapists and weight loss to decrease stress over the joint. Also, she should use hot water fomentation, Diclofenac gel or spray whenever needed for pain. She can also use Capsaicin ointment if Diclofenac is not helpful, which is applied as a thin film two times a day. If the pain is still present, she can also use Tab Naproxen 250 mg whenever needed. So you can get these prescribed, and visit orthopedician for the same. Hope this helps you and get back if you have any doubts. |
Q. Can antibiotic given for UTI clear chlamydia infection? | Hi doctor, I have been with the same partner for 8 years now. During these all 8 years I have had several UTIs with some leading to severe kidney infections. Last week after almost two years of not having a UTI I felt the horrible symptoms again. When going to the doctors UTI urine test came back positive. The doctor prescribed me seven days Nitrofurantoin antibiotics which cleared the pain and seemed gone entirely. Unfortunately two days later, the symptoms came back (please note that I had sex with my partner the day before) with burning sensation when urinating and painful when standing with the need to go toilet every 2 to 3 minutes. I went back to the clinic the same day to get it checked and take more antibiotics. But to my surprise, the urine test came back clear for UTI, and my symptoms disappeared. Then the doctor advised me to get tested for Chlamydia as the symptoms can sometimes be mistaken to be UTI. I have been diagnosed with Chlamydia at the beginning of this same relationship and was treated for it. My partner was also tested, but his results came back negative. Is it possible that the treatment that I had for Chlamydia 8 years ago did not clear it entirely and this lead to several UTIs and kidney infections? And also, would the antibiotics for UTI clear Chlamydia? Thank you in advance for your help. | Hi. In UTI, initially, a broad-spectrum empirical antibiotic given and then according to urine culture report, a specific antibiotic prescribed. A certain antibiotic like Azithromycin if prescribed for UTI will be effective against chlamydia as well. For chlamydia, Azithromycin is an effective drug. If chlamydia infection present recently then some irritation, itching, discharge like complaint present and swab culture can be done for that if needed. Frequent intercourse, pelvic hygiene if not maintained, stone in the urinary tract, diabetes mellitus, etc., are some causative factor for recurrent UTI. Maintain pelvic cleanliness especially after intercourse. Wash and clean the pelvic area immediately after intercourse. Consume fruit juice like cranberry juice more. Wear loose undergarments rather than tight underwear. Take care. |
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Hi doctor, I have been with the same partner for 8 years now. During these all 8 years I have had several UTIs with some leading to severe kidney infections. Last week after almost two years of not having a UTI I felt the horrible symptoms again. When going to the doctors UTI urine test came back positive. The doctor prescribed me seven days Nitrofurantoin antibiotics which cleared the pain and seemed gone entirely. Unfortunately two days later, the symptoms came back (please note that I had sex with my partner the day before) with burning sensation when urinating and painful when standing with the need to go toilet every 2 to 3 minutes. I went back to the clinic the same day to get it checked and take more antibiotics. But to my surprise, the urine test came back clear for UTI, and my symptoms disappeared. Then the doctor advised me to get tested for Chlamydia as the symptoms can sometimes be mistaken to be UTI. I have been diagnosed with Chlamydia at the beginning of this same relationship and was treated for it. My partner was also tested, but his results came back negative. Is it possible that the treatment that I had for Chlamydia 8 years ago did not clear it entirely and this lead to several UTIs and kidney infections? And also, would the antibiotics for UTI clear Chlamydia? Thank you in advance for your help. [/INST] Hi. In UTI, initially, a broad-spectrum empirical antibiotic given and then according to urine culture report, a specific antibiotic prescribed. A certain antibiotic like Azithromycin if prescribed for UTI will be effective against chlamydia as well. For chlamydia, Azithromycin is an effective drug. If chlamydia infection present recently then some irritation, itching, discharge like complaint present and swab culture can be done for that if needed. Frequent intercourse, pelvic hygiene if not maintained, stone in the urinary tract, diabetes mellitus, etc., are some causative factor for recurrent UTI. Maintain pelvic cleanliness especially after intercourse. Wash and clean the pelvic area immediately after intercourse. Consume fruit juice like cranberry juice more. Wear loose undergarments rather than tight underwear. Take care. |
Q. What could be the reason for stinging pain of left scrotum? | Hi doctor, I am 24 and having an active sexual life. I have two questions. First I have noticed that my performance is erratic as in there are times when I can last 5-6 minutes and then the very next day it can go to 30-35 minutes. It is different with different partners. Second and more alarming is that I have been experiencing a stinging pain in my scrotum on the left side it usually happens when I stand up while sitting or laying and sometimes while walking. I tried finding the source of the pain by pressing in different regions but could not find one. Also, it happens at the back side of the scrotum. It is limited to the left side and has been increasing with each passing day. I thought of UTI, but my pee does not burn. Can I have some suggestions for my problems? Thank you. | Hello. I can understand your concern. If there is any history of injury to scrotum then most likely it is a hematoma or infection post trauma. The pain could occur because of pressure over testis by tight underpants. This sometimes results in a picture similar to an infection. I would advise you to get USG scrotum done. This will rule out any hematoma or infection. A urine analysis should be done to rule out the cause. Please provide the reports for further assistance. Thanks and take care. |
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Hi doctor, I am 24 and having an active sexual life. I have two questions. First I have noticed that my performance is erratic as in there are times when I can last 5-6 minutes and then the very next day it can go to 30-35 minutes. It is different with different partners. Second and more alarming is that I have been experiencing a stinging pain in my scrotum on the left side it usually happens when I stand up while sitting or laying and sometimes while walking. I tried finding the source of the pain by pressing in different regions but could not find one. Also, it happens at the back side of the scrotum. It is limited to the left side and has been increasing with each passing day. I thought of UTI, but my pee does not burn. Can I have some suggestions for my problems? Thank you. [/INST] Hello. I can understand your concern. If there is any history of injury to scrotum then most likely it is a hematoma or infection post trauma. The pain could occur because of pressure over testis by tight underpants. This sometimes results in a picture similar to an infection. I would advise you to get USG scrotum done. This will rule out any hematoma or infection. A urine analysis should be done to rule out the cause. Please provide the reports for further assistance. Thanks and take care. |
Q. What does abutment of the nerve root mean? | Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for annular bulging and tear? | Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online --> |
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Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for annular bulging and tear? [/INST] Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online --> |
Q. How to maintain sugar levels with diet and medicine while fasting? | Hi doctor, My mother aged 65 is diabetic for the past 9 years. Her medications are as follows. Forxiga (Dapagliflozin) - 10 mg : 0- 1- 0 (one tablet after lunch); Glucobay 50 : 1 - 1 - 1; Jalra - M 50/850 (Vildagliptin 50 mg, Metformin HCl 850 mg) : 1 - 0 - 1 and Amlopres AT - 25 : 0 - 0 - 1. We need consultation for the diet. The patient is insisting on taking a small quantity of rice for lunch. Also, how to make the medicine and diet proper during fasting months, where we usually take a good meal at 3:30 AM (early morning) and strict fasting till 6:00 PM. | Hello. In case her sugars are in control, there is no harm in giving her a little rice. I would recommend you buy a glucometer for her so that you can monitor her sugars at all times. Meet your local doctor, so that he can advise you on how to manage the dosages at the different sugar levels. This would come in handy during fasting as well. Because, in the case when your mother is not eating anything, not even water, that means she will not be able to take her medicines as well. So, you would have to check her sugars during that period and analyze if she can take her medications or not. You would have to understand; she would not be able to eat high-calorie food like the others when you break your fast. However, you can try and reverse her daily cycle in those days, and she can eat her dinner and breakfast and take her medicines accordingly to her sugar levels. |
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Hi doctor, My mother aged 65 is diabetic for the past 9 years. Her medications are as follows. Forxiga (Dapagliflozin) - 10 mg : 0- 1- 0 (one tablet after lunch); Glucobay 50 : 1 - 1 - 1; Jalra - M 50/850 (Vildagliptin 50 mg, Metformin HCl 850 mg) : 1 - 0 - 1 and Amlopres AT - 25 : 0 - 0 - 1. We need consultation for the diet. The patient is insisting on taking a small quantity of rice for lunch. Also, how to make the medicine and diet proper during fasting months, where we usually take a good meal at 3:30 AM (early morning) and strict fasting till 6:00 PM. [/INST] Hello. In case her sugars are in control, there is no harm in giving her a little rice. I would recommend you buy a glucometer for her so that you can monitor her sugars at all times. Meet your local doctor, so that he can advise you on how to manage the dosages at the different sugar levels. This would come in handy during fasting as well. Because, in the case when your mother is not eating anything, not even water, that means she will not be able to take her medicines as well. So, you would have to check her sugars during that period and analyze if she can take her medications or not. You would have to understand; she would not be able to eat high-calorie food like the others when you break your fast. However, you can try and reverse her daily cycle in those days, and she can eat her dinner and breakfast and take her medicines accordingly to her sugar levels. |
Q. I am 18 weeks pregnant and I am wondering why am I not able to feel any movements. | Hello doctor, I am 18 weeks pregnant with my third child, and I have not felt any movement or had any symptoms of pregnancy. I am wondering why I am not able to feel any movements. | Hi. Ideally, in multiple pregnancies, the baby movements are being perceived by 16 to 18 weeks. You may wait another week and then go for your antenatal visit and get an ultrasound scan done. You are already due for your anomaly scan between 18 to 20 weeks. That should answer all your concerns. |
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Hello doctor, I am 18 weeks pregnant with my third child, and I have not felt any movement or had any symptoms of pregnancy. I am wondering why I am not able to feel any movements. [/INST] Hi. Ideally, in multiple pregnancies, the baby movements are being perceived by 16 to 18 weeks. You may wait another week and then go for your antenatal visit and get an ultrasound scan done. You are already due for your anomaly scan between 18 to 20 weeks. That should answer all your concerns. |
Q. I have Lyme disease. Can you please review my ECG report? | Hi doctor, Can you please review my ECG? I am on long-term Azithromycin and Minocycline for Lyme disease. | Hello. I have gone through your ECG result (attachment removed to protect patient identity), and I can see evidence of a second degree AV block (atrioventricular block), which is a common finding amongst patients with Lyme's disease. Since you have already been placed on antibiotics, the ECG will clear up and become normal in weeks. There is no need to worry. Please make sure you complete all the drugs prescribed. Take care. |
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Hi doctor, Can you please review my ECG? I am on long-term Azithromycin and Minocycline for Lyme disease. [/INST] Hello. I have gone through your ECG result (attachment removed to protect patient identity), and I can see evidence of a second degree AV block (atrioventricular block), which is a common finding amongst patients with Lyme's disease. Since you have already been placed on antibiotics, the ECG will clear up and become normal in weeks. There is no need to worry. Please make sure you complete all the drugs prescribed. Take care. |
Q. I had a toenail injury. The doctor told me that the nail will have to be removed. I am hesitant. Please help. | Hi doctor, I have a question here. I had a toenail injury last month (cause: fell down, toe landing first onto the floor, which made the nail get loosened). I did go to the hospital to get it treated. The doctor cut off half of my nail, cleaned and dressed it, and kept re-visiting to get the dressing changed. The doctor said that I could stop re-visiting. And then she told me that the nail would have to be removed again after it grows back fully. But, I am hesitant and kind of rejecting to do so. After a month, the nail is not loose anymore, but the nail seems to be growing outwards, and between the nail and the nail bed, there is a gap (kind of like a hollow gap inside). Should I just wait until the nail fully grows back? Should I cut it? What should I do? I am really worried that it will not grow and it will completely fall off once I start wearing shoes. Please note: I am going on a horse riding and hiking camp the next month. Just in case if it does not grow back by then, what should I do or wear to protect it? | Hi. I understand your worry. I think you need to follow your doctor's advice (get the nail removed surgically), as it seems that the nail is detached from its bed. But get the procedure done only by a surgeon or a dermatologist. And get it done as soon as possible, because the earlier you get it done, the more the chances are that your nail will grow back before next month. If the nail has not grown back completely before then, do a good sterile dressing during camping. Hope this helps. Take care. |
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Hi doctor, I have a question here. I had a toenail injury last month (cause: fell down, toe landing first onto the floor, which made the nail get loosened). I did go to the hospital to get it treated. The doctor cut off half of my nail, cleaned and dressed it, and kept re-visiting to get the dressing changed. The doctor said that I could stop re-visiting. And then she told me that the nail would have to be removed again after it grows back fully. But, I am hesitant and kind of rejecting to do so. After a month, the nail is not loose anymore, but the nail seems to be growing outwards, and between the nail and the nail bed, there is a gap (kind of like a hollow gap inside). Should I just wait until the nail fully grows back? Should I cut it? What should I do? I am really worried that it will not grow and it will completely fall off once I start wearing shoes. Please note: I am going on a horse riding and hiking camp the next month. Just in case if it does not grow back by then, what should I do or wear to protect it? [/INST] Hi. I understand your worry. I think you need to follow your doctor's advice (get the nail removed surgically), as it seems that the nail is detached from its bed. But get the procedure done only by a surgeon or a dermatologist. And get it done as soon as possible, because the earlier you get it done, the more the chances are that your nail will grow back before next month. If the nail has not grown back completely before then, do a good sterile dressing during camping. Hope this helps. Take care. |
Q. I am having large floaters in my eyes. Is it possible that it will decrease with time? | Hi doctor, I am a 24 year old female. Suddenly, I am having large floaters in my eyes. Is it possible that it will decrease with time? How long will it take to decrease? | Hi. I reviewed your history. It seems from the history that you have floaters. Eye floaters are because of problems in the posterior part of the eye involving vitreous and retina. Hence, this requires evaluation by indirect ophthalmoscopy, to rule out vitreous degenerations. Most of the floaters are caused by vitreous degenerations and may not require treatment. These will resolve over time. However, evaluation is required to look for associated retinal problems, like retinal tears which may be seen rarely. |
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Hi doctor, I am a 24 year old female. Suddenly, I am having large floaters in my eyes. Is it possible that it will decrease with time? How long will it take to decrease? [/INST] Hi. I reviewed your history. It seems from the history that you have floaters. Eye floaters are because of problems in the posterior part of the eye involving vitreous and retina. Hence, this requires evaluation by indirect ophthalmoscopy, to rule out vitreous degenerations. Most of the floaters are caused by vitreous degenerations and may not require treatment. These will resolve over time. However, evaluation is required to look for associated retinal problems, like retinal tears which may be seen rarely. |
Q. How long should my husband and I wait to try for a baby if we did cocaine? | Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. | Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> |
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Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. [/INST] Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> |
Q. Can Yasmin birth control pill be used as an emergency contraceptive pill? | Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? | Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> |
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Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? [/INST] Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> |
Q. Please explain the poisonous effect of phenol ingestion. | Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. | Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> |
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Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. [/INST] Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> |
Q. For how long should I take Kalachikai powder to overcome PCOD problem? | Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? | Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> |
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Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? [/INST] Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> |
Q. Why do periods get delayed after first time sex? | Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? | Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> |
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Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? [/INST] Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> |
Q. Will Nano-Leo give permanent solution for erection problem? | Hello doctor, I am 48 years old. I am experiencing weak erection and difficulty in sustaining the same. This condition was observed 10 years back. Also, there is premature ejaculation. Other physical ailments that I have are, I am suffering from hypertension and taking Amlopres-L (Amlodipine and Lisinopril) for the last 10 years, high cholesterol and triglycerides. My cholesterol level is 225 and triglyceride is 200 for the last 12 years. I used to do frequent masturbation in early age. I do have erection during morning hours many times, particularly after sound sleep or if I had long walk previous day. I am having Sildenafil 25 mg or 5 mg Cialis, which is effective enough. But, I wish to get rid of tablet support and live natural way. I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days. I wish to have your second opinion on this. Please guide. | Hi. For further doubts consult a sexologist online --> |
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Hello doctor, I am 48 years old. I am experiencing weak erection and difficulty in sustaining the same. This condition was observed 10 years back. Also, there is premature ejaculation. Other physical ailments that I have are, I am suffering from hypertension and taking Amlopres-L (Amlodipine and Lisinopril) for the last 10 years, high cholesterol and triglycerides. My cholesterol level is 225 and triglyceride is 200 for the last 12 years. I used to do frequent masturbation in early age. I do have erection during morning hours many times, particularly after sound sleep or if I had long walk previous day. I am having Sildenafil 25 mg or 5 mg Cialis, which is effective enough. But, I wish to get rid of tablet support and live natural way. I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days. I wish to have your second opinion on this. Please guide. [/INST] Hi. For further doubts consult a sexologist online --> |
Q. My daughter had a small scratch from a rusted wire. Should we get her a tetanus shot? | Hello doctor, My daughter is 35 years old. She had a small scratch from a rusted wire on her right forearm, three hours back. There was no blood loss. And she did not wash it with running water or use Dettol or anything to wipe the area. Also, she had her last tetanus shot 5 years ago. Should we get her a tetanus shot? Please tell us what has to be done. | Hi. I understand your concern. You should clean the wounded area with betadine solution. She has to be given a tetanus shot. In case if the wound is painful, give her a painkiller. Revert with the following details: |
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Hello doctor, My daughter is 35 years old. She had a small scratch from a rusted wire on her right forearm, three hours back. There was no blood loss. And she did not wash it with running water or use Dettol or anything to wipe the area. Also, she had her last tetanus shot 5 years ago. Should we get her a tetanus shot? Please tell us what has to be done. [/INST] Hi. I understand your concern. You should clean the wounded area with betadine solution. She has to be given a tetanus shot. In case if the wound is painful, give her a painkiller. Revert with the following details: |
Q. I have developed a very bad face allergy, possibly caused by my new perfume. Please help. | Hi doctor, I have developed a very bad face allergy, possibly caused by my new perfume. It itches very badly. It has created swollen patches on my chin, jaw, and cheeks. Please help. | Hi. Stop using all the creams or cosmetics for the time being. I suggest you try doing the following: Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. |
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Hi doctor, I have developed a very bad face allergy, possibly caused by my new perfume. It itches very badly. It has created swollen patches on my chin, jaw, and cheeks. Please help. [/INST] Hi. Stop using all the creams or cosmetics for the time being. I suggest you try doing the following: Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. |
Q. What could be the reason for insect biting like sensation of the index finger? | Hi doctor,My father is 71 years old. He had two stents ten years back. He has no BP or diabetes. From last 20 days, he is suffering from right index finger sensation like insect biting and then feels depression in right side chest like something release. It is not continuous. It is happening around three to four times a day. What could be the reason? | Hello. Depending upon your description of the problem it seems most likely that your father is having some neurologically related problem regarding the affected area. Most commonly the nerves in the wrist might be the culprit especially a nerve known as a median nerve. There could be a problem associated with nerve impingement at the level of the spine as well. An MRI of cervical spine would help to rule that out. The depression in the right side of the chest needs to be confirmed that it is not related to a cardiac thing. Hence, doing an ECG should rule it out. On other routine evaluation, we need to be sure that his blood pressure and blood sugars are within normal limits. So, please check those out. Hope this helps. Take care. |
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Hi doctor,My father is 71 years old. He had two stents ten years back. He has no BP or diabetes. From last 20 days, he is suffering from right index finger sensation like insect biting and then feels depression in right side chest like something release. It is not continuous. It is happening around three to four times a day. What could be the reason? [/INST] Hello. Depending upon your description of the problem it seems most likely that your father is having some neurologically related problem regarding the affected area. Most commonly the nerves in the wrist might be the culprit especially a nerve known as a median nerve. There could be a problem associated with nerve impingement at the level of the spine as well. An MRI of cervical spine would help to rule that out. The depression in the right side of the chest needs to be confirmed that it is not related to a cardiac thing. Hence, doing an ECG should rule it out. On other routine evaluation, we need to be sure that his blood pressure and blood sugars are within normal limits. So, please check those out. Hope this helps. Take care. |
Q. Apart from thyroid problem, what can cause fatigue, body pain, weight gain and hair loss? | Hi doctor, My wife is 27 years old. She is feeling the following problems frequently. Short of breath, fatigue, body pain, gained some weight around 2 to 3 kg in the last two to three months, anxiety, hair loss, and dizziness. Can you please guide us? How to overcome it? | Hi. Please get her a thyroid hormonal profile test including T3, T4 and TSH (thyroid-stimulating hormone). |
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Hi doctor, My wife is 27 years old. She is feeling the following problems frequently. Short of breath, fatigue, body pain, gained some weight around 2 to 3 kg in the last two to three months, anxiety, hair loss, and dizziness. Can you please guide us? How to overcome it? [/INST] Hi. Please get her a thyroid hormonal profile test including T3, T4 and TSH (thyroid-stimulating hormone). |
Q. I believe my yellow color skin pigmentation is from eating excess fennel seeds. What to do? | Hi doctor, A few months ago, I ate lots of fennel seed. Due to which my skin becomes yellow and show extreme pigmentation of yellow color in sunlight.Please suggest me the treatment. Thanks. | Hello. I just read your query. As you have mentioned that you ate a lot of fennel seeds a few months ago, then if it had any side effects, it should be at that time not after so many months. The yellow colored pigmentation you are currently talking about may be due low hemoglobin or jaundice. For that, you need to get your blood tests done. For hemoglobin, you can check your Hb, and for jaundice, you can go for a serum bilirubin test. But I advice you to visit a nearby general physician as he will do the clinical examination. In clinical examination, he would check you and will tell you whether you need these test or not, or maybe there is some other reason behind yellow pigmentation. So, visit a doctor at least once so that a clinical examination is performed and you will come to know about the proper cause. Once the cause is known, it would be easier for you to take treatment rather than receiving a generalized treatment. Thank you. After two weeks. |
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Hi doctor, A few months ago, I ate lots of fennel seed. Due to which my skin becomes yellow and show extreme pigmentation of yellow color in sunlight.Please suggest me the treatment. Thanks. [/INST] Hello. I just read your query. As you have mentioned that you ate a lot of fennel seeds a few months ago, then if it had any side effects, it should be at that time not after so many months. The yellow colored pigmentation you are currently talking about may be due low hemoglobin or jaundice. For that, you need to get your blood tests done. For hemoglobin, you can check your Hb, and for jaundice, you can go for a serum bilirubin test. But I advice you to visit a nearby general physician as he will do the clinical examination. In clinical examination, he would check you and will tell you whether you need these test or not, or maybe there is some other reason behind yellow pigmentation. So, visit a doctor at least once so that a clinical examination is performed and you will come to know about the proper cause. Once the cause is known, it would be easier for you to take treatment rather than receiving a generalized treatment. Thank you. After two weeks. |
Q. Can having an IUD impact intercourse? | Hi doctor,How having an IUD can potentially change or affect intercourse for a woman? What are the ways a woman's intimate life may change with an IUD such as certain position hurt more, etc., and why? I would like you to touch on the differences between hormonal and non-hormonal IUDs. How they impact intercourse? Also, kindly share some tips to solve IUD-related problems a woman might stumble across during intercourse. Thank you. | Hello. IUD or intrauterine devices result in effective contraception for long. The IUDs are an active, cheap and safe method of contraception. Most of the IUDs release a small quantity of hormones daily and provide effective contraception. In general presence of IUD does not affect the sex life of female or even male partner. The string attached with IUD lies in the cervix, and this is not a sensitive part, so practically woman doesn't feel the string. The effects on sex life occur because of psychological reasons only. Sometimes, certain positions especially when female is on top results in pain during sex. Even the partner sometimes feel the pain. Missionary position is relatively safer. Hormonal IUD releases a small amount of hormones daily and provides contraception while non-hormonal like Copper-T has copper filament attached which provides contraception. Copper-T feels heavier than hormonal IUDs.Non-hormonal will not cause any hormonal effects so will not affect sex life. First of all, a female should be reassured that the IUD will not cause pain. In most the pain occurs due to psychological reasons. They might feel string sometimes but they should ignore the feeling totally. Caution should be there when female is on top during sex. Thanks. Take care. |
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Hi doctor,How having an IUD can potentially change or affect intercourse for a woman? What are the ways a woman's intimate life may change with an IUD such as certain position hurt more, etc., and why? I would like you to touch on the differences between hormonal and non-hormonal IUDs. How they impact intercourse? Also, kindly share some tips to solve IUD-related problems a woman might stumble across during intercourse. Thank you. [/INST] Hello. IUD or intrauterine devices result in effective contraception for long. The IUDs are an active, cheap and safe method of contraception. Most of the IUDs release a small quantity of hormones daily and provide effective contraception. In general presence of IUD does not affect the sex life of female or even male partner. The string attached with IUD lies in the cervix, and this is not a sensitive part, so practically woman doesn't feel the string. The effects on sex life occur because of psychological reasons only. Sometimes, certain positions especially when female is on top results in pain during sex. Even the partner sometimes feel the pain. Missionary position is relatively safer. Hormonal IUD releases a small amount of hormones daily and provides contraception while non-hormonal like Copper-T has copper filament attached which provides contraception. Copper-T feels heavier than hormonal IUDs.Non-hormonal will not cause any hormonal effects so will not affect sex life. First of all, a female should be reassured that the IUD will not cause pain. In most the pain occurs due to psychological reasons. They might feel string sometimes but they should ignore the feeling totally. Caution should be there when female is on top during sex. Thanks. Take care. |
Q. Can constant urge to urinate with blood in urine be due to STD? | Hello doctor, I just recently started urinating blood when I go to the restroom. I have a constant urge to urine and I have no idea why out of the blue this is happening. I am a male, 36 years old, 6’2", 190 lbs. I have no medical issues or past history of kidney problems or cancer. Can it be due to STD? | Hi. Painless hematuria must be evaluated thoroughly and some factors must be taken into consideration like smoking, occupational exposure to certain substances, family history of kidney disease or cancer. Do not get scared sometimes it is something simple like urinary tract infection or mild trauma in the urinary tract or mild stone. Please get the following investigations done so that proper treatment can be initiated. Infection, trauma. Urine routine and microscopic examination, abdominal ultrasound, abdominal CT scan. |
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Hello doctor, I just recently started urinating blood when I go to the restroom. I have a constant urge to urine and I have no idea why out of the blue this is happening. I am a male, 36 years old, 6’2", 190 lbs. I have no medical issues or past history of kidney problems or cancer. Can it be due to STD? [/INST] Hi. Painless hematuria must be evaluated thoroughly and some factors must be taken into consideration like smoking, occupational exposure to certain substances, family history of kidney disease or cancer. Do not get scared sometimes it is something simple like urinary tract infection or mild trauma in the urinary tract or mild stone. Please get the following investigations done so that proper treatment can be initiated. Infection, trauma. Urine routine and microscopic examination, abdominal ultrasound, abdominal CT scan. |
Q. Fetal heartbeat cannot be detected during 10 weeks of pregnancy. Do I need immediate help? | Hi doctor,I have not had a period and have been testing positive for pregnancy. I went to Urgent Care this week and got a blood test. The doctor called me to confirm that I should be 8-10 weeks pregnant. I went to Planned Parenthood for an ultrasound yesterday, and we only saw a gestational sac and nothing else. I had more blood work done, and a doctor called me today to say that my HCG levels are over 32,000 and my pregnancy is not viable. I need to schedule a surgical procedure as this could be a molar pregnancy or a blighted ovum. I feel very, very sick with pregnancy symptoms (nausea, extreme fatigue, breast tenderness, headaches, etc.,). I called back to schedule a D and C, and they said the earliest they could see me would be five days from now. I am worried. Should I go to the hospital immediately? | Hi. I understand your concern. The diagnosis of a blighted ovum or molar pregnancy can get easily confirmed on the scan. If in doubt, MRI can confirm the diagnosis. It is not a healthy pregnancy as by 5-6 weeks any pregnancy will be seen and also the cardiac pulsation. So at HCG of 32000, a sac with the fetal heart will be seen. If this is Blighted ovum, it is not an emergency. You can wait for five days and get it removed. But more natural method would be the use of Mifepristone 200 mg two tablets orally and vaginally and after 48 hours have four tablets of Misoprostol 200 mcg. You will bleed and have periods like a regular one. A surgical evacuation will not be needed. But if this is a molar pregnancy, it is like an emergency. As time passes, the beta hCG will raise. Your blood level of hCG will get increased and reduce the hemoglobin level, which will result in giddiness, vomiting, and nausea. You need to arrange the blood donor and have a vacuum evacuation under anesthesia. So I would advise, you should confirm the diagnosis and do the needful. Do not get stressed out; you will be fine. It is not a life-threatening condition. |
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Hi doctor,I have not had a period and have been testing positive for pregnancy. I went to Urgent Care this week and got a blood test. The doctor called me to confirm that I should be 8-10 weeks pregnant. I went to Planned Parenthood for an ultrasound yesterday, and we only saw a gestational sac and nothing else. I had more blood work done, and a doctor called me today to say that my HCG levels are over 32,000 and my pregnancy is not viable. I need to schedule a surgical procedure as this could be a molar pregnancy or a blighted ovum. I feel very, very sick with pregnancy symptoms (nausea, extreme fatigue, breast tenderness, headaches, etc.,). I called back to schedule a D and C, and they said the earliest they could see me would be five days from now. I am worried. Should I go to the hospital immediately? [/INST] Hi. I understand your concern. The diagnosis of a blighted ovum or molar pregnancy can get easily confirmed on the scan. If in doubt, MRI can confirm the diagnosis. It is not a healthy pregnancy as by 5-6 weeks any pregnancy will be seen and also the cardiac pulsation. So at HCG of 32000, a sac with the fetal heart will be seen. If this is Blighted ovum, it is not an emergency. You can wait for five days and get it removed. But more natural method would be the use of Mifepristone 200 mg two tablets orally and vaginally and after 48 hours have four tablets of Misoprostol 200 mcg. You will bleed and have periods like a regular one. A surgical evacuation will not be needed. But if this is a molar pregnancy, it is like an emergency. As time passes, the beta hCG will raise. Your blood level of hCG will get increased and reduce the hemoglobin level, which will result in giddiness, vomiting, and nausea. You need to arrange the blood donor and have a vacuum evacuation under anesthesia. So I would advise, you should confirm the diagnosis and do the needful. Do not get stressed out; you will be fine. It is not a life-threatening condition. |
Q. I heard a pop while turning neck and now it is sore. Please explain. | Hello doctor, I woke up this morning to go to school. When I lifted my head and looked right, I heard a big pop and my left side of my neck and upper shoulder are sore. I have been icing and heating it. I need this to heal soon as possible as I have hockey match coming up. | Hello. After careful analysis of the history provided, I would like to say that you are having a neck strain and probably resulted in torticollis. Having said that, I would like to also mention that it would take time to heal. It is basically a tear in the muscle and few structures around your neck and it would take time to heal, not more than two weeks. Also, it is not dangerous, so do not worry and be patient. As of now, you need to continue with the hot and cold application maneuver. Start applying Diclofenac with Menthol ointment on the area twice daily for five days. Take tablet Diclofenac with Serratiopeptidase twice daily for one week after food, capsule Pantoprazole 40 mg twice daily before food for one week, tablet Thiocolchicoside twice daily after food for five days. Follow the above advice and it would fasten the healing and provide quick relief. Do not worry. All the best in your sports event. Hoping it would be a week away. Stay healthy and positive. |
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Hello doctor, I woke up this morning to go to school. When I lifted my head and looked right, I heard a big pop and my left side of my neck and upper shoulder are sore. I have been icing and heating it. I need this to heal soon as possible as I have hockey match coming up. [/INST] Hello. After careful analysis of the history provided, I would like to say that you are having a neck strain and probably resulted in torticollis. Having said that, I would like to also mention that it would take time to heal. It is basically a tear in the muscle and few structures around your neck and it would take time to heal, not more than two weeks. Also, it is not dangerous, so do not worry and be patient. As of now, you need to continue with the hot and cold application maneuver. Start applying Diclofenac with Menthol ointment on the area twice daily for five days. Take tablet Diclofenac with Serratiopeptidase twice daily for one week after food, capsule Pantoprazole 40 mg twice daily before food for one week, tablet Thiocolchicoside twice daily after food for five days. Follow the above advice and it would fasten the healing and provide quick relief. Do not worry. All the best in your sports event. Hoping it would be a week away. Stay healthy and positive. |
Q. Can apnea or swollen tonsil cause sleeping problem? | Hello doctor, For a week or more I have not been able to sleep. Right before I fall asleep I wake myself up. It seems like some sort of apnoea event but I do not know if it is related to swollen tonsils or if its a bigger problem. I am going to the doctor this week but wanted an opinion online especially in relation to if my tonsils look normal or not. I am not experiencing any tonsil pain but that area does feel a little more swollen or constricted than normal. | Hi. I have seen the video (attachment removed to protect identity). Your tonsils are enlarged. Probably because of that you have apnea. Do you have any history of any chronic illness like diabetes or hypertension, etc.? Are you on any regular medications? Also, let me know your weight and height. |
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Hello doctor, For a week or more I have not been able to sleep. Right before I fall asleep I wake myself up. It seems like some sort of apnoea event but I do not know if it is related to swollen tonsils or if its a bigger problem. I am going to the doctor this week but wanted an opinion online especially in relation to if my tonsils look normal or not. I am not experiencing any tonsil pain but that area does feel a little more swollen or constricted than normal. [/INST] Hi. I have seen the video (attachment removed to protect identity). Your tonsils are enlarged. Probably because of that you have apnea. Do you have any history of any chronic illness like diabetes or hypertension, etc.? Are you on any regular medications? Also, let me know your weight and height. |
Q. Every time I eat spicy food, I poop blood. Why? | Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I do not have a family history of colon cancer. I got blood tests done last night. Please find my reports attached. | Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online --> |
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Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I do not have a family history of colon cancer. I got blood tests done last night. Please find my reports attached. [/INST] Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online --> |
Q. How long should my husband and I wait to try for a baby if we did cocaine? | Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. | Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> |
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Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. [/INST] Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> |
Q. Can Yasmin birth control pill be used as an emergency contraceptive pill? | Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? | Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> |
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Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? [/INST] Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> |
Q. Please explain the poisonous effect of phenol ingestion. | Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. | Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> |
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Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. [/INST] Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> |
Q. For how long should I take Kalachikai powder to overcome PCOD problem? | Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? | Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> |
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Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? [/INST] Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> |
Q. Why do periods get delayed after first time sex? | Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? | Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> |
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Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? [/INST] Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> |
Q. When can I expect anxiety and weakness to get normal after thyroid blood levels are normal? | Hello doctor, I recently was hyperthyroid due to subacute thyroiditis and being misdiagnosed and given 75 mg of Synthroid on top of it. Became hyperthyroid of course. My blood levels were normal as of five months ago but I still experience anxiety and some muscle weakness. How long does it take that to return to normal after blood levels are normal? Currently, I am taking Klonopin and Zoloft for anxiety. | Hi. Once your hormone levels have normalized, your symptoms should resolve too. Five months is too long for your symptoms to linger once your thyroid hormones are within the normal range. We need to look at other causes of the symptoms you are experiencing now like muscle weakness. If your electrolytes are deranged like a low potassium level, this can cause muscle weakness. I understand that you are on Klonopin and Zoloft. Are they for an existing anxiety disorder as this itself can cause muscle weakness along with anxiety? Also, it is advisable to get your thyroid hormones checked again as it has already been five months since last checkup. Let me know if you have other symptoms like dizziness, feeling tired, pigmentation, abdominal pain, etc., as these would need further evaluation. |
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Hello doctor, I recently was hyperthyroid due to subacute thyroiditis and being misdiagnosed and given 75 mg of Synthroid on top of it. Became hyperthyroid of course. My blood levels were normal as of five months ago but I still experience anxiety and some muscle weakness. How long does it take that to return to normal after blood levels are normal? Currently, I am taking Klonopin and Zoloft for anxiety. [/INST] Hi. Once your hormone levels have normalized, your symptoms should resolve too. Five months is too long for your symptoms to linger once your thyroid hormones are within the normal range. We need to look at other causes of the symptoms you are experiencing now like muscle weakness. If your electrolytes are deranged like a low potassium level, this can cause muscle weakness. I understand that you are on Klonopin and Zoloft. Are they for an existing anxiety disorder as this itself can cause muscle weakness along with anxiety? Also, it is advisable to get your thyroid hormones checked again as it has already been five months since last checkup. Let me know if you have other symptoms like dizziness, feeling tired, pigmentation, abdominal pain, etc., as these would need further evaluation. |
Q. How to manage severely chapped lips? | Hi doctor, I am a 27-year-old, 5 foot, and relatively an athletic female. I have been suffering from some pretty severe chapped lips. I realized this was common because of the cold weather and dry heat from the furnace, so I was treating them with a two-step process with intensive lip moistener. About a month ago, I realized my lips started to feel different. It feels like there is just a very thin layer of skin on them. They feel odd or numb when I touch them, and they are extremely chapped. After looking online, I put Aquaphor during the day and Hydrocortisone cream at night. I stopped that last week because my lips seem worse. They are not peeling at all, but they look cracked and get very dry. They also throb throughout the entire day and are swollen. Nothing has helped, and I am starting to get concerned. I worry that I possibly over-treated and burnt the first layer of skin of my lips (if that is possible). I started running around the time my lips got chapped but I have taken a week off, and nothing changed with my lips. My diet has not changed. I try to stay hydrated (I drink around 50-60 ounces per day). I am on 10 mg Adderal once daily. Please help. | Hi. Chapped or cracked lips is usually a common complaint in winters. From your clinical image (attachment removed to protect patient identity), your lip cracking does appear significant. Applying Vaseline and moisturizer are good remedy options. But given recurrences, you need to consider food allergies and repeated lip licking. Kindly mention if you have a habit repeated lip licking, have been noting an exacerbation following intake of certain foods, and if you have been applying any other creams. Continue Vaseline and intensive moisturiser as previous. |
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Hi doctor, I am a 27-year-old, 5 foot, and relatively an athletic female. I have been suffering from some pretty severe chapped lips. I realized this was common because of the cold weather and dry heat from the furnace, so I was treating them with a two-step process with intensive lip moistener. About a month ago, I realized my lips started to feel different. It feels like there is just a very thin layer of skin on them. They feel odd or numb when I touch them, and they are extremely chapped. After looking online, I put Aquaphor during the day and Hydrocortisone cream at night. I stopped that last week because my lips seem worse. They are not peeling at all, but they look cracked and get very dry. They also throb throughout the entire day and are swollen. Nothing has helped, and I am starting to get concerned. I worry that I possibly over-treated and burnt the first layer of skin of my lips (if that is possible). I started running around the time my lips got chapped but I have taken a week off, and nothing changed with my lips. My diet has not changed. I try to stay hydrated (I drink around 50-60 ounces per day). I am on 10 mg Adderal once daily. Please help. [/INST] Hi. Chapped or cracked lips is usually a common complaint in winters. From your clinical image (attachment removed to protect patient identity), your lip cracking does appear significant. Applying Vaseline and moisturizer are good remedy options. But given recurrences, you need to consider food allergies and repeated lip licking. Kindly mention if you have a habit repeated lip licking, have been noting an exacerbation following intake of certain foods, and if you have been applying any other creams. Continue Vaseline and intensive moisturiser as previous. |
Q. What is the small, smooth, and painful lump outside the anus? | Hello doctor, I am 26, male and height 163 cm and weight 82 kg. I am suffering with small lump like peanut size and smooth in nature outside of the anus and it is paining and bleeding while passing the stool from the last 10 days. Earlier I did not have that lump and pain or bleeding. Could you please suggest some medication or treatment plan? | Hello. Firstly, I would like to assure you that you do not have to worry because there is always a solution to your problem. Having said that, I would like to let you know that, it is very important for a doctor to have the area inspected and examined before reaching a conclusion, as you have mentioned presence of a lump. Therefore, you need to consult a surgeon in person and allow him to examine. Do not feel uneasy or worry about it at all. As of now, use Smuth ointment at the anal region. It helps in counteracting the pain and discomfort. Do a sitz bath twice daily. Sitz bath needs filling up of a tub with warm water and mixing in some salt in the water. You need to sit in the water for about 10 minutes twice daily. These would help ease the pain and fight your problem. Again, I would like to remind you to see a surgeon in person for inspection and treatment. Stay healthy and positive. |
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Hello doctor, I am 26, male and height 163 cm and weight 82 kg. I am suffering with small lump like peanut size and smooth in nature outside of the anus and it is paining and bleeding while passing the stool from the last 10 days. Earlier I did not have that lump and pain or bleeding. Could you please suggest some medication or treatment plan? [/INST] Hello. Firstly, I would like to assure you that you do not have to worry because there is always a solution to your problem. Having said that, I would like to let you know that, it is very important for a doctor to have the area inspected and examined before reaching a conclusion, as you have mentioned presence of a lump. Therefore, you need to consult a surgeon in person and allow him to examine. Do not feel uneasy or worry about it at all. As of now, use Smuth ointment at the anal region. It helps in counteracting the pain and discomfort. Do a sitz bath twice daily. Sitz bath needs filling up of a tub with warm water and mixing in some salt in the water. You need to sit in the water for about 10 minutes twice daily. These would help ease the pain and fight your problem. Again, I would like to remind you to see a surgeon in person for inspection and treatment. Stay healthy and positive. |
Q. I have had a sore throat for 8 days. I am worried if it could be some other major disease. Please help. | Hi doctor, I have had a sore throat for eight days. I have tried over the counter throat drops, throat sprays but nothing has worked. Is there anything else I can do and is it just a sore throat? | Hi. Most of the times, a sore throat is due to a viral infection. This occurs with or without some amount of acid reflux into the throat from within the food pipe. This condition is called Laryngopharyngeal Reflux Disease (LPRD) and this may present simply with a sore throat and without any other symptoms of gastritis. I would, therefore, recommend antiseptic mouth gargles with Chlorhexidine or dilute Betadine, three times a day before and after meals along with a good proton pump inhibitor such as tablet Esomeprazole 40 mg once in the morning 15 minutes before meals for one week. I would also advise taking an anti-inflammatory medication such as Ibuprofen or Paracetamol once daily for three days after breakfast, to reduce the throat pain. In my opinion, your sore throat should subside in three to five days. If it worsens or you develop fever, then an antibiotic may be necessary for which you can consult an ENT otolaryngologist online --> |
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Hi doctor, I have had a sore throat for eight days. I have tried over the counter throat drops, throat sprays but nothing has worked. Is there anything else I can do and is it just a sore throat? [/INST] Hi. Most of the times, a sore throat is due to a viral infection. This occurs with or without some amount of acid reflux into the throat from within the food pipe. This condition is called Laryngopharyngeal Reflux Disease (LPRD) and this may present simply with a sore throat and without any other symptoms of gastritis. I would, therefore, recommend antiseptic mouth gargles with Chlorhexidine or dilute Betadine, three times a day before and after meals along with a good proton pump inhibitor such as tablet Esomeprazole 40 mg once in the morning 15 minutes before meals for one week. I would also advise taking an anti-inflammatory medication such as Ibuprofen or Paracetamol once daily for three days after breakfast, to reduce the throat pain. In my opinion, your sore throat should subside in three to five days. If it worsens or you develop fever, then an antibiotic may be necessary for which you can consult an ENT otolaryngologist online --> |
Q. I have been having a lot of symptoms that correlate with leukemia symptoms . Please help. | Hi doctor, I am worried that I may have leukemia. I have been having a lot of symptoms that correlate with leukemia symptoms. Please help. | Hi. I require details of the symptoms that you have, for a complete opinion. Leukemia is a blood disorder commonly known as blood cancer. There are two types of leukemias namely Acute and Chronic leukemia. Acute leukemia usually has bleeding manifestations while chronic leukemia rarely has bleeding manifestations. Chronic leukemia is usually seen above 40 years and acute leukemia below 40 years. Chronic leukemia could have multiple lymph nodes enlargement and also spleen enlargement. Look at the total WBC count and also for the presence of immature forms or blast cells. If they are present, leukemia may be thought of, however, complete correlation is essential. Revert back with the reports to a hematologist online --> |
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Hi doctor, I am worried that I may have leukemia. I have been having a lot of symptoms that correlate with leukemia symptoms. Please help. [/INST] Hi. I require details of the symptoms that you have, for a complete opinion. Leukemia is a blood disorder commonly known as blood cancer. There are two types of leukemias namely Acute and Chronic leukemia. Acute leukemia usually has bleeding manifestations while chronic leukemia rarely has bleeding manifestations. Chronic leukemia is usually seen above 40 years and acute leukemia below 40 years. Chronic leukemia could have multiple lymph nodes enlargement and also spleen enlargement. Look at the total WBC count and also for the presence of immature forms or blast cells. If they are present, leukemia may be thought of, however, complete correlation is essential. Revert back with the reports to a hematologist online --> |
Q. Will Kalarchikai cure multiple ovarian cysts in PCOD? | Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well. | Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help. |
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Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well. [/INST] Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help. |
Q. My kid has diarrhea and has no strength or stamina. Please help. | Hello doctor, What is wrong with a junior school child who has diarrhea and either stopped drinking or is unable to. He has eyesight weakness and now wears glasses. He worries a lot and despite a good appetite does not put on weight. Has difficulty in reading and writing. He has no power, strength or stamina. Thyroid tests are all normal. Has he some other congenital disorder? Because there is definitely something wrong and we are guilty of not observing him fully and properly. | Hi. Causes of diarrhea and poor nutrition at this age might be due to celiac disease (an autoimmune disorder), worm infestation, IBD (Inflammatory Bowel Disease). I suggest: Revert back to a paediatrician online with reports and details for definitive treatment --> |
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Hello doctor, What is wrong with a junior school child who has diarrhea and either stopped drinking or is unable to. He has eyesight weakness and now wears glasses. He worries a lot and despite a good appetite does not put on weight. Has difficulty in reading and writing. He has no power, strength or stamina. Thyroid tests are all normal. Has he some other congenital disorder? Because there is definitely something wrong and we are guilty of not observing him fully and properly. [/INST] Hi. Causes of diarrhea and poor nutrition at this age might be due to celiac disease (an autoimmune disorder), worm infestation, IBD (Inflammatory Bowel Disease). I suggest: Revert back to a paediatrician online with reports and details for definitive treatment --> |
Q. If I have had open heart surgery, how long should I take warfarin? | Hi doctor, If I have had an open heart surgery, how long should I take Warfarin for? | Hi. It depends upon the cause for which the surgery is being done, and what open heart surgery is being done. And if you have any indication for long-term anticoagulation like atrial fibrillation (abnormal heartbeat). I can provide you more insights only after knowing the complete details. Revert back to a cardiologist online for further help --> |
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Hi doctor, If I have had an open heart surgery, how long should I take Warfarin for? [/INST] Hi. It depends upon the cause for which the surgery is being done, and what open heart surgery is being done. And if you have any indication for long-term anticoagulation like atrial fibrillation (abnormal heartbeat). I can provide you more insights only after knowing the complete details. Revert back to a cardiologist online for further help --> |
Q. People say I look like gay when I shave. It is very difficult to deal with. | Hi doctor,I am a 20 year old male. People say I look like gay when I shave. Dealing with it is tough. Is there any reason or solution to this? | Hi. It would have been better if you had included a little more information about your problems. Anyways, are there other reasons as to why people believe that you are gay like mannerisms, type of clothes you wear, etc. Sometimes, one's own suppressed homosexuality is also projected onto others, and hence people who have such repressed feelings feel that others view them as gay. It might be that you have no such homosexual component in your behavior, but still, people view you as such. In that case, I would suggest you be confident of your heterosexuality and let people have their opinion. Be strong and face others. Do not be intimidated by what others feel and say. Do not let other people's opinion make you feel bad. I would suggest you write your problem in detail so that I could get a broader perspective of your problem. |
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Hi doctor,I am a 20 year old male. People say I look like gay when I shave. Dealing with it is tough. Is there any reason or solution to this? [/INST] Hi. It would have been better if you had included a little more information about your problems. Anyways, are there other reasons as to why people believe that you are gay like mannerisms, type of clothes you wear, etc. Sometimes, one's own suppressed homosexuality is also projected onto others, and hence people who have such repressed feelings feel that others view them as gay. It might be that you have no such homosexual component in your behavior, but still, people view you as such. In that case, I would suggest you be confident of your heterosexuality and let people have their opinion. Be strong and face others. Do not be intimidated by what others feel and say. Do not let other people's opinion make you feel bad. I would suggest you write your problem in detail so that I could get a broader perspective of your problem. |
Q. I have a 5 months baby (cesarean) and got pregnant again. Please suggest the way to abort. | Hi doctor, I am 27 years old. I have a 5 months baby (cesarean). The baby and I are fine. From day one, he is fit. There is no health issues since his birth. And I did not have any health issues after delivery of our first baby. I got pregnant again, and it has been a month now. Please suggest a way to abort. Please help me if a pill can abort this time. | Hi. From the information you have provided, it looks like you have an unplanned pregnancy. I am not sure about the reason why you do not want to continue the pregnancy. Even though spacing pregnancies is advisable, it is not a hard and fast rule. You can continue this pregnancy safely if you have planned for two children. If you have a good support system, you can take care of your first kid and also take care of this pregnancy. In the event of not continuing the pregnancy, there are medical and surgical options to end the pregnancy. But you need to see a doctor, have a scan, and then the doctor will suggest the best method for you. Taking over the counter medication (OTC) from a medical store may not be safe for you. Please give a serious thought about following a reliable method of birth control to avoid this situation in the future. All the best, Hope I have cleared your doubts! |
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Hi doctor, I am 27 years old. I have a 5 months baby (cesarean). The baby and I are fine. From day one, he is fit. There is no health issues since his birth. And I did not have any health issues after delivery of our first baby. I got pregnant again, and it has been a month now. Please suggest a way to abort. Please help me if a pill can abort this time. [/INST] Hi. From the information you have provided, it looks like you have an unplanned pregnancy. I am not sure about the reason why you do not want to continue the pregnancy. Even though spacing pregnancies is advisable, it is not a hard and fast rule. You can continue this pregnancy safely if you have planned for two children. If you have a good support system, you can take care of your first kid and also take care of this pregnancy. In the event of not continuing the pregnancy, there are medical and surgical options to end the pregnancy. But you need to see a doctor, have a scan, and then the doctor will suggest the best method for you. Taking over the counter medication (OTC) from a medical store may not be safe for you. Please give a serious thought about following a reliable method of birth control to avoid this situation in the future. All the best, Hope I have cleared your doubts! |
Q. I am having quad pain when running to the point where I cannot bear any weight. | Hi doctor, I have been having quad pain while running to the point where I cannot bear any weight. I have no pain the next day while walking, but the pain returns during a run. | Hi. From the details provided, you are apparently suffering from a muscle pull or partial detachment of the tendon from the bone. Muscles are attached to the bones by a fibrous, cord-like structure called tendons. Your quadriceps (thigh muscle) need rest in order to recover. So, you may stop running till the time the affected muscles recover. |
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Hi doctor, I have been having quad pain while running to the point where I cannot bear any weight. I have no pain the next day while walking, but the pain returns during a run. [/INST] Hi. From the details provided, you are apparently suffering from a muscle pull or partial detachment of the tendon from the bone. Muscles are attached to the bones by a fibrous, cord-like structure called tendons. Your quadriceps (thigh muscle) need rest in order to recover. So, you may stop running till the time the affected muscles recover. |
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 masturbate only by rubbing the tip of the penis. Is it a wrong way? | Hi doctor, During masturbation I just rub the tip of the penis and not the entire penis. Is it a wrong way of doing? I do not get excited during sex and unable to ejaculate. Only, rubbing the tip of the penis gives me excitement. Also, two weeks ago, I have undergone circumcision as my foreskin did not retract. Before circumcision too, I have the same problem. Please help. | Hi. For further doubts consult a sexologist online --> |
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Hi doctor, During masturbation I just rub the tip of the penis and not the entire penis. Is it a wrong way of doing? I do not get excited during sex and unable to ejaculate. Only, rubbing the tip of the penis gives me excitement. Also, two weeks ago, I have undergone circumcision as my foreskin did not retract. Before circumcision too, I have the same problem. Please help. [/INST] Hi. For further doubts consult a sexologist online --> |
Q. I am 43 year old male, experiencing chest congestion. | Hello doctor,I am a 43 year male. I experienced chest congestion in the first week of last month. I have consulted a cardiologist at a hospital. I have undergone TMT, 2D echo, and ECG. The doctor prescribed Modlip ASG 75. I am diabetic for past 12 years with good control (HbA1c is below 6 for past 8 years). I am 5 feet 6 inches tall. I was 68 kg 12 years back, and I am 54 kg now. My serum cholesterol is 107, triglycerides is 44, HDL cholesterol is 44, and LDL cholesterol is 54.I had ulcers in the intestine. My chest congestion cleared after 10 days of Modlip ASG 75. I have developed backache (just at the back of the heart). I have never experienced backache in that area. It develops and increases with physical or mental strain. Is it due to the side effect of Statin or problem with my heart? Is it safe to use Aspirin with Statins, as I am underweight and have ulcers? The doctor advised me to take Modlip ASG lifelong. Is angiogram required in my case or will any cardiac MRI show actual condition? | Hi. I have gone through your reports (attachment removed to protect patient identity). Echo and TMT (Treadmill test) are normal. Your backache is not due to a heart problem. You can stop Aspirin and continue Statin. I suggest doing periodical Echo and treadmill test once a year. At present, an angiogram is not needed. |
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Hello doctor,I am a 43 year male. I experienced chest congestion in the first week of last month. I have consulted a cardiologist at a hospital. I have undergone TMT, 2D echo, and ECG. The doctor prescribed Modlip ASG 75. I am diabetic for past 12 years with good control (HbA1c is below 6 for past 8 years). I am 5 feet 6 inches tall. I was 68 kg 12 years back, and I am 54 kg now. My serum cholesterol is 107, triglycerides is 44, HDL cholesterol is 44, and LDL cholesterol is 54.I had ulcers in the intestine. My chest congestion cleared after 10 days of Modlip ASG 75. I have developed backache (just at the back of the heart). I have never experienced backache in that area. It develops and increases with physical or mental strain. Is it due to the side effect of Statin or problem with my heart? Is it safe to use Aspirin with Statins, as I am underweight and have ulcers? The doctor advised me to take Modlip ASG lifelong. Is angiogram required in my case or will any cardiac MRI show actual condition? [/INST] Hi. I have gone through your reports (attachment removed to protect patient identity). Echo and TMT (Treadmill test) are normal. Your backache is not due to a heart problem. You can stop Aspirin and continue Statin. I suggest doing periodical Echo and treadmill test once a year. At present, an angiogram is not needed. |
Q. I had protected sex last month. Got two or three drops of blood at the date of my period. Am I pregnant? | Hello doctor, I am a 20 year old girl. Last month on 22nd, I had protected sex. And on 28th, I got two or three drops of bleeding, and it was my date of periods. After that, I did not get any periods. Am I pregnant? | Hi. From what you have said, it looks like you are not ready for a pregnancy. As the bleeding on 28th was not like a normal period, pregnancy chance is very much possible. It may just be a delayed period, due to the stress and tension you are having. But we need to check. Please have a home pregnancy test or a urine pregnancy test. If the test is positive, we need to deal with the unplanned pregnancy. If the test is negative, then we can give you medicines to induce periods. You may also need tests to check why there is a delay in periods, in spite of not being pregnant. Hope this helps, Take care! |
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Hello doctor, I am a 20 year old girl. Last month on 22nd, I had protected sex. And on 28th, I got two or three drops of bleeding, and it was my date of periods. After that, I did not get any periods. Am I pregnant? [/INST] Hi. From what you have said, it looks like you are not ready for a pregnancy. As the bleeding on 28th was not like a normal period, pregnancy chance is very much possible. It may just be a delayed period, due to the stress and tension you are having. But we need to check. Please have a home pregnancy test or a urine pregnancy test. If the test is positive, we need to deal with the unplanned pregnancy. If the test is negative, then we can give you medicines to induce periods. You may also need tests to check why there is a delay in periods, in spite of not being pregnant. Hope this helps, Take care! |
Q. What are the day-to-day habits that could affect the teeth? | Hi doctor, What are the everyday habits that could affect our teeth? I want to get some insight on how certain practices such as smoking, biting nail, opening things with the mouth, etc., affect the teeth. | Hi. Smoking adversely affects the gum health as the gum disease becomes less apparent in smokers and they show symptoms once the condition becomes severe. Secondly, it can cause pigmentation leading to smoker's melanosis (brown to black pigmentation of gums). Other ill effects can be oral and lung cancer. Opening things using teeth can make them attested gradually by making them sensitive and more prone to decay and fracture. Holding needles and pins in between teeth can cause notching of teeth which disturb the appearance as well as cause sensitivity of teeth. Tobacco chewing habit can cause teeth staining, per cancerous conditions like leukoplakia, oral submucous fibrosis, and even the deadly oral cancer. High sugar intake can cause an increased incidence of tooth decay. |
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Hi doctor, What are the everyday habits that could affect our teeth? I want to get some insight on how certain practices such as smoking, biting nail, opening things with the mouth, etc., affect the teeth. [/INST] Hi. Smoking adversely affects the gum health as the gum disease becomes less apparent in smokers and they show symptoms once the condition becomes severe. Secondly, it can cause pigmentation leading to smoker's melanosis (brown to black pigmentation of gums). Other ill effects can be oral and lung cancer. Opening things using teeth can make them attested gradually by making them sensitive and more prone to decay and fracture. Holding needles and pins in between teeth can cause notching of teeth which disturb the appearance as well as cause sensitivity of teeth. Tobacco chewing habit can cause teeth staining, per cancerous conditions like leukoplakia, oral submucous fibrosis, and even the deadly oral cancer. High sugar intake can cause an increased incidence of tooth decay. |
Q. What can be done for feeling dizzy often? | Hi doctor, I am 29 years old. My problem dates back a few years from now. If I am working sometimes I do not get to eat anything maybe have a cup of tea while working. Then I start feeling quite dizzy. I get water and it is still there for quite a while. It goes for 10 minutes or so after eating. ECG and echo, thyroid, BP are normal. Fasting glucose is 5.6. What is this and how can I stop it? | Hello. Firstly, I would like to reassure you that, there is nothing to worry about. Secondly, the reason for your current trouble is pretty much explained in your history itself. No matter how hard your job is and the pattern of your work goes, it is mandatory to ensure a proper diet. By diet, I mean, you need to do the following. Make sure you drink enough water daily, at least 8 to 9 glasses of water a day. You need to make sure you have food every four hours. Again, I would like to repeat, regardless of the kind of work you have, keeping healthy is very important. As you have not mentioned your height and weight, I am assuming you are within the normal BMI range. You need to make sure each time you eat, each meal should be inclusive of a protein source, a carbohydrate and a fat source, like for breakfast, whole wheat bread, egg, vegetables, and just a teaspoon of peanut butter or tahini. Include fruits in your desserts after dinner. In the morning hours, soon as you wake up, it is normal to have a low glucose in blood that makes you go dizzy if not compensated well. Therefore, it is important to not skip breakfast. I would recommend making it a little snack instead of a breakfast within the first hour of waking up, like a whole banana, followed by a proper breakfast later in the day. This would ensure normalization of blood glucose level in the morning hours. Before having anything in the morning hours, the minute you wake up, you should make it a habit of having at least 2 glasses of water, with or without lemon in it. It acts as a detox helping flush out the toxic metabolites from your body. It is okay to have tea or coffee along the day. But make sure, you also include a lot of plain water too apart from the beverages. Keep yourself active in the day, through yoga, hiking or workouts or any other physical activity. It helps keep you alert and stimulate blood circulation to fight any dizziness. Having said that, I would like to say that you are fine, just make these changes in your diet and you would be good to go. Stay healthy, happy and positive. |
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Hi doctor, I am 29 years old. My problem dates back a few years from now. If I am working sometimes I do not get to eat anything maybe have a cup of tea while working. Then I start feeling quite dizzy. I get water and it is still there for quite a while. It goes for 10 minutes or so after eating. ECG and echo, thyroid, BP are normal. Fasting glucose is 5.6. What is this and how can I stop it? [/INST] Hello. Firstly, I would like to reassure you that, there is nothing to worry about. Secondly, the reason for your current trouble is pretty much explained in your history itself. No matter how hard your job is and the pattern of your work goes, it is mandatory to ensure a proper diet. By diet, I mean, you need to do the following. Make sure you drink enough water daily, at least 8 to 9 glasses of water a day. You need to make sure you have food every four hours. Again, I would like to repeat, regardless of the kind of work you have, keeping healthy is very important. As you have not mentioned your height and weight, I am assuming you are within the normal BMI range. You need to make sure each time you eat, each meal should be inclusive of a protein source, a carbohydrate and a fat source, like for breakfast, whole wheat bread, egg, vegetables, and just a teaspoon of peanut butter or tahini. Include fruits in your desserts after dinner. In the morning hours, soon as you wake up, it is normal to have a low glucose in blood that makes you go dizzy if not compensated well. Therefore, it is important to not skip breakfast. I would recommend making it a little snack instead of a breakfast within the first hour of waking up, like a whole banana, followed by a proper breakfast later in the day. This would ensure normalization of blood glucose level in the morning hours. Before having anything in the morning hours, the minute you wake up, you should make it a habit of having at least 2 glasses of water, with or without lemon in it. It acts as a detox helping flush out the toxic metabolites from your body. It is okay to have tea or coffee along the day. But make sure, you also include a lot of plain water too apart from the beverages. Keep yourself active in the day, through yoga, hiking or workouts or any other physical activity. It helps keep you alert and stimulate blood circulation to fight any dizziness. Having said that, I would like to say that you are fine, just make these changes in your diet and you would be good to go. Stay healthy, happy and positive. |
Q. What are the emergency symptoms of SVT? | Hi doctor, When I was 13 or 14 years old, I was diagnosed with SVT (supraventricular tachycardia). During initial days, it would last several minutes, and by the age 15, it was down to a few seconds (10-15). I saw a cardiologist, and he said that for the age 15 the SVT was so irregular. Also, he stated that I do not have to go for checkups anymore unless something happened again. I am now 17 (female). I have never taken any medications. I have only had palpitations, recently. When I stand up, my heart rate seems to go straight up causing me to get lightheaded for a few seconds, and make me feel a bit out of breath. Recently while playing skirmish outdoors, I was running around for about 30 to 40 minutes. We decided to have a short break, and as I was walking, I noticed my heart was going so fast I could not even count and could not catch my breath at all. I tried deep breaths and still could not breathe. Then, suddenly everything started turning black, and I could barely see. I had to hold onto a bin, and I was sure I was going to faint any second. My heart still racing and I barely walked to a chair. It took about 20 minutes for my heart to slow down. For the rest of the day and the following two days, I felt weak. I felt as if my heart rate was higher than usual, and thumping in my chest. Should I have gotten help at the time? What are SVT emergency symptoms? When should I seek medical advice? | Hello. The episode that you described is probably an SVT episode. The warning signs are the same which you had such as sudden palpitations, dizziness, shortness of breath and chest pain, and lastly, it can lead to syncope. However, these are not directly life-threatening. This can be an SVT like PSV (paroxysmal supraventricular tachycardia) or atrial fibrillation, in which heart rate suddenly goes up and also suddenly decreases. Blood pressure falls during these episodes, and one has dizziness, fainting, blackouts, sometimes syncope. Usually, ECG is normal as it is generally done in between the events. ECG done during episodes will show abnormality. You will need 24-hour Holter monitoring which will correlate your symptoms with heart rate and rhythm. To abort such incidents, you should try to cough hard. Till the time your evaluation is complete, you can ask your local doctor for tablet Metoprolol or Ciplar LA 20 mg (Propranolol) once a day. Another option is of electrophysiological study which is an invasive test which can diagnose and treat the arrhythmia permanently in most of the cases. Hope this helps you and get back if you have any doubts. |
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Hi doctor, When I was 13 or 14 years old, I was diagnosed with SVT (supraventricular tachycardia). During initial days, it would last several minutes, and by the age 15, it was down to a few seconds (10-15). I saw a cardiologist, and he said that for the age 15 the SVT was so irregular. Also, he stated that I do not have to go for checkups anymore unless something happened again. I am now 17 (female). I have never taken any medications. I have only had palpitations, recently. When I stand up, my heart rate seems to go straight up causing me to get lightheaded for a few seconds, and make me feel a bit out of breath. Recently while playing skirmish outdoors, I was running around for about 30 to 40 minutes. We decided to have a short break, and as I was walking, I noticed my heart was going so fast I could not even count and could not catch my breath at all. I tried deep breaths and still could not breathe. Then, suddenly everything started turning black, and I could barely see. I had to hold onto a bin, and I was sure I was going to faint any second. My heart still racing and I barely walked to a chair. It took about 20 minutes for my heart to slow down. For the rest of the day and the following two days, I felt weak. I felt as if my heart rate was higher than usual, and thumping in my chest. Should I have gotten help at the time? What are SVT emergency symptoms? When should I seek medical advice? [/INST] Hello. The episode that you described is probably an SVT episode. The warning signs are the same which you had such as sudden palpitations, dizziness, shortness of breath and chest pain, and lastly, it can lead to syncope. However, these are not directly life-threatening. This can be an SVT like PSV (paroxysmal supraventricular tachycardia) or atrial fibrillation, in which heart rate suddenly goes up and also suddenly decreases. Blood pressure falls during these episodes, and one has dizziness, fainting, blackouts, sometimes syncope. Usually, ECG is normal as it is generally done in between the events. ECG done during episodes will show abnormality. You will need 24-hour Holter monitoring which will correlate your symptoms with heart rate and rhythm. To abort such incidents, you should try to cough hard. Till the time your evaluation is complete, you can ask your local doctor for tablet Metoprolol or Ciplar LA 20 mg (Propranolol) once a day. Another option is of electrophysiological study which is an invasive test which can diagnose and treat the arrhythmia permanently in most of the cases. Hope this helps you and get back if you have any doubts. |
Q. What is the black spot in a tooth with sealant? | Hello doctor, I am asking a question regarding my daughter who is 3 and 1/2. She was seen by her dentist a few months back. They performed a cleaning and also put sealant on her molars, as they have deep grooves. I just recently noticed a few dark spots in her molars, but I am wondering if that is due to the deep grooves. Everything looked good, the dentist said a month ago, so I am quite alarmed if she has a cavity in that short amount of time. May I please provide you with a picture? | Hello. Yes, your daughter has deeply grooved teeth (attachment removed to protect patient identity). By book, its treatment is in the following steps. Cleaning, that your dentist did perfectly as there are no residues of plaque or tartar at tooth surfaces. Deep fissure sealants, that is done to seal any carious activity if could occur in deep grooves. It is also done by your dentist. After the sealant treatment if any dark spots mean carious activity is seen it means that through micro cracks bacteria has traveled inside the enamel causing carious activity to start. Now, this is treated with fillings. It does not happen in a day or two, it takes like six months to cause slight decay in the tooth. In your daughter's case, this activity might have appeared after a few months. Now your dentist will check if there is a catch in these black spots (carious cavity), then fillings will be done. Sometimes, there is no catch in these black spots, means carious activity is arrested and not propagating inside the tooth and they are not harmful to teeth and can be left untreated or just sealants are done to arrest them. If the black spots are becoming more evident, propagating to inside layers of teeth (harmful) and now some ditch or catch is formed in those grooves it definitely needs filling. |
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Hello doctor, I am asking a question regarding my daughter who is 3 and 1/2. She was seen by her dentist a few months back. They performed a cleaning and also put sealant on her molars, as they have deep grooves. I just recently noticed a few dark spots in her molars, but I am wondering if that is due to the deep grooves. Everything looked good, the dentist said a month ago, so I am quite alarmed if she has a cavity in that short amount of time. May I please provide you with a picture? [/INST] Hello. Yes, your daughter has deeply grooved teeth (attachment removed to protect patient identity). By book, its treatment is in the following steps. Cleaning, that your dentist did perfectly as there are no residues of plaque or tartar at tooth surfaces. Deep fissure sealants, that is done to seal any carious activity if could occur in deep grooves. It is also done by your dentist. After the sealant treatment if any dark spots mean carious activity is seen it means that through micro cracks bacteria has traveled inside the enamel causing carious activity to start. Now, this is treated with fillings. It does not happen in a day or two, it takes like six months to cause slight decay in the tooth. In your daughter's case, this activity might have appeared after a few months. Now your dentist will check if there is a catch in these black spots (carious cavity), then fillings will be done. Sometimes, there is no catch in these black spots, means carious activity is arrested and not propagating inside the tooth and they are not harmful to teeth and can be left untreated or just sealants are done to arrest them. If the black spots are becoming more evident, propagating to inside layers of teeth (harmful) and now some ditch or catch is formed in those grooves it definitely needs filling. |
Q. I am unable to hold things due to unsteady hands. What can be done? | Hi doctor, I am 23 years old, male, 5'5" and around 53 kg in weight. My problem is that I do not have steady hands and cannot hold my phone steady. I smoke and drink few times in a week and I was talking to my family doctor for all this and they took all types of blood test and thyroid tests. The reports were good but still I have the problem and right now I am not in my hometown and I want a solution for all this. I need help. | Hello. Firstly, I would like to assure you that it is not a serious problem. So you do not need to worry. Secondly, as you have mentioned all the result being perfectly normal, it is just a fluctuation in the blood pressure that is causing these symptoms. Your blood pressure would be okay under normal circumstances but would fluctuate at the time of emotional stress, smoking or drinking. As of now, you need to check your blood pressure and undergo an ECG test just to ensure it is good to go. You need to drink at least 8 to 9 glasses of water a day as the unsteady hands also is a result of reduced electrolytes and fluid content in the body. Have a normal and good diet where you eat meals including a carbohydrate, protein, and fat in each meal which should be four hours apart. Do cardio and yoga at least twice a week. You need to avoid drinking, smoking and hot beverages like tea and coffee for a long time until you are symptom-free. Do not worry, follow the above and you would be alright. Stay healthy and positive. |
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Hi doctor, I am 23 years old, male, 5'5" and around 53 kg in weight. My problem is that I do not have steady hands and cannot hold my phone steady. I smoke and drink few times in a week and I was talking to my family doctor for all this and they took all types of blood test and thyroid tests. The reports were good but still I have the problem and right now I am not in my hometown and I want a solution for all this. I need help. [/INST] Hello. Firstly, I would like to assure you that it is not a serious problem. So you do not need to worry. Secondly, as you have mentioned all the result being perfectly normal, it is just a fluctuation in the blood pressure that is causing these symptoms. Your blood pressure would be okay under normal circumstances but would fluctuate at the time of emotional stress, smoking or drinking. As of now, you need to check your blood pressure and undergo an ECG test just to ensure it is good to go. You need to drink at least 8 to 9 glasses of water a day as the unsteady hands also is a result of reduced electrolytes and fluid content in the body. Have a normal and good diet where you eat meals including a carbohydrate, protein, and fat in each meal which should be four hours apart. Do cardio and yoga at least twice a week. You need to avoid drinking, smoking and hot beverages like tea and coffee for a long time until you are symptom-free. Do not worry, follow the above and you would be alright. Stay healthy and positive. |
Q. What can be done for fever with sore throat and reddish brown urine? | Hello doctor, I am having high and low fever for the past few days and starting from yesterday, I have sore throat. I went to pee just now and saw the color is a bit reddish brown. And one week before fever, I had a few mosquito bites which are itchy on both the legs. | Hi. It could be a viral fever followed by acute glomerulonephritis if there is blood in urine, judging from the reddish brown urine you mentioned. Or it could be a urinary tract infection. In both cases, you must get a urine routine and microscopic examination plus a complete blood count test done initially. If you have other symptoms like abdominal pain, vomiting, etc, you must let me know. For now stay hydrated and get the tests done as soon as possible. If you continue to pass blood with urine, you need to go to the ER. |
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Hello doctor, I am having high and low fever for the past few days and starting from yesterday, I have sore throat. I went to pee just now and saw the color is a bit reddish brown. And one week before fever, I had a few mosquito bites which are itchy on both the legs. [/INST] Hi. It could be a viral fever followed by acute glomerulonephritis if there is blood in urine, judging from the reddish brown urine you mentioned. Or it could be a urinary tract infection. In both cases, you must get a urine routine and microscopic examination plus a complete blood count test done initially. If you have other symptoms like abdominal pain, vomiting, etc, you must let me know. For now stay hydrated and get the tests done as soon as possible. If you continue to pass blood with urine, you need to go to the ER. |
Q. What is the effective treatment for receding gums? | Hello doctor, I want to ask you about the problem of the decline of the gums. Is there an effective treatment? | Hello. Yes, there are following treatment options for your case. Scaling of all teeth and then follow medications. You should get mild scaling treatment for teeth and then start using Chlorhexadine gluconate mouthwash for two weeks twice a day. Do saline water mouthrinses (take a cup of lukewarm water and add 1/4th teaspoon of salt in it) once a day before you sleep for two weeks or start using mouthwash and doing mouthrinses without scaling but it will delay the healing of gums. I would recommend you first option as in your case I can see in anterior teeth gums are receding (attachment removed to protect patient identity). After scaling, the dead tissue of gums get shredded away and new healthy gums come over after 14 days and receding is stopped right there. Do give me followup after two weeks. Stay happy and blessed. |
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Hello doctor, I want to ask you about the problem of the decline of the gums. Is there an effective treatment? [/INST] Hello. Yes, there are following treatment options for your case. Scaling of all teeth and then follow medications. You should get mild scaling treatment for teeth and then start using Chlorhexadine gluconate mouthwash for two weeks twice a day. Do saline water mouthrinses (take a cup of lukewarm water and add 1/4th teaspoon of salt in it) once a day before you sleep for two weeks or start using mouthwash and doing mouthrinses without scaling but it will delay the healing of gums. I would recommend you first option as in your case I can see in anterior teeth gums are receding (attachment removed to protect patient identity). After scaling, the dead tissue of gums get shredded away and new healthy gums come over after 14 days and receding is stopped right there. Do give me followup after two weeks. Stay happy and blessed. |
Q. Why am I not able to have bowel movement for 10 days? | Hello doctor, I am unable to have a BM, it has been almost 10 days. I have no abdominal pain. I am also passing gas. I have been eating a lot of fiber. | Hi. I am afraid 10 days is too long to go without a bowel movement. I understand that you usually go every couple of days but if it has been that long, you may need to take some measures. Firstly, you need to drink plenty of water and eat whole grain stuff, bulk-forming food, in addition to the fibers for roughage and water for maintaining a soft consistency. If you are not having any abdominal pain yet, chances are you may have it soon unless you clear the bowel soon. You can try glycerin suppository after a heavy meal which includes the things mentioned above and then uses a glycerin suppository. Have you been skipping meals or not eating enough? Have you been anxious or depressed lately? As these things could contribute to chronic constipation like your case. If you still do not get a bowel movement or if there is a pain, you may need to go to the hospital where they may give you an enema wash. |
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Hello doctor, I am unable to have a BM, it has been almost 10 days. I have no abdominal pain. I am also passing gas. I have been eating a lot of fiber. [/INST] Hi. I am afraid 10 days is too long to go without a bowel movement. I understand that you usually go every couple of days but if it has been that long, you may need to take some measures. Firstly, you need to drink plenty of water and eat whole grain stuff, bulk-forming food, in addition to the fibers for roughage and water for maintaining a soft consistency. If you are not having any abdominal pain yet, chances are you may have it soon unless you clear the bowel soon. You can try glycerin suppository after a heavy meal which includes the things mentioned above and then uses a glycerin suppository. Have you been skipping meals or not eating enough? Have you been anxious or depressed lately? As these things could contribute to chronic constipation like your case. If you still do not get a bowel movement or if there is a pain, you may need to go to the hospital where they may give you an enema wash. |
Q. What is the recommended course of action for LAD stenosis? | Hi doctor, This patient is complaining of prolonged chest pain for three weeks now. Took medication for gastric issue and the pain has not subsided. I have attached the angiogram report. ECG performed several times and nothing abnormal in it. The angiogram report showed mid LAD 12 mm length and segment eccentric calcification. Soft plaque in LAD causing 50% stenosis. What is the recommended course of action? | Hi. I appreciate your concerns and can well realize the sensitivity of the issues. There is considerable calcification of LAD (left anterior descending artery). If it reaches up to 75% that is quite possible in the near future, then complications and consequences can be severe. In case of single artery involvement in coronary artery disease (CAD) it is best to have an angioplasty of the vessel with stent placement. For further information consult a cardiologist online --> |
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Hi doctor, This patient is complaining of prolonged chest pain for three weeks now. Took medication for gastric issue and the pain has not subsided. I have attached the angiogram report. ECG performed several times and nothing abnormal in it. The angiogram report showed mid LAD 12 mm length and segment eccentric calcification. Soft plaque in LAD causing 50% stenosis. What is the recommended course of action? [/INST] Hi. I appreciate your concerns and can well realize the sensitivity of the issues. There is considerable calcification of LAD (left anterior descending artery). If it reaches up to 75% that is quite possible in the near future, then complications and consequences can be severe. In case of single artery involvement in coronary artery disease (CAD) it is best to have an angioplasty of the vessel with stent placement. For further information consult a cardiologist online --> |
Q. How long should my husband and I wait to try for a baby if we did cocaine? | Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. | Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> |
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Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. [/INST] Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> |
Q. Can Yasmin birth control pill be used as an emergency contraceptive pill? | Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? | Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> |
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Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? [/INST] Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> |
Q. Please explain the poisonous effect of phenol ingestion. | Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. | Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> |
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Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. [/INST] Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> |
Q. For how long should I take Kalachikai powder to overcome PCOD problem? | Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? | Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> |
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Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? [/INST] Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> |
Q. Why do periods get delayed after first time sex? | Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? | Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> |
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Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? [/INST] Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> |
Q. Had dialysis, but there is no improvement in the kidney function of a liver cirrhosis patient. Why? | Hi doctor, My father is suffering from liver cirrhosis as reported by the doctors. His kidneys are also damaged and due to constipation brain is also getting affected. Urine is not passing. He is unconscious. We tried dialysis twice but there are no signs of improvement as per the doctors here. I just wanted to have another opinion regarding his survival. Any experienced doctor's advice would help a lot in this situation. He is an alcoholic since last 20 years. | Hello. As described in the case summary, the patient's condition is critical (attachment removed to protect patient identity). Decompensated cirrhosis is an irreversible disease, and it seems the patient has all the complications of the disease. The optimum medical management is already being provided as per the summary. Liver transplant is the only curative option but with the current situation, at least some partial recovery would be perhaps needed before the transplant can be taken up particularly for kidneys. Logistics and donor from family are needed for transplant to proceed as LDLT is an option. The patient is too sick to wait for a cadaveric donor. It seems it would be prudent to continue treatment as of now. The chances of survival will depend on the recovery signs best judged by the treating doctor. |
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Hi doctor, My father is suffering from liver cirrhosis as reported by the doctors. His kidneys are also damaged and due to constipation brain is also getting affected. Urine is not passing. He is unconscious. We tried dialysis twice but there are no signs of improvement as per the doctors here. I just wanted to have another opinion regarding his survival. Any experienced doctor's advice would help a lot in this situation. He is an alcoholic since last 20 years. [/INST] Hello. As described in the case summary, the patient's condition is critical (attachment removed to protect patient identity). Decompensated cirrhosis is an irreversible disease, and it seems the patient has all the complications of the disease. The optimum medical management is already being provided as per the summary. Liver transplant is the only curative option but with the current situation, at least some partial recovery would be perhaps needed before the transplant can be taken up particularly for kidneys. Logistics and donor from family are needed for transplant to proceed as LDLT is an option. The patient is too sick to wait for a cadaveric donor. It seems it would be prudent to continue treatment as of now. The chances of survival will depend on the recovery signs best judged by the treating doctor. |
Q. Hb is reducing in beta thalassemia minor patient who is pregnant. Why? | Hi doctor,My wife is pregnant with twins, 24 weeks now. Her Hb levels never in life had gone above 10. At the start of pregnancy, it was 8.5 but now it has touched 7.7. We did serum ferritin test and her level was 50 (normal) which I guess means no iron deficiency. She is a beta thalassemia minor as per the detailed reports. Can you please guide here? Our gynecologist would be consulting a hematologist today but if we can get an opinion here it would be great. | Hi. Thalassemia minor is hemoglobinopathy and so hemoglobin level can never be above 12 in such patient. In pregnancy, plasma is increased and so hemodilution can lead to more fall in hemoglobin level in CBC. Orofer XT like Iron tablet can be prescribed for such case. It would be great if the Hb level remains around 9 or 10 during pregnancy. The Iron infusion can be given in second or third trimester of pregnancy only if needed. You can discuss all these with your treating doctor or hematologist. No other mode of treatment is available as per my opinion. Close watch up is necessary in such case. I would like to suggest you to investigate with HB electrophoresis as well to avoid thalassemia major child. |
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Hi doctor,My wife is pregnant with twins, 24 weeks now. Her Hb levels never in life had gone above 10. At the start of pregnancy, it was 8.5 but now it has touched 7.7. We did serum ferritin test and her level was 50 (normal) which I guess means no iron deficiency. She is a beta thalassemia minor as per the detailed reports. Can you please guide here? Our gynecologist would be consulting a hematologist today but if we can get an opinion here it would be great. [/INST] Hi. Thalassemia minor is hemoglobinopathy and so hemoglobin level can never be above 12 in such patient. In pregnancy, plasma is increased and so hemodilution can lead to more fall in hemoglobin level in CBC. Orofer XT like Iron tablet can be prescribed for such case. It would be great if the Hb level remains around 9 or 10 during pregnancy. The Iron infusion can be given in second or third trimester of pregnancy only if needed. You can discuss all these with your treating doctor or hematologist. No other mode of treatment is available as per my opinion. Close watch up is necessary in such case. I would like to suggest you to investigate with HB electrophoresis as well to avoid thalassemia major child. |
Q. Kindly interpret my cardiac MRI that I had for chest pain. | Hello doctor, I had a cardiac MRI done and wanted to see if you can interpret it for me. I am worried. | Hi. We are here to help you. I evaluated your report (attachment removed to protect patient identity), and it looks normal to me. Your report does not signify the presence of any ischemic heart diseases to you. It means your cardiac functions are good as per the report. Now, to help you further better this report needs to be correlated clinically. So, I need to know your symptoms for which this MRI was performed. Also, mention if you have any pre-existing disease. |
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Hello doctor, I had a cardiac MRI done and wanted to see if you can interpret it for me. I am worried. [/INST] Hi. We are here to help you. I evaluated your report (attachment removed to protect patient identity), and it looks normal to me. Your report does not signify the presence of any ischemic heart diseases to you. It means your cardiac functions are good as per the report. Now, to help you further better this report needs to be correlated clinically. So, I need to know your symptoms for which this MRI was performed. Also, mention if you have any pre-existing disease. |
Q. Is it advisable to get dental extraction and implantation on second day of periods? | Hello doctor, I have the following on the second day of the menstrual cycle- a headache, lots of bleeding, abdomen pain, general weakness. Is it fine to have a dental implantation surgery during this time? It includes tooth extraction and implantation. | Hi. Yes, it is absolutely fine to have implantation surgery during your menstrual cycle. You can take Ibuprofen 400 mg four hours before surgery. You should have a proper meal at least an hour or two before your surgery so that you do not feel nausea during surgery or hungry right after surgery. Hopefully, everything will go smooth. Best of luck. Stay happy and blessed. |
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Hello doctor, I have the following on the second day of the menstrual cycle- a headache, lots of bleeding, abdomen pain, general weakness. Is it fine to have a dental implantation surgery during this time? It includes tooth extraction and implantation. [/INST] Hi. Yes, it is absolutely fine to have implantation surgery during your menstrual cycle. You can take Ibuprofen 400 mg four hours before surgery. You should have a proper meal at least an hour or two before your surgery so that you do not feel nausea during surgery or hungry right after surgery. Hopefully, everything will go smooth. Best of luck. Stay happy and blessed. |
Q. I am 16 years old. I have got pimples. What should I do? | Dear doctor, I am 16 years old. I have got pimples. What should I do? | Hi. Firstly, you need to consult a dermatologist nearby to assess the grade and severity of acne. As a general treatment measure: Follow these above measures for two weeks to see how much response you get. If the acne is of mild grade then, it will respond. But if it is of severe grade then, oral medicine will be required. Hope this helped. Take care. Revert back to a dermatologist online for further help --> |
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Dear doctor, I am 16 years old. I have got pimples. What should I do? [/INST] Hi. Firstly, you need to consult a dermatologist nearby to assess the grade and severity of acne. As a general treatment measure: Follow these above measures for two weeks to see how much response you get. If the acne is of mild grade then, it will respond. But if it is of severe grade then, oral medicine will be required. Hope this helped. Take care. Revert back to a dermatologist online for further help --> |
Q. Why do periods get delayed following an I-pill? | Hi doctor, We had sex on her fourth day of the period. She took an I-pill within two hours. She got bleeding after five days. Today is the 27th day after sex, she got some nausea at noon, but no other symptoms. She got an I-pill previous month. Is it the temporary hormonal problem or she might be pregnant? Can she use pregnancy kit now? Please help. | Hello. For further information consult an obstetrician and gynaecologist online --> |
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Hi doctor, We had sex on her fourth day of the period. She took an I-pill within two hours. She got bleeding after five days. Today is the 27th day after sex, she got some nausea at noon, but no other symptoms. She got an I-pill previous month. Is it the temporary hormonal problem or she might be pregnant? Can she use pregnancy kit now? Please help. [/INST] Hello. For further information consult an obstetrician and gynaecologist online --> |
Q. My 11 month old baby has not put on any weight. Her weight is 6. 5kg. Give me any advice. | Hi doctor, My 11 month old baby has not put on any weight. Her weight is 6.5 kg now. She has been in the same weight with no increase from the past 3 months. She does not eat any other solid or semi-solid food except breast milk. Please advice. | Hi. The amount of food eaten would vary from child to child. Decreased intake, fussy child, and worm infestation are commonest causes for decreased weight gain. It is important that you start experimenting with a variety of food in your baby's diet. These will provide the calories, proteins, vitamins, and minerals that are essential for her growth. It is also important to note, not to force food on kids. Keep trying new recipes. Most of the times it is "Try and Error" method. Lots of patience would be required to find out which are the diet, that tickles the child's taste buds which also contains maximum nutrients. You need to try multiple ones and find which your child loves to eat amongst those. Initially, it may be difficult from shifting to solid or semi-solid feed from milk-based diet. Continued perseverance and trying out what the baby likes is the key. Also, try to keep your baby's daily sugar intake to about less than 1 to 2 teaspoon, and use honey or palm sugar or palm jaggery to sweeten the dessert instead of sugar. |
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Hi doctor, My 11 month old baby has not put on any weight. Her weight is 6.5 kg now. She has been in the same weight with no increase from the past 3 months. She does not eat any other solid or semi-solid food except breast milk. Please advice. [/INST] Hi. The amount of food eaten would vary from child to child. Decreased intake, fussy child, and worm infestation are commonest causes for decreased weight gain. It is important that you start experimenting with a variety of food in your baby's diet. These will provide the calories, proteins, vitamins, and minerals that are essential for her growth. It is also important to note, not to force food on kids. Keep trying new recipes. Most of the times it is "Try and Error" method. Lots of patience would be required to find out which are the diet, that tickles the child's taste buds which also contains maximum nutrients. You need to try multiple ones and find which your child loves to eat amongst those. Initially, it may be difficult from shifting to solid or semi-solid feed from milk-based diet. Continued perseverance and trying out what the baby likes is the key. Also, try to keep your baby's daily sugar intake to about less than 1 to 2 teaspoon, and use honey or palm sugar or palm jaggery to sweeten the dessert instead of sugar. |
Q. I am a 30 year old male, suffering from glaucoma since 2 years. I have heaviness and itching in my eyes | Hi doctor, I am a 30 year old male suffering from glaucoma since the last two years. I have heaviness and itching in my eyes. Please guide me on what to do. | Hi. I need a few answers from you, before deciding on the reasons for heaviness or itching. Can you please give the details for the following questions? Itching can be because of specific anti-glaucoma medications. I need to know the eye pressure to decide whether your current heaviness is due to the anti-glaucoma medications. This is to decide whether we need to change or continue the medication or decide on any other modalities of eye pressure control in relation to the severity of glaucoma. Revert back with the details to an eye care ophthalmologist online --> |
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Hi doctor, I am a 30 year old male suffering from glaucoma since the last two years. I have heaviness and itching in my eyes. Please guide me on what to do. [/INST] Hi. I need a few answers from you, before deciding on the reasons for heaviness or itching. Can you please give the details for the following questions? Itching can be because of specific anti-glaucoma medications. I need to know the eye pressure to decide whether your current heaviness is due to the anti-glaucoma medications. This is to decide whether we need to change or continue the medication or decide on any other modalities of eye pressure control in relation to the severity of glaucoma. Revert back with the details to an eye care ophthalmologist online --> |
Q. My 13 year old nephew sometimes becomes so angry and beats his younger brother and sometimes when things not given to him he becomes angry and tells he wants to go out of the house. | Hello doctor, My nephew is 13 years old, weighs 45 kg, and his height is 135 cms. He sometimes becomes so angry and beats his younger brother and sometimes when things are not given to him, he becomes angry and tells he wants to go out of the house. He likes only his father and not anyone else. We went to a doctor, and she suggested to take medication for that and gave Lonazep 0.25 mg and Sizodon MD 50 mg. He took that for two days. There were effective but were raising his body temperature, and he tells that something is happening in his head. We gave him those medicines without his knowledge, saying that, it is for concentration. I need to know whether he needs medicine or he can be treated through counseling. Also, is this effect because of the medicines he had taken? | Hi. I would have answered the query more appropriately if you had included a little more information regarding his day to day activities, his academic performance, his peer relationship, etc. Anyways, regarding your query, it can be due to sibling rivalry, or it could be due to adjustment problems or even due to any diagnosable childhood psychiatric problem. If the above problems are just a part of growing up, then psychotherapeutic sessions might be helpful for your nephew. But if these symptoms are due to any underlying psychiatric illness, he might need a psychiatric consultation. About the medicines, the increase in temperature due to medicine is quite unlikely. But yes, it can cause heaviness in the head, which can be perceived as something happening in the head. |
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Hello doctor, My nephew is 13 years old, weighs 45 kg, and his height is 135 cms. He sometimes becomes so angry and beats his younger brother and sometimes when things are not given to him, he becomes angry and tells he wants to go out of the house. He likes only his father and not anyone else. We went to a doctor, and she suggested to take medication for that and gave Lonazep 0.25 mg and Sizodon MD 50 mg. He took that for two days. There were effective but were raising his body temperature, and he tells that something is happening in his head. We gave him those medicines without his knowledge, saying that, it is for concentration. I need to know whether he needs medicine or he can be treated through counseling. Also, is this effect because of the medicines he had taken? [/INST] Hi. I would have answered the query more appropriately if you had included a little more information regarding his day to day activities, his academic performance, his peer relationship, etc. Anyways, regarding your query, it can be due to sibling rivalry, or it could be due to adjustment problems or even due to any diagnosable childhood psychiatric problem. If the above problems are just a part of growing up, then psychotherapeutic sessions might be helpful for your nephew. But if these symptoms are due to any underlying psychiatric illness, he might need a psychiatric consultation. About the medicines, the increase in temperature due to medicine is quite unlikely. But yes, it can cause heaviness in the head, which can be perceived as something happening in the head. |
Q. I am a 19 year old female. Have watery heavy white foul vaginal discharge every day since 4 months. | Hi doctor, I am a 19 year old female. I have watery heavy white foul vaginal discharge every day since four months. Is it due to hormonal imbalance? | Hi. From what you have described, it looks like you have a bad vaginal infection. You need to see a gynecologist doctor fairly quickly and get treated. This is important as untreated vaginal infections can spread upwards into the uterus. Hormonal imbalance has nothing to do with this. Your doctor will also check your sugar level if you are overweight, if you have PCOS, or have a family history of diabetes. You will also need a testing for urine infection as it is common for both to co-exist. Take care, hope this helps. Do not hesitate to post further queries to an obstetrician and gynaecologist online --> |
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Hi doctor, I am a 19 year old female. I have watery heavy white foul vaginal discharge every day since four months. Is it due to hormonal imbalance? [/INST] Hi. From what you have described, it looks like you have a bad vaginal infection. You need to see a gynecologist doctor fairly quickly and get treated. This is important as untreated vaginal infections can spread upwards into the uterus. Hormonal imbalance has nothing to do with this. Your doctor will also check your sugar level if you are overweight, if you have PCOS, or have a family history of diabetes. You will also need a testing for urine infection as it is common for both to co-exist. Take care, hope this helps. Do not hesitate to post further queries to an obstetrician and gynaecologist online --> |
Q. I had a baby 7 weeks ago. I was ovulating and had unprotected sex and took MAP pill. | Hi doctor, I had a baby seven weeks ago. I was ovulating. I had unprotected sex and took MAP pill 52 hours after. We tried the pull out method, but are worried about precum. Symptoms are like last pregnancy. Could MAP pill fail? Am I pregnant? | Hi. MAP (morning-after pill) pill works well if taken before 72 hours from unprotected sex. But it will protect against only once such act. It does not offer any ongoing protection. In your case, it should work well up to 99%. The symptoms you have described are due to the hormone progesterone. This can happen just before periods, it can also happen in early pregnancy. Please do a urine test for pregnancy, a week after the missed period, if you do not get your periods on time. MAP pill itself can delay your period. Hope this helps, take care. Please do not hesitate to ask further queries to an obstetrician and gynaecologist online --> |
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Hi doctor, I had a baby seven weeks ago. I was ovulating. I had unprotected sex and took MAP pill 52 hours after. We tried the pull out method, but are worried about precum. Symptoms are like last pregnancy. Could MAP pill fail? Am I pregnant? [/INST] Hi. MAP (morning-after pill) pill works well if taken before 72 hours from unprotected sex. But it will protect against only once such act. It does not offer any ongoing protection. In your case, it should work well up to 99%. The symptoms you have described are due to the hormone progesterone. This can happen just before periods, it can also happen in early pregnancy. Please do a urine test for pregnancy, a week after the missed period, if you do not get your periods on time. MAP pill itself can delay your period. Hope this helps, take care. Please do not hesitate to ask further queries 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. How to confirm pneumonia? | Hello doctor, My daughter is suffering from cough for the past four weeks. She started it out very gently and it is getting worse. Last weekend she was coughing almost non-stop. I took her to a Walk-in clinic and they gave her a cough syrup and an antibiotic. I was told to start the antibiotic four days later if she does not get better. I have started the antibiotics after six days. But, she was getting weaker and coughing with choking. I took her back to the doctor. They told me that she might have whooping cough. I was not entirely surprised as she had hypoxia at birth and she did not get that one vaccine: the pertussis. She only got DT. From chest x-ray, we came to know that she had pneumonia too. But, not on both lungs and the x-ray was not entirely white, so it was a smaller pneumonia. By that time we were on day three of the antibiotics. They made a sample test from the nose for whooping cough. I was told that even if she has it the results might come back negative as she took Azithromycin. We were told to wait and see after the antibiotic. The result came back negative. The same night her cough got so bad that she was not getting any air. She was coughing without being able to breathe. She was vomiting and a tone of white long, phlegm or mucus came out with the vomiting. It was white, sticky and lots of it. In the emergency room they turned out that she had bronchospasm. They treated her with Albuterol and steroids. She was put on Albuterol for two hours there, then we came home with an inhaler. She has been using that three to four times a day ever since then. She has been very weak. They checked her again for whooping cough and that too came back negative. She took the second dose of Prednisone three pills. She felt better and was so happy. But, the next day she did not feel that good. Today, she had more coughs and it is a second sound behind the usual cough sound. This second one is like the laryngitis cough, but not barking sound. It is just a deeper cough. I am totally lost. I do not what to do anymore. She had a different kind of cough sounds throughout for almost a period of four weeks. Intense, barking, whooping cough like, silent, more loud and now this strange one. She is allergic on Amoxicillin, Ceftin, Bactrim and Cefalosporins. I gave her Mucinex to loosen the mucus. I would like to know what to do. Should I go and see a pulmonologist in person? | Hi. I have read your daughter's story in detail. I also heard the quality of cough you provided in the sound clip (attachment removed to protect patient identity). Allergy. Spirometry (PFT). Pneumonia. Regular steroid inhalers and Albuterol inhaler (SOS). Avoid dusts and cold drinks For further information consult a pulmonologist online.---> |
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Hello doctor, My daughter is suffering from cough for the past four weeks. She started it out very gently and it is getting worse. Last weekend she was coughing almost non-stop. I took her to a Walk-in clinic and they gave her a cough syrup and an antibiotic. I was told to start the antibiotic four days later if she does not get better. I have started the antibiotics after six days. But, she was getting weaker and coughing with choking. I took her back to the doctor. They told me that she might have whooping cough. I was not entirely surprised as she had hypoxia at birth and she did not get that one vaccine: the pertussis. She only got DT. From chest x-ray, we came to know that she had pneumonia too. But, not on both lungs and the x-ray was not entirely white, so it was a smaller pneumonia. By that time we were on day three of the antibiotics. They made a sample test from the nose for whooping cough. I was told that even if she has it the results might come back negative as she took Azithromycin. We were told to wait and see after the antibiotic. The result came back negative. The same night her cough got so bad that she was not getting any air. She was coughing without being able to breathe. She was vomiting and a tone of white long, phlegm or mucus came out with the vomiting. It was white, sticky and lots of it. In the emergency room they turned out that she had bronchospasm. They treated her with Albuterol and steroids. She was put on Albuterol for two hours there, then we came home with an inhaler. She has been using that three to four times a day ever since then. She has been very weak. They checked her again for whooping cough and that too came back negative. She took the second dose of Prednisone three pills. She felt better and was so happy. But, the next day she did not feel that good. Today, she had more coughs and it is a second sound behind the usual cough sound. This second one is like the laryngitis cough, but not barking sound. It is just a deeper cough. I am totally lost. I do not what to do anymore. She had a different kind of cough sounds throughout for almost a period of four weeks. Intense, barking, whooping cough like, silent, more loud and now this strange one. She is allergic on Amoxicillin, Ceftin, Bactrim and Cefalosporins. I gave her Mucinex to loosen the mucus. I would like to know what to do. Should I go and see a pulmonologist in person? [/INST] Hi. I have read your daughter's story in detail. I also heard the quality of cough you provided in the sound clip (attachment removed to protect patient identity). Allergy. Spirometry (PFT). Pneumonia. Regular steroid inhalers and Albuterol inhaler (SOS). Avoid dusts and cold drinks For further information consult a pulmonologist online.---> |
Q. I feel slight pain in my backbone since I am in a front desk job. | Hello doctor, I am a 26 year old female. I have some backbone problem. I feel slight pain in my backbone from two to three years when I was in a desk job. I used to sit most of the time on a chair. | Hi. From the complaints you had described, mostly it could be related to poor posture at your workplace. Lack of exercise could also be one of the causes. I would suggest you consult an orthopaedician online for further follow up --> |
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Hello doctor, I am a 26 year old female. I have some backbone problem. I feel slight pain in my backbone from two to three years when I was in a desk job. I used to sit most of the time on a chair. [/INST] Hi. From the complaints you had described, mostly it could be related to poor posture at your workplace. Lack of exercise could also be one of the causes. I would suggest you consult an orthopaedician online for further follow up --> |
Q. Anxiety is every day of my life. Rarely I do get a small break without anxiety. It has been 10 years. | Hello doctor, Anxiety is every day of my life. I rarely get small breaks without anxiety. It has been 10 years now. Panic attacks do come. I am taking Xanax 0.5 mg 1 to 3 days. I am a 26 years old male, and my height and weight are 5.9" and 80 kg respectively. Please help. | Hi. With your brief description, it appears that you are suffering from some anxiety disorder most probably generalized anxiety disorder. The drug you are taking is neither sufficient nor appropriate when we have a lot of safer and more effective drugs currently. I assure you that you can get rid of most of the anxiety symptoms with proper treatment. |
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Hello doctor, Anxiety is every day of my life. I rarely get small breaks without anxiety. It has been 10 years now. Panic attacks do come. I am taking Xanax 0.5 mg 1 to 3 days. I am a 26 years old male, and my height and weight are 5.9" and 80 kg respectively. Please help. [/INST] Hi. With your brief description, it appears that you are suffering from some anxiety disorder most probably generalized anxiety disorder. The drug you are taking is neither sufficient nor appropriate when we have a lot of safer and more effective drugs currently. I assure you that you can get rid of most of the anxiety symptoms with proper treatment. |
Q. I have acute pain on the right side of right leg knee. I am not able to walk as usual. | Hello doctor, I have acute pain on the right side of my right knee. I am not able to walk as usual. The local doctor diagnosed it as a ligament tear. He suggested to take rest and wear a knee pad. One month is over, and there is no improvement seen yet. There is also little swelling and pain. I am not able to balance while walking. It pains when I walk. I have attached my x-ray. | Hi. You have not mentioned your age, profession, and how you developed the pain (like after a slip or after a fall or just by itself). When you have a limp that has not settled over one month and you do not have balance when you walk then it is not normal. You have to be personally examined, and if necessary, an MRI scan of the knee has to be done. You could have a problem in the meniscus (a washer-like structure between the bones) or the ACL, PCL, PLC, etc. (ligaments or cords that connect the two bones). These are best seen only on an MRI. Meanwhile, please continue rest, splinting, and analgesics. |
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Hello doctor, I have acute pain on the right side of my right knee. I am not able to walk as usual. The local doctor diagnosed it as a ligament tear. He suggested to take rest and wear a knee pad. One month is over, and there is no improvement seen yet. There is also little swelling and pain. I am not able to balance while walking. It pains when I walk. I have attached my x-ray. [/INST] Hi. You have not mentioned your age, profession, and how you developed the pain (like after a slip or after a fall or just by itself). When you have a limp that has not settled over one month and you do not have balance when you walk then it is not normal. You have to be personally examined, and if necessary, an MRI scan of the knee has to be done. You could have a problem in the meniscus (a washer-like structure between the bones) or the ACL, PCL, PLC, etc. (ligaments or cords that connect the two bones). These are best seen only on an MRI. Meanwhile, please continue rest, splinting, and analgesics. |
Q. Can a patient lead a normal life after heart valve replacement surgery? | Hi doctor, My father, who is 57 years old, was suggested to go for AVR (valve replacement). His weight is 74 kg. What are the procedures followed for valve replacement? Is there any consequence after the surgery? Can he lead a normal life after surgery? Which valve do we need to choose irrespective of cost? How many days does he need bed rest? My father has high BP, and always it ranges around 170/80. | Hi. Thanks for writing in to us. I have read through your query in detail. Please find my observations below. The valve replacement surgery is usually done using open heart surgery technique, and the surgeon connects the blood vessels to a heart-lung machine and then stops the heart. After this step, an incision is made into the aorta and using careful precision the aortic valve will get replaced. This operation is 98 percent successful. For people less than 65 years, the valve implanted is a mechanical valve, and this is because a mechanical valve will work for many years. In patients older than 65 years, a biological valve is used. He can lead a near normal healthy life. He has to follow up with his doctor regularly and be on medications for a long time. He will be in the hospital for a week and should not be on bed rest. Only thing is he must avoid physical exertion after surgery and take strict precautions for three months after surgery. The blood pressure will get controlled with medicines and doctors make it a point that operation is not risky due to that. Regular medication has to be taken and should get echocardiography as instructed by the surgeon and cardiologist. |
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Hi doctor, My father, who is 57 years old, was suggested to go for AVR (valve replacement). His weight is 74 kg. What are the procedures followed for valve replacement? Is there any consequence after the surgery? Can he lead a normal life after surgery? Which valve do we need to choose irrespective of cost? How many days does he need bed rest? My father has high BP, and always it ranges around 170/80. [/INST] Hi. Thanks for writing in to us. I have read through your query in detail. Please find my observations below. The valve replacement surgery is usually done using open heart surgery technique, and the surgeon connects the blood vessels to a heart-lung machine and then stops the heart. After this step, an incision is made into the aorta and using careful precision the aortic valve will get replaced. This operation is 98 percent successful. For people less than 65 years, the valve implanted is a mechanical valve, and this is because a mechanical valve will work for many years. In patients older than 65 years, a biological valve is used. He can lead a near normal healthy life. He has to follow up with his doctor regularly and be on medications for a long time. He will be in the hospital for a week and should not be on bed rest. Only thing is he must avoid physical exertion after surgery and take strict precautions for three months after surgery. The blood pressure will get controlled with medicines and doctors make it a point that operation is not risky due to that. Regular medication has to be taken and should get echocardiography as instructed by the surgeon and cardiologist. |
Q. Is it advisable to have braces five years after teeth whitening? | Hello doctor, I want to ask you that, can I have braces because five years back I had teeth whitening due to which I have many cracks in my teeth. So can I put braces or will it worsen it? | Hi. I want to answer your question in two parts. Firstly, I would like to give an honest opinion about your question that is will the braces further create more cracks in your original teeth? So answer is yes if you will go for conventional orthodontic treatment (in which manually metal brackets are put on teeth) and I would say no if you will go for invisible aligner type orthodontic treatment (in it only invisible tray is given to wear, no bracketing is involved). Secondly, I would like to give my suggestion regarding your case. I would suggest going for ortho treatment inspite of the fact your tooth enamel is weaken. If your teeth are severly malaligned, crowded or you have any difficulty in eating, air passage, etc., like there is a genuine cause that needs to be corrected through ortho braces because you are 20 and it is an ideal age for treatment. More you delay, more it will become difficult for teeth to move. Treatment will take more time as age grows older like one year treatment at 20 might take two and a half year time at age 30. If there is no severe ortho issue and you want braces just for a cosmetic reason then I would suggest you to avoid ortho treatment. If you opt for doing ortho braces treatment then your enamel might get weakened due to bracketing but later you can get it fixed by veneering procedure. It will look fine later. Hopefully, you will be able to decide well now about what treatment you should go for. I might give a better opinion after seeing picture of your teeth. |
<s>[INST]
Hello doctor, I want to ask you that, can I have braces because five years back I had teeth whitening due to which I have many cracks in my teeth. So can I put braces or will it worsen it? [/INST] Hi. I want to answer your question in two parts. Firstly, I would like to give an honest opinion about your question that is will the braces further create more cracks in your original teeth? So answer is yes if you will go for conventional orthodontic treatment (in which manually metal brackets are put on teeth) and I would say no if you will go for invisible aligner type orthodontic treatment (in it only invisible tray is given to wear, no bracketing is involved). Secondly, I would like to give my suggestion regarding your case. I would suggest going for ortho treatment inspite of the fact your tooth enamel is weaken. If your teeth are severly malaligned, crowded or you have any difficulty in eating, air passage, etc., like there is a genuine cause that needs to be corrected through ortho braces because you are 20 and it is an ideal age for treatment. More you delay, more it will become difficult for teeth to move. Treatment will take more time as age grows older like one year treatment at 20 might take two and a half year time at age 30. If there is no severe ortho issue and you want braces just for a cosmetic reason then I would suggest you to avoid ortho treatment. If you opt for doing ortho braces treatment then your enamel might get weakened due to bracketing but later you can get it fixed by veneering procedure. It will look fine later. Hopefully, you will be able to decide well now about what treatment you should go for. I might give a better opinion after seeing picture of your teeth. |
Q. I noticed yellowish-white odorless discharge and itchy vaginal. How to cure it? | Hi doctor, I got married a few months back. I have yellowish-white, odorless discharge. It leaves stain and itches quite a bit. I noticed something weird, and after intercourse, my husband could see something similar around his genitals. And that is itchy too. I tried using Abzorb antifungal powder, but no help from that. We are not in our country right now and so cannot get access to most medicines. How to cure my discharge? Before marriage too, I have experienced something similar. I had treatment for that, but do not have that prescription now. Please help. | Hi. From your history, this is a genital infection. This is not the same that occurs before sexual exposure, as that is not yellow or itchy. These two feature makes infection as the source. It is usually seen as a genital or urinary infection in males, which is not always very evident. When there is a trigger like sex, it appears. As you do not have access to medications, I can only suggest you both to have a lot of water to wash away the infections in the bladder as usually both genitals and bladder get infected together. Use Vaginal washes (V Wash or Intiwash) twice a day and after every penetration into the vagina. Your husband also can use the same. These are not chemicals, and so there is no side effect. Both of you should pass urine after sex, as this will wash out infection in the bladder. If you can get some vaginal suppository of antibiotic plus antifungal, then use it for five to seven days vaginal at night. It is cruel to say to a newlywed couple, but if you can postpone penetrative sex for a few days, the problem will be solved or at least use a condom. It will prevent infection transmission. Vaginal infection is transmitted during sex, so partner is the source. Both have to be treated at a time, or else you will get infected the next time of sex. You may have white or yellow or grayish discharge with or without itching, foul smell, pain at beginning of sex due to dryness (as the lubrication will be reduced) and late towards the end, when fully erect penis touches the innermost vagina (due to inflammation of the structures around the uterus) and pain radiating to the back or thighs. Associated to infection, the bowel movement is affected, and also features of gastritis will be present. Bleeding of periods will be thicker, darker, may smell bad and more days with spotting after the periods too. Pain is throbbing even before periods and last after periods over also. Before treatment confirm that you are not pregnant. Consult your doctor, discuss with him or her and you both take the treatment mentioned below with consent. All these should be taken on the same day by both of you. Later you have capsule Doxycycline 100 mg twice a day for one week, Vaginal wash with V-wash or similar cleanser twice a day and vaginal pessary Clingen forte or Candid-CL or Cansoft CL once at night for five nights. Your partner can have a local application of antibiotic and antifungal cream (Candid B or Candiderma or Lobate GM) on the penis twice a day after wash for seven days. Do not have sex till the infection is entirely gone. Do treat it as delay may send the infection inwards and may affect both you and your partner's future fertility. Hope I have clarified your query, do write back if any more questions. All the best. |
<s>[INST]
Hi doctor, I got married a few months back. I have yellowish-white, odorless discharge. It leaves stain and itches quite a bit. I noticed something weird, and after intercourse, my husband could see something similar around his genitals. And that is itchy too. I tried using Abzorb antifungal powder, but no help from that. We are not in our country right now and so cannot get access to most medicines. How to cure my discharge? Before marriage too, I have experienced something similar. I had treatment for that, but do not have that prescription now. Please help. [/INST] Hi. From your history, this is a genital infection. This is not the same that occurs before sexual exposure, as that is not yellow or itchy. These two feature makes infection as the source. It is usually seen as a genital or urinary infection in males, which is not always very evident. When there is a trigger like sex, it appears. As you do not have access to medications, I can only suggest you both to have a lot of water to wash away the infections in the bladder as usually both genitals and bladder get infected together. Use Vaginal washes (V Wash or Intiwash) twice a day and after every penetration into the vagina. Your husband also can use the same. These are not chemicals, and so there is no side effect. Both of you should pass urine after sex, as this will wash out infection in the bladder. If you can get some vaginal suppository of antibiotic plus antifungal, then use it for five to seven days vaginal at night. It is cruel to say to a newlywed couple, but if you can postpone penetrative sex for a few days, the problem will be solved or at least use a condom. It will prevent infection transmission. Vaginal infection is transmitted during sex, so partner is the source. Both have to be treated at a time, or else you will get infected the next time of sex. You may have white or yellow or grayish discharge with or without itching, foul smell, pain at beginning of sex due to dryness (as the lubrication will be reduced) and late towards the end, when fully erect penis touches the innermost vagina (due to inflammation of the structures around the uterus) and pain radiating to the back or thighs. Associated to infection, the bowel movement is affected, and also features of gastritis will be present. Bleeding of periods will be thicker, darker, may smell bad and more days with spotting after the periods too. Pain is throbbing even before periods and last after periods over also. Before treatment confirm that you are not pregnant. Consult your doctor, discuss with him or her and you both take the treatment mentioned below with consent. All these should be taken on the same day by both of you. Later you have capsule Doxycycline 100 mg twice a day for one week, Vaginal wash with V-wash or similar cleanser twice a day and vaginal pessary Clingen forte or Candid-CL or Cansoft CL once at night for five nights. Your partner can have a local application of antibiotic and antifungal cream (Candid B or Candiderma or Lobate GM) on the penis twice a day after wash for seven days. Do not have sex till the infection is entirely gone. Do treat it as delay may send the infection inwards and may affect both you and your partner's future fertility. Hope I have clarified your query, do write back if any more questions. All the best. |
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