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Q. Please explain my echo report taken for heart failure. | Hello doctor, I need help reading the results of my echo a few months back. I am just not receiving the results. I had a baby a few months back and then was back in the hospital a week later with pnemounia. During my visit back in the hosiptal with pnemounia, the doctors said my blood work kept coming back saying I had heart failure. | Hi. Your hearts' left ventricle is a bit weak (attachment removed to protect patient identity). It has a mild dysfunction. This occurs sometimes during the last month of pregnancy or five months after delivery. Many times this condition reverts to normal or almost normal within six months. I advise you to repeat the echo to know the current status of the heart. This condition is called peripartum cardiomyopathy. I hope you are taking medicines. Please follow up with the history of your condition, your symptoms, any previous illness and medicines you are taking for the heart so that I may guide you better and prescribe medicines and workup. Weak heart. Echo repeat, ECG. Peripartum cardiomyopathy. |
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Hello doctor, I need help reading the results of my echo a few months back. I am just not receiving the results. I had a baby a few months back and then was back in the hospital a week later with pnemounia. During my visit back in the hosiptal with pnemounia, the doctors said my blood work kept coming back saying I had heart failure. [/INST] Hi. Your hearts' left ventricle is a bit weak (attachment removed to protect patient identity). It has a mild dysfunction. This occurs sometimes during the last month of pregnancy or five months after delivery. Many times this condition reverts to normal or almost normal within six months. I advise you to repeat the echo to know the current status of the heart. This condition is called peripartum cardiomyopathy. I hope you are taking medicines. Please follow up with the history of your condition, your symptoms, any previous illness and medicines you are taking for the heart so that I may guide you better and prescribe medicines and workup. Weak heart. Echo repeat, ECG. Peripartum cardiomyopathy. |
Q. Apart from extraction, is there any way to manage swelling due to wisdom tooth eruption? | Hi doctor,I have an inflamed gum at end of the jaw and showed to different dentists. They said it is the wisdom tooth coming out in the wrong position so it has to be extracted. I am not comfortable with extraction. Is there any other solution to reduce the swelling? | Hello. Wisdom teeth or third molars are usually the last ones to erupt. During the eruption time, there are some inflammation and redness in gum pad known as pericoronitis. If the orientation of the tooth is not in a proper path, the dentist decides to extract it. This is a universally accepted method because there is no sufficient space in the jaw for the tooth to come out. If the tooth was left as it is, it can cause more problems in the future. So I suggest you go for extraction. This is the best way to cure your problem, do not be panic because the whole procedure will be performed under local anesthesia. |
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Hi doctor,I have an inflamed gum at end of the jaw and showed to different dentists. They said it is the wisdom tooth coming out in the wrong position so it has to be extracted. I am not comfortable with extraction. Is there any other solution to reduce the swelling? [/INST] Hello. Wisdom teeth or third molars are usually the last ones to erupt. During the eruption time, there are some inflammation and redness in gum pad known as pericoronitis. If the orientation of the tooth is not in a proper path, the dentist decides to extract it. This is a universally accepted method because there is no sufficient space in the jaw for the tooth to come out. If the tooth was left as it is, it can cause more problems in the future. So I suggest you go for extraction. This is the best way to cure your problem, do not be panic because the whole procedure will be performed under local anesthesia. |
Q. I am a PCOS patient with high LH. What is the chance of ovulation and healthy pregnancy? | Hello doctor, I am 32. I have PCOS for past seven years. Now planning to conceive with Gonadotropin injection and timed intercourse. But my day two blood work shows FSH 4.7, LH 11.2 and prolactin 9. Due to high LH will I get ovulation and if so, how will be the chances of having a healthy pregnancy? Two years back, I got pregnant with Gonadotropin injection but had many complications and pregnancy went on till 35 weeks, then fluid leak and baby passed meconium and was alive only for 15 days, later died at NICU. Three months ago, was pregnant again with Gonadotropin injection but no heartbeat for five weeks, five days. Had missed abortion. | Hello. The LH levels are more than 10 as expected in PCOD, ideally should be less than 7, but still on the lower side. You can continue with the protocol and ideally LH surge occurs at 20 and usually the follicle is matter at 18 mm size. So, pertaining to your query that whether you shall ovulate or not depends on the follow up of LH surge with LH kit from day 10 of your cycle daily to check for positive result. Once positive test is achieved, the follicular scan be done to check for size of follicle and if more than 18 mm, it is mature, then hCG injection can be offered for ovulation. |
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Hello doctor, I am 32. I have PCOS for past seven years. Now planning to conceive with Gonadotropin injection and timed intercourse. But my day two blood work shows FSH 4.7, LH 11.2 and prolactin 9. Due to high LH will I get ovulation and if so, how will be the chances of having a healthy pregnancy? Two years back, I got pregnant with Gonadotropin injection but had many complications and pregnancy went on till 35 weeks, then fluid leak and baby passed meconium and was alive only for 15 days, later died at NICU. Three months ago, was pregnant again with Gonadotropin injection but no heartbeat for five weeks, five days. Had missed abortion. [/INST] Hello. The LH levels are more than 10 as expected in PCOD, ideally should be less than 7, but still on the lower side. You can continue with the protocol and ideally LH surge occurs at 20 and usually the follicle is matter at 18 mm size. So, pertaining to your query that whether you shall ovulate or not depends on the follow up of LH surge with LH kit from day 10 of your cycle daily to check for positive result. Once positive test is achieved, the follicular scan be done to check for size of follicle and if more than 18 mm, it is mature, then hCG injection can be offered for ovulation. |
Q. Why am I having head spinning and vomiting issues quite often? | Hello doctor, I have a constant problem with my head spinning and vomiting. Recently, this has started (during the last three months). Suddenly, it feels that my head is spinning and then after a few minutes I feel to throw up. I almost require a support during my head spinning. Afterward, (after I lay down in bed and within a few minutes), the head-spinning is gone and I just feel a slight headache. It occurs almost twice a month. Often it is accompanied by stomach pain but not always. However, I do not feel any chest pain or any other problems. | Hello, WeIcome to icliniq.com. I have seen all your reports (attachment removed to protect patient identity). ECG and 2D echo which are showing no heart disease and cardiac output are also good. Now, we will come to your complaint. Spinning followed by vomiting, the first reason may be due to orthostatic hypotension when you suddenly get up, you feel spinning due to reduced blood pressure. It shows autonomic failures. The second cause can be vestibulocochlear neuritis that is in the ear, they maintain our body balance, but due to swelling, they cannot maintain and you feel spinning sensation and vomiting. For this, you can take tablet Vertin 16 mg once a day and once visit ENT doctor nearby and check your BP at lying and sitting position. |
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Hello doctor, I have a constant problem with my head spinning and vomiting. Recently, this has started (during the last three months). Suddenly, it feels that my head is spinning and then after a few minutes I feel to throw up. I almost require a support during my head spinning. Afterward, (after I lay down in bed and within a few minutes), the head-spinning is gone and I just feel a slight headache. It occurs almost twice a month. Often it is accompanied by stomach pain but not always. However, I do not feel any chest pain or any other problems. [/INST] Hello, WeIcome to icliniq.com. I have seen all your reports (attachment removed to protect patient identity). ECG and 2D echo which are showing no heart disease and cardiac output are also good. Now, we will come to your complaint. Spinning followed by vomiting, the first reason may be due to orthostatic hypotension when you suddenly get up, you feel spinning due to reduced blood pressure. It shows autonomic failures. The second cause can be vestibulocochlear neuritis that is in the ear, they maintain our body balance, but due to swelling, they cannot maintain and you feel spinning sensation and vomiting. For this, you can take tablet Vertin 16 mg once a day and once visit ENT doctor nearby and check your BP at lying and sitting position. |
Q. Please evaluate my condition from the medical report. | Hi doctor,I am suffering from dullness and tiredness all the time. Also, I have anxiety and irritation. My current medication includes Lodoz 2.5 and Cilaheart 5, VALZ 40. My medical report shows some abnormalities. Please suggest. | Hi. I feel sorry for the dullness and tiredness you feel. It is really troublesome for a patient at this early age. I have carefully gone through your case and thanks for making it easy to evaluate on the basis of the attached reports (attachment removed to protect patient identity). 1. You have a very high body mass index that makes the heart issues justified even at this young age. 2. Your ideal weight for this age and height must be between 60 kg and 65 kg. Above 65 kg means a very high risk. 3. You need to keep a balanced diet intake, physical activity on a regular and healthy pace. Do not go for any heroic measures or faster weight loss measures that may even make you more unhealthy. 4. Your laboratory reports, which are out of range, will be discussed here in detail as you need to know about them. Please follow the suggestions so that you may live a long healthier life. 5. Avoid smoking, alcohol, spices and fried foods, junks and energy drinks. Only a bland diet, homemade and good hygienic. No refined foods. Keep wholegrain foods in your scheduled menu. 6. You have a high level of cardiac marker that shows a risk to the heart due to its own blood supply. In simple words, the pipes which supply blood to the heart's own muscles are somewhat at a high risk of blockage due to the disease inside them. This situation may lead to future heart attacks or pain and discomfort in the chest. 7. Your symptoms also suggest the heart disease related to the muscle's blood supply. This kind of symptoms warrants a prompt, thorough evaluation of the heart from a cardiologist who will need to run a specific laboratory tests on you to see what is happening inside. 8. The cardiac evaluation is also necessary, because sometimes there is not any cardiac disease and the values of the above said test that the hs-CRP is still high. And sometimes, the symptoms you have right now are also due to anxiety and other non-cardiac causes. So, clinical evaluation is the most important next step. Make an appointment as soon as possible to see how is your heart. 9. Fortunately, as for many other tests, your blood cholesterol levels are also very much in the normal range and this is very encouraging sign for your good health. Please keep away from oily edibles and remain physically active. 10. You have high levels of alkaline phosphatase, an enzyme that is high in liver damage and disease related to the biliary system that is attached to the liver. You also have high liver enzymes that once again indicate you have some liver problems, for example hepatitis or other issues. You need to go for a thorough abdominal ultrasound and viral marker test from the same laboratory test for this purpose. 11. Other test derangements also implicate the same liver issues. When you get the laboratory results I mentioned below, come back with uploading the results as you did before. I will review and let you know how to proceed further. 1. HBsAg (hepatitis B surface antigen) and anti HCV (hepatitis C virus), both by ELISA - enzyme-linked immunosorbent assay. 2. Abdominal ultrasound. Revert back with the reports to a general practitioner online --> |
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Hi doctor,I am suffering from dullness and tiredness all the time. Also, I have anxiety and irritation. My current medication includes Lodoz 2.5 and Cilaheart 5, VALZ 40. My medical report shows some abnormalities. Please suggest. [/INST] Hi. I feel sorry for the dullness and tiredness you feel. It is really troublesome for a patient at this early age. I have carefully gone through your case and thanks for making it easy to evaluate on the basis of the attached reports (attachment removed to protect patient identity). 1. You have a very high body mass index that makes the heart issues justified even at this young age. 2. Your ideal weight for this age and height must be between 60 kg and 65 kg. Above 65 kg means a very high risk. 3. You need to keep a balanced diet intake, physical activity on a regular and healthy pace. Do not go for any heroic measures or faster weight loss measures that may even make you more unhealthy. 4. Your laboratory reports, which are out of range, will be discussed here in detail as you need to know about them. Please follow the suggestions so that you may live a long healthier life. 5. Avoid smoking, alcohol, spices and fried foods, junks and energy drinks. Only a bland diet, homemade and good hygienic. No refined foods. Keep wholegrain foods in your scheduled menu. 6. You have a high level of cardiac marker that shows a risk to the heart due to its own blood supply. In simple words, the pipes which supply blood to the heart's own muscles are somewhat at a high risk of blockage due to the disease inside them. This situation may lead to future heart attacks or pain and discomfort in the chest. 7. Your symptoms also suggest the heart disease related to the muscle's blood supply. This kind of symptoms warrants a prompt, thorough evaluation of the heart from a cardiologist who will need to run a specific laboratory tests on you to see what is happening inside. 8. The cardiac evaluation is also necessary, because sometimes there is not any cardiac disease and the values of the above said test that the hs-CRP is still high. And sometimes, the symptoms you have right now are also due to anxiety and other non-cardiac causes. So, clinical evaluation is the most important next step. Make an appointment as soon as possible to see how is your heart. 9. Fortunately, as for many other tests, your blood cholesterol levels are also very much in the normal range and this is very encouraging sign for your good health. Please keep away from oily edibles and remain physically active. 10. You have high levels of alkaline phosphatase, an enzyme that is high in liver damage and disease related to the biliary system that is attached to the liver. You also have high liver enzymes that once again indicate you have some liver problems, for example hepatitis or other issues. You need to go for a thorough abdominal ultrasound and viral marker test from the same laboratory test for this purpose. 11. Other test derangements also implicate the same liver issues. When you get the laboratory results I mentioned below, come back with uploading the results as you did before. I will review and let you know how to proceed further. 1. HBsAg (hepatitis B surface antigen) and anti HCV (hepatitis C virus), both by ELISA - enzyme-linked immunosorbent assay. 2. Abdominal ultrasound. Revert back with the reports to a general practitioner online --> |
Q. How long should my husband and I wait to try for a baby if we did cocaine? | Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. | Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> |
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Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. [/INST] Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> |
Q. Can Yasmin birth control pill be used as an emergency contraceptive pill? | Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? | Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> |
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Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? [/INST] Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> |
Q. Please explain the poisonous effect of phenol ingestion. | Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. | Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> |
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Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. [/INST] Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> |
Q. For how long should I take Kalachikai powder to overcome PCOD problem? | Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? | Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> |
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Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? [/INST] Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> |
Q. Why do periods get delayed after first time sex? | Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? | Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> |
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Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? [/INST] Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> |
Q. I have severe pain after wisdom teeth removal. Why? | Hello doctor, I had just gotten all four of my wisdom teeth taken out a few days back and I have bad toothaches on my left lower jaw. I have done everything. I am supposed to get the right side done too. I have been rinsing my mouth out and have not been aggressive with it or spitting it out. I have been brushing my teeth gently. I do not know why I have pain in just that one area. All the other sides are fine. | Hello. Post-extraction pain for the injury site is normal for a couple of days. The pain if persists after 3 to 4 days can be due to many reasons including some infections also. It may be due to the large unhealed wound because the third molar generally requires a surgical intervention or it may be because of a dry socket (but that is highly unlikely as you mentioned you have followed the instructions properly, but it cannot be ruled out completely). I would like you to have a visit to the same dentist for the said tooth socket in order to rule out ay other cause. I would also advise you to follow the same instructions given by the dentist after the teeth removal for the coming five days again. Maintain good oral hygiene and avoid touching the injury site with finger or tongue. |
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Hello doctor, I had just gotten all four of my wisdom teeth taken out a few days back and I have bad toothaches on my left lower jaw. I have done everything. I am supposed to get the right side done too. I have been rinsing my mouth out and have not been aggressive with it or spitting it out. I have been brushing my teeth gently. I do not know why I have pain in just that one area. All the other sides are fine. [/INST] Hello. Post-extraction pain for the injury site is normal for a couple of days. The pain if persists after 3 to 4 days can be due to many reasons including some infections also. It may be due to the large unhealed wound because the third molar generally requires a surgical intervention or it may be because of a dry socket (but that is highly unlikely as you mentioned you have followed the instructions properly, but it cannot be ruled out completely). I would like you to have a visit to the same dentist for the said tooth socket in order to rule out ay other cause. I would also advise you to follow the same instructions given by the dentist after the teeth removal for the coming five days again. Maintain good oral hygiene and avoid touching the injury site with finger or tongue. |
Q. Why is my CBC showing increased eosinophil count? | Hi doctor, I took a CBC test a few days back. Is everything normal? My eosinophil count has increased from 3 to 6 and I am worried as the normal range is 1 to 6. Can you please get back to me on this and if it is fine? Absolute is slightly high but within range. Please let me know if everything is alright. | Hello. I have seen your complete blood count report and understood your query regarding about eosinophilia (attachment removed to protect patient identity). First of all your reports are normal and counts are also normal, no need to worry regarding this. Your absolute eosinophils count 480 is within the normal range, and of course, in percent form, it is higher normal levels up to 6 %. If we will talk about eosinophilia if more than 500 cells divide into three categories of mild, moderate and severe. It is called eosinophilic syndrome when it is more than 1500 cell for more than six months. If we talk common cause is a simple parasitic infection, any allergy like rhinitis or skin eczema, up to blood malignancy. So you do not have to worry as you said your eosinophils count has increased from 3 to 6 % until you have any symptoms like rashes, pruritis, breathing difficulties, diarrhea, arthralgia. Repeat your absolute eosinophils count after three months, or if you have any symptoms above, then contact me. Otherwise, it is not significant. |
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Hi doctor, I took a CBC test a few days back. Is everything normal? My eosinophil count has increased from 3 to 6 and I am worried as the normal range is 1 to 6. Can you please get back to me on this and if it is fine? Absolute is slightly high but within range. Please let me know if everything is alright. [/INST] Hello. I have seen your complete blood count report and understood your query regarding about eosinophilia (attachment removed to protect patient identity). First of all your reports are normal and counts are also normal, no need to worry regarding this. Your absolute eosinophils count 480 is within the normal range, and of course, in percent form, it is higher normal levels up to 6 %. If we will talk about eosinophilia if more than 500 cells divide into three categories of mild, moderate and severe. It is called eosinophilic syndrome when it is more than 1500 cell for more than six months. If we talk common cause is a simple parasitic infection, any allergy like rhinitis or skin eczema, up to blood malignancy. So you do not have to worry as you said your eosinophils count has increased from 3 to 6 % until you have any symptoms like rashes, pruritis, breathing difficulties, diarrhea, arthralgia. Repeat your absolute eosinophils count after three months, or if you have any symptoms above, then contact me. Otherwise, it is not significant. |
Q. Kindly advise whether the blood report shows blood cancer or not. | Hello doctor, I have my wife's blood test report. We fear that she might have blood cancer. For the last four months, she is having joint pain, sudden breath difficulty, hand pain, and chest pain. Kindly help. | Hello. As per the report, only apparent problem is that she has mild anemia, microcytic hypochromic (attachment removed to protect patient identity). Usually common in young females. Otherwise, platelets and WBC are normal. Does she have any other symptoms like fever or bleeding? Also, why are you thinking of cancer? To be sure you can repeat CBC with a peripheral smear. If needed, serum iron studies can be done to confirm iron deficiency anemia. |
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Hello doctor, I have my wife's blood test report. We fear that she might have blood cancer. For the last four months, she is having joint pain, sudden breath difficulty, hand pain, and chest pain. Kindly help. [/INST] Hello. As per the report, only apparent problem is that she has mild anemia, microcytic hypochromic (attachment removed to protect patient identity). Usually common in young females. Otherwise, platelets and WBC are normal. Does she have any other symptoms like fever or bleeding? Also, why are you thinking of cancer? To be sure you can repeat CBC with a peripheral smear. If needed, serum iron studies can be done to confirm iron deficiency anemia. |
Q. Why are there generalized itching and cherry color spots on chest and back? | Hello doctor, I am 38 years old and a little obese. I have noticed two or three cherry color spots on my chest and back. Are they something to be worried about? I hope it is not a sign of some serious disease. Secondly, I am experiencing some generalized itching on my body. Last year same time of the year, I felt the same. Is it due to winter and dry skin? I am putting coconut oil and it gets better and also having Allegra 180. | Hi. I have gone through your case. These red spots are called cherry angioma and these are nothing to worry. They are just like black moles which normally do occur on our skin. These are due to swelling of the blood vessel. In winter we take bath with hot water which makes our skin more dry by evaporating water from our skin. Heaters do the same. As a result, the skin becomes drier. Use mild to moderate hot water, coconut oil or liquid paraffin both are fine. Or mix one teaspoon of Betamethasone lotion with two tablespoons of olive oil and apply two times a day for five days only. Take Allegra for five days only. However, if other family members are also having an itch then it is not due to winter issue. |
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Hello doctor, I am 38 years old and a little obese. I have noticed two or three cherry color spots on my chest and back. Are they something to be worried about? I hope it is not a sign of some serious disease. Secondly, I am experiencing some generalized itching on my body. Last year same time of the year, I felt the same. Is it due to winter and dry skin? I am putting coconut oil and it gets better and also having Allegra 180. [/INST] Hi. I have gone through your case. These red spots are called cherry angioma and these are nothing to worry. They are just like black moles which normally do occur on our skin. These are due to swelling of the blood vessel. In winter we take bath with hot water which makes our skin more dry by evaporating water from our skin. Heaters do the same. As a result, the skin becomes drier. Use mild to moderate hot water, coconut oil or liquid paraffin both are fine. Or mix one teaspoon of Betamethasone lotion with two tablespoons of olive oil and apply two times a day for five days only. Take Allegra for five days only. However, if other family members are also having an itch then it is not due to winter issue. |
Q. Echocardiogram shows grade 1 diastolic dysfunction. Kindly advise. | Hello doctor, I have anxiety for the last five months. Recently, I had an echocardiogram, it says grade 1 diastolic dysfunction of the left ventricle with E/A ratio 0.7. Rest other parameters of the echo are fine. Sometimes my diastolic BP goes to 90 due to anxiety. Can you please tell what is this dysfunction? Will it cause future issues and will it go away if I get rid of my anxiety and BP? My ECG is found to be normal. | Hello. Diastolic dysfunction in the echo is, in fact, abnormal function of the left ventricle during relaxation phase that is diastole (attachment removed to protect patient identity). It occurs when left ventricle muscle is hypertrophied due to increased blood pressure. Grade 1 is the initial phase, but do not worry it is reversible. Control blood pressure and it will be fine within a few months. No need to repeat echo but controlling BP is essential. According to the latest guidelines, optimal BP is <120/<80 mmHg. To reduce BP avoid anxiety, avoid smoking (if you smoke), avoid alcohol or any other form of addiction (if you are addicted), reduce salt intake in the diet, avoid junk foods, oily foods, ghee, etc. Do regular exercise, maintain a healthy weight. |
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Hello doctor, I have anxiety for the last five months. Recently, I had an echocardiogram, it says grade 1 diastolic dysfunction of the left ventricle with E/A ratio 0.7. Rest other parameters of the echo are fine. Sometimes my diastolic BP goes to 90 due to anxiety. Can you please tell what is this dysfunction? Will it cause future issues and will it go away if I get rid of my anxiety and BP? My ECG is found to be normal. [/INST] Hello. Diastolic dysfunction in the echo is, in fact, abnormal function of the left ventricle during relaxation phase that is diastole (attachment removed to protect patient identity). It occurs when left ventricle muscle is hypertrophied due to increased blood pressure. Grade 1 is the initial phase, but do not worry it is reversible. Control blood pressure and it will be fine within a few months. No need to repeat echo but controlling BP is essential. According to the latest guidelines, optimal BP is <120/<80 mmHg. To reduce BP avoid anxiety, avoid smoking (if you smoke), avoid alcohol or any other form of addiction (if you are addicted), reduce salt intake in the diet, avoid junk foods, oily foods, ghee, etc. Do regular exercise, maintain a healthy weight. |
Q. Omeprazole taken for burping is causing muscle weakness, headache and shortness of breath. Why? | Hello doctor, I have been experiencing acid problems. I keep burping after eating. I started to take 20 mg Omeprazole. I have been taking it for three days, once daily but I experience side effects such as muscle weakness, headache, and shortness of breath. How long should I take the medicine? And can I switch to Esomeprazole? | Hello. I will definitely help you with your problem. Burping after eating is a very common problem. It is known as gastroesophageal reflux disease. I will suggest you some precautions to prevent it. Eat less quantity of food every time than before. You may eat five to six times a day but with lesser quantity. There should be a gap of two hours in the night after eating and go to bed. Walking for sometimes is a must after every eating. Avoid spicy and fatty foods as much as possible. You may switch to Esomeprazole it is more effective. Also add one more drug Levosulpiride for 15 days. You should take syrup Sucralfate two tablespoons three times a day. It will help to heal ulcers and for fast recovery. I hope this helps. |
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Hello doctor, I have been experiencing acid problems. I keep burping after eating. I started to take 20 mg Omeprazole. I have been taking it for three days, once daily but I experience side effects such as muscle weakness, headache, and shortness of breath. How long should I take the medicine? And can I switch to Esomeprazole? [/INST] Hello. I will definitely help you with your problem. Burping after eating is a very common problem. It is known as gastroesophageal reflux disease. I will suggest you some precautions to prevent it. Eat less quantity of food every time than before. You may eat five to six times a day but with lesser quantity. There should be a gap of two hours in the night after eating and go to bed. Walking for sometimes is a must after every eating. Avoid spicy and fatty foods as much as possible. You may switch to Esomeprazole it is more effective. Also add one more drug Levosulpiride for 15 days. You should take syrup Sucralfate two tablespoons three times a day. It will help to heal ulcers and for fast recovery. I hope this helps. |
Q. What is the treatment for absence of eyebrow? | Hi doctor, I am a 22 year old male. I do not have an eyebrow. It has been like this since birth and I am ashamed about it. But, my siblings have good eyebrows and mine is different. I do apply castor oil sometimes, but it is not growing at all. Please help me. | Hello. For further information consult a dermatologist online --> |
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Hi doctor, I am a 22 year old male. I do not have an eyebrow. It has been like this since birth and I am ashamed about it. But, my siblings have good eyebrows and mine is different. I do apply castor oil sometimes, but it is not growing at all. Please help me. [/INST] Hello. For further information consult a dermatologist online --> |
Q. Is it hip arthritis? I am having pain above my right hip and little swollen. | Dear doctor, I am having pain above my right hip. It feels a little swollen and a little pain in my lower back above the right hip. I can feel the pain more when taking a breath. My lower back feels like it is burning. Give me any advice. | Hi. I have studied your case. As per your history, there can be hip arthritis which can be degenerative or due to avascular necrosis of femoral head (AVN). I will advise you to take an x-ray of hip again and you can consult me with the reports or with your doctor. After clinical examination, if AVN (avascular necrosis) is suspected, then you will need MRI. Till that time, you can take analgesic and cartilage protecting medication like Glucosamine sulfate. For hip arthritis, joint flexion, extension and rotation exercises will help. If required intra-articular injection can be given. Diet rich in calcium and protein will help. If the pain is in pelvis then, ultrasonography or MRI spine may be required. Hope this answers your query. If you have additional questions or follow up queries, please do not hesitate in writing to us. I will be happy to answer your queries. An expert physiotherapist online will help you better to learn more exercises in proper protocol --> |
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Dear doctor, I am having pain above my right hip. It feels a little swollen and a little pain in my lower back above the right hip. I can feel the pain more when taking a breath. My lower back feels like it is burning. Give me any advice. [/INST] Hi. I have studied your case. As per your history, there can be hip arthritis which can be degenerative or due to avascular necrosis of femoral head (AVN). I will advise you to take an x-ray of hip again and you can consult me with the reports or with your doctor. After clinical examination, if AVN (avascular necrosis) is suspected, then you will need MRI. Till that time, you can take analgesic and cartilage protecting medication like Glucosamine sulfate. For hip arthritis, joint flexion, extension and rotation exercises will help. If required intra-articular injection can be given. Diet rich in calcium and protein will help. If the pain is in pelvis then, ultrasonography or MRI spine may be required. Hope this answers your query. If you have additional questions or follow up queries, please do not hesitate in writing to us. I will be happy to answer your queries. An expert physiotherapist online will help you better to learn more exercises in proper protocol --> |
Q. I have an uneven skin tone on my face. How to get an even skin tone and glowing skin? | Hello doctor, I am 24 years old. I have an uneven skin tone on my face. Please advise for an even skin tone and glowing skin. | Hi Uneven skin tone is caused mainly by: To prevent and reverse dullness of skin and to improve your skin tone: |
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Hello doctor, I am 24 years old. I have an uneven skin tone on my face. Please advise for an even skin tone and glowing skin. [/INST] Hi Uneven skin tone is caused mainly by: To prevent and reverse dullness of skin and to improve your skin tone: |
Q. Are there any liver supplements I can take while on Risperdal and Depakote? | Hello doctor, Are there any liver supplements that I can take while on Risperdal and Depakote? | Hi. The side effects of Depakote (Sodium valproate) on the liver are quite common and well known. It does cause an increase in liver enzymes level and symptoms like weakness, lethargy, jaundice (yellowing of skin and sclera), loss of appetite - all due to its effect on the liver. But, there is no role of any liver supplements to prevent Depakote-induced liver dysfunction. What you can do is get liver function tests (LFT) done regularly and check for an increase in liver enzymes. Only if the value is at least three times the normal, the medication can be stopped. For a detailed reply, kindly give more details regarding your illness as well as the current medications. Consult a general practitioner online --> |
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Hello doctor, Are there any liver supplements that I can take while on Risperdal and Depakote? [/INST] Hi. The side effects of Depakote (Sodium valproate) on the liver are quite common and well known. It does cause an increase in liver enzymes level and symptoms like weakness, lethargy, jaundice (yellowing of skin and sclera), loss of appetite - all due to its effect on the liver. But, there is no role of any liver supplements to prevent Depakote-induced liver dysfunction. What you can do is get liver function tests (LFT) done regularly and check for an increase in liver enzymes. Only if the value is at least three times the normal, the medication can be stopped. For a detailed reply, kindly give more details regarding your illness as well as the current medications. Consult a general practitioner online --> |
Q. I need an advice, I am thinking of doing medicine in Bulgaria. I have a weak memory | Hi doctor, I need advice. I am thinking of studying medicine in Bulgaria. I failed twice in my first-year pharmacy degree UK. I think I have a weak memory. Please help me. | Hi. First of all, I like to extend my best wishes for medicine in Bulgaria, as this is the only profession in the world which pays you both respect and money albeit it requires very hard work. As you have mentioned in your narration that you failed twice in your pharmacy exams, I like to tell you that memory is not the only reason for failing in anything, say academics, sports, business and so on. Other than memory, it could be your disinterest, change of plan, your engagement in other activities, substance abuse, not keeping good health, etc. With such a brief description, it is very hard to tell you about your memory, but I assume that if you secured pharmacy, that indicates you are not the weak memory kind of guy. I suggest to have an assessment of your caliber and plan accordingly. |
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Hi doctor, I need advice. I am thinking of studying medicine in Bulgaria. I failed twice in my first-year pharmacy degree UK. I think I have a weak memory. Please help me. [/INST] Hi. First of all, I like to extend my best wishes for medicine in Bulgaria, as this is the only profession in the world which pays you both respect and money albeit it requires very hard work. As you have mentioned in your narration that you failed twice in your pharmacy exams, I like to tell you that memory is not the only reason for failing in anything, say academics, sports, business and so on. Other than memory, it could be your disinterest, change of plan, your engagement in other activities, substance abuse, not keeping good health, etc. With such a brief description, it is very hard to tell you about your memory, but I assume that if you secured pharmacy, that indicates you are not the weak memory kind of guy. I suggest to have an assessment of your caliber and plan accordingly. |
Q. I am pregnant and my entire body is itching, what could be the reason? | Hi doctor, I am pregnant, and my entire body is itching. What could be the reason? Please help. | Hello. If there is itching alone (especially involving palms and soles) without any skin rashes, it could be a condition called obstetric cholestasis. In obstetric cholestasis, the liver is unable to send out the waste product called bile acids, and they accumulate in the blood and get deposited in the skin leading to itching. This can be picked up by a simple blood test. It can affect the baby if the levels are too high. We generally deliver the baby by 37 weeks to avoid this. You will need other tests to check for liver function, hepatitis virus, etc. And we need to monitor the baby through scans, CTG (cardiotocography), etc. |
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Hi doctor, I am pregnant, and my entire body is itching. What could be the reason? Please help. [/INST] Hello. If there is itching alone (especially involving palms and soles) without any skin rashes, it could be a condition called obstetric cholestasis. In obstetric cholestasis, the liver is unable to send out the waste product called bile acids, and they accumulate in the blood and get deposited in the skin leading to itching. This can be picked up by a simple blood test. It can affect the baby if the levels are too high. We generally deliver the baby by 37 weeks to avoid this. You will need other tests to check for liver function, hepatitis virus, etc. And we need to monitor the baby through scans, CTG (cardiotocography), etc. |
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 get closer to my husband? | Hi doctor, My husband is suffering from stress. My husband does not share anything with me, but he does share his feelings with his mother. I am unable to handle this and I am becoming weak internally. Everyone is after my husband's health. But, no one understands my situation. Due to such tension and stress, I am also facing health issues. There is no friend of mine with whom I can share things. Most of the time my husband feels stressed. When we plan to go out for some holidays and every time he cancels it. | Hi. For further information consult a psychiatrist online --> |
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Hi doctor, My husband is suffering from stress. My husband does not share anything with me, but he does share his feelings with his mother. I am unable to handle this and I am becoming weak internally. Everyone is after my husband's health. But, no one understands my situation. Due to such tension and stress, I am also facing health issues. There is no friend of mine with whom I can share things. Most of the time my husband feels stressed. When we plan to go out for some holidays and every time he cancels it. [/INST] Hi. For further information consult a psychiatrist online --> |
Q. I have pain in wisdom tooth with restricted mouth opening. Why? | Hello doctor, My lower right wisdom tooth is aching and am taking antibiotics but cannot open mouth all the way. It is too painful. | Hello. You should also start taking a muscle relaxant (Chlorzoxazone) with painkiller along with the antibiotic for a week. You will need a prescription for it. So, go back to your dentist. Do not delay for long else swelling might increase rapidly. Also, use warm salt water gargle twice a day. You will need to extract the wisdom tooth as soon as possible. Do slight exercises of the mouth after you start taking the required prescription, to loosen the jaw muscles to facilitate removal of the tooth. Did the dentist prescribe you Clindamycin? |
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Hello doctor, My lower right wisdom tooth is aching and am taking antibiotics but cannot open mouth all the way. It is too painful. [/INST] Hello. You should also start taking a muscle relaxant (Chlorzoxazone) with painkiller along with the antibiotic for a week. You will need a prescription for it. So, go back to your dentist. Do not delay for long else swelling might increase rapidly. Also, use warm salt water gargle twice a day. You will need to extract the wisdom tooth as soon as possible. Do slight exercises of the mouth after you start taking the required prescription, to loosen the jaw muscles to facilitate removal of the tooth. Did the dentist prescribe you Clindamycin? |
Q. I am trying to conceive, will the previous intake of i-pill affect me getting pregnant now? | Hello doctor, One year back, I took five i-pill tablets within 6 months, and two of them were taken within a week. I am now trying to conceive. Will the previous intake of i-pill affect me getting pregnant now. What should I do to get pregnant now? Please help me. | Hi. Taking I-pill is not really good for your health. You cannot change what has happened in the past, so let us not speak about it, but avoid taking I-pill in the future. Do not worry too much about it, because mental stress can cause specific hormonal changes that will reduce your chances of getting pregnant. If your menstrual cycle is regular, try to have sex during the mid-cycle. Ensure that you have sex at least once in 72 hours during the mid-cycle. Eat good food, and indulge in moderate physical exercise to keep your body healthy. |
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Hello doctor, One year back, I took five i-pill tablets within 6 months, and two of them were taken within a week. I am now trying to conceive. Will the previous intake of i-pill affect me getting pregnant now. What should I do to get pregnant now? Please help me. [/INST] Hi. Taking I-pill is not really good for your health. You cannot change what has happened in the past, so let us not speak about it, but avoid taking I-pill in the future. Do not worry too much about it, because mental stress can cause specific hormonal changes that will reduce your chances of getting pregnant. If your menstrual cycle is regular, try to have sex during the mid-cycle. Ensure that you have sex at least once in 72 hours during the mid-cycle. Eat good food, and indulge in moderate physical exercise to keep your body healthy. |
Q. Is it normal to urinate often during implantation bleeding? | Hi doctor, Is it normal to poop and urinate often during implantation bleeding? | Hi. There is no relation of implantation bleeding with frequent urination and defecation. Implantation bleeding usually occurs about 9th day after ovulation, and no bowel symptoms accompany it. |
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Hi doctor, Is it normal to poop and urinate often during implantation bleeding? [/INST] Hi. There is no relation of implantation bleeding with frequent urination and defecation. Implantation bleeding usually occurs about 9th day after ovulation, and no bowel symptoms accompany it. |
Q. What is the reason for PCOS affecting fertility? | Hello doctor, I have two kids and recently diagnosed with PCOS. My last ultrasound showed I had 30 follicles in my left ovary and 25 in my right, with only one mature follicle, we have been trying medicated times intercourse with a trigger shot and it is not working. I am not getting pregnant. Why does PCOS affect with fertility so bad? Took Letrozole 2.5 mg three tablets once a day from day 3 to 7 and then did a trigger shot a week back- Ovidrel. | Hello. PCOD is a polycystic ovarian disease which causes increase testosterone levels in women with androgenic features and multiple small cysts in ovaries. It is one of the most common reasons for irregular menses, especially oligomenorrhoea and primary or secondary female infertility. The increased androgen feels do not allow the follicles to mature and hence ovulate and also if delayed ovulation occurs, the quality of the egg is not optimum to fertilize and lead to pregnancy. You shall need to be placed on low dose oral contraceptive pills with Myoinositol supplementation with a reduction in weight with exercise and diet modification (majorly) and increasing your daily water intake. All these for 3 to 6 months have been advocated for treatment of PCOD. |
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Hello doctor, I have two kids and recently diagnosed with PCOS. My last ultrasound showed I had 30 follicles in my left ovary and 25 in my right, with only one mature follicle, we have been trying medicated times intercourse with a trigger shot and it is not working. I am not getting pregnant. Why does PCOS affect with fertility so bad? Took Letrozole 2.5 mg three tablets once a day from day 3 to 7 and then did a trigger shot a week back- Ovidrel. [/INST] Hello. PCOD is a polycystic ovarian disease which causes increase testosterone levels in women with androgenic features and multiple small cysts in ovaries. It is one of the most common reasons for irregular menses, especially oligomenorrhoea and primary or secondary female infertility. The increased androgen feels do not allow the follicles to mature and hence ovulate and also if delayed ovulation occurs, the quality of the egg is not optimum to fertilize and lead to pregnancy. You shall need to be placed on low dose oral contraceptive pills with Myoinositol supplementation with a reduction in weight with exercise and diet modification (majorly) and increasing your daily water intake. All these for 3 to 6 months have been advocated for treatment of PCOD. |
Q. I took emergency contraceptive pills few days back. I am bleeding today. Am I pregnant? | Hi doctor, I had my periods on the 15th of last month, and I had sex on 25th. I took emergency contraceptive pills on the 26th. I am bleeding today. Am I pregnant? | Hi. No, you are not pregnant. You had your emergency contraceptive pills on the 26th, so this bleeding must be withdrawal bleeding due to that drug. But if bleeding does not settle, get one ultrasound scan done and rest assured. |
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Hi doctor, I had my periods on the 15th of last month, and I had sex on 25th. I took emergency contraceptive pills on the 26th. I am bleeding today. Am I pregnant? [/INST] Hi. No, you are not pregnant. You had your emergency contraceptive pills on the 26th, so this bleeding must be withdrawal bleeding due to that drug. But if bleeding does not settle, get one ultrasound scan done and rest assured. |
Q. Kindly advise the treatment for sensitive tooth. | Hi doctor, I am having sensitivity in the upper right tooth. There is no ditch or cavity but I feel the sensitivity while eating sweets. What could be the treatment option for it? | Hi. Sometimes any cavity or decay is not seen clinically but there can be some infection or carious activity going on inside the tooth that can be detected in X-ray or on examination. Considering the symptoms following could be the treatment options. Filling of the tooth if there is some carious activity diagnosed internally. Varnish on the tooth if there is no carious activity seen and there is just wear off of enamel seen. Root canal treatment if carious activity inside the tooth has involved the root. |
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Hi doctor, I am having sensitivity in the upper right tooth. There is no ditch or cavity but I feel the sensitivity while eating sweets. What could be the treatment option for it? [/INST] Hi. Sometimes any cavity or decay is not seen clinically but there can be some infection or carious activity going on inside the tooth that can be detected in X-ray or on examination. Considering the symptoms following could be the treatment options. Filling of the tooth if there is some carious activity diagnosed internally. Varnish on the tooth if there is no carious activity seen and there is just wear off of enamel seen. Root canal treatment if carious activity inside the tooth has involved the root. |
Q. Can bar insertion in the arm cause prolonged periods? | Hello doctor, I have recently had the bar inserted in my arm and have had side effects weeks after. I was wondering if these side effects are normal or are something to look into going to the doctors for. For two weeks, my period has not stopped, with the past week my flow has been fairly light and although I have had cramps, it is not as bad as when my period was originally due. | Hi. You are having a continuous bleeding problem. For that, you need to find any underlying specific cause, if present. It is advisable to investigate with USG pelvis and pelvic examination for primary work up. If all comes normal then investigate further with serum FSH, LH and DHEA estimation. If no cause identified then dysfunctional uterine bleeding is the possibility. You can be prescribed Tranexamic acid tablet and a Hormonal pill for bleeding. USG pelvis. DUB or other organic cause. Tranexamic acid just now and if needed Progesterone containing pill. |
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Hello doctor, I have recently had the bar inserted in my arm and have had side effects weeks after. I was wondering if these side effects are normal or are something to look into going to the doctors for. For two weeks, my period has not stopped, with the past week my flow has been fairly light and although I have had cramps, it is not as bad as when my period was originally due. [/INST] Hi. You are having a continuous bleeding problem. For that, you need to find any underlying specific cause, if present. It is advisable to investigate with USG pelvis and pelvic examination for primary work up. If all comes normal then investigate further with serum FSH, LH and DHEA estimation. If no cause identified then dysfunctional uterine bleeding is the possibility. You can be prescribed Tranexamic acid tablet and a Hormonal pill for bleeding. USG pelvis. DUB or other organic cause. Tranexamic acid just now and if needed Progesterone containing pill. |
Q. I have a chipped tooth that is sharp, sensitive and hurts. What to do? | Hello doctor, I have recently chipped the top of one of my teeth off, it is quite sharp and hurts when I eat certain things (sugary things it seems). The part that came off was very thin but I am worried my tooth could become more sensitive and more could break off so I would really like to fix this in some way. What is the best way to go about this? | Hi. The sensitivity is because of the exposure of the second layer of the tooth (dentin). It can be easily cured by using anti-sensitive toothpastes. Replace this toothpaste for night brushing and you will find best results in two weeks. You have also mentioned that the edges of the broken tooth is sharp and hurts you. For this you should visit a nearby dentist where the edges of the tooth will be rounded off to smoothen the surfaces. If the chipped portion is quite big to be replaced, it can be done with tooth coloured resin type filling materials which mimic the natural tooth to 90 %. |
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Hello doctor, I have recently chipped the top of one of my teeth off, it is quite sharp and hurts when I eat certain things (sugary things it seems). The part that came off was very thin but I am worried my tooth could become more sensitive and more could break off so I would really like to fix this in some way. What is the best way to go about this? [/INST] Hi. The sensitivity is because of the exposure of the second layer of the tooth (dentin). It can be easily cured by using anti-sensitive toothpastes. Replace this toothpaste for night brushing and you will find best results in two weeks. You have also mentioned that the edges of the broken tooth is sharp and hurts you. For this you should visit a nearby dentist where the edges of the tooth will be rounded off to smoothen the surfaces. If the chipped portion is quite big to be replaced, it can be done with tooth coloured resin type filling materials which mimic the natural tooth to 90 %. |
Q. The sphere during eye exam has come to -2 from -3. 25. Kindly help. | Hello doctor, During my last eye exam, a couple days ago, my eye doctor stated I needed lab work drawn due to a drastic change in my eyes. The sphere was -3.25 bilateral two years back and now is -2.0 bilateral. What is the concern? | Hi. I understand that your eye power has changed quite a bit in two years. The change that we normally expect to see in you would be more on the minus side that is to say that your power must naturally progress to more on the minus side than becoming less. We see these changes occurring due to a process called nuclear sclerosis, which is part of the normal aging process of the lens inside your eye. Since the power has become lesser, this change cannot be simply ignored as due to aging and your doctor must be suspecting a cause for which he has asked for laboratory work. There are very few conditions which can cause such a change, to name a few progressive hypermetropia, retinal and choroid diseases. |
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Hello doctor, During my last eye exam, a couple days ago, my eye doctor stated I needed lab work drawn due to a drastic change in my eyes. The sphere was -3.25 bilateral two years back and now is -2.0 bilateral. What is the concern? [/INST] Hi. I understand that your eye power has changed quite a bit in two years. The change that we normally expect to see in you would be more on the minus side that is to say that your power must naturally progress to more on the minus side than becoming less. We see these changes occurring due to a process called nuclear sclerosis, which is part of the normal aging process of the lens inside your eye. Since the power has become lesser, this change cannot be simply ignored as due to aging and your doctor must be suspecting a cause for which he has asked for laboratory work. There are very few conditions which can cause such a change, to name a few progressive hypermetropia, retinal and choroid diseases. |
Q. What is the reason for often getting angry with the baby? | Hello doctor, Why do I feel so angry with my baby? I get angry to the point that I even hit him. I do not want to hurt him but things get so out of control that I cannot control anything. I am always irritated by him. He gives me a constant headache. He is 1.5 years old. | Hello. There could be some aspects in this particular situation. You always had a low frustration tolerance. A baby is not easy to handle. Their immaturities often increase frustration and provoke anger but you need to understand they are too small to understand anything. You need to learn effective ways to tackle your child. There are counseling sessions on parenting which could be taken. Either you are upset or frustrated with some other social, professional or personal issues in life and because the baby is a soft target, people usually displace their anger on them. Find out if this is the case with you. Then work on it. You are suffering from some psychiatric problem like depression or anxiety disorder, it needs to be evaluated and treated. Do you have some hormonal imbalance like thyroid or any other physical problem? Find out the case with you and work on it. |
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Hello doctor, Why do I feel so angry with my baby? I get angry to the point that I even hit him. I do not want to hurt him but things get so out of control that I cannot control anything. I am always irritated by him. He gives me a constant headache. He is 1.5 years old. [/INST] Hello. There could be some aspects in this particular situation. You always had a low frustration tolerance. A baby is not easy to handle. Their immaturities often increase frustration and provoke anger but you need to understand they are too small to understand anything. You need to learn effective ways to tackle your child. There are counseling sessions on parenting which could be taken. Either you are upset or frustrated with some other social, professional or personal issues in life and because the baby is a soft target, people usually displace their anger on them. Find out if this is the case with you. Then work on it. You are suffering from some psychiatric problem like depression or anxiety disorder, it needs to be evaluated and treated. Do you have some hormonal imbalance like thyroid or any other physical problem? Find out the case with you and work on it. |
Q. Observed few changes in a mole. Is it something alarming? | Hi doctor,My relative, who is 55 years old, has a red color mole like thing in her forearm. She has been having this red color mole since so many years. Today only we noticed that there are small fresh red dots inside it. It looks new. What could it be? No other associated symptoms. We are worried if this might be something alarming. What should we do? Please explain in detail. She is hypothyroid and on medication for the past two years. She is also taking medication for more than 8 to 10 years for her cholesterol issue. | Hi. If there is a change in color, size, margin and shape in a pre-existing mole, especially in this age, then it is always an alarming sign. As you said it is changing its texture and color, then yes definitely. We should suspect about melanoma. In your case it is very difficult to say either it is a just normal change in a mole or precancerous change. For further information consult a dermatologist online --> |
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Hi doctor,My relative, who is 55 years old, has a red color mole like thing in her forearm. She has been having this red color mole since so many years. Today only we noticed that there are small fresh red dots inside it. It looks new. What could it be? No other associated symptoms. We are worried if this might be something alarming. What should we do? Please explain in detail. She is hypothyroid and on medication for the past two years. She is also taking medication for more than 8 to 10 years for her cholesterol issue. [/INST] Hi. If there is a change in color, size, margin and shape in a pre-existing mole, especially in this age, then it is always an alarming sign. As you said it is changing its texture and color, then yes definitely. We should suspect about melanoma. In your case it is very difficult to say either it is a just normal change in a mole or precancerous change. For further information consult a dermatologist online --> |
Q. How long should my husband and I wait to try for a baby if we did cocaine? | Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. | Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> |
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Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. [/INST] Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> |
Q. Can Yasmin birth control pill be used as an emergency contraceptive pill? | Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? | Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> |
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Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? [/INST] Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> |
Q. Please explain the poisonous effect of phenol ingestion. | Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. | Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> |
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Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. [/INST] Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> |
Q. For how long should I take Kalachikai powder to overcome PCOD problem? | Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? | Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> |
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Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? [/INST] Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> |
Q. Why do periods get delayed after first time sex? | Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? | Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> |
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Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? [/INST] Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> |
Q. What can be done for loose portion of an exposed capped tooth? | Hi doctor, I had a root canal and post cap done about 15 years back and the cap fell off about 14 years back leaving the original tooth exposed. Well a portion of the original exposed tooth became loose this morning and I am wondering if I can pull this piece out without any nerve pain or possibly getting some infection. Besides it being annoying am not in any pain. | Hi. I have read through your complaint and the relevant details. The loosened portion of the tooth should be the filling done in the tooth after the root canals are filled.This is called the core material. Because the tooth is exposed for a quite long period of time, there is microleakage in the filling which made it loose now. Please do not attempt to remove it because you might end up leaving a big hole in the tooth. This will further clog the food particles that you munch. There will not be 100 % pain since the tooth is root canal treated (equivalent to dead tooth). But leaving the tooth unprotected will lead to damage of the tooth further and the root canal treatment would fail. I request you to visit your dentist and get the tooth refilled and if financial conditions suit you go for the cap fabrication once again. This will help you save your tooth for another decade. The cap fabricating materials have improvised nowadays that they can be really strong to protect the underlying tooth structure. Example: Zirconia crowns. X-ray to check the status of the RC treated tooth. Re-restoration of the core followed by crown fabrication . |
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Hi doctor, I had a root canal and post cap done about 15 years back and the cap fell off about 14 years back leaving the original tooth exposed. Well a portion of the original exposed tooth became loose this morning and I am wondering if I can pull this piece out without any nerve pain or possibly getting some infection. Besides it being annoying am not in any pain. [/INST] Hi. I have read through your complaint and the relevant details. The loosened portion of the tooth should be the filling done in the tooth after the root canals are filled.This is called the core material. Because the tooth is exposed for a quite long period of time, there is microleakage in the filling which made it loose now. Please do not attempt to remove it because you might end up leaving a big hole in the tooth. This will further clog the food particles that you munch. There will not be 100 % pain since the tooth is root canal treated (equivalent to dead tooth). But leaving the tooth unprotected will lead to damage of the tooth further and the root canal treatment would fail. I request you to visit your dentist and get the tooth refilled and if financial conditions suit you go for the cap fabrication once again. This will help you save your tooth for another decade. The cap fabricating materials have improvised nowadays that they can be really strong to protect the underlying tooth structure. Example: Zirconia crowns. X-ray to check the status of the RC treated tooth. Re-restoration of the core followed by crown fabrication . |
Q. I have eye dryness post LASIK. What to do? | Hello doctor,I am 24 years old, male. I had LASIK one year before and now I feel dryness in my eyes. I use refresh tears but do not feel it effective. Please prescribe me any medicine so that my eyes does not remain dry. | Hi. Dry eye post LASIK is quiet bothersome, here are a few things you can try. Refresh liquigel- This has twice the concentration of the drug as in refresh tears. You can use it upto 6 to 8 times a day. Some patients do report transient blurring with this medication which goes away in a few minutes. Hot fomentation is quiet useful in a majority of cases- Wrap your hands around a hot coffee mug making your palms warm, close your eyelids and give this warmth to your eyelids by pressing your palm against your eyelids or the traditional way is to soak a clean cloth in water that is comfortably hot, squeezing out all the water from the cloth and then pressing the hot cloth to your closed eyelids atleast for 10 minutes, twice a day. Clean your eyelashes and eyelids with cotton buds soaked in baby shampoo. Try to keep the area around your eyes and your eyelids as clean as possible. I feel you should improve with these. |
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Hello doctor,I am 24 years old, male. I had LASIK one year before and now I feel dryness in my eyes. I use refresh tears but do not feel it effective. Please prescribe me any medicine so that my eyes does not remain dry. [/INST] Hi. Dry eye post LASIK is quiet bothersome, here are a few things you can try. Refresh liquigel- This has twice the concentration of the drug as in refresh tears. You can use it upto 6 to 8 times a day. Some patients do report transient blurring with this medication which goes away in a few minutes. Hot fomentation is quiet useful in a majority of cases- Wrap your hands around a hot coffee mug making your palms warm, close your eyelids and give this warmth to your eyelids by pressing your palm against your eyelids or the traditional way is to soak a clean cloth in water that is comfortably hot, squeezing out all the water from the cloth and then pressing the hot cloth to your closed eyelids atleast for 10 minutes, twice a day. Clean your eyelashes and eyelids with cotton buds soaked in baby shampoo. Try to keep the area around your eyes and your eyelids as clean as possible. I feel you should improve with these. |
Q. I have missed one birth control pill. There is bleeding and cramping. Please help. | Hello doctor, I am in my mid-cycle. There is a pretty good amount of bleeding and cramping. There is also some bloating. I have missed only one birth control pill. This has happened only when I have missed about 3 pills. Please help. | Hi. Normally when you miss your contraceptive pill, it may lead to withdrawal bleeding because of hormonal effect of the pill on the endometrium which suddenly withdraws. You should consult a gynecologist online and start taking the pills again based on her suggestion. |
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Hello doctor, I am in my mid-cycle. There is a pretty good amount of bleeding and cramping. There is also some bloating. I have missed only one birth control pill. This has happened only when I have missed about 3 pills. Please help. [/INST] Hi. Normally when you miss your contraceptive pill, it may lead to withdrawal bleeding because of hormonal effect of the pill on the endometrium which suddenly withdraws. You should consult a gynecologist online and start taking the pills again based on her suggestion. |
Q. I forgot to take the morning dose of anti-hypertensive pills. Can I take it now? | Hi doctor, I am hypertensive from the past 2 years. I forgot to take the morning dose of my antihypertensive pill, tablet Teleact. Can I take it now? | Hi. Take the dose immediately whenever you remember that you forgot to take the morning dose. This approach is better than not taking the dose at all. |
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Hi doctor, I am hypertensive from the past 2 years. I forgot to take the morning dose of my antihypertensive pill, tablet Teleact. Can I take it now? [/INST] Hi. Take the dose immediately whenever you remember that you forgot to take the morning dose. This approach is better than not taking the dose at all. |
Q. Bumps around vagina. It bleeds when I have sex. | Hi doctor, I have these bumps around my vagina. They look like skin tags. They do not itch, but when I have sex, they start bleeding. I hurt them while shaving, and they started bleeding. What could I have? Or could it be some sort of STD? | Hi. With the symptoms you have provided, it is not an STD (sexually transmitted disease). But if you have any doubt, I advise you to take an ELISA test. Most probably, you do not have skin tags, but a collection of vasculatures, as they bleed on any injury. You can get it removed by laser or cauterization. And avoid injury to the area as much as possible. |
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Hi doctor, I have these bumps around my vagina. They look like skin tags. They do not itch, but when I have sex, they start bleeding. I hurt them while shaving, and they started bleeding. What could I have? Or could it be some sort of STD? [/INST] Hi. With the symptoms you have provided, it is not an STD (sexually transmitted disease). But if you have any doubt, I advise you to take an ELISA test. Most probably, you do not have skin tags, but a collection of vasculatures, as they bleed on any injury. You can get it removed by laser or cauterization. And avoid injury to the area as much as possible. |
Q. How to find out the reason for vomiting sensation? | Hi doctor, I am having some obstruction feel in the throat and vomiting sensation for the past 20 days. There is a feeling of giddiness and strain to the eyes. I do not have any pain or burning sensation. Please suggest some treatment. | Hi. Revert back with the answers to the above questions to an internal medicine physician online --> |
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Hi doctor, I am having some obstruction feel in the throat and vomiting sensation for the past 20 days. There is a feeling of giddiness and strain to the eyes. I do not have any pain or burning sensation. Please suggest some treatment. [/INST] Hi. Revert back with the answers to the above questions to an internal medicine physician online --> |
Q. Is it all right for a newborn of 4 days to be given a normal bath? | Hi doctor, Is it all right for a newborn baby of 4 days to be given a normal bath? I read that only sponge bath should be given to the baby till the umbilical cord comes off and is completely healed. | Hi. In this cold winter, it would be preferable to give a sponge bath with lukewarm water, cleaning all areas of the body. One has to be careful that the baby is not exposed to cold. Keep the baby warm. Breastfeed the baby as it gives the mother's warmth also. |
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Hi doctor, Is it all right for a newborn baby of 4 days to be given a normal bath? I read that only sponge bath should be given to the baby till the umbilical cord comes off and is completely healed. [/INST] Hi. In this cold winter, it would be preferable to give a sponge bath with lukewarm water, cleaning all areas of the body. One has to be careful that the baby is not exposed to cold. Keep the baby warm. Breastfeed the baby as it gives the mother's warmth also. |
Q. Will root canal treated tooth cause pain in eye and mouth? | Hi doctor, For the last two nights, my right eye and the right side of my mouth have been bothering me a lot and I thought it was because of a headache but it is not. I have had a root canal done over a year ago in the right side in the back of my mouth and one done again behind that tooth. Could the pain from a root canal or failing root canal cause so much pain to my eye? And today on the second day I have felt like I have had water up my nose all day and my eyes burn. I use gadgets a lot. | Hi. I have read through your complaint and the relevant details. The reason for pain in the eye region should be due to any tooth infection in the upper front tooth region precisely the canine tooth. It could be a hidden decay in the tooth which bothers you a lot. I advice you to get it checked with the dentist along with an X-ray for the tooth in suspicion. There are least chances that the failed root canal treatment could cause this. A root canal treated tooth is equivalent to a dead tooth and this might not cause any pain at all. Moreover, you have mentioned that your nose waters and the eyes burn. I find these symptoms are irrelevant to the dental history you have given. Considering your age, I suspect that there are more possibilities for you sitting around with the electronic gadgets for longtime. This is the main reason for the symptoms you have mentioned. I highly recommend you to drink plenty of water and eat food that cools up your body such as watermelon, cucumber, lemon juice, etc. Oiling your head is again another tip which can help you reduce the body heat. |
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Hi doctor, For the last two nights, my right eye and the right side of my mouth have been bothering me a lot and I thought it was because of a headache but it is not. I have had a root canal done over a year ago in the right side in the back of my mouth and one done again behind that tooth. Could the pain from a root canal or failing root canal cause so much pain to my eye? And today on the second day I have felt like I have had water up my nose all day and my eyes burn. I use gadgets a lot. [/INST] Hi. I have read through your complaint and the relevant details. The reason for pain in the eye region should be due to any tooth infection in the upper front tooth region precisely the canine tooth. It could be a hidden decay in the tooth which bothers you a lot. I advice you to get it checked with the dentist along with an X-ray for the tooth in suspicion. There are least chances that the failed root canal treatment could cause this. A root canal treated tooth is equivalent to a dead tooth and this might not cause any pain at all. Moreover, you have mentioned that your nose waters and the eyes burn. I find these symptoms are irrelevant to the dental history you have given. Considering your age, I suspect that there are more possibilities for you sitting around with the electronic gadgets for longtime. This is the main reason for the symptoms you have mentioned. I highly recommend you to drink plenty of water and eat food that cools up your body such as watermelon, cucumber, lemon juice, etc. Oiling your head is again another tip which can help you reduce the body heat. |
Q. I had oral sex. I am diagnosed with herpes type 1 & 2. I have flu like symptoms. Do I have HIV? | Hello doctor, About 4 weeks ago, I got oral sex from a partner whose HIV status is unknown to me. I did only that with her. I always thought that it represented no risk of contamination to HIV. Now the thing is that about 1 week after that intercourse, I did a general blood test and found out that I have herpes type 1 and 2. I am aware that herpes increases the risk of contamination to HIV. But when I received the oral sex, I did not have any visible sore on my penis. Now about 4 to 5 weeks post that intercourse, I started to have flu-like symptoms (fatigue, sore throat, etc.) and several mouth ulcers. Could it be a sign of HIV or is it nothing as I was not exposed to anything and did not have an open sore on my penis when I had oral sex? | Hi. Firstly pre-existing lesion of herpes or any genital ulcer on the penis during sexual intercourse or oral sex increases the chances of HIV transmission. Your blood report came positive for Herpes 1 and 2. Herpes 1 mostly causes oral ulcers, and herpes 2 causes genital lesions. And there are two tests, Herpes IgG, which indicates any past infection or subclinical exposure and herpes IgM, which indicates active infection. Please tell me which test was positive in your case. Coming to your symptoms, they may be suggestive of the acute HIV syndrome. To rule out HIV, please get a western blot test done for HIV 1 and 2 at the earliest. ELISA test, which is generally done for HIV will be negative in the window period (4 to 6 weeks after contracting HIV). Also get an ELISA for HIV done 8 weeks after your exposure. If it is negative, get a repeat test done after 3 and 6 months for understanding. Please tell me a few details to help you better. Did you have sexual intercourse also? If yes, you need to get a few more tests done to rule out other STD's. Did the person who performed oral sex have any oral or genital lesions? |
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Hello doctor, About 4 weeks ago, I got oral sex from a partner whose HIV status is unknown to me. I did only that with her. I always thought that it represented no risk of contamination to HIV. Now the thing is that about 1 week after that intercourse, I did a general blood test and found out that I have herpes type 1 and 2. I am aware that herpes increases the risk of contamination to HIV. But when I received the oral sex, I did not have any visible sore on my penis. Now about 4 to 5 weeks post that intercourse, I started to have flu-like symptoms (fatigue, sore throat, etc.) and several mouth ulcers. Could it be a sign of HIV or is it nothing as I was not exposed to anything and did not have an open sore on my penis when I had oral sex? [/INST] Hi. Firstly pre-existing lesion of herpes or any genital ulcer on the penis during sexual intercourse or oral sex increases the chances of HIV transmission. Your blood report came positive for Herpes 1 and 2. Herpes 1 mostly causes oral ulcers, and herpes 2 causes genital lesions. And there are two tests, Herpes IgG, which indicates any past infection or subclinical exposure and herpes IgM, which indicates active infection. Please tell me which test was positive in your case. Coming to your symptoms, they may be suggestive of the acute HIV syndrome. To rule out HIV, please get a western blot test done for HIV 1 and 2 at the earliest. ELISA test, which is generally done for HIV will be negative in the window period (4 to 6 weeks after contracting HIV). Also get an ELISA for HIV done 8 weeks after your exposure. If it is negative, get a repeat test done after 3 and 6 months for understanding. Please tell me a few details to help you better. Did you have sexual intercourse also? If yes, you need to get a few more tests done to rule out other STD's. Did the person who performed oral sex have any oral or genital lesions? |
Q. I am suffering from irregular periods. I am currently on levothyroxine. Please help. | Hi doctor, I am suffering from irregular periods. I am currently taking medication Levothyroxine 50. My T3 is 0.87 ng/mL, T4 is 8.30 ug/dL, TSH is 2.43 uIU/mL. I am 34 years old, weigh 75 kg, and 5 feet tall. Please advice. | Hi. From your query, I understand that you are suffering from hypothyroidism. I need to know when was it diagnosed, and what was the thyroid profile at that time. Irregular periods and weight gain is a part of hypothyroidism. I would like to modify your dose as well as advise you ways to reduce your weight. All will be well once we modify your dose. |
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Hi doctor, I am suffering from irregular periods. I am currently taking medication Levothyroxine 50. My T3 is 0.87 ng/mL, T4 is 8.30 ug/dL, TSH is 2.43 uIU/mL. I am 34 years old, weigh 75 kg, and 5 feet tall. Please advice. [/INST] Hi. From your query, I understand that you are suffering from hypothyroidism. I need to know when was it diagnosed, and what was the thyroid profile at that time. Irregular periods and weight gain is a part of hypothyroidism. I would like to modify your dose as well as advise you ways to reduce your weight. All will be well once we modify your dose. |
Q. I have hypertension. Please suggest me some natural ways to treat this. | Hi doctor, I have hypertension. Please suggest some natural ways to treat it. | Hello. I understand that you are not interested in taking medications for hypertension for a long time. So I am suggesting you a natural way of dealing with hypertension. Take raisins. Soak it in rose water overnight. Chew and eat it in the morning. You have to follow this for 21 days with 1 raisin on the first day, 2 raisins on the second day, 3 raisins on the third day and so on till you have 21 raisins on the 21 st day. Then stop this and after a gap of 2 weeks, repeat this. Follow 4 to 5 cycles like this. Meanwhile, keep taking your allopathic medication during this period. Afterward, you can taper off the medication. Keep checking your blood pressure after every 21 days. This might work for you depending on your body condition. Also, try to do meditation and yoga. |
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Hi doctor, I have hypertension. Please suggest some natural ways to treat it. [/INST] Hello. I understand that you are not interested in taking medications for hypertension for a long time. So I am suggesting you a natural way of dealing with hypertension. Take raisins. Soak it in rose water overnight. Chew and eat it in the morning. You have to follow this for 21 days with 1 raisin on the first day, 2 raisins on the second day, 3 raisins on the third day and so on till you have 21 raisins on the 21 st day. Then stop this and after a gap of 2 weeks, repeat this. Follow 4 to 5 cycles like this. Meanwhile, keep taking your allopathic medication during this period. Afterward, you can taper off the medication. Keep checking your blood pressure after every 21 days. This might work for you depending on your body condition. Also, try to do meditation and yoga. |
Q. How long should my husband and I wait to try for a baby if we did cocaine? | Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. | Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> |
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Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. [/INST] Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> |
Q. Can Yasmin birth control pill be used as an emergency contraceptive pill? | Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? | Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> |
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Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? [/INST] Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> |
Q. Please explain the poisonous effect of phenol ingestion. | Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. | Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> |
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Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. [/INST] Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> |
Q. For how long should I take Kalachikai powder to overcome PCOD problem? | Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? | Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> |
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Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? [/INST] Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> |
Q. Why do periods get delayed after first time sex? | Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? | Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> |
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Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? [/INST] Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> |
Q. What is the reason for spotting with positive pregnancy test? | Hello doctor, I am 19 days late for my period. I got my home pregnancy test positive. But, the next day I had a brown color spotting and yesterday afternoon I had brown color bleeding with heavy abdominal cramps. And today, there is no bleeding, but spotting just like on the first day. I am confused. Am I having a miscarriage? Please explain. | Hi. For further information consult an obstetrician and gynaecologist online --> |
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Hello doctor, I am 19 days late for my period. I got my home pregnancy test positive. But, the next day I had a brown color spotting and yesterday afternoon I had brown color bleeding with heavy abdominal cramps. And today, there is no bleeding, but spotting just like on the first day. I am confused. Am I having a miscarriage? Please explain. [/INST] Hi. For further information consult an obstetrician and gynaecologist online --> |
Q. My problem is regular hair fall. How to control hair loss? Please help. | Hi doctor, I am a 24 year old male. My problem is regular hair fall. How to control hair loss? Also, I want to regrow it. Please help. | Hi. Before I can help you, please answer the following questions so I can be sure it is male pattern baldness or androgenetic alopecia. I suggest you try Biotin 10 mg orally and Minoxidil 5 % topically. Consult your specialist doctor, discuss with him or her and start the medicine after their consent. |
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Hi doctor, I am a 24 year old male. My problem is regular hair fall. How to control hair loss? Also, I want to regrow it. Please help. [/INST] Hi. Before I can help you, please answer the following questions so I can be sure it is male pattern baldness or androgenetic alopecia. I suggest you try Biotin 10 mg orally and Minoxidil 5 % topically. Consult your specialist doctor, discuss with him or her and start the medicine after their consent. |
Q. Cannot breastfeed since breast pores are blocked. Please help. | Hi doctor, My child is 4 months old. Since birth, he is on formula feed because my breast pores have been blocked. I really want to breastfeed him. Please suggest a way to feed my child. | Hello. It is a common problem which women face. An underwired bra or any kind of pressure on the breast could have caused a plugged milk duct. It is recommended to position the baby's chin pointing to the lump and to change the baby's feeding position. Unplug the duct by taking steam or manually preparing the breast for feeding the child, try to unplug it with some moist heat pack, massage, pumping, and nursing. Once you start feeding, it will start unplugging without any additional effort. Before nursing, gently massage your breast with hot water steam. Do try this and it will help you a lot. Consult an obstetrician and gynaecologist online --> |
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Hi doctor, My child is 4 months old. Since birth, he is on formula feed because my breast pores have been blocked. I really want to breastfeed him. Please suggest a way to feed my child. [/INST] Hello. It is a common problem which women face. An underwired bra or any kind of pressure on the breast could have caused a plugged milk duct. It is recommended to position the baby's chin pointing to the lump and to change the baby's feeding position. Unplug the duct by taking steam or manually preparing the breast for feeding the child, try to unplug it with some moist heat pack, massage, pumping, and nursing. Once you start feeding, it will start unplugging without any additional effort. Before nursing, gently massage your breast with hot water steam. Do try this and it will help you a lot. Consult an obstetrician and gynaecologist online --> |
Q. How to select a protein powder? | Hi doctor, I am 24 years old male. My body weight is not proportionate to my age and height. Please let me know the proportion that has to be noticed while selecting the best protein powder to gain weight? | Hi. I would suggest you the following proportion to keep in mind while selecting a protein powder: Typically, it is good to include this in between the meals. Wishing you good health. For further guidance feel free to ask a nutritionist online --> |
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Hi doctor, I am 24 years old male. My body weight is not proportionate to my age and height. Please let me know the proportion that has to be noticed while selecting the best protein powder to gain weight? [/INST] Hi. I would suggest you the following proportion to keep in mind while selecting a protein powder: Typically, it is good to include this in between the meals. Wishing you good health. For further guidance feel free to ask a nutritionist online --> |
Q. I had a surgery three months ago. Now taking Novelon. Shall I try for baby now? | Dear doctor, My age is 29 years. I had a surgery three months ago, open myomectomy (posterior wall 4x4 cm subserosal 8x7 cm) with right endometriotic cyst (4x4 cm). Now taking Novelon. Shall I try for a baby now? | Hi. As it is close to three months from the time you had surgery, you can start trying for a pregnancy now. Please take Folic acid 5 mg daily. Also, please meet the doctor who did the surgery for you to check whether healing is complete. Consult an obstetrician and gynaecologist online for queries regarding conception --> |
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Dear doctor, My age is 29 years. I had a surgery three months ago, open myomectomy (posterior wall 4x4 cm subserosal 8x7 cm) with right endometriotic cyst (4x4 cm). Now taking Novelon. Shall I try for a baby now? [/INST] Hi. As it is close to three months from the time you had surgery, you can start trying for a pregnancy now. Please take Folic acid 5 mg daily. Also, please meet the doctor who did the surgery for you to check whether healing is complete. Consult an obstetrician and gynaecologist online for queries regarding conception --> |
Q. No periods since two months. What should I do? | Dear doctor, I had intercourse with my husband last month, after my regular periods. My last period date was 9th August and it is two months now. Till now, I did not get my periods. Suggest me what should I do. | Hi. The first step is to check for pregnancy. If the pregnancy test is negative then, we can give you tablets to induce periods. Also, we need to check your thyroid and prolactin hormone levels andscan abdomen to find out the reason for delayed periods. In case the pregnancy test is positive, please meet a gynecologist and follow them. Please do not hesitate to ask further queries to an obstetrician and gynaecologist online --> |
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Dear doctor, I had intercourse with my husband last month, after my regular periods. My last period date was 9th August and it is two months now. Till now, I did not get my periods. Suggest me what should I do. [/INST] Hi. The first step is to check for pregnancy. If the pregnancy test is negative then, we can give you tablets to induce periods. Also, we need to check your thyroid and prolactin hormone levels andscan abdomen to find out the reason for delayed periods. In case the pregnancy test is positive, please meet a gynecologist and follow them. Please do not hesitate to ask further queries to an obstetrician and gynaecologist online --> |
Q. Baby placed with tracheostomy & gastrostomy tube. Doubt regarding aspiration. | Hi doctor, My baby has undergone hospitalization many times since birth. She has been placed with tracheostomy and gastrostomy tube due to which mobility of the baby is not possible. We are consulting with renowned ENT surgeons and pediatric doctors and we had been told that ''the aspiration can be due to poor co-ordination and tracheostomy tube placement for long period. Once decannulation is tolerated by baby, then the aspiration problem will not persist''. Now they have told us to wait and concentrate on the baby's weight gain. But we want to take a second opinion from you. So, please suggest proper steps to be taken from our end. | Hi. The aspiration of feeds is due to the presence of bulbar palsy and palate pharyngeal muscle incoordination. As per the doctor's advise, try to improve the nutrition of the child and weight. Once the child gains a proper weight, then decannulation (removing tracheostomy tube) can be planned depending on the child's fitness. Be in follow-up with the doctor. The child will be fine. For further queries consult a paediatrician online --> |
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Hi doctor, My baby has undergone hospitalization many times since birth. She has been placed with tracheostomy and gastrostomy tube due to which mobility of the baby is not possible. We are consulting with renowned ENT surgeons and pediatric doctors and we had been told that ''the aspiration can be due to poor co-ordination and tracheostomy tube placement for long period. Once decannulation is tolerated by baby, then the aspiration problem will not persist''. Now they have told us to wait and concentrate on the baby's weight gain. But we want to take a second opinion from you. So, please suggest proper steps to be taken from our end. [/INST] Hi. The aspiration of feeds is due to the presence of bulbar palsy and palate pharyngeal muscle incoordination. As per the doctor's advise, try to improve the nutrition of the child and weight. Once the child gains a proper weight, then decannulation (removing tracheostomy tube) can be planned depending on the child's fitness. Be in follow-up with the doctor. The child will be fine. For further queries consult a paediatrician online --> |
Q. I have toothache due to dislodged filling in an incomplete root canal treated tooth. Please help. | Hello doctor, I have toothache. I have an unfinished root canal for about eight months, temporary filling has also fallen out. Now I am with severe pain. Unable to drink, eat, etc. What should I do to relieve the pain? OTC is not working. | Hi. I have read through your complaint and the relevant details. You said it is an eight months old treated tooth and also with incomplete root canal treatment. With this, I suspect that the tooth is severely infected and you might need to take a course of antibiotics along with pain killers as an emergency till you seek a dentist as soon as possible. Also do not worry that the temporary filling has fallen out. That is okay because if it was there, you would have got a swelling due to the severe infection pressurized within the boundaries of the tooth. Re-root canal treatment is highly questionable at this stage. Meanwhile, take the tablets as per the prescription. Capsule Amoxycillin 500 mg orally eight hourly for five days, tablet Metronidazole 400 mg orally 12 hourly for five days, tablet Ibuprofena and Paracetomol (200 mg and 500 mg) combination drug to be taken orally eight hourly for 2 to 3 days. Note: Please do not repeat the course unless prescribed again. All medicines are to be taken after food only. If you get any skin rashes or allergies immediately stop taking the medicine. If you having any gastric irritation during the course of the medicines, please take tablet Omeprazole 10 mg 12 hourly 30 minutes before food along with the other prescribed medicines. However, I advice you to visit a dentist as soon as possible to get it virtually treated because antibiotics are mere ad-ons to the actual treatment. |
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Hello doctor, I have toothache. I have an unfinished root canal for about eight months, temporary filling has also fallen out. Now I am with severe pain. Unable to drink, eat, etc. What should I do to relieve the pain? OTC is not working. [/INST] Hi. I have read through your complaint and the relevant details. You said it is an eight months old treated tooth and also with incomplete root canal treatment. With this, I suspect that the tooth is severely infected and you might need to take a course of antibiotics along with pain killers as an emergency till you seek a dentist as soon as possible. Also do not worry that the temporary filling has fallen out. That is okay because if it was there, you would have got a swelling due to the severe infection pressurized within the boundaries of the tooth. Re-root canal treatment is highly questionable at this stage. Meanwhile, take the tablets as per the prescription. Capsule Amoxycillin 500 mg orally eight hourly for five days, tablet Metronidazole 400 mg orally 12 hourly for five days, tablet Ibuprofena and Paracetomol (200 mg and 500 mg) combination drug to be taken orally eight hourly for 2 to 3 days. Note: Please do not repeat the course unless prescribed again. All medicines are to be taken after food only. If you get any skin rashes or allergies immediately stop taking the medicine. If you having any gastric irritation during the course of the medicines, please take tablet Omeprazole 10 mg 12 hourly 30 minutes before food along with the other prescribed medicines. However, I advice you to visit a dentist as soon as possible to get it virtually treated because antibiotics are mere ad-ons to the actual treatment. |
Q. Is it advisable to take Unwanted 72 after four days of sexual intercourse? | Hello doctor, I had sex with my fiancee on the 11th day of her cycle and only once. Are there any chances of getting pregnant and today is the 4th day. Can she have Unwanted 72? Does that have any effect on her and what is the medication to be followed in case of pregnancy to avoid it? | Hello. If her cycle is regular of around 28 days, there is 20 to 25 % chance of pregnancy. Unwanted 72 does not work effectively after 72 hours of unprotected sex, so no point in taking it now. If she misses her next period and pregnancy is confirmed, you need to consult a gynecologist for medical abortion as such medicines are not available over the counter and need a prescription. There is nothing right now (except for Cu-T insertion, which is invasive and unlikely to be acceptable), so you can just relax and wait for next period. |
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Hello doctor, I had sex with my fiancee on the 11th day of her cycle and only once. Are there any chances of getting pregnant and today is the 4th day. Can she have Unwanted 72? Does that have any effect on her and what is the medication to be followed in case of pregnancy to avoid it? [/INST] Hello. If her cycle is regular of around 28 days, there is 20 to 25 % chance of pregnancy. Unwanted 72 does not work effectively after 72 hours of unprotected sex, so no point in taking it now. If she misses her next period and pregnancy is confirmed, you need to consult a gynecologist for medical abortion as such medicines are not available over the counter and need a prescription. There is nothing right now (except for Cu-T insertion, which is invasive and unlikely to be acceptable), so you can just relax and wait for next period. |
Q. Should I compulsorily take Atorvas, Starpress and Nitrofix for angina? | Hello doctor, I am 65 years old, 173 cm height, 84 kg suffering CAD, HTN and DM type 2. Having three stents and still PLV 90 % blockage. On tablet Atorvas 20, Starpress XL 50, Nitrofix SR 30, Telma 40, Dianorm-M and injection Lantus 24 u. But due to angina or short breathing, tablet Flavedon MR also started for three weeks. Now I am feeling well. Whether all three tablets are necessary for angina? Please guide. | Hello. Yes, you will need all tablets, as they have an additive effect. Other two antianginal like Starpress (Metoprolol), has many beneficial effects other than this, and decrease mortality. So it needs to be continued. Also, Nitrofix (Isosorbide mononitrate) is also important and needs to be continued, otherwise angina will recur. You should have a healthy lifestyle like avoiding fatty, oily and high-calorie diet. Have low salt diet and monitor blood pressure regularly and BP should not be persistently more than 140/90 mmHg. Regular exercises like brisk walking, jogging according to your capacity at least 30 minutes a day and five days a week. Lots of green leafy vegetables, fruits, fish once or twice a week, avoid meat. Avoid smoking and alcohol, if any. |
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Hello doctor, I am 65 years old, 173 cm height, 84 kg suffering CAD, HTN and DM type 2. Having three stents and still PLV 90 % blockage. On tablet Atorvas 20, Starpress XL 50, Nitrofix SR 30, Telma 40, Dianorm-M and injection Lantus 24 u. But due to angina or short breathing, tablet Flavedon MR also started for three weeks. Now I am feeling well. Whether all three tablets are necessary for angina? Please guide. [/INST] Hello. Yes, you will need all tablets, as they have an additive effect. Other two antianginal like Starpress (Metoprolol), has many beneficial effects other than this, and decrease mortality. So it needs to be continued. Also, Nitrofix (Isosorbide mononitrate) is also important and needs to be continued, otherwise angina will recur. You should have a healthy lifestyle like avoiding fatty, oily and high-calorie diet. Have low salt diet and monitor blood pressure regularly and BP should not be persistently more than 140/90 mmHg. Regular exercises like brisk walking, jogging according to your capacity at least 30 minutes a day and five days a week. Lots of green leafy vegetables, fruits, fish once or twice a week, avoid meat. Avoid smoking and alcohol, if any. |
Q. Can taking Phenytoin impact the first stage of pregnancy? | Hello doctor, I am taking Phenytoin sodium 300 mg daily for the last 10 years. Will the medication impact on my first stage of pregnancy? If yes, should I take any alternative? | Hello. Are you pregnant already? Or planning for pregnancy? Phenytoin, especially in the first trimester (initial three months) of pregnancy, can affect the baby. It can increase the risk of congenital anomalies like fetal hydantoin syndrome or neural tube defects. If you are still planning for pregnancy, you should switch to other medication for seizure (after discussing with your neurologist). But if you are already pregnant, it is little risky to switch to another drug because while switching from one medication to another increase some risk of recurrence of seizures. And seizure during pregnancy can cause abortion or fetal distress. So, if you are pregnant already you can continue with Phenytoin. The risk of congenital anomaly is increased from 1 to 2 % (without any medication) to 5 to 7 % (with Phenytoin). |
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Hello doctor, I am taking Phenytoin sodium 300 mg daily for the last 10 years. Will the medication impact on my first stage of pregnancy? If yes, should I take any alternative? [/INST] Hello. Are you pregnant already? Or planning for pregnancy? Phenytoin, especially in the first trimester (initial three months) of pregnancy, can affect the baby. It can increase the risk of congenital anomalies like fetal hydantoin syndrome or neural tube defects. If you are still planning for pregnancy, you should switch to other medication for seizure (after discussing with your neurologist). But if you are already pregnant, it is little risky to switch to another drug because while switching from one medication to another increase some risk of recurrence of seizures. And seizure during pregnancy can cause abortion or fetal distress. So, if you are pregnant already you can continue with Phenytoin. The risk of congenital anomaly is increased from 1 to 2 % (without any medication) to 5 to 7 % (with Phenytoin). |
Q. Why do I have a big belly? | Hello doctor, I am a 23 year old male. My height is 5'6" and weight is 74 kg. I have a big belly with the rest of my body being a little leaner. I have continuous hunger even after I have had food. After a meal with five roti and a cup of rice, I will feel hungry within an hour or two. I have zero activity. I sit in front of the computer for nearly seven to eight hours every day. Is there any tests that I could take to know if anything is wrong? I have no sugar and BP. Thank you for the advice in advance. | Hi We are here to help you. For further information consult an internal medicine physician online --> |
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Hello doctor, I am a 23 year old male. My height is 5'6" and weight is 74 kg. I have a big belly with the rest of my body being a little leaner. I have continuous hunger even after I have had food. After a meal with five roti and a cup of rice, I will feel hungry within an hour or two. I have zero activity. I sit in front of the computer for nearly seven to eight hours every day. Is there any tests that I could take to know if anything is wrong? I have no sugar and BP. Thank you for the advice in advance. [/INST] Hi We are here to help you. For further information consult an internal medicine physician online --> |
Q. How long should my husband and I wait to try for a baby if we did cocaine? | Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. | Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> |
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Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. [/INST] Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> |
Q. Can Yasmin birth control pill be used as an emergency contraceptive pill? | Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? | Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> |
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Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? [/INST] Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> |
Q. Please explain the poisonous effect of phenol ingestion. | Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. | Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> |
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Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. [/INST] Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> |
Q. For how long should I take Kalachikai powder to overcome PCOD problem? | Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? | Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> |
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Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? [/INST] Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> |
Q. Why do periods get delayed after first time sex? | Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? | Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> |
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Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? [/INST] Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> |
Q. Please guide me about PNP immunodeficiency disease. | Hello doctor, My 5-year-old son was diagnosed with PNP immunodeficiency three years back. This was diagnosed after a battle of bailyacaris that he survived. He has recently been diagnosed with ME polyomavirus in his brain and LP fluids. He was the first case in history in my residential area. VZV was caused by chickenpox vaccine and getting shingles every six months after the initial break out which spread to his occula into his brain and spinal fluid.I am looking for any documentation or information I can educate myself with. His bone marrow transplant has been postponed until further testing. Please help. Currently, he is taking Gabapentin, Albendazole, ValAcyclovir, Phenobarbital, Fluconazole, Levetiracetam, Trimethoprim. | Hello. PNP deficiency is a very rare condition, in which the body is unable to produce certain immunity related cells called T cells, this happens due to some gene defects and is usually inherited. (But parents might not be affected). This causes the child to get frequent infections involving different body organs, especially the brain, lungs, etc., causing much sickness. Child would be prone to unusual infections also, as the body mechanism to take care of infection is not complete. Till today, the only curative option is hematopoietic stem cell transplant, which carries the risk of failure and side effects. Otherwise, the condition is life-threatening, and children might succumb in the first or second decades of life. He is being treated for his brain infection and its complications, presently. I am afraid the disease has little treatment options and is mostly symptomatic. Genetic. |
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Hello doctor, My 5-year-old son was diagnosed with PNP immunodeficiency three years back. This was diagnosed after a battle of bailyacaris that he survived. He has recently been diagnosed with ME polyomavirus in his brain and LP fluids. He was the first case in history in my residential area. VZV was caused by chickenpox vaccine and getting shingles every six months after the initial break out which spread to his occula into his brain and spinal fluid.I am looking for any documentation or information I can educate myself with. His bone marrow transplant has been postponed until further testing. Please help. Currently, he is taking Gabapentin, Albendazole, ValAcyclovir, Phenobarbital, Fluconazole, Levetiracetam, Trimethoprim. [/INST] Hello. PNP deficiency is a very rare condition, in which the body is unable to produce certain immunity related cells called T cells, this happens due to some gene defects and is usually inherited. (But parents might not be affected). This causes the child to get frequent infections involving different body organs, especially the brain, lungs, etc., causing much sickness. Child would be prone to unusual infections also, as the body mechanism to take care of infection is not complete. Till today, the only curative option is hematopoietic stem cell transplant, which carries the risk of failure and side effects. Otherwise, the condition is life-threatening, and children might succumb in the first or second decades of life. He is being treated for his brain infection and its complications, presently. I am afraid the disease has little treatment options and is mostly symptomatic. Genetic. |
Q. I am having pain in my breastbone radiating to breast and ribs. Why? | Hello doctor, I have achy breastbone and ache towards the bottom of breastbone that goes across under my breasts and into my ribs on the right side. The ache comes and goes and seems to move around. It gets better with rest and laying certain ways. Taking no medicines. I am 29 years, 5'5", 160 pounds, female. | Hello. Does this pain increase on applying pressure over the area, if yes it could be costochondritis and it is a musculoskeletal type of pain and needs prolonged NSAID therapy? You will need to check vitamin D level and need to be on NSAID therapy. Overload and overuse, as during weight lifting, or pushing heavy objects, may lead to muscle strain as well. If possible, any activity that causes or exacerbates the problem should be reduced and/or stopped, at least temporarily. You should get Diclofenac gel for topical application. Also, you will need tablet Naproxen 250 mg twice a day for 1 to 2 weeks or longer or Ibuprofen, along with antacid like Pantoprazole. So you can get this prescribed. Do you have upper abdominal pain, nausea, bloating, burping, increase in pain on food, sour water feeling in throat or chest burning, if yes it suggests gastritis and acidity as a cause of pain? |
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Hello doctor, I have achy breastbone and ache towards the bottom of breastbone that goes across under my breasts and into my ribs on the right side. The ache comes and goes and seems to move around. It gets better with rest and laying certain ways. Taking no medicines. I am 29 years, 5'5", 160 pounds, female. [/INST] Hello. Does this pain increase on applying pressure over the area, if yes it could be costochondritis and it is a musculoskeletal type of pain and needs prolonged NSAID therapy? You will need to check vitamin D level and need to be on NSAID therapy. Overload and overuse, as during weight lifting, or pushing heavy objects, may lead to muscle strain as well. If possible, any activity that causes or exacerbates the problem should be reduced and/or stopped, at least temporarily. You should get Diclofenac gel for topical application. Also, you will need tablet Naproxen 250 mg twice a day for 1 to 2 weeks or longer or Ibuprofen, along with antacid like Pantoprazole. So you can get this prescribed. Do you have upper abdominal pain, nausea, bloating, burping, increase in pain on food, sour water feeling in throat or chest burning, if yes it suggests gastritis and acidity as a cause of pain? |
Q. My period is delayed by two months. Is it advisable to do medical abortion myself at home? | Hello doctor, I am 25 years old. The date of the first day of my last period was two months back. Am I pregnant? I want to abort. Can I do medical abortion myself at home at this time? Is it safe? Please help me and consult me. | Hello. You need to take a urine pregnancy test and confirm the pregnancy. Please visit a gynecologist for the further examination. You will also have to undergo an ultrasound done to rule out ectopic pregnancy which is dangerous. If your pregnancy if seven weeks or less, then you can be given medical management of abortion by pills by a registered gynecologist under supervision. If pregnancy is more than seven weeks which is more likely as your LMP (last menstrual period) was two months back, then you need to get a dilatation and curettage by a gynecologist which is the safest method. Any attempt of doing MTP by an unregistered person or unqualified person can be very dangerous and potentially life-threatening as bleeding or other complications can occur. |
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Hello doctor, I am 25 years old. The date of the first day of my last period was two months back. Am I pregnant? I want to abort. Can I do medical abortion myself at home at this time? Is it safe? Please help me and consult me. [/INST] Hello. You need to take a urine pregnancy test and confirm the pregnancy. Please visit a gynecologist for the further examination. You will also have to undergo an ultrasound done to rule out ectopic pregnancy which is dangerous. If your pregnancy if seven weeks or less, then you can be given medical management of abortion by pills by a registered gynecologist under supervision. If pregnancy is more than seven weeks which is more likely as your LMP (last menstrual period) was two months back, then you need to get a dilatation and curettage by a gynecologist which is the safest method. Any attempt of doing MTP by an unregistered person or unqualified person can be very dangerous and potentially life-threatening as bleeding or other complications can occur. |
Q. Kindly suggest the treatment for homogenous hemianopia due to stroke. | Hello doctor,My father aged 54 years had PCA infarction (stroke) two years back. He is suffering from homogenous (right) hemianopia. Is there any treatment for this? Please suggest me. | Hi. How has the hemianopia fared over these two years? Is it increasing or decreasing? PCA (posterior cerebral artery) is one of the arteries supplying the visual pathway and its lesions usually cause visual field defects. Most of the defects will improve over time as and when the blood supply to the affected part (occipital lobe) will improve, unless of course the main trunk of the PCA is involved, which is known to cause persistent defects. The things which your father still has intact are his central vision, using which he can still read and perform most daily activities. Also his ability to move his eyes will also be working fine. Overtime he will be able to adapt using these two to be able to overcome the hemianopia, that is to say that he will be able to move his eyes and head to make the objects in the hemianopic field come into view. Now, coming to treatments and their results, eye movement exercises or scanning training like I mentioned in just a while ago. Incorporation of prisms into his glasses to enable seeing objects in the hemianopic field while head and eyes are straight, it can be an option in case his neck has a problem and he has problems moving his eyes. Both these treatments are given by orthoptists or optometrists. Regarding their usefulness in hemianopia, I will say that in most studies, patients usually improve and their fields come back to normal soon, so they never got enough time to train the patients with using these methods. Perimetry . Observation, orthoptic measures. |
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Hello doctor,My father aged 54 years had PCA infarction (stroke) two years back. He is suffering from homogenous (right) hemianopia. Is there any treatment for this? Please suggest me. [/INST] Hi. How has the hemianopia fared over these two years? Is it increasing or decreasing? PCA (posterior cerebral artery) is one of the arteries supplying the visual pathway and its lesions usually cause visual field defects. Most of the defects will improve over time as and when the blood supply to the affected part (occipital lobe) will improve, unless of course the main trunk of the PCA is involved, which is known to cause persistent defects. The things which your father still has intact are his central vision, using which he can still read and perform most daily activities. Also his ability to move his eyes will also be working fine. Overtime he will be able to adapt using these two to be able to overcome the hemianopia, that is to say that he will be able to move his eyes and head to make the objects in the hemianopic field come into view. Now, coming to treatments and their results, eye movement exercises or scanning training like I mentioned in just a while ago. Incorporation of prisms into his glasses to enable seeing objects in the hemianopic field while head and eyes are straight, it can be an option in case his neck has a problem and he has problems moving his eyes. Both these treatments are given by orthoptists or optometrists. Regarding their usefulness in hemianopia, I will say that in most studies, patients usually improve and their fields come back to normal soon, so they never got enough time to train the patients with using these methods. Perimetry . Observation, orthoptic measures. |
Q. I want to decrease sweating and look fresh. What can I use? | Hello doctor, I am sweating too much I guess. I am not sure if it is because of the heat here but I sweat. Pleae sugget me something which I can apply to my body. So it does not sweat much and I look fresh and I do not smell. | Hello. It is likely because of weather only and body sweats in order to keep body temperature down. So naturally if you try to stay in cold environment as much as possible this will automatically reduce. However, for reducing perspiration, you should ask for Aluminum chloride hexahydrate containing powder 6.25 percent to be applied over heavily sweating area like axilla, groin and back. You should use this powder in the morning. So you may request chemist for this. This should help you. |
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Hello doctor, I am sweating too much I guess. I am not sure if it is because of the heat here but I sweat. Pleae sugget me something which I can apply to my body. So it does not sweat much and I look fresh and I do not smell. [/INST] Hello. It is likely because of weather only and body sweats in order to keep body temperature down. So naturally if you try to stay in cold environment as much as possible this will automatically reduce. However, for reducing perspiration, you should ask for Aluminum chloride hexahydrate containing powder 6.25 percent to be applied over heavily sweating area like axilla, groin and back. You should use this powder in the morning. So you may request chemist for this. This should help you. |
Q. What does abutment of the nerve root mean? | Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for annular bulging and tear? | Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online --> |
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Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for annular bulging and tear? [/INST] Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online --> |
Q. Why is there extreme pain with a bulb like protrusion from anus? | Hello doctor, I am male, 51 years old. I have diabetes (type 2), high blood pressure, medicines are controlling it all. Have two herniated discs, neck and back. The problem is anal issues for the last few weeks. Extreme pain. Worst in life. It feels like a hot knife slicing me down there. Sometimes, rarely, some blood is there. When I apply the cream, a small, bulb-like protrusion is there. Currently, I am taking Metformin, Lisinopril Depakote. | Hello, Welcome to icliniq.com. It appears you have a fissure. The first thing is your stool should be soft. For that, you should eat high fiber diet like fruits, apple, banana, oranges, green leafy vegetables like spinach, raw cucumber. Avoid smoking, refined food, fatty, and oily food. You should have plenty of fluids and regular exercises. Also, syrup like Lactulose 15 to 30 ml bedtime to maintain your stool soft. Secondly, you can apply 2 % Lidocaine gel before each stool to relieve pain. Also,topical Nitroglycerin typically applied rectally as a 0.2 or 0.4 percent ointment twice daily for eight weeks will help in healing. Sitz bath will be helpful, during a sitz bath, the anus is immersed in warm water for approximately 10 to 15 minutes two to three times daily. Sitz bath kits are available in most drugstores which contain Potassium permanganate. If it does not help, you need to visit a surgeon for examination and management. |
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Hello doctor, I am male, 51 years old. I have diabetes (type 2), high blood pressure, medicines are controlling it all. Have two herniated discs, neck and back. The problem is anal issues for the last few weeks. Extreme pain. Worst in life. It feels like a hot knife slicing me down there. Sometimes, rarely, some blood is there. When I apply the cream, a small, bulb-like protrusion is there. Currently, I am taking Metformin, Lisinopril Depakote. [/INST] Hello, Welcome to icliniq.com. It appears you have a fissure. The first thing is your stool should be soft. For that, you should eat high fiber diet like fruits, apple, banana, oranges, green leafy vegetables like spinach, raw cucumber. Avoid smoking, refined food, fatty, and oily food. You should have plenty of fluids and regular exercises. Also, syrup like Lactulose 15 to 30 ml bedtime to maintain your stool soft. Secondly, you can apply 2 % Lidocaine gel before each stool to relieve pain. Also,topical Nitroglycerin typically applied rectally as a 0.2 or 0.4 percent ointment twice daily for eight weeks will help in healing. Sitz bath will be helpful, during a sitz bath, the anus is immersed in warm water for approximately 10 to 15 minutes two to three times daily. Sitz bath kits are available in most drugstores which contain Potassium permanganate. If it does not help, you need to visit a surgeon for examination and management. |
Q. What could be the reason for sneezes, runny, itching nose, and eyes? | Hello doctor, I am suffering from sneezes, runny, itching nose, and eyes for the past two months. I am not able to relax with this condition. I hope you could give me a better suggestion. | Hello. Your symptoms are suggestive of acute allergic rhinitis like presentation. For that, anti-allergic medication like Fexofenadine can be prescribed for 5 to 7 days. Steam inhalation done three times a day with lukewarm water also beneficial. Do saltwater gargle with warm water three times a day. Drink lots of water. Take one teaspoon turmeric powder with milk daily. If no improvement, then CBC can be done for further work up. |
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Hello doctor, I am suffering from sneezes, runny, itching nose, and eyes for the past two months. I am not able to relax with this condition. I hope you could give me a better suggestion. [/INST] Hello. Your symptoms are suggestive of acute allergic rhinitis like presentation. For that, anti-allergic medication like Fexofenadine can be prescribed for 5 to 7 days. Steam inhalation done three times a day with lukewarm water also beneficial. Do saltwater gargle with warm water three times a day. Drink lots of water. Take one teaspoon turmeric powder with milk daily. If no improvement, then CBC can be done for further work up. |
Q. There is a sharp hard thing coming out of gums after wisdom tooth removal. What is it? | Hello doctor, I am 30 years old and had to get my wisdom tooth extracted a week ago. The surgery was very complex and painful. Few days into it and I started feeling something hard and sharp coming out from my gums towards my tongue, went to the dentist again. She was not able to take it out so she clipped and ground it, but it is not very smooth and I can still feel it. She told me told me that eventually, gums will cover it. Is that true or do I need to see an oral surgeon? | Hi. Complex wisdom tooth extractions will definitely have post-operative pain and discomfort. Lucky you that the procedure did not end up in swelling of the gums or face. That something hard feeling is nothing but the bone spicules that is left behind once the tooth is removed. The bony remnants will naturally fade away with time by a process called resorption. A kind of dissolving process. Do not panic about it because that is the process which heals your gums after the extraction. It will take a minimum of two weeks time for resorption but I advise you not to disturb that gums area with any sharp objects or tongue which will purposely delay healing. If any stitches were put, then you have got to remove them by the dentist in seven days from the day of surgery. Gargle your mouth with lukewarm salt water three times daily which will soothe the gums around. Also, do not brush aggressively and avoid hot and spicy food for a week. Otherwise, you will be fine. |
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Hello doctor, I am 30 years old and had to get my wisdom tooth extracted a week ago. The surgery was very complex and painful. Few days into it and I started feeling something hard and sharp coming out from my gums towards my tongue, went to the dentist again. She was not able to take it out so she clipped and ground it, but it is not very smooth and I can still feel it. She told me told me that eventually, gums will cover it. Is that true or do I need to see an oral surgeon? [/INST] Hi. Complex wisdom tooth extractions will definitely have post-operative pain and discomfort. Lucky you that the procedure did not end up in swelling of the gums or face. That something hard feeling is nothing but the bone spicules that is left behind once the tooth is removed. The bony remnants will naturally fade away with time by a process called resorption. A kind of dissolving process. Do not panic about it because that is the process which heals your gums after the extraction. It will take a minimum of two weeks time for resorption but I advise you not to disturb that gums area with any sharp objects or tongue which will purposely delay healing. If any stitches were put, then you have got to remove them by the dentist in seven days from the day of surgery. Gargle your mouth with lukewarm salt water three times daily which will soothe the gums around. Also, do not brush aggressively and avoid hot and spicy food for a week. Otherwise, you will be fine. |
Q. Does high intake of protein powder affect the kidneys? | Hi doctor, I heard that a high intake of protein powder will affect kidney functions (by forming kidney stones). Is it true? | Hello. Too much of any nutrient is not good for the body. But when you say 'high amount', it is a relative term. What seems 'high amount' to you may not be really high. If you think you are taking too much protein, please do mention what kind of protein you are taking and in how much quantity. Because it is also important to know the quantity and quality of protein you are consuming. As a thumb rule, it is good if your diet consists of 30% protein. If you can explain your usual food and exercise routine, I may be able to guide you better. Revert back to a urologist online --> |
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Hi doctor, I heard that a high intake of protein powder will affect kidney functions (by forming kidney stones). Is it true? [/INST] Hello. Too much of any nutrient is not good for the body. But when you say 'high amount', it is a relative term. What seems 'high amount' to you may not be really high. If you think you are taking too much protein, please do mention what kind of protein you are taking and in how much quantity. Because it is also important to know the quantity and quality of protein you are consuming. As a thumb rule, it is good if your diet consists of 30% protein. If you can explain your usual food and exercise routine, I may be able to guide you better. Revert back to a urologist online --> |
Q. Can I take antihistamines (an OTC drug) when pregnant? | Hello doctor, Can I take antihistamines (an OTC drug) when pregnant? | Hi. Antihistamines are used to treat allergy symptoms. We have two generations of antihistamines: First generation antihistamines like Chlorpheniramine, Dimenhydrinate, Diphenhydramine, Doxylamine are considered safe to use during pregnancy. These medications have a sedative effect (cause sleepiness). The newer non-sedating antihistamines like Cetirizine, Desloratadine, Fexofenadine, and Loratadine are best avoided in pregnancy as we have no strong evidence confirming its safety in pregnancy. Hope this helps. Consult a general medicine physician online for further queries --> |
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Hello doctor, Can I take antihistamines (an OTC drug) when pregnant? [/INST] Hi. Antihistamines are used to treat allergy symptoms. We have two generations of antihistamines: First generation antihistamines like Chlorpheniramine, Dimenhydrinate, Diphenhydramine, Doxylamine are considered safe to use during pregnancy. These medications have a sedative effect (cause sleepiness). The newer non-sedating antihistamines like Cetirizine, Desloratadine, Fexofenadine, and Loratadine are best avoided in pregnancy as we have no strong evidence confirming its safety in pregnancy. Hope this helps. Consult a general medicine physician online for further queries --> |
Q. How long should my husband and I wait to try for a baby if we did cocaine? | Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. | Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> |
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Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. [/INST] Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> |
Q. Can Yasmin birth control pill be used as an emergency contraceptive pill? | Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? | Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> |
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Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? [/INST] Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> |
Q. Please explain the poisonous effect of phenol ingestion. | Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. | Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> |
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Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. [/INST] Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> |
Q. For how long should I take Kalachikai powder to overcome PCOD problem? | Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? | Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> |
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Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? [/INST] Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> |
Q. Why do periods get delayed after first time sex? | Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? | Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> |
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Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? [/INST] Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> |
Q. Will Nano-Leo give permanent solution for erection problem? | Hello doctor, I am 48 years old. I am experiencing weak erection and difficulty in sustaining the same. This condition was observed 10 years back. Also, there is premature ejaculation. Other physical ailments that I have are, I am suffering from hypertension and taking Amlopres-L (Amlodipine and Lisinopril) for the last 10 years, high cholesterol and triglycerides. My cholesterol level is 225 and triglyceride is 200 for the last 12 years. I used to do frequent masturbation in early age. I do have erection during morning hours many times, particularly after sound sleep or if I had long walk previous day. I am having Sildenafil 25 mg or 5 mg Cialis, which is effective enough. But, I wish to get rid of tablet support and live natural way. I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days. I wish to have your second opinion on this. Please guide. | Hi. For further doubts consult a sexologist online --> |
<s>[INST]
Hello doctor, I am 48 years old. I am experiencing weak erection and difficulty in sustaining the same. This condition was observed 10 years back. Also, there is premature ejaculation. Other physical ailments that I have are, I am suffering from hypertension and taking Amlopres-L (Amlodipine and Lisinopril) for the last 10 years, high cholesterol and triglycerides. My cholesterol level is 225 and triglyceride is 200 for the last 12 years. I used to do frequent masturbation in early age. I do have erection during morning hours many times, particularly after sound sleep or if I had long walk previous day. I am having Sildenafil 25 mg or 5 mg Cialis, which is effective enough. But, I wish to get rid of tablet support and live natural way. I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days. I wish to have your second opinion on this. Please guide. [/INST] Hi. For further doubts consult a sexologist online --> |
Q. Baby passes stool only after two days. Is it normal? | Hello doctor, My 3 month old son passes stool only every two days. He passes stool only after we insert a soap stick and stimulate his excretory movements. This has been happening for the past three weeks. Is this normal? | Hi. If your baby is breastfed, it is perfectly normal to pass stool less often. On the other hand, it does not seem normal for such a young kid. If it continues for more than two weeks, get him checked by a pediatrician. Consult a paediatrician online to know the management of constipation in children --> |
<s>[INST]
Hello doctor, My 3 month old son passes stool only every two days. He passes stool only after we insert a soap stick and stimulate his excretory movements. This has been happening for the past three weeks. Is this normal? [/INST] Hi. If your baby is breastfed, it is perfectly normal to pass stool less often. On the other hand, it does not seem normal for such a young kid. If it continues for more than two weeks, get him checked by a pediatrician. Consult a paediatrician online to know the management of constipation in children --> |
Q. How do you know when you are depressed and should see a doctor? | Hello doctor, How do you know when you are depressed and should see a doctor? | Hi. The cardinal symptoms of depression are following, and these should be present for at least for two weeks: If you have any of the above symptoms, then it indicates that you have some mood disorder. This is also important to remember that these symptoms may be present in other medical and psychiatric disorders as well. If your symptoms impair your functioning in any domain and causing distress to you or your family members, then it is time to see a doctor. In my view never to wait for more than two weeks for impairment in functioning to see a psychiatrist. |
<s>[INST]
Hello doctor, How do you know when you are depressed and should see a doctor? [/INST] Hi. The cardinal symptoms of depression are following, and these should be present for at least for two weeks: If you have any of the above symptoms, then it indicates that you have some mood disorder. This is also important to remember that these symptoms may be present in other medical and psychiatric disorders as well. If your symptoms impair your functioning in any domain and causing distress to you or your family members, then it is time to see a doctor. In my view never to wait for more than two weeks for impairment in functioning to see a psychiatrist. |
Q. Suffering from panic disorder. Is it okay to take Daxid and Stablon simultaneously? | Hello doctor, I am suffering from panic disorder and was prescribed Daxid 100, Qutipin 50, Stablon 12.5 (all one tablet per day). Can anyone take Daxid and Stablon simultaneously? | Hi. From the available description, it appears that you are confused with your drugs. Yes; you can take both Stablon (Tianeptine) and Daxid (Sertraline) at the same time. I want to know, are you having any other disorder other than panic disorder. Qutipin (Quetiapine) is not indicated for panic disorder. |
<s>[INST]
Hello doctor, I am suffering from panic disorder and was prescribed Daxid 100, Qutipin 50, Stablon 12.5 (all one tablet per day). Can anyone take Daxid and Stablon simultaneously? [/INST] Hi. From the available description, it appears that you are confused with your drugs. Yes; you can take both Stablon (Tianeptine) and Daxid (Sertraline) at the same time. I want to know, are you having any other disorder other than panic disorder. Qutipin (Quetiapine) is not indicated for panic disorder. |
Q. Suggest me medicines to control alcohol drinking. | Hi doctor, My father drinks alcohol heavily every day and behaves very rashly at home. Please suggest some tablets to control alcohol drinking. | Hi. I have some questions. How old is your dad? How heavy is his drinking? How long has he been drinking? To quit alcohol, the person has to firmly decide to do it. He should join an alcoholic recovery group. To reduce cravings, I suggest medications such as Acamprosate or Naltrexone. We can also try using Antabuse Disulfiram to make it unpleasant for him to drink. Most alcoholics are depressed and should be concomitantly given antidepressants. |
<s>[INST]
Hi doctor, My father drinks alcohol heavily every day and behaves very rashly at home. Please suggest some tablets to control alcohol drinking. [/INST] Hi. I have some questions. How old is your dad? How heavy is his drinking? How long has he been drinking? To quit alcohol, the person has to firmly decide to do it. He should join an alcoholic recovery group. To reduce cravings, I suggest medications such as Acamprosate or Naltrexone. We can also try using Antabuse Disulfiram to make it unpleasant for him to drink. Most alcoholics are depressed and should be concomitantly given antidepressants. |
Q. I have teeth pain and sensitivity whenever I drink something cold or hot. Why does it occur? | Hello doctor, I am an 18 year old boy. I have teeth pain and sensitivity whenever I drink something cold or hot. Why does it occur? I also have stains on my teeth. I do not smoke or drink alcohol, but my teeth do not look white. How can I improve the colour of my teeth? Also, why do I get the smell of whatever I eat in my breath? | Hello. You are suffering from halitosis. You must be having sensitive teeth, hence having pain or cold or hot sensation. I suggest using Sensodyne toothpaste. Try using Orahex (Chlorhexidine) gargles twice daily for bad breath. Slight staining is normal, it has to be noted only when you get more stains in your teeth. |
<s>[INST]
Hello doctor, I am an 18 year old boy. I have teeth pain and sensitivity whenever I drink something cold or hot. Why does it occur? I also have stains on my teeth. I do not smoke or drink alcohol, but my teeth do not look white. How can I improve the colour of my teeth? Also, why do I get the smell of whatever I eat in my breath? [/INST] Hello. You are suffering from halitosis. You must be having sensitive teeth, hence having pain or cold or hot sensation. I suggest using Sensodyne toothpaste. Try using Orahex (Chlorhexidine) gargles twice daily for bad breath. Slight staining is normal, it has to be noted only when you get more stains in your teeth. |
Q. There is a lump like structure in the eye associated with pain. What is it? | Hi doctor, I am attaching a picture of my wife's left eye. I believe there is a stye or something else inside the left side of the eye. It has been around 8 to 10 days now. Earlier there was a pain in the eyes for the first 2 to 3 days. Later on, the pain was not there but I saw a lump or stye like structure in her left eye. I can also see a small lump from outside which appears like it is filled from inside. This is probably the first time happened with here. Also is it fatal? Kindly suggest what it is and the medications. | Hello. I have gone through your wife's problems and seen the photo attached (attachment removed to protect patient identity). This condition is called a chalazion, it is a sequel of style and it happens when long-standing infection is set up in the eyelid glands. They are usually treated surgically unless resolving with a course of antibiotics. So my advice is that you please do the following. Avoid eye rubbing. Hot fomentation to the affected eye and massage the lid after giving heat. Tobramycin eye ointment two times a day for a week in the affected eye. It is necessary to meet an ophthalmologist in the following scenarios. If eyes become red, start having sticky discharge from eyes, vision becomes blurred, not responding to treatment even after a week. |
<s>[INST]
Hi doctor, I am attaching a picture of my wife's left eye. I believe there is a stye or something else inside the left side of the eye. It has been around 8 to 10 days now. Earlier there was a pain in the eyes for the first 2 to 3 days. Later on, the pain was not there but I saw a lump or stye like structure in her left eye. I can also see a small lump from outside which appears like it is filled from inside. This is probably the first time happened with here. Also is it fatal? Kindly suggest what it is and the medications. [/INST] Hello. I have gone through your wife's problems and seen the photo attached (attachment removed to protect patient identity). This condition is called a chalazion, it is a sequel of style and it happens when long-standing infection is set up in the eyelid glands. They are usually treated surgically unless resolving with a course of antibiotics. So my advice is that you please do the following. Avoid eye rubbing. Hot fomentation to the affected eye and massage the lid after giving heat. Tobramycin eye ointment two times a day for a week in the affected eye. It is necessary to meet an ophthalmologist in the following scenarios. If eyes become red, start having sticky discharge from eyes, vision becomes blurred, not responding to treatment even after a week. |
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