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Q. There is stomach ache with watery stools in a child. Please help. | Hello doctor, My daughter is 6 years old. She has a stomach ache. Her stools are a little watery. Please tell me a solution to this problem. | Hello. Watery stools imply stomach infection. That is why she has stomach pain. Usually, diarrhea persists for 3 to 4 days, please make sure the kid does not get dehydrated. Give her plenty of oral liquids like ORS, coconut water. Avoid sugary juices or liquids (they increase loose stools). If the child is dull or not taking adequate liquids or passing very less urine, please consult the doctor immediately as it implies that she is much dehydrated. Econorm sachets, one sachet morning and evening, to be mixed with a small quantity of water, for three days. Rebalanze one small sachet in 200 ml of water, and give as much as she can take. |
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Hello doctor, My daughter is 6 years old. She has a stomach ache. Her stools are a little watery. Please tell me a solution to this problem. [/INST] Hello. Watery stools imply stomach infection. That is why she has stomach pain. Usually, diarrhea persists for 3 to 4 days, please make sure the kid does not get dehydrated. Give her plenty of oral liquids like ORS, coconut water. Avoid sugary juices or liquids (they increase loose stools). If the child is dull or not taking adequate liquids or passing very less urine, please consult the doctor immediately as it implies that she is much dehydrated. Econorm sachets, one sachet morning and evening, to be mixed with a small quantity of water, for three days. Rebalanze one small sachet in 200 ml of water, and give as much as she can take. |
Q. Why are there swelling, pain and sensitivity in filled teeth? | Hello doctor, About a week ago, I got four fillings. Two on each side of my top teeth. Previously, I did not have any sensitivity at all. Now, a week later, when I should not be feeling any effects of the fillings, I am sensitive to cold, my teeth ache, the whole roof of my mouth is sensitive and one side near fillings is swollen and has red spots. I also currently have a sore throat with it. Biting hurts and everything is super sensitive. I also within the week before the fillings, had a new sexual partner. So I am questioning if it is related to that. Please help. | Hi. The tooth with new fillings hurt because of a slight excess in height. This can be easily corrected when you visit back your dentist. Secondly, from the pictures you have attached I find it to be oral ulcers (attachment removed to protect patient identity). It can occur because of any vitamin deficiencies or stress. If oral sex was a reason, the ulcers should appear deep into the soft palate. Hence, I suspect it to be due to other reasons. I advise you to apply Dentogel 15 gm thrice a day with good oral hygiene to get rid of the pain and to heal them. The gel will make the area numb for a while so do not panic. Also, it will give a slightly bitter taste. I also advise eating whole nutritious food rich in vitamins instead opting for fast food. Drink plenty of water. Avoid hot and spicy food. Following all these things will promote the healing of ulcers. |
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Hello doctor, About a week ago, I got four fillings. Two on each side of my top teeth. Previously, I did not have any sensitivity at all. Now, a week later, when I should not be feeling any effects of the fillings, I am sensitive to cold, my teeth ache, the whole roof of my mouth is sensitive and one side near fillings is swollen and has red spots. I also currently have a sore throat with it. Biting hurts and everything is super sensitive. I also within the week before the fillings, had a new sexual partner. So I am questioning if it is related to that. Please help. [/INST] Hi. The tooth with new fillings hurt because of a slight excess in height. This can be easily corrected when you visit back your dentist. Secondly, from the pictures you have attached I find it to be oral ulcers (attachment removed to protect patient identity). It can occur because of any vitamin deficiencies or stress. If oral sex was a reason, the ulcers should appear deep into the soft palate. Hence, I suspect it to be due to other reasons. I advise you to apply Dentogel 15 gm thrice a day with good oral hygiene to get rid of the pain and to heal them. The gel will make the area numb for a while so do not panic. Also, it will give a slightly bitter taste. I also advise eating whole nutritious food rich in vitamins instead opting for fast food. Drink plenty of water. Avoid hot and spicy food. Following all these things will promote the healing of ulcers. |
Q. I feel sore throat and body redness after few days of sex. Are they symptoms of HIV? | Hello doctor, I am 42 years old white male, I had protected intercourse vaginal and anal and unprotected oral sex, vaginal and anal exactly 17 days back. Eight days after I had an itch in my throat that practically made the corner of my mouth pucker for a day or two and lost my appetite. Around the 10th day after I noticed too small funny shaped (not round) pimples on my stomach Then on the 12th or 13th day after I noticed having reddened skin on my face, chest, back, ankles, and hands, at one point my blood pressure was 190/130. Do not know if it is from stressing or not. So now it is the 17th day my skin has lightened up but not completely, my appetite is still gone but I can eat. Sweating occasionally but no fever and my sore throat feels almost gone except for a small restriction in swallowing. Could this be from something besides HIV? | Hello. You had protected intercourse and so the chance of HIV is less. The mentioned symptoms are not suggestive of HIV. But still, for peace of the mind, it is advisable to investigate with CMIA combo ELISA test for HIV after six weeks of exposure. Your rashes seem to be an allergic reaction. You can be prescribed Levocetirizine for seven days which is anti-allergic medication. Your blood pressure can be raised due to severe anxiety related to HIV thoughts. You have to repeat your blood pressure measurement and if it is persistently elevated above 150 then anti-hypertensive medication need to be prescribed. I suggest you consult a nearby physician for detailed physical examination and discuss all these. You can revert back with throat swab report once done. |
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Hello doctor, I am 42 years old white male, I had protected intercourse vaginal and anal and unprotected oral sex, vaginal and anal exactly 17 days back. Eight days after I had an itch in my throat that practically made the corner of my mouth pucker for a day or two and lost my appetite. Around the 10th day after I noticed too small funny shaped (not round) pimples on my stomach Then on the 12th or 13th day after I noticed having reddened skin on my face, chest, back, ankles, and hands, at one point my blood pressure was 190/130. Do not know if it is from stressing or not. So now it is the 17th day my skin has lightened up but not completely, my appetite is still gone but I can eat. Sweating occasionally but no fever and my sore throat feels almost gone except for a small restriction in swallowing. Could this be from something besides HIV? [/INST] Hello. You had protected intercourse and so the chance of HIV is less. The mentioned symptoms are not suggestive of HIV. But still, for peace of the mind, it is advisable to investigate with CMIA combo ELISA test for HIV after six weeks of exposure. Your rashes seem to be an allergic reaction. You can be prescribed Levocetirizine for seven days which is anti-allergic medication. Your blood pressure can be raised due to severe anxiety related to HIV thoughts. You have to repeat your blood pressure measurement and if it is persistently elevated above 150 then anti-hypertensive medication need to be prescribed. I suggest you consult a nearby physician for detailed physical examination and discuss all these. You can revert back with throat swab report once done. |
Q. Will taking Eptoin while breastfeeding affect the baby? | Hello doctor, My wife is taking Eptoin 100 thrice in a day. Just 13 days back she delivered a baby girl. Should I be worried about this when she is feeding the baby? | Hello. Eptoin during whole pregnancy can cause fetal hydantoin syndrome and also can cause neural tube defects. Phenytoin is secreted in breast milk but the most chance of baby getting affected are in the first three months of pregnancy. But in your case, she already delivered the baby and her seizures are well controlled on Eptoin 100 mg TDS. And I hope the baby is healthy born. In such case, she can continue Eptoin as she is taking. Also, can consider switching to other medication safely (as no risk of abortion or hypoxic injury to the baby) if she develops seizure during lactation. I suggest you meet neurologist in person with all the details. |
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Hello doctor, My wife is taking Eptoin 100 thrice in a day. Just 13 days back she delivered a baby girl. Should I be worried about this when she is feeding the baby? [/INST] Hello. Eptoin during whole pregnancy can cause fetal hydantoin syndrome and also can cause neural tube defects. Phenytoin is secreted in breast milk but the most chance of baby getting affected are in the first three months of pregnancy. But in your case, she already delivered the baby and her seizures are well controlled on Eptoin 100 mg TDS. And I hope the baby is healthy born. In such case, she can continue Eptoin as she is taking. Also, can consider switching to other medication safely (as no risk of abortion or hypoxic injury to the baby) if she develops seizure during lactation. I suggest you meet neurologist in person with all the details. |
Q. Every time I eat spicy food, I poop blood. Why? | Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I do not have a family history of colon cancer. I got blood tests done last night. Please find my reports attached. | Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online --> |
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Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I do not have a family history of colon cancer. I got blood tests done last night. Please find my reports attached. [/INST] Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online --> |
Q. How long should my husband and I wait to try for a baby if we did cocaine? | Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. | Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> |
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Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. [/INST] Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> |
Q. Can Yasmin birth control pill be used as an emergency contraceptive pill? | Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? | Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> |
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Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? [/INST] Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> |
Q. Please explain the poisonous effect of phenol ingestion. | Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. | Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> |
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Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. [/INST] Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> |
Q. For how long should I take Kalachikai powder to overcome PCOD problem? | Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? | Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> |
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Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? [/INST] Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> |
Q. Why do periods get delayed after first time sex? | Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? | Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> |
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Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? [/INST] Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> |
Q. Is midline diastema curable? | Hello doctor, I have a wide midline maxillary diastema. Is it curable and what are the chances of its relapse. I have missing lateral incisors. | Hi. Midline diastema can be corrected basically by two methods. One, using a filling material or crowns which can be done in a single or few appointments. Secondly, by using braces treatment which can be relatively for a long time success depending on the severity or combination of both the above methods. Since you have mentioned that it is a large diastema the combination method would be the one I prefer. But I do not want to misguide you without even seeing what exactly the condition is. I request you to send me a picture for a more appropriate advice. Else, I advise you to visit your nearby dentist preferably a specialist in smile design to analyze your current complaint. |
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Hello doctor, I have a wide midline maxillary diastema. Is it curable and what are the chances of its relapse. I have missing lateral incisors. [/INST] Hi. Midline diastema can be corrected basically by two methods. One, using a filling material or crowns which can be done in a single or few appointments. Secondly, by using braces treatment which can be relatively for a long time success depending on the severity or combination of both the above methods. Since you have mentioned that it is a large diastema the combination method would be the one I prefer. But I do not want to misguide you without even seeing what exactly the condition is. I request you to send me a picture for a more appropriate advice. Else, I advise you to visit your nearby dentist preferably a specialist in smile design to analyze your current complaint. |
Q. Why are there vomiting and headache in a hypertensive patient? | Hello doctor, My mother is suffering from a vomiting and acute headache from the last two weeks. I have visited a local doctor and he has suggested some tests. After doing all the tests he prescribed some medicine for vomiting and headache. But the problem continues. When we revisit the doctor he was suggested for MRI and further blood tests. I have already done all the tests. I am sharing the test reports with you. Please check the reports and suggest what kind of treatment she needs to recover from the problem. My mother has hypertension and essential hypertension and taking Telma 40 and TVS 10 medicines from the last one year. Also taking Vasograin for an acute headache. | Hello. I have seen the MRI brain report (attachment removed to protect patient identity), suggesting multiple sebaceous cysts in the brain, and ring like enhanced lesion on cerebellum (small brain) right side which can be infective lesion like tuberculoma, neurocysticercosis, toxoplasmosis or tumor lesion like astrocytoma or medulloblastoma or secondary metastatic tumor or may be benigntumor. That is why she is developing that condition. Her condition might be worse if she will not get proper attention. Kindly follow following instructions. Admit her in any hospital under neurologist. Keep her in ICU. Make her BP stable. Go for diffusion-weighted MRI for a clearpicture, CT thorax to rule out any lung or breast malignancy. Do lumbar puncture and CSF fluid analysis. Rule out through blood cultures any parasitic, worm, bacterial or viral infection according to that treatment. |
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Hello doctor, My mother is suffering from a vomiting and acute headache from the last two weeks. I have visited a local doctor and he has suggested some tests. After doing all the tests he prescribed some medicine for vomiting and headache. But the problem continues. When we revisit the doctor he was suggested for MRI and further blood tests. I have already done all the tests. I am sharing the test reports with you. Please check the reports and suggest what kind of treatment she needs to recover from the problem. My mother has hypertension and essential hypertension and taking Telma 40 and TVS 10 medicines from the last one year. Also taking Vasograin for an acute headache. [/INST] Hello. I have seen the MRI brain report (attachment removed to protect patient identity), suggesting multiple sebaceous cysts in the brain, and ring like enhanced lesion on cerebellum (small brain) right side which can be infective lesion like tuberculoma, neurocysticercosis, toxoplasmosis or tumor lesion like astrocytoma or medulloblastoma or secondary metastatic tumor or may be benigntumor. That is why she is developing that condition. Her condition might be worse if she will not get proper attention. Kindly follow following instructions. Admit her in any hospital under neurologist. Keep her in ICU. Make her BP stable. Go for diffusion-weighted MRI for a clearpicture, CT thorax to rule out any lung or breast malignancy. Do lumbar puncture and CSF fluid analysis. Rule out through blood cultures any parasitic, worm, bacterial or viral infection according to that treatment. |
Q. Suffering from sore throat with post nasal drip and lymph node enlargement. What is causing it? | Hi doctor, I am 19 years old and from the last two years, my sore throat is not going away. I am having a lot of post nasal drip. I tried taking OTC anti-histamines, nothing helped. Today I noticed a hard lump under the chin at right side right at the point where throat begins. What is causing it? | Hello. The symptoms listed by you point to chronic tonsillopharyngitis mostly secondary to the post nasal drip. Delving into the details, the constant post nasal drip is causing inflammation of the posterior pharyngeal wall and the tonsils in the throat. When these get infected the adjacent lymph node (the jugulodigastric node), palpable under the angle of the jaw where the throat begins, gets swollen. I checked the picture you have sent. It shows enlarged tonsils with granular congestion of posterior pharyngeal wall. We need to investigate you as to why there is chronic tonsillopharyngitis. We must evaluate the cause for post nasal drip. Most probably the post nasal drip could be due to some inflammation inside the sinuses. To rule out the same we must do a non-contrast CT scan of paranasal sinuses. At the same time, it will be prudent to get a monospot and streptoccal test done for the throat. Routine blood investigations will be helpful to check for agranulocytosis, infectious mononucleosis, lymphocytosis, anemia, etc. In the meantime, avoid spicy and cold food products. Desist from smoking and drinking. Drink plenty of fluids. I suggest you take a course of anti-inflammatory medicines, Chymotrypsin-Trypsin-Bromelain, taken twice daily in empty stomach for five days. I would also suggest taking Omeprazole 40 mg twice daily before meals for 10 days. In the meantime, you would get the tests done and get back to us with the reports. If the diagnosis is in the lines that I have thought, you would require treatment for the sinusitis which would remove the causative factor for chronic tonsillitis. In any case, the investigations will help us arrive at the most decisive diagnosis. Do revert back for further support and help. |
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Hi doctor, I am 19 years old and from the last two years, my sore throat is not going away. I am having a lot of post nasal drip. I tried taking OTC anti-histamines, nothing helped. Today I noticed a hard lump under the chin at right side right at the point where throat begins. What is causing it? [/INST] Hello. The symptoms listed by you point to chronic tonsillopharyngitis mostly secondary to the post nasal drip. Delving into the details, the constant post nasal drip is causing inflammation of the posterior pharyngeal wall and the tonsils in the throat. When these get infected the adjacent lymph node (the jugulodigastric node), palpable under the angle of the jaw where the throat begins, gets swollen. I checked the picture you have sent. It shows enlarged tonsils with granular congestion of posterior pharyngeal wall. We need to investigate you as to why there is chronic tonsillopharyngitis. We must evaluate the cause for post nasal drip. Most probably the post nasal drip could be due to some inflammation inside the sinuses. To rule out the same we must do a non-contrast CT scan of paranasal sinuses. At the same time, it will be prudent to get a monospot and streptoccal test done for the throat. Routine blood investigations will be helpful to check for agranulocytosis, infectious mononucleosis, lymphocytosis, anemia, etc. In the meantime, avoid spicy and cold food products. Desist from smoking and drinking. Drink plenty of fluids. I suggest you take a course of anti-inflammatory medicines, Chymotrypsin-Trypsin-Bromelain, taken twice daily in empty stomach for five days. I would also suggest taking Omeprazole 40 mg twice daily before meals for 10 days. In the meantime, you would get the tests done and get back to us with the reports. If the diagnosis is in the lines that I have thought, you would require treatment for the sinusitis which would remove the causative factor for chronic tonsillitis. In any case, the investigations will help us arrive at the most decisive diagnosis. Do revert back for further support and help. |
Q. Why is there numbness in face, arm, and hand on one side? | Hello doctor, I have numbness in my right side of the face and right arm and right hand. Blood pressure is normal. | Hello. Is it sudden onset or gradually develops from last many days. If it is gradual and it is there since long time period, then it is most probably spondylosis both cervical spine. It is a spine problem where you get numbness, pain, and other symptoms due to compression of nerves between spine. Do you have any history of trauma to your spine, does this pain increase on neck movement, is it associated with tingling, needles and pins sensation, if yes then it further supports the diagnosis. You will need vitamin D level, X-ray cervical spine, spine AP/lateral view and further may need MRI if X-rays are not informative. The treatment for this is physiotherapy to release the nerve compression, traction, cervical collar, medicine and if none helps, then surgery. Till the time you can have tablet Neurobion forte once a day which is a nerve vitamin. You need to visit a neurologist for all these investigations. If the problem is suddenly and of short duration, then it can be a minor stroke and needs further investigation. |
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Hello doctor, I have numbness in my right side of the face and right arm and right hand. Blood pressure is normal. [/INST] Hello. Is it sudden onset or gradually develops from last many days. If it is gradual and it is there since long time period, then it is most probably spondylosis both cervical spine. It is a spine problem where you get numbness, pain, and other symptoms due to compression of nerves between spine. Do you have any history of trauma to your spine, does this pain increase on neck movement, is it associated with tingling, needles and pins sensation, if yes then it further supports the diagnosis. You will need vitamin D level, X-ray cervical spine, spine AP/lateral view and further may need MRI if X-rays are not informative. The treatment for this is physiotherapy to release the nerve compression, traction, cervical collar, medicine and if none helps, then surgery. Till the time you can have tablet Neurobion forte once a day which is a nerve vitamin. You need to visit a neurologist for all these investigations. If the problem is suddenly and of short duration, then it can be a minor stroke and needs further investigation. |
Q. Why are my upper front teeth wiggly? | Hello doctor, I have been to several dentists who said my gums look good and everything else but some cavities and one root canal I had to get done. I am on Invisalign treatment and much teeth (front mainly, top and bottom) seem wiggly. I looked and the mirror and see where they were. Can someone please help me or calm my nerves til I can get to a dentist? | Hi. Your upper and lower front teeth are perfectly looking good and I could also see few cavities in the photo that you have attached (attachment removed to protect patient identity). The wiggly kind of appearance you feel should be because of your teeth cutting tips have a very transparent enamel inside which there are 'w' shaped pattern visible. Those are called mamelons which are completely normal features of the tooth when it is developed. Also, the transparent enamel gives the greyish hue which might make you think that teeth are discolored but it is actually not so. Also, you should know a fact that, all the front teeth should not be of the same size and same level. By the nature of law, the central incisors have to be bigger than the lateral ones in the upper row. If you understand all these facts, you will believe in the dentists of why they had told you need not require any treatment for the front teeth. |
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Hello doctor, I have been to several dentists who said my gums look good and everything else but some cavities and one root canal I had to get done. I am on Invisalign treatment and much teeth (front mainly, top and bottom) seem wiggly. I looked and the mirror and see where they were. Can someone please help me or calm my nerves til I can get to a dentist? [/INST] Hi. Your upper and lower front teeth are perfectly looking good and I could also see few cavities in the photo that you have attached (attachment removed to protect patient identity). The wiggly kind of appearance you feel should be because of your teeth cutting tips have a very transparent enamel inside which there are 'w' shaped pattern visible. Those are called mamelons which are completely normal features of the tooth when it is developed. Also, the transparent enamel gives the greyish hue which might make you think that teeth are discolored but it is actually not so. Also, you should know a fact that, all the front teeth should not be of the same size and same level. By the nature of law, the central incisors have to be bigger than the lateral ones in the upper row. If you understand all these facts, you will believe in the dentists of why they had told you need not require any treatment for the front teeth. |
Q. Will Kalarchikai cure multiple ovarian cysts in PCOD? | Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well. | Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help. |
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Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well. [/INST] Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help. |
Q. Where does the unreleased follicle eggs go in a PCOD patient? | Hello doctor, I have PCOS. I want to know what happens to all these unreleased follicle eggs on ovaries? Why I have spotting after the period? And how can Yasmin help me? If it prevents ovulation so the number of follicle eggs would increase? What are the side effects once I get off Yasmin pills? Can you answer me with an explanation, please? | Hello. The unreleased follicles are multiple and tiny and small as the follicular phase is very long. FSH hormone is very high. They are all unripe and immature but one of them grows till ovulation (takes a long time in PCOS patients) and other undergo apoptosis, that is get dissolved. Some women experience spotting at the time of ovulation but not necessarily it could be due to ovulation. It could be mainly because of hormonal imbalances. I myself prescribe Yasmin to PCOS patients and works wonderfully as it is a low dose hormonal pill. It regularizes the menstrual cycle, the follicular phase becomes 14 days and luteal phase becomes 14 days, periods come on the exact date. It has Estrogen and Progesterone component which is active and it mimics like normal body rhythm (how it normally should be) unlike what imbalances happens in PCOS and corrects them. Spotting does not occur. The number of follicles do not increase even if it inhibits ovulation by a complex mechanism but the follicular phase which is very long in PCOS patients gets corrected thereby leading to normal FSH levels. Free androgen circulating in the body get decreased. Side effects on stopping Yasmin are again irregular or delayed periods and hirsutism may increase as male hormone androgen is increased than estrogen and progesterone. But before starting Yasmin there should be no cardiovascular disorders or gallbladder disease or active liver disease as it is a hormonal pill. It gives protection from breast cancers and ovarian cancers as well. Once periods get regular after three months, Yasmin can be stopped. It has to be taken for 21 days from the first day of the period then wait for periods and again start a fresh pack. |
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Hello doctor, I have PCOS. I want to know what happens to all these unreleased follicle eggs on ovaries? Why I have spotting after the period? And how can Yasmin help me? If it prevents ovulation so the number of follicle eggs would increase? What are the side effects once I get off Yasmin pills? Can you answer me with an explanation, please? [/INST] Hello. The unreleased follicles are multiple and tiny and small as the follicular phase is very long. FSH hormone is very high. They are all unripe and immature but one of them grows till ovulation (takes a long time in PCOS patients) and other undergo apoptosis, that is get dissolved. Some women experience spotting at the time of ovulation but not necessarily it could be due to ovulation. It could be mainly because of hormonal imbalances. I myself prescribe Yasmin to PCOS patients and works wonderfully as it is a low dose hormonal pill. It regularizes the menstrual cycle, the follicular phase becomes 14 days and luteal phase becomes 14 days, periods come on the exact date. It has Estrogen and Progesterone component which is active and it mimics like normal body rhythm (how it normally should be) unlike what imbalances happens in PCOS and corrects them. Spotting does not occur. The number of follicles do not increase even if it inhibits ovulation by a complex mechanism but the follicular phase which is very long in PCOS patients gets corrected thereby leading to normal FSH levels. Free androgen circulating in the body get decreased. Side effects on stopping Yasmin are again irregular or delayed periods and hirsutism may increase as male hormone androgen is increased than estrogen and progesterone. But before starting Yasmin there should be no cardiovascular disorders or gallbladder disease or active liver disease as it is a hormonal pill. It gives protection from breast cancers and ovarian cancers as well. Once periods get regular after three months, Yasmin can be stopped. It has to be taken for 21 days from the first day of the period then wait for periods and again start a fresh pack. |
Q. Kindly advise how to control wheezing and shortness of breath while having cold. | Hello doctor, I have a wheezing problem and breathing shortness when I suffer from cold. I noticed I have dust allergy also. Day by day my problem is increasing. Now I have to take Levolin inhaler three times in a day. Is there any measure to control my problem? | Hi. The whole problem can be attributed to dust allergy and bronchospasm due to cold. I would suggest the continuation of inhaler therapy for at least three months, a patch test to seek out the allergen, and dust free surroundings, (dust can harbor mites which are known to cause allergy. As you said your problem is increasing day by day I would suggest an ECG and echo just to ensure we are not dealing with an additional cardiac cause here, because usually once the cold or allergy is removed the patient usually returns completely to normal. Allergic rhinitis. |
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Hello doctor, I have a wheezing problem and breathing shortness when I suffer from cold. I noticed I have dust allergy also. Day by day my problem is increasing. Now I have to take Levolin inhaler three times in a day. Is there any measure to control my problem? [/INST] Hi. The whole problem can be attributed to dust allergy and bronchospasm due to cold. I would suggest the continuation of inhaler therapy for at least three months, a patch test to seek out the allergen, and dust free surroundings, (dust can harbor mites which are known to cause allergy. As you said your problem is increasing day by day I would suggest an ECG and echo just to ensure we are not dealing with an additional cardiac cause here, because usually once the cold or allergy is removed the patient usually returns completely to normal. Allergic rhinitis. |
Q. I had a breakup, fighting with people and irritated with my job. Please help. | Hi doctor, I have a problem. I am getting frustrated with a silly thing that is my job. I had a breakup, I am fighting with people on small things. What to do? | Hi. I understand your concern. Did all these problems start after break up? If it is so, this is commonly called as an adjustment disorder. If severe it could lead to depression too. My advice will be to first understand that you are experiencing this problem and it is due to certain chemical changes probably triggered by stress. Your change in behavior may be the result of this. Try to distract yourself from situations which make you upset and keep yourself engaged. Try to plan a new resolution and work towards it. Try daily exercises or yoga. Try meeting new friends and take a break from your schedule. Try out doing something which you always wanted but never did in the past. The symptoms you are experiencing is temporary and it will pass. If nothing is helping you and you are experiencing low mood, sleep disturbances, etc., then a small dose of antidepressants like Escitalopram at around 10 mg dose will help you a lot. |
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Hi doctor, I have a problem. I am getting frustrated with a silly thing that is my job. I had a breakup, I am fighting with people on small things. What to do? [/INST] Hi. I understand your concern. Did all these problems start after break up? If it is so, this is commonly called as an adjustment disorder. If severe it could lead to depression too. My advice will be to first understand that you are experiencing this problem and it is due to certain chemical changes probably triggered by stress. Your change in behavior may be the result of this. Try to distract yourself from situations which make you upset and keep yourself engaged. Try to plan a new resolution and work towards it. Try daily exercises or yoga. Try meeting new friends and take a break from your schedule. Try out doing something which you always wanted but never did in the past. The symptoms you are experiencing is temporary and it will pass. If nothing is helping you and you are experiencing low mood, sleep disturbances, etc., then a small dose of antidepressants like Escitalopram at around 10 mg dose will help you a lot. |
Q. Is the color of my tongue normal? | Hello doctor, I have a concern in my mouth. I am a 25-year-old woman. Is it normal for the underneath of my tongue to look like this? | Hi. I have seen the picture you have attached (attachment removed to protect patient identity). This is 100 % normal for the tongue to look like. The undersurface of the tongue looks in this color because of the artery and veins supplying the tongue is quite visible clearly. This is the same sort of thing seen in the inner surface of the elbow joints. And the string running through the tongue is the muscle attachment called frenulum which again is a normal feature. Do not panic for this. You have told you have never seen it in this color. But I think you have never probably seen this keenly. Moreover, it is the way we see things. You should be worrying only if your tongue turns red, purple or even matte white for that matter. The top surface of the tongue will still look whiter in most of the normal times because that is the part which carries the taste buds and oral bacteria all around. I mean you should not see white patches in your tongue. Good oral hygiene includes tongue cleanliness too. I advise you to use a plastic tongue cleaner or back of the toothbrush head to clean the tongue after every brushing. |
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Hello doctor, I have a concern in my mouth. I am a 25-year-old woman. Is it normal for the underneath of my tongue to look like this? [/INST] Hi. I have seen the picture you have attached (attachment removed to protect patient identity). This is 100 % normal for the tongue to look like. The undersurface of the tongue looks in this color because of the artery and veins supplying the tongue is quite visible clearly. This is the same sort of thing seen in the inner surface of the elbow joints. And the string running through the tongue is the muscle attachment called frenulum which again is a normal feature. Do not panic for this. You have told you have never seen it in this color. But I think you have never probably seen this keenly. Moreover, it is the way we see things. You should be worrying only if your tongue turns red, purple or even matte white for that matter. The top surface of the tongue will still look whiter in most of the normal times because that is the part which carries the taste buds and oral bacteria all around. I mean you should not see white patches in your tongue. Good oral hygiene includes tongue cleanliness too. I advise you to use a plastic tongue cleaner or back of the toothbrush head to clean the tongue after every brushing. |
Q. What can be done to lower my hairline to hide the big forehead? | Hello doctor, I am an 18-year-old male and I am trying to find out if there is any way to lower my hairline. I had a big forehead since birth and I am wondering if there is any way to change that. | Hello. There are two ways we can use to achieve a lower hairline or a smaller forehead. The first is a surgical approach to remove a portion of the forehead skin and effectively lower the hairline. The second is to make the forehead appear smaller by grafting hair to the front of the hairline. Occasionally, these two procedures can be combined but as it is a very expensive method the only way which you can do is undergo a hair transplant by FUE (follicular unit extraction) method to create a new hairline to hide your big forehead. |
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Hello doctor, I am an 18-year-old male and I am trying to find out if there is any way to lower my hairline. I had a big forehead since birth and I am wondering if there is any way to change that. [/INST] Hello. There are two ways we can use to achieve a lower hairline or a smaller forehead. The first is a surgical approach to remove a portion of the forehead skin and effectively lower the hairline. The second is to make the forehead appear smaller by grafting hair to the front of the hairline. Occasionally, these two procedures can be combined but as it is a very expensive method the only way which you can do is undergo a hair transplant by FUE (follicular unit extraction) method to create a new hairline to hide your big forehead. |
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 prolong usage of foley catheter for urinary retention cause bladder weakness? | Hello doctor, I have been on a foley catheter since two. COVID prohibited the procedure at that time. I am having a cystoscopy on the 18th of this month. If all is well, will my bladder be too weak since it has been on the foley for so long? Foley has been a pain and I am on Xarelto and Plavix which causes intermittent bleeding during the day. But I do not have any infection. I am also a diabetic and I cannot self cath. What do you think they will recommend? I am currently on Flomax and Finesteride. | Hello. Coming back to your query, you need to answer some of my questions first. When the catheter was put how much urine came in the first 15 minutes (did your bag get filled fully, half or what)? Were you on a floral Finastride combination before you were put on a catheter? For what reason you were catheterized? Was it retention of urine? Any abdominal ultrasound done till date which mentions prostate size? Do you have any urinary complaints like frequency, urgency, poor stream, nocturia, dribbling, burning, or micturition before catheter was placed and how long you were having them if any? Is your diabetic status under control? Any HbA1c report? |
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Hello doctor, I have been on a foley catheter since two. COVID prohibited the procedure at that time. I am having a cystoscopy on the 18th of this month. If all is well, will my bladder be too weak since it has been on the foley for so long? Foley has been a pain and I am on Xarelto and Plavix which causes intermittent bleeding during the day. But I do not have any infection. I am also a diabetic and I cannot self cath. What do you think they will recommend? I am currently on Flomax and Finesteride. [/INST] Hello. Coming back to your query, you need to answer some of my questions first. When the catheter was put how much urine came in the first 15 minutes (did your bag get filled fully, half or what)? Were you on a floral Finastride combination before you were put on a catheter? For what reason you were catheterized? Was it retention of urine? Any abdominal ultrasound done till date which mentions prostate size? Do you have any urinary complaints like frequency, urgency, poor stream, nocturia, dribbling, burning, or micturition before catheter was placed and how long you were having them if any? Is your diabetic status under control? Any HbA1c report? |
Q. I masturbate only by rubbing the tip of the penis. Is it a wrong way? | Hi doctor, During masturbation I just rub the tip of the penis and not the entire penis. Is it a wrong way of doing? I do not get excited during sex and unable to ejaculate. Only, rubbing the tip of the penis gives me excitement. Also, two weeks ago, I have undergone circumcision as my foreskin did not retract. Before circumcision too, I have the same problem. Please help. | Hi. For further doubts consult a sexologist online --> |
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Hi doctor, During masturbation I just rub the tip of the penis and not the entire penis. Is it a wrong way of doing? I do not get excited during sex and unable to ejaculate. Only, rubbing the tip of the penis gives me excitement. Also, two weeks ago, I have undergone circumcision as my foreskin did not retract. Before circumcision too, I have the same problem. Please help. [/INST] Hi. For further doubts consult a sexologist online --> |
Q. I get sudden jerks when I am about to sleep. Why? | Hello doctor,I am 31 years old, male. My problem is when I am about to go to sleep then there is a sudden jerk. I asked my wife. I do not jerk while sleeping or in middle of sleep. It happens just when I am about to fall asleep. Suddenly a quick jerk. It happens for a couple of times then finally I go to sleep. It happens during the daytime also if after lunch I go for a nap, there is a sudden jerk when I am about to fall asleep. Once I sleep then no issues till I get up. A few months back I had this then it disappeared and now I am getting it again. CT brain was done a few months back. The report does not have it now. But it was normal. No abnormality. No diabetes, no thyroid. Normal LFT, KFT. I m taking medicine for BP. Nothing else as of now. Complete health check-up was done. I was alcoholic for a few years. If I drink and sleep, no issues. I also have a little bit of depression and anxiety due to business or work issues. Please help me out with it. | Hi. Yes, you are suffering from hypnic jerks only. This is not a disease. It is a behavioral issue. I have successfully treated my patients with hypnic jerk by following measures. To reduce caffeine intake and particularly in evening. To stop alcohol and smoking completely, a drug known as Modafinil gives me very good response in such patients, lots of exercises. You can discuss with your doctor to prescribe you Modafinil. |
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Hello doctor,I am 31 years old, male. My problem is when I am about to go to sleep then there is a sudden jerk. I asked my wife. I do not jerk while sleeping or in middle of sleep. It happens just when I am about to fall asleep. Suddenly a quick jerk. It happens for a couple of times then finally I go to sleep. It happens during the daytime also if after lunch I go for a nap, there is a sudden jerk when I am about to fall asleep. Once I sleep then no issues till I get up. A few months back I had this then it disappeared and now I am getting it again. CT brain was done a few months back. The report does not have it now. But it was normal. No abnormality. No diabetes, no thyroid. Normal LFT, KFT. I m taking medicine for BP. Nothing else as of now. Complete health check-up was done. I was alcoholic for a few years. If I drink and sleep, no issues. I also have a little bit of depression and anxiety due to business or work issues. Please help me out with it. [/INST] Hi. Yes, you are suffering from hypnic jerks only. This is not a disease. It is a behavioral issue. I have successfully treated my patients with hypnic jerk by following measures. To reduce caffeine intake and particularly in evening. To stop alcohol and smoking completely, a drug known as Modafinil gives me very good response in such patients, lots of exercises. You can discuss with your doctor to prescribe you Modafinil. |
Q. What can be done for loose teeth and bleeding gums? | Hello doctor, A couple of my adult teeth feel loose. My gums are sore and bleed randomly as well as when I brush. Do I have gum disease? | Hello. As you say about your gum condition and oral health, I think you have a gum infection. But do not worry. It is common and curable. You need a dental appointment as soon as possible. He or she will examine clinically and advice treatment (deep oral prophylaxis, gingival flap surgery). You can follow some instructions like brush twice a day, make sure all surface of teeth is covered properly. Use a soft brush and change it every two months. Use medicated mouthwash containing Chlorhexidine twice a day or you can use lukewarm water with a pinch of salt to rinse your mouth. And make sure to confirm an appointment with the dentist. Poor oral hygiene. Clinical examination and dental X-ray. Gingivitis, periodontitis. Periodontitis. Oral prophylaxis. |
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Hello doctor, A couple of my adult teeth feel loose. My gums are sore and bleed randomly as well as when I brush. Do I have gum disease? [/INST] Hello. As you say about your gum condition and oral health, I think you have a gum infection. But do not worry. It is common and curable. You need a dental appointment as soon as possible. He or she will examine clinically and advice treatment (deep oral prophylaxis, gingival flap surgery). You can follow some instructions like brush twice a day, make sure all surface of teeth is covered properly. Use a soft brush and change it every two months. Use medicated mouthwash containing Chlorhexidine twice a day or you can use lukewarm water with a pinch of salt to rinse your mouth. And make sure to confirm an appointment with the dentist. Poor oral hygiene. Clinical examination and dental X-ray. Gingivitis, periodontitis. Periodontitis. Oral prophylaxis. |
Q. Why is there severe cold and cough with green color phlegm? | Hello doctor, I have a severe cough and cold. When coughing green color phlegm is occurring. I am using Benydryl syrup now. | Hi. Do you have a fever? Since how long you have these symptoms? A headache? Facial pain? A cough and cold could be viral which will need only symptomatic treatment or if it is severe you might need antibiotics. Treatment includes having a lot of warm water and to avoid cold and sour food or drinks. If you feel your nose is blocked take steam inhalation once or twice a day and saline nasal spray. Analgesics like Paracetamol for fever aches and pains when required. Antihistamine like Cetirizine 5 mg at bedtime. Coamoxiclav (Amoxicillin and Clavulanic acid) twice a day. The dose depends on your weight and age. Have cough syrup containing mucolytic agent like Ambroxol. |
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Hello doctor, I have a severe cough and cold. When coughing green color phlegm is occurring. I am using Benydryl syrup now. [/INST] Hi. Do you have a fever? Since how long you have these symptoms? A headache? Facial pain? A cough and cold could be viral which will need only symptomatic treatment or if it is severe you might need antibiotics. Treatment includes having a lot of warm water and to avoid cold and sour food or drinks. If you feel your nose is blocked take steam inhalation once or twice a day and saline nasal spray. Analgesics like Paracetamol for fever aches and pains when required. Antihistamine like Cetirizine 5 mg at bedtime. Coamoxiclav (Amoxicillin and Clavulanic acid) twice a day. The dose depends on your weight and age. Have cough syrup containing mucolytic agent like Ambroxol. |
Q. 2 months old baby girl is getting a thick milky white vaginal discharge. Please help. | Hello doctor, My 2 months old baby girl is getting a thick milky white vaginal discharge from last week. We see it once or twice a day in her diaper and some stuck in the vagina. What may cause this? What treatment we should do? The baby was born prematurely. | Hi. Please maintain a good hygiene for the child. Avoid diapers for a while till the discharge is gone. You can place the baby in a tub of clean water with some vinegar or baking soda for 10 to 15 minutes every day for 2 to 3 days. Dry the vaginal area thoroughly by patting and keep it dry. Usually, this should take care of the issue. Sometimes this secretion can be seen in newborn kids due to the withdrawal of the hormones from the mother. If no resolution in three days, a vaginal swab routine microscopy plus culture followed by topical antibiotics like Metronidazole or Clindamycin is advisable based on the culture reports. |
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Hello doctor, My 2 months old baby girl is getting a thick milky white vaginal discharge from last week. We see it once or twice a day in her diaper and some stuck in the vagina. What may cause this? What treatment we should do? The baby was born prematurely. [/INST] Hi. Please maintain a good hygiene for the child. Avoid diapers for a while till the discharge is gone. You can place the baby in a tub of clean water with some vinegar or baking soda for 10 to 15 minutes every day for 2 to 3 days. Dry the vaginal area thoroughly by patting and keep it dry. Usually, this should take care of the issue. Sometimes this secretion can be seen in newborn kids due to the withdrawal of the hormones from the mother. If no resolution in three days, a vaginal swab routine microscopy plus culture followed by topical antibiotics like Metronidazole or Clindamycin is advisable based on the culture reports. |
Q. What can be done to get rid of swimmer's ear? | Hello doctor, I have swimmers ear and I do not know how to get rid of it and now my ears hurt extremely bad. | Hi If you have diffuse otitis externa then you must rule out malignant otitis externa. If you are immunocompromised or a diabetic you need to worry about the same. It will be prudent to get a culture sensitivity swab of the discharge from the ear whenever you have the condition. A permanent solution would require you to avoid water entry into the ears. Anti-inflammatory medicines like Trypsin-Chymotrypsin will be contributory to remove the edema and swelling inside. Appropriate antibiotic drops will lessen the bacterial flora. Acetic acid drops are available which restore the pH inside the ear canal and prevent bacterial growth. An otoscopic examination can rule out otomycosis which requires anti-fungal drops. Do revert back if you require any further support. |
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Hello doctor, I have swimmers ear and I do not know how to get rid of it and now my ears hurt extremely bad. [/INST] Hi If you have diffuse otitis externa then you must rule out malignant otitis externa. If you are immunocompromised or a diabetic you need to worry about the same. It will be prudent to get a culture sensitivity swab of the discharge from the ear whenever you have the condition. A permanent solution would require you to avoid water entry into the ears. Anti-inflammatory medicines like Trypsin-Chymotrypsin will be contributory to remove the edema and swelling inside. Appropriate antibiotic drops will lessen the bacterial flora. Acetic acid drops are available which restore the pH inside the ear canal and prevent bacterial growth. An otoscopic examination can rule out otomycosis which requires anti-fungal drops. Do revert back if you require any further support. |
Q. I had a horrible panic attack two weeks ago. My arms and legs went numb. What can I do to stop this? | Hello doctor, I had a horrible panic attack two weeks ago. My arms and legs went numb. Even now, I am having trouble with them and my balance. What can I do to stop this? | Hi. The treatment includes some medicines and psychotherapy. Once you begin to accept panic attacks, you can start to change the way you respond to them. For example, instead of reacting to physical symptoms, with nerve-racking thoughts, such as “I am losing control,” you can respond to them with increased calm and clarity. Relaxation techniques, such as deep breathing, mindfulness meditation or yoga can be practiced to help you get in touch with your relaxation response. Repeating positive affirmations, such as “Despite my anxiety, I accept myself,” can also help in getting past fear. By working on changing how you react, you can remain in control during panic attacks. The next time you have a panic attack, try to remember the three A’s of overcoming your fears: Acknowledge, Accept, and Alternative response. These three steps can assist you in changing the way you react to symptoms and get through panic attacks with less fear. Listed here is a simple step-by-step exercise that can help you overcome your fear of panic attacks: Acknowledge - The next time you notice increased anxiety or panic symptoms, simply pause and take a breath. Take this moment to recognize that you are experiencing heightened panic and anxiety. This simple act of acknowledging your symptoms at the start of a panic attack can give you a sense of power over your fears. Accept - Rather than trying to run away from or resist your symptoms, come to terms with the fact that you are having a panic attack. Acceptance does not mean that you are giving in to panic, but can provide you with the clarity needed to get through panic attacks. Alternative Response - Instead of becoming wrapped up in your fear, remind yourself that these are simply symptoms of a panic attack and that you have nothing to be afraid of. During a panic attack, your flight-or-fight reaction may be trigger feelings of stress and fear. Reframing these feelings can allow you to cope with them more effectively. So, for example, if during an attack you start to react with fear or a need to flee, remind yourself that your symptoms will soon subside. Instead of thinking “I am afraid of my panic attack,” try to reframe this to “I am feeling overly excited.” When frightening thoughts, such as “I am going to lose my mind” arise, try to shift this perception, by repeating to yourself, “I am okay,” or “These feelings will pass.” You can book for an online therapy or telephone counseling for further counseling and treatment from us. |
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Hello doctor, I had a horrible panic attack two weeks ago. My arms and legs went numb. Even now, I am having trouble with them and my balance. What can I do to stop this? [/INST] Hi. The treatment includes some medicines and psychotherapy. Once you begin to accept panic attacks, you can start to change the way you respond to them. For example, instead of reacting to physical symptoms, with nerve-racking thoughts, such as “I am losing control,” you can respond to them with increased calm and clarity. Relaxation techniques, such as deep breathing, mindfulness meditation or yoga can be practiced to help you get in touch with your relaxation response. Repeating positive affirmations, such as “Despite my anxiety, I accept myself,” can also help in getting past fear. By working on changing how you react, you can remain in control during panic attacks. The next time you have a panic attack, try to remember the three A’s of overcoming your fears: Acknowledge, Accept, and Alternative response. These three steps can assist you in changing the way you react to symptoms and get through panic attacks with less fear. Listed here is a simple step-by-step exercise that can help you overcome your fear of panic attacks: Acknowledge - The next time you notice increased anxiety or panic symptoms, simply pause and take a breath. Take this moment to recognize that you are experiencing heightened panic and anxiety. This simple act of acknowledging your symptoms at the start of a panic attack can give you a sense of power over your fears. Accept - Rather than trying to run away from or resist your symptoms, come to terms with the fact that you are having a panic attack. Acceptance does not mean that you are giving in to panic, but can provide you with the clarity needed to get through panic attacks. Alternative Response - Instead of becoming wrapped up in your fear, remind yourself that these are simply symptoms of a panic attack and that you have nothing to be afraid of. During a panic attack, your flight-or-fight reaction may be trigger feelings of stress and fear. Reframing these feelings can allow you to cope with them more effectively. So, for example, if during an attack you start to react with fear or a need to flee, remind yourself that your symptoms will soon subside. Instead of thinking “I am afraid of my panic attack,” try to reframe this to “I am feeling overly excited.” When frightening thoughts, such as “I am going to lose my mind” arise, try to shift this perception, by repeating to yourself, “I am okay,” or “These feelings will pass.” You can book for an online therapy or telephone counseling for further counseling and treatment from us. |
Q. My mother (80 years old) got hemiparalysis attack. She feels and talks as if she were in her twenties. | Dear doctor, My mother (80 years old) got a hemiparalysis attack last week. She has developed a mental disorder. She feels and talks as she were in her twenties. Kindly diagnose. | Hi. Stroke in elderly people, especially resulting in residual weakness, paralysis or other motor sensory deficits, invariably leads to a major depressive episode that may not improve on its own. Silliness, childishness, and immature behaviors are consistent with mental regression that accompanies depression in elderly people. A prompt evaluation by a psychiatrist followed by antidepressant medication is recommended. One other thing, caregivers of such stroke-afflicted depressed elderly patients are also prone to get depressed. |
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Dear doctor, My mother (80 years old) got a hemiparalysis attack last week. She has developed a mental disorder. She feels and talks as she were in her twenties. Kindly diagnose. [/INST] Hi. Stroke in elderly people, especially resulting in residual weakness, paralysis or other motor sensory deficits, invariably leads to a major depressive episode that may not improve on its own. Silliness, childishness, and immature behaviors are consistent with mental regression that accompanies depression in elderly people. A prompt evaluation by a psychiatrist followed by antidepressant medication is recommended. One other thing, caregivers of such stroke-afflicted depressed elderly patients are also prone to get depressed. |
Q. I had my period late by 21 days. Lower left side pain, bloated on that side; and back pain, abdomen pain. | Hi doctor, My period is late by 21 days late. I got all the pregnancy tests done, but everything came back negative. I have lower left side pain, feel bloated on that side, back pain, and abdomen pain. I am 18 years old and weigh 170 lbs. | Hi. I suggest you get beta hCG (human chorionic gonadotropin) test to rule out pregnancy and ectopic pregnancy with 100 % confidence. If negative, you should consider taking progesterone for withdrawal bleed and painkiller for pain. If beta hCG is positive, you need to go to the emergency room as there is a chance of ectopic pregnancy. |
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Hi doctor, My period is late by 21 days late. I got all the pregnancy tests done, but everything came back negative. I have lower left side pain, feel bloated on that side, back pain, and abdomen pain. I am 18 years old and weigh 170 lbs. [/INST] Hi. I suggest you get beta hCG (human chorionic gonadotropin) test to rule out pregnancy and ectopic pregnancy with 100 % confidence. If negative, you should consider taking progesterone for withdrawal bleed and painkiller for pain. If beta hCG is positive, you need to go to the emergency room as there is a chance of ectopic pregnancy. |
Q. I feel sad most of the time. Do not know, why. Please help. | Hi doctor, I feel sad most of the time. I do not know why I am always like this. I am a 24 year old male, and I work as a network engineer. | Hi. The details you have provided about your problem are very brief. Although, if you have these problems for more than two weeks then you are probably suffering from a major depressive disorder. A major depressive disorder is a condition in which patients develop sadness lasting an entire day for at least two weeks. It also has restlessness, loss of energy, hopelessness, worthlessness, and loss of self-esteem. For your symptoms, you need to meet a psychiatrist in person or online, whichever is convenient. He will ask you a few more details about your problem including family history. After this, he will decide the further course of action appropriate for you, like medication or talk therapy. |
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Hi doctor, I feel sad most of the time. I do not know why I am always like this. I am a 24 year old male, and I work as a network engineer. [/INST] Hi. The details you have provided about your problem are very brief. Although, if you have these problems for more than two weeks then you are probably suffering from a major depressive disorder. A major depressive disorder is a condition in which patients develop sadness lasting an entire day for at least two weeks. It also has restlessness, loss of energy, hopelessness, worthlessness, and loss of self-esteem. For your symptoms, you need to meet a psychiatrist in person or online, whichever is convenient. He will ask you a few more details about your problem including family history. After this, he will decide the further course of action appropriate for you, like medication or talk therapy. |
Q. I have been on prozac for 6 months and I have such low libido now. Can I just stop and will it go back to the way it was? | Hi doctor, I am an 18 year old male, and I have been taking Prozac for probably 6 months, which has made my libido very low. Will it go back to the way it was if I stop the medicine? | Hi. I understand that Prozac (Fluoxetine) is a known cause of low libido and this might be a single or contributory cause in your decreased libido. In my view, solutions to your problem are: |
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Hi doctor, I am an 18 year old male, and I have been taking Prozac for probably 6 months, which has made my libido very low. Will it go back to the way it was if I stop the medicine? [/INST] Hi. I understand that Prozac (Fluoxetine) is a known cause of low libido and this might be a single or contributory cause in your decreased libido. In my view, solutions to your problem are: |
Q. Is it a must to remove gallbladder for right upper abdomen pain? | Hi doctor, About a month ago, I experienced acute pain in my right upper abdomen and that radiated to my back. It happened after I had a high fat meal that night. The pain lasted for hours and continued as a dull ache for the next week. I made an appointment with a gastroenterologist and he advised an abdominal CT. The report revealed that besides a mildly hydronephrotic kidney, for which I have already seen a urologist, everything else was normal except for the following. A focus of calcification is in the gallbladder lumen or the posterior gallbladder wall. The gallbladder wall is minimally prominent. However, the gallbladder is collapsed. All of my laboratory blood work showed that my kidney, liver and pancreas functions are normal. The gastroenterologist did not really give me any insight. He said to find a surgeon in case I have another attack, so that the gallbladder can be removed. I have found a surgeon, but I would like to get a second opinion from a different gastroenterologist. I have had a dull ache since the initial attack, but I have not had any more excruciating pain. Should I wait to get the gallbladder out if I do have another attack? When the report says focus of calcification, does that mean I just have one gallstone? Though I do not have any extreme pain, is this an emergency? Any advice you can provide would be helpful. | Hi. We are here to help you. For further information consult a medical gastroenterologist online --> |
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Hi doctor, About a month ago, I experienced acute pain in my right upper abdomen and that radiated to my back. It happened after I had a high fat meal that night. The pain lasted for hours and continued as a dull ache for the next week. I made an appointment with a gastroenterologist and he advised an abdominal CT. The report revealed that besides a mildly hydronephrotic kidney, for which I have already seen a urologist, everything else was normal except for the following. A focus of calcification is in the gallbladder lumen or the posterior gallbladder wall. The gallbladder wall is minimally prominent. However, the gallbladder is collapsed. All of my laboratory blood work showed that my kidney, liver and pancreas functions are normal. The gastroenterologist did not really give me any insight. He said to find a surgeon in case I have another attack, so that the gallbladder can be removed. I have found a surgeon, but I would like to get a second opinion from a different gastroenterologist. I have had a dull ache since the initial attack, but I have not had any more excruciating pain. Should I wait to get the gallbladder out if I do have another attack? When the report says focus of calcification, does that mean I just have one gallstone? Though I do not have any extreme pain, is this an emergency? Any advice you can provide would be helpful. [/INST] Hi. We are here to help you. For further information consult a medical gastroenterologist 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. Not able to sleep from almost 8 months till now. Always thinking and questions running in mind. | Hello doctor, I am not able to sleep from almost eight months now. I keep thinking, and questions keep running in my mind. I am also depressed. Please help. | Hi. The problem of sleep and excessive thinking might be due to depression itself. For sleep problem, try to avoid caffeinated drinks after 5 PM. Go to bed after completing your work, get up in the morning on fixed time. In my opinion, you need to consult a psychiatrist either online or in person for a detailed assessment of your problem. After a full assessment only, I can advise appropriate treatment for your depression and sleep problem. It is unlikely that eight months long problem is going to disappear on its own. |
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Hello doctor, I am not able to sleep from almost eight months now. I keep thinking, and questions keep running in my mind. I am also depressed. Please help. [/INST] Hi. The problem of sleep and excessive thinking might be due to depression itself. For sleep problem, try to avoid caffeinated drinks after 5 PM. Go to bed after completing your work, get up in the morning on fixed time. In my opinion, you need to consult a psychiatrist either online or in person for a detailed assessment of your problem. After a full assessment only, I can advise appropriate treatment for your depression and sleep problem. It is unlikely that eight months long problem is going to disappear on its own. |
Q. I want to figure out whether I have ADHD. I am not able to concentrate in school. | Hello doctor, I am trying to figure out if I have ADHD. I cannot concentrate at school. While reading, my mind wanders off, and I forget everything. If I stay still, I shake a bit. Please help me. | Hi. The information you have provided indicates towards ADHD (Attention Deficit/Hyperactivity Disorder). But at the same time, there are other conditions that have similar kind of presentation as you have reported. Other than this, there are a few other criteria that should be present before saying whether it is due to ADHD or not. According to the classification systems by APA and WHO, around 10 criteria are required, and few psychological tests are administered before making a formal diagnosis. If you want to be sure about your diagnosis, it will be better to meet a psychiatrist in person or to have an online/telephone counseling with a psychiatrist at icliniq. They can help you understand your problem so that you can take appropriate decision. |
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Hello doctor, I am trying to figure out if I have ADHD. I cannot concentrate at school. While reading, my mind wanders off, and I forget everything. If I stay still, I shake a bit. Please help me. [/INST] Hi. The information you have provided indicates towards ADHD (Attention Deficit/Hyperactivity Disorder). But at the same time, there are other conditions that have similar kind of presentation as you have reported. Other than this, there are a few other criteria that should be present before saying whether it is due to ADHD or not. According to the classification systems by APA and WHO, around 10 criteria are required, and few psychological tests are administered before making a formal diagnosis. If you want to be sure about your diagnosis, it will be better to meet a psychiatrist in person or to have an online/telephone counseling with a psychiatrist at icliniq. They can help you understand your problem so that you can take appropriate decision. |
Q. Can bumps in throat after sex be due to HIV? | Hi doctor, I had protected sex with a male prostitute. I did not receive it, I was giving and later I received it from the prostitute. This occurred before five months. I got tested at the health department for HIV and ECT and they came back negative. I looked at the symptoms and I am panicking. I have had a sore throat, runny and stuffy nose, lower back pain. I stand up at work all day (if that has something to do with it). My throat is red and I have had a bump on the back of the tonsils and it was white but it went away and today I now have bumps and kind of white-yellowish bumps. I have had diarrhea one day and I was feleing warm. All of those other symptoms that happened have gone. Just today, my throat is making me scared. It does not hurt or anything. It is just how it looks and the bumps. | Hello. I can understand your anxiety but anyways sore throat and tonsillitis can happen to a normal person also. You have tested for HIV and that test has come negative. You need not worry as that test came negative which has a good sensitivity. Pictures you have sent (attachment removed to protect patient identity) shows redness and swollen tonsils but that is not to worry about. Do not panic, just take rest, drink plenty of liquids, do saline gargle twice to thrice a day. You shall be alright within a couple of days. |
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Hi doctor, I had protected sex with a male prostitute. I did not receive it, I was giving and later I received it from the prostitute. This occurred before five months. I got tested at the health department for HIV and ECT and they came back negative. I looked at the symptoms and I am panicking. I have had a sore throat, runny and stuffy nose, lower back pain. I stand up at work all day (if that has something to do with it). My throat is red and I have had a bump on the back of the tonsils and it was white but it went away and today I now have bumps and kind of white-yellowish bumps. I have had diarrhea one day and I was feleing warm. All of those other symptoms that happened have gone. Just today, my throat is making me scared. It does not hurt or anything. It is just how it looks and the bumps. [/INST] Hello. I can understand your anxiety but anyways sore throat and tonsillitis can happen to a normal person also. You have tested for HIV and that test has come negative. You need not worry as that test came negative which has a good sensitivity. Pictures you have sent (attachment removed to protect patient identity) shows redness and swollen tonsils but that is not to worry about. Do not panic, just take rest, drink plenty of liquids, do saline gargle twice to thrice a day. You shall be alright within a couple of days. |
Q. What is the management of erectile dysfunction and premature ejaculation? | Hello doctor, My problem is erectile dysfunction and premature ejaculation. I am 29 years old, 78 kg, 5'7" height. | Hi. For providing you the proper treatment I need to know the answers to the following questions. What is your age? How long you had been in a physical relationship? Any sexual encounter with a commercial sex worker? Any history of diabetes and hypertension? Is the condition persistent or deteriorating with time? Is the condition constant with other sexual partners, if any? Smoking? Alcoholic? Hyperlipidemia? On any medications or hormonal therapy? Any marked curvature in the penis? Any history of trauma, surgery or neurological disorder? Do you have any of these features: Persistent low mood, loss of interest in work, low energy, lack of concentration, disturbed sleep, ideas of hopelessness, helpless, guilt or suicide, change in the appetite, a headache, forgetfulness, excessive sweating, shakiness of hands? I look forward to hearing from you soon in order to find out the proper cause and thus to provide a proper treatment. |
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Hello doctor, My problem is erectile dysfunction and premature ejaculation. I am 29 years old, 78 kg, 5'7" height. [/INST] Hi. For providing you the proper treatment I need to know the answers to the following questions. What is your age? How long you had been in a physical relationship? Any sexual encounter with a commercial sex worker? Any history of diabetes and hypertension? Is the condition persistent or deteriorating with time? Is the condition constant with other sexual partners, if any? Smoking? Alcoholic? Hyperlipidemia? On any medications or hormonal therapy? Any marked curvature in the penis? Any history of trauma, surgery or neurological disorder? Do you have any of these features: Persistent low mood, loss of interest in work, low energy, lack of concentration, disturbed sleep, ideas of hopelessness, helpless, guilt or suicide, change in the appetite, a headache, forgetfulness, excessive sweating, shakiness of hands? I look forward to hearing from you soon in order to find out the proper cause and thus to provide a proper treatment. |
Q. Will scar reopening after surgery cause urinary problem in hypospadias patient? | Hello doctor, My son is 5 years old. He is born with hypospadias and had a stage 1 surgery to fix it back two years back. Everything went well so far. However, the following symptoms are now showing up. From the last week, he started to complain when passing urine saying it was stinging him. We went to GP and urine sample showed no infection. Since yesterday, drips of blood are there in his urine. We went to A and E and urine still showed no infection. However, the doctor advised seeing GP tomorrow to get a referral to a Urologist. The doctor is not sure what this could be due to mentioned that a scar could have reopened? Antibiotics prescribed to avoid potential infection? Could you please give us your feedback on these symptoms and let us know what kind of intervention is likely to happen if a complication was established? If it was a buildup of scar tissues or a urethral stricture for example, how would you treat it? We are deeply concerned as the first surgery was so painful and intense. | Hi. I have gone through your query. I would like to know a few more details. You mentioned stage 1 surgery was performed two years back. When was the second stage done? Did he complain of any urinary problems after surgery? The most likely cause is an infection given his history is surgery, now that infection has been ruled out, other factors like bleeding from the surgical site have to be checked out. It is also possible that this may be totally unrelated to surgery, young children do sometimes get blood in the urine due to unexplained causes or calcium in urine, but given the history of surgery, the factors related to that have to be ruled out first. Yes, it is possible to get a stricture after hypospadias repair, and that can also cause bleeding due to high pressure during urination, and it has to be checked out, even if there are no complaints. If it is established that it is a stricture, then the treatment will vary according to the location and severity. It can be endoscopic or repeat surgery or sometimes just dilatation would suffice. It is impossible to predict, without knowing the actual details about the previous surgery and without evaluation of the child now as to what treatment he will need. |
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Hello doctor, My son is 5 years old. He is born with hypospadias and had a stage 1 surgery to fix it back two years back. Everything went well so far. However, the following symptoms are now showing up. From the last week, he started to complain when passing urine saying it was stinging him. We went to GP and urine sample showed no infection. Since yesterday, drips of blood are there in his urine. We went to A and E and urine still showed no infection. However, the doctor advised seeing GP tomorrow to get a referral to a Urologist. The doctor is not sure what this could be due to mentioned that a scar could have reopened? Antibiotics prescribed to avoid potential infection? Could you please give us your feedback on these symptoms and let us know what kind of intervention is likely to happen if a complication was established? If it was a buildup of scar tissues or a urethral stricture for example, how would you treat it? We are deeply concerned as the first surgery was so painful and intense. [/INST] Hi. I have gone through your query. I would like to know a few more details. You mentioned stage 1 surgery was performed two years back. When was the second stage done? Did he complain of any urinary problems after surgery? The most likely cause is an infection given his history is surgery, now that infection has been ruled out, other factors like bleeding from the surgical site have to be checked out. It is also possible that this may be totally unrelated to surgery, young children do sometimes get blood in the urine due to unexplained causes or calcium in urine, but given the history of surgery, the factors related to that have to be ruled out first. Yes, it is possible to get a stricture after hypospadias repair, and that can also cause bleeding due to high pressure during urination, and it has to be checked out, even if there are no complaints. If it is established that it is a stricture, then the treatment will vary according to the location and severity. It can be endoscopic or repeat surgery or sometimes just dilatation would suffice. It is impossible to predict, without knowing the actual details about the previous surgery and without evaluation of the child now as to what treatment he will need. |
Q. How to reduce the body temperature of a 1. 4 years old baby? | Hi doctor, My son is 1.4 years old. His weight is 12.6 kg. He has been suffering from fever for the last 12 hours. His temperature came down, but not to the normal temperature. He was given only Paracetamol liquid solution three times. Please suggest. | Hello. For further information consult a child health specialist online --> |
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Hi doctor, My son is 1.4 years old. His weight is 12.6 kg. He has been suffering from fever for the last 12 hours. His temperature came down, but not to the normal temperature. He was given only Paracetamol liquid solution three times. Please suggest. [/INST] Hello. For further information consult a child health specialist online --> |
Q. Will smoking cessation cause strained bowel movements? | Hello doctor, My age is 39 years. I have quit smoking, cold turkey after smoking for almost 18 years. It is my 29th day of being smoke-free. Everything was going fine until last 7 to 10 days my bowel movement has been strainful. Few days I have seen very small sized hard stools and sometimes small stool with very little water. I started taking Metamucil. However, the stomach felt bloated severely after eating anything. I sometimes feel a sudden hunger spike that becomes uncontrollable and once I eat, the stomach swells like a balloon. I also started taking one capsule of Triphala to ease out my symptoms. From past 4 to 5 days, I have started feeling fatigue and a very strong one like light handedness and no energy in my legs. I had a sore inside my mouth and that has healed significantly now. The acid reflux is there, especially while making out with my partner I felt food coming up. The consistency of stool after eating Metamucil has been more like rubber shaped long zig zag sausage with uneven and weird cracks and sometimes mucus as well. I feel gas below my stomach and sometimes have to strain hard to pass. I got my CBC done two days back (normal report), kidney, liver, thyroid (normal), Hb (normal), sugar (normal). I also got my FOBT stool test done (negative report). Are the above symptoms cigarette withdrawal symptoms? Or stomach bug? or IBS? I take the following tablets daily. one Magnesium tablet, one Menevit tablet (for sperm health and male fertility), one Omega 3 1000 mg capsule, one 64 Billion Probiotic capsule. | Hello. I went through your post, it is normal to have hard stools after quitting smoking for that you have to add a salad, do exercise, and take enough water. It is a temporary phenomenon which usually settles in three months till intestines adapt nicotine free blood. You have started laxative Metamucil which has caused gastritis. You need to stop that and continue Nexium at least 10 days daily before breakfast. That will take care of the issue. There is no need to take omega, probiotics, Menevit or Magnesium tablets. Do not take unnecessary medicines. It is not IBS. |
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Hello doctor, My age is 39 years. I have quit smoking, cold turkey after smoking for almost 18 years. It is my 29th day of being smoke-free. Everything was going fine until last 7 to 10 days my bowel movement has been strainful. Few days I have seen very small sized hard stools and sometimes small stool with very little water. I started taking Metamucil. However, the stomach felt bloated severely after eating anything. I sometimes feel a sudden hunger spike that becomes uncontrollable and once I eat, the stomach swells like a balloon. I also started taking one capsule of Triphala to ease out my symptoms. From past 4 to 5 days, I have started feeling fatigue and a very strong one like light handedness and no energy in my legs. I had a sore inside my mouth and that has healed significantly now. The acid reflux is there, especially while making out with my partner I felt food coming up. The consistency of stool after eating Metamucil has been more like rubber shaped long zig zag sausage with uneven and weird cracks and sometimes mucus as well. I feel gas below my stomach and sometimes have to strain hard to pass. I got my CBC done two days back (normal report), kidney, liver, thyroid (normal), Hb (normal), sugar (normal). I also got my FOBT stool test done (negative report). Are the above symptoms cigarette withdrawal symptoms? Or stomach bug? or IBS? I take the following tablets daily. one Magnesium tablet, one Menevit tablet (for sperm health and male fertility), one Omega 3 1000 mg capsule, one 64 Billion Probiotic capsule. [/INST] Hello. I went through your post, it is normal to have hard stools after quitting smoking for that you have to add a salad, do exercise, and take enough water. It is a temporary phenomenon which usually settles in three months till intestines adapt nicotine free blood. You have started laxative Metamucil which has caused gastritis. You need to stop that and continue Nexium at least 10 days daily before breakfast. That will take care of the issue. There is no need to take omega, probiotics, Menevit or Magnesium tablets. Do not take unnecessary medicines. It is not IBS. |
Q. How to resolve the pimples on my mid back area persisting for more than two weeks? | Hi doctor,I find pimples like area on my mid back for more than two weeks. Old ones fade and new ones keep coming. It is not present in any other part of my body. It is just spread in that particular region. What could it be? | Hi. I have gone through your case. There are many types of acne. Some people develop pimples on back. In my opinion, take capsule Doxycycline 100 mg once daily for two weeks. Apply Clindamycin lotion two times a day. Do not apply any oil or any home remedy. Vitamin E capsule is fine. |
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Hi doctor,I find pimples like area on my mid back for more than two weeks. Old ones fade and new ones keep coming. It is not present in any other part of my body. It is just spread in that particular region. What could it be? [/INST] Hi. I have gone through your case. There are many types of acne. Some people develop pimples on back. In my opinion, take capsule Doxycycline 100 mg once daily for two weeks. Apply Clindamycin lotion two times a day. Do not apply any oil or any home remedy. Vitamin E capsule is fine. |
Q. How can I strengthen penis and cure premature ejaculation? | Hello doctor, I am a 27-year-old male, height is 1.75 and weight is 83. The doctor has diagnosed premature ejaculation problem. When I was engaged in self-masturbation, sperm came out within one minute. Sometimes feel it was over and it should be ejaculated. But nowadays I cannot stop self masturbation. The family is discussing marriage, so I was thinking about my sexual problem. I need solutions for premature ejaculation problem, and strengthen my penis. | Hi. Masturbation per se does not cause any sexual problem in the future life, so do not worry excessively about it. However, to manage premature ejaculation you can learn about the start-stop technique or squeeze technique. There are medications available for this purpose like Dapoxetine 30 mg one hour prior to sexual activity. Also, get yourself investigated to rule out medical conditions such as thyroid dysfunction or diabetes hypertension, etc. Also, try Keigal exercise to strengthen your pelvic floor muscles. |
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Hello doctor, I am a 27-year-old male, height is 1.75 and weight is 83. The doctor has diagnosed premature ejaculation problem. When I was engaged in self-masturbation, sperm came out within one minute. Sometimes feel it was over and it should be ejaculated. But nowadays I cannot stop self masturbation. The family is discussing marriage, so I was thinking about my sexual problem. I need solutions for premature ejaculation problem, and strengthen my penis. [/INST] Hi. Masturbation per se does not cause any sexual problem in the future life, so do not worry excessively about it. However, to manage premature ejaculation you can learn about the start-stop technique or squeeze technique. There are medications available for this purpose like Dapoxetine 30 mg one hour prior to sexual activity. Also, get yourself investigated to rule out medical conditions such as thyroid dysfunction or diabetes hypertension, etc. Also, try Keigal exercise to strengthen your pelvic floor muscles. |
Q. I have a sore throat and feel a block. Why is it so? | Hello doctor, I had a sore throat but has gone away now. I feel like something is blocking my throat. I look in the mirror and nothing is there. I feel it deep in my throat like it is clear when I breathe with my mouth open but when it is closed, it is blocked. | Hi. I would like to know if there is actual swelling outside or inside the throat. If not, there could be following reasons for feeling like a blocked throat. This is called globus pharyngeus which is little inflammation of the throat. The medications you have taken during infection might have caused dry throat and muscles and membranes are affected due to strain. Anxiety can also cause this feeling as we are swallowing more when we get anxious. I would also suggest seeing for any ulcers in the throat. GERD (gastroesophageal reflux disease), gastritis can also cause this feeling. Treatment is to try to destress yourself and relax and take antacids like Gaviscon or Maalox after meals for a few days, if not better, please let us know. If the symptoms increase like you have pain or difficulty in swallowing please see a doctor for a physical examination. |
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Hello doctor, I had a sore throat but has gone away now. I feel like something is blocking my throat. I look in the mirror and nothing is there. I feel it deep in my throat like it is clear when I breathe with my mouth open but when it is closed, it is blocked. [/INST] Hi. I would like to know if there is actual swelling outside or inside the throat. If not, there could be following reasons for feeling like a blocked throat. This is called globus pharyngeus which is little inflammation of the throat. The medications you have taken during infection might have caused dry throat and muscles and membranes are affected due to strain. Anxiety can also cause this feeling as we are swallowing more when we get anxious. I would also suggest seeing for any ulcers in the throat. GERD (gastroesophageal reflux disease), gastritis can also cause this feeling. Treatment is to try to destress yourself and relax and take antacids like Gaviscon or Maalox after meals for a few days, if not better, please let us know. If the symptoms increase like you have pain or difficulty in swallowing please see a doctor for a physical examination. |
Q. Kindly advise the proper diet chart for a 6-month-old baby. | Hello doctor, My infant is turning 6 months this month and we are moving to a different place. I am looking for a complete diet chart for an infant. Can you please help me get a diet chart and how to make the baby food for my baby, please? Also, can we preserve food in the freezer? My son's current weight is 7.4 kg, birth weight is 3.3 gm, low weight is 2.8 gm. Meals: Vegetarian and meat both preferred. | Hi. I can understand your concern. Continue breastfeeding till 1 year of age minimum. Can be extended till 2 years of age as per WHO. Start liquid diet (home-made) initially for one month. Rice water, dal water. Give semiliquid diet 8 to 9 months onwards, semi-solid diet 9 months onwards (khichdi, fruits, increase water intake as well). By 1 year of age, the baby can have a family meal. Every child is unique, so there will be individual variation. Avoid force feeding. Add different flavour a week apart. Kids love to have the meal when they see parents also having. Avoid distraction, while feeding. Give Iron and Vitamin D supplementation. |
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Hello doctor, My infant is turning 6 months this month and we are moving to a different place. I am looking for a complete diet chart for an infant. Can you please help me get a diet chart and how to make the baby food for my baby, please? Also, can we preserve food in the freezer? My son's current weight is 7.4 kg, birth weight is 3.3 gm, low weight is 2.8 gm. Meals: Vegetarian and meat both preferred. [/INST] Hi. I can understand your concern. Continue breastfeeding till 1 year of age minimum. Can be extended till 2 years of age as per WHO. Start liquid diet (home-made) initially for one month. Rice water, dal water. Give semiliquid diet 8 to 9 months onwards, semi-solid diet 9 months onwards (khichdi, fruits, increase water intake as well). By 1 year of age, the baby can have a family meal. Every child is unique, so there will be individual variation. Avoid force feeding. Add different flavour a week apart. Kids love to have the meal when they see parents also having. Avoid distraction, while feeding. Give Iron and Vitamin D supplementation. |
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 are the preventive measures I should take to avoid pregnancy? | Hi doctor, I am a 22 year old married female. One week before, I had intercourse with my husband and took an I-pill within 24 hours. But, we had unprotected sex on the next day morning. Would the pill be effective even if I had intercourse after consuming I-pill? If not, what are the preventive measures should I take for not getting pregnant? Please explain me. | Hi. Your question is very interesting. For further information consult an obstetrician and gynaecologist online --> |
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Hi doctor, I am a 22 year old married female. One week before, I had intercourse with my husband and took an I-pill within 24 hours. But, we had unprotected sex on the next day morning. Would the pill be effective even if I had intercourse after consuming I-pill? If not, what are the preventive measures should I take for not getting pregnant? Please explain me. [/INST] Hi. Your question is very interesting. For further information consult an obstetrician and gynaecologist online --> |
Q. Why do I ejaculate soon with low semen quantity? | Hello doctor, I am getting ejaculated early within 8 to 10 shots. Semen quantity is also less than before. I am a married male of age 30, my height 5'5" feet and weight 65 kg. | Hi. A lot of males when start doing sexual intercourse suffer issues like early ejaculation. This occurs because of a lack of experience and over-excitation. But with time your timing will improve and you will start to have pleasure in sex. But if your time does not improve with this then you can use drugs to improve the time. Paroxetine can be used to delay the time and this will help you. The drug in 10 to 20 mg doses if used regularly will help to increase the time. You can talk with a doctor for that. Take care. |
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Hello doctor, I am getting ejaculated early within 8 to 10 shots. Semen quantity is also less than before. I am a married male of age 30, my height 5'5" feet and weight 65 kg. [/INST] Hi. A lot of males when start doing sexual intercourse suffer issues like early ejaculation. This occurs because of a lack of experience and over-excitation. But with time your timing will improve and you will start to have pleasure in sex. But if your time does not improve with this then you can use drugs to improve the time. Paroxetine can be used to delay the time and this will help you. The drug in 10 to 20 mg doses if used regularly will help to increase the time. You can talk with a doctor for that. Take care. |
Q. Can excision biopsy remove the nodal metastasis in nasopharyngeal carcinoma? | Hi doctor, My son was recently diagnosed with nasopharyngeal carcinoma stage 3. He had undergone 35 sessions of IMRT as well as six sessions of chemotherapy. Three more sessions of chemotherapy have been prescribed and the first one was completed last week. Two more to go in three weeks time. Recently his treating doctor found more lymph nodes in his jugular and submandibular regions. FNAC reported a highly suspicious deposit from a malignant carcinoma and excised biopsy was recommended. Is it safe to perform the biopsy? Will all the lymph nodes be removed during the operation? Patient is underweight and not eating well, will anaesthesia be performed in such cases? Will IMRT be required again and is that even possible to do it again? What are the options? | Hi. First of all, based on the reports, the patient is hypovolemic (low BP). He needs a good oral diet and maybe if required admission and supportive care in the form of IV fluids. It looks like a recurrent disease in sub-mandibular nodes. It needs to be evaluated whether the nodal levels were included in the radiation therapy field or not (in-field recurrence vs out-field recurrence). In-field recurrences are difficult to treat and second-line chemotherapy or surgery can be planned (depending upon the response at the primary site: nasopharynx). Out of filed recurrence can be treated by radiation dose only if the meaningful dose of radiation has not been delivered in those regions. The biopsy can be performed if FNAC results are doubtful. You have not mentioned the date of completion of radiation therapy. Further course of action will also depend on that. |
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Hi doctor, My son was recently diagnosed with nasopharyngeal carcinoma stage 3. He had undergone 35 sessions of IMRT as well as six sessions of chemotherapy. Three more sessions of chemotherapy have been prescribed and the first one was completed last week. Two more to go in three weeks time. Recently his treating doctor found more lymph nodes in his jugular and submandibular regions. FNAC reported a highly suspicious deposit from a malignant carcinoma and excised biopsy was recommended. Is it safe to perform the biopsy? Will all the lymph nodes be removed during the operation? Patient is underweight and not eating well, will anaesthesia be performed in such cases? Will IMRT be required again and is that even possible to do it again? What are the options? [/INST] Hi. First of all, based on the reports, the patient is hypovolemic (low BP). He needs a good oral diet and maybe if required admission and supportive care in the form of IV fluids. It looks like a recurrent disease in sub-mandibular nodes. It needs to be evaluated whether the nodal levels were included in the radiation therapy field or not (in-field recurrence vs out-field recurrence). In-field recurrences are difficult to treat and second-line chemotherapy or surgery can be planned (depending upon the response at the primary site: nasopharynx). Out of filed recurrence can be treated by radiation dose only if the meaningful dose of radiation has not been delivered in those regions. The biopsy can be performed if FNAC results are doubtful. You have not mentioned the date of completion of radiation therapy. Further course of action will also depend on that. |
Q. Why have I not got withdrawal bleeding after taking Unwanted 72? | Hello doctor, I had unprotected sex 15 days after my last menstrual period and took Unwanted 72 after seven hours. Till now did not experience any bleeding. What are the chances of pregnancy and when should I conduct a pregnancy test? | Hi. As you have taken Unwanted 72 within seven hours there are no chances of pregnancy. This pill does not always result in withdrawal bleeding but can as well delay the periods depending upon which phase the pill has been taken that is the first phase (estrogenic phase) of the menstrual cycle or second progesterone phase. Wait till your period date or even later as they may get delayed for about two weeks and maximum. There is no need to do a urine pregnancy test in between if they get delayed by two weeks. Later you can do if no periods after that. |
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Hello doctor, I had unprotected sex 15 days after my last menstrual period and took Unwanted 72 after seven hours. Till now did not experience any bleeding. What are the chances of pregnancy and when should I conduct a pregnancy test? [/INST] Hi. As you have taken Unwanted 72 within seven hours there are no chances of pregnancy. This pill does not always result in withdrawal bleeding but can as well delay the periods depending upon which phase the pill has been taken that is the first phase (estrogenic phase) of the menstrual cycle or second progesterone phase. Wait till your period date or even later as they may get delayed for about two weeks and maximum. There is no need to do a urine pregnancy test in between if they get delayed by two weeks. Later you can do if no periods after that. |
Q. If I had sex on the first day of my period, will I get pregnant? | Hello doctor, If I had sex on the first day of my period. Will I get pregnant? | Hi. Usually, ovulation will not occur during periods. So do not worry, there are no chances of pregnancy. But, if you have any doubt, do a urine pregnancy test after 10 days to be sure. Consult an obstetrician and gynaecologist online --> |
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Hello doctor, If I had sex on the first day of my period. Will I get pregnant? [/INST] Hi. Usually, ovulation will not occur during periods. So do not worry, there are no chances of pregnancy. But, if you have any doubt, do a urine pregnancy test after 10 days to be sure. Consult an obstetrician and gynaecologist online --> |
Q. Is applying MMC in LASEK surgery safe enough? | Hi doctor, Is applying MMC in LASEK surgery safe enough? Concerning risk with corneal opacity from LASEK vs corneal 370 µm left after LASIK, which is greater? | Hello. Applying MMC (Mitomycin-C) in LASEK is safer and in many studies, it has not caused any problems. So, you need not worry. Coming to your second question, LASIK with 370 µm left, is very safe as we take the safety level as 250 µm. Hence I feel LASIK risk is lower. For further queries consult an eye care ophthalmologist online --> |
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Hi doctor, Is applying MMC in LASEK surgery safe enough? Concerning risk with corneal opacity from LASEK vs corneal 370 µm left after LASIK, which is greater? [/INST] Hello. Applying MMC (Mitomycin-C) in LASEK is safer and in many studies, it has not caused any problems. So, you need not worry. Coming to your second question, LASIK with 370 µm left, is very safe as we take the safety level as 250 µm. Hence I feel LASIK risk is lower. For further queries consult an eye care ophthalmologist online --> |
Q. Had an appendectomy last week, they started me on antibiotics, Flagyl, through an IV. Would this affect my birth control? | Hi doctor, I had an appendectomy last week and they have started me on antibiotics, Flagyl, through an IV. Would this affect my birth control? Should I be using other protection? | Hi. Flagyl (Metronidazole) as such has no effect on birth control. You need not take any extra precautions for the sake of Flagyl itself. But, if you were on pills earlier and had to discontinue due to surgery, then, of course, you need other protection. To know the methods of birth control consult an obstetrician and gynaecologist online --> |
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Hi doctor, I had an appendectomy last week and they have started me on antibiotics, Flagyl, through an IV. Would this affect my birth control? Should I be using other protection? [/INST] Hi. Flagyl (Metronidazole) as such has no effect on birth control. You need not take any extra precautions for the sake of Flagyl itself. But, if you were on pills earlier and had to discontinue due to surgery, then, of course, you need other protection. To know the methods of birth control consult an obstetrician and gynaecologist online --> |
Q. Diagnosed with pulmonary embolism. What is the safest blood thinner that can be used? | Hello doctor, My father has been diagnosed with pulmonary embolism. What is the safest blood thinner he can use? | Hi. Pulmonary embolism is a serious condition. We need to deal with it on an urgent basis with higher levels of blood thinners. The safest one is, of course, the mild ones such as Ecosprin (Aspirin), but that is not the drug of choice in pulmonary embolism in acute stages. The treatment always depends on the stage. If the embolus is still there, we will go in for injections, low molecular weight heparins such as Enoxaparin or Dalteparin and oral ones such as Warfarin. They have dangers but are necessary and life-saving. If the embolus has been dissolved, we can maintain on low dose Warfarin also. Tablets such as Clopidogrel and Aspirin are not used in embolism, they are fine for heart blockages. Revert back to a cardiologist online --> |
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Hello doctor, My father has been diagnosed with pulmonary embolism. What is the safest blood thinner he can use? [/INST] Hi. Pulmonary embolism is a serious condition. We need to deal with it on an urgent basis with higher levels of blood thinners. The safest one is, of course, the mild ones such as Ecosprin (Aspirin), but that is not the drug of choice in pulmonary embolism in acute stages. The treatment always depends on the stage. If the embolus is still there, we will go in for injections, low molecular weight heparins such as Enoxaparin or Dalteparin and oral ones such as Warfarin. They have dangers but are necessary and life-saving. If the embolus has been dissolved, we can maintain on low dose Warfarin also. Tablets such as Clopidogrel and Aspirin are not used in embolism, they are fine for heart blockages. Revert back to a cardiologist online --> |
Q. I had multinodular goitre with normal TSH. Taken Levothyroxine for 12 months. 2 months after stopping the tablets TSH is increasing. Why? | Dear doctor, I had multinodular goiter with normal TSH. I was taking Levothyroxine tablet daily for 12 months. Now, two months after completing the tablets, my TSH is 11.5 (max 5.5). Why? | Hi. As long as you were taking Levothyroxine, your body levels of T3, T4 hormones were maintained at normal levels. Due to your goiter, your body is not producing T3, T4 hormones adequately. But, that is getting compensated by excessive synthesis of TSH (thyroid-stimulating hormone) which stimulates the body to produce T3, T4. Once you take Levothyroxine, your body levels of T3, T4 hormones will be maintained at normal levels and the stimulus for TSH secretion decreases and hence TSH comes to normal. But, once you stop taking Levothyroxine, the T3, T4 levels come down and body starts producing more and more TSH to compensate low T3 and T4. My advice is to continue taking Levothyroxine and let your TSH come to normal, then let us plan to reduce the dose later. This may take a few months to years. For further queries consult an endocrinologist online --> |
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Dear doctor, I had multinodular goiter with normal TSH. I was taking Levothyroxine tablet daily for 12 months. Now, two months after completing the tablets, my TSH is 11.5 (max 5.5). Why? [/INST] Hi. As long as you were taking Levothyroxine, your body levels of T3, T4 hormones were maintained at normal levels. Due to your goiter, your body is not producing T3, T4 hormones adequately. But, that is getting compensated by excessive synthesis of TSH (thyroid-stimulating hormone) which stimulates the body to produce T3, T4. Once you take Levothyroxine, your body levels of T3, T4 hormones will be maintained at normal levels and the stimulus for TSH secretion decreases and hence TSH comes to normal. But, once you stop taking Levothyroxine, the T3, T4 levels come down and body starts producing more and more TSH to compensate low T3 and T4. My advice is to continue taking Levothyroxine and let your TSH come to normal, then let us plan to reduce the dose later. This may take a few months to years. For further queries consult an endocrinologist online --> |
Q. Please have a look on CT scan taken for two strokes and advise. | Hello doctor, A 76-year-old female's CT scan showed the following. Clinical information: CT scan of the head, volume scan of the whole brain obtained without IV contrast administration. Findings: Large CSF density hypodense lesion is seen in the right cerebellar hemisphere. Left cerebellar hemisphere, brainstem, and fourth ventricle are normal. Large irregular hypodense lesion is seen in right fronto-temporoparietal lobe effacing the adjacent sulci and right lateral ventricle. An irregular hypodense lesion is seen in the left occipital lobe. Left lateral ventricle and third ventricle are normal. CSF cisterns are normal. No extra-axial fluid collection is seen. No midline shift noted. Densely calcified plaques seen in the cavernous segment of the bilateral internal carotid artery. Impression: Sub-acute infarct in the left occipital lobe, a subacute infarct in the right fronto-temporoparietal lobe, a chronic infarct in right cerebellar hemisphere, densely calcified plaques in cavernous segment of the bilateral internal carotid artery. She has had two strokes so far and is in a critical condition. I wanted to reach out to see if you can provide a second opinion or if it is possible to get some of her senses back so that we can say our goodbyes properly to her. | Hi. The CT report which you have uploaded suggests large brain infarcts (attachment removed to protect patient identity). I would appreciate if you can upload the CT film also to have a better view of the same. Besides, in such large infarcts, many patients may not recover and some may recover partially. It depends on the clinical condition and consciousness state of the patient. Please upload the medical case summary as prepared by the treating doctors if that is possible for you. Stroke. |
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Hello doctor, A 76-year-old female's CT scan showed the following. Clinical information: CT scan of the head, volume scan of the whole brain obtained without IV contrast administration. Findings: Large CSF density hypodense lesion is seen in the right cerebellar hemisphere. Left cerebellar hemisphere, brainstem, and fourth ventricle are normal. Large irregular hypodense lesion is seen in right fronto-temporoparietal lobe effacing the adjacent sulci and right lateral ventricle. An irregular hypodense lesion is seen in the left occipital lobe. Left lateral ventricle and third ventricle are normal. CSF cisterns are normal. No extra-axial fluid collection is seen. No midline shift noted. Densely calcified plaques seen in the cavernous segment of the bilateral internal carotid artery. Impression: Sub-acute infarct in the left occipital lobe, a subacute infarct in the right fronto-temporoparietal lobe, a chronic infarct in right cerebellar hemisphere, densely calcified plaques in cavernous segment of the bilateral internal carotid artery. She has had two strokes so far and is in a critical condition. I wanted to reach out to see if you can provide a second opinion or if it is possible to get some of her senses back so that we can say our goodbyes properly to her. [/INST] Hi. The CT report which you have uploaded suggests large brain infarcts (attachment removed to protect patient identity). I would appreciate if you can upload the CT film also to have a better view of the same. Besides, in such large infarcts, many patients may not recover and some may recover partially. It depends on the clinical condition and consciousness state of the patient. Please upload the medical case summary as prepared by the treating doctors if that is possible for you. Stroke. |
Q. Getting abdominal pain twice in every month. One during the first day of the period and then on the 9th day of my period. | Hi doctor, I am getting abdominal pain twice every month. Once during the first day of my period, and then in the middle lower abdomen (where the uterus is) on the 9th day of my period. Please help. | Hi. Many individuals experience such pain. The period day pain is dysmenorrhoea (pain due to menses). The mid-cycle pain is ovulation pain called as Mittelschmerz in our term, due to the release of the egg. This usually indicates the ovulatory cycle. |
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Hi doctor, I am getting abdominal pain twice every month. Once during the first day of my period, and then in the middle lower abdomen (where the uterus is) on the 9th day of my period. Please help. [/INST] Hi. Many individuals experience such pain. The period day pain is dysmenorrhoea (pain due to menses). The mid-cycle pain is ovulation pain called as Mittelschmerz in our term, due to the release of the egg. This usually indicates the ovulatory cycle. |
Q. Got skin whitening as a side effect of Gleevec. Will this go away? | Hi doctor, I have CML-CP. I am on Gleevec for the last one year. My query is about the skin whitening as it has turned too white. Will this side effect go away? | Hi. For further information consult a hematologist online --> |
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Hi doctor, I have CML-CP. I am on Gleevec for the last one year. My query is about the skin whitening as it has turned too white. Will this side effect go away? [/INST] Hi. For further information consult a hematologist 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. Feeling lightheadedness and unbalanced. Not sure if it is the panic attacks? | Hi doctor, Lately, I have been feeling lightheaded and unbalanced. I have been diagnosed with panic attacks once in the past. I am not sure if I am getting the same panic attacks again. Please advice. | Hi. The symptoms of panic attacks are episodically occurring attacks for a duration of 10 to 20 minutes. The symptoms include: Also, panic attacks are followed with constant apprehension regarding a future episode and change in lifestyle due to such episodes. If you have at least 4 to 5 of the above symptoms, then you have a panic attack, or else you could have any other illness. If you have only lightheadedness and imbalance, then it could be due to any cause related to brain or inner part of the ear. Kindly book for an online counseling session to discuss more details regarding your problems so that we may help you in a better way. |
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Hi doctor, Lately, I have been feeling lightheaded and unbalanced. I have been diagnosed with panic attacks once in the past. I am not sure if I am getting the same panic attacks again. Please advice. [/INST] Hi. The symptoms of panic attacks are episodically occurring attacks for a duration of 10 to 20 minutes. The symptoms include: Also, panic attacks are followed with constant apprehension regarding a future episode and change in lifestyle due to such episodes. If you have at least 4 to 5 of the above symptoms, then you have a panic attack, or else you could have any other illness. If you have only lightheadedness and imbalance, then it could be due to any cause related to brain or inner part of the ear. Kindly book for an online counseling session to discuss more details regarding your problems so that we may help you in a better way. |
Q. I am experiencing relapse of severe anxiety from past 3 months. Please tell me if I would ever be cured? | Hello doctor, I am 28 years of age and 37 weeks pregnant with my first baby, (have had two miscarriages in the past) and I am experiencing a relapse of severe anxiety from past three months. I developed this problem out of nowhere. Three years back (got married two years back), I consulted a psychiatrist and was put on medications - Feliz S, Ciplar, Clonotril, and Tolaz. I took them for around two months and started to feel better, returning back to normal. I was never completely free from it since then, but it was kind of manageable. But from last three months, it has returned with full rage, I am feeling completely helpless and trapped. The symptoms that I experience are, scared of everything like I am losing control or will lose it eventually. Scared of maintaining my relationships with my partner. Feeling detached from the surroundings. Cannot relate to anything. As if, I belong to an altogether different species. Restless mind, constant intrusive thoughts; of doing silly things, smashing things, throwing stuff at others, abusing them, harming others (Do not feel very attached to my baby also). Anticipating crazy outcome of the events, like I would do something crazy in front of others. I ponder over and over again over everything I say, everything I do, watch all my actions like a maniac. Do not feel like doing anything. I have lost interest in my favorite activities also. Scared to be with my husband or with anyone for no reasons, I love him a lot but still not able to manage things. Get irritated easily. | Hi. I understand that what you are experiencing is not manageable with anybody. It has been observed in many studies that any anxiety disorders have a high chance of relapse during pregnancy. First I would like to tell you that medications are not that bad. They have the risk, but in the third trimester, they are considered relatively safe. The decision of starting any medication during pregnancy is taken after due consideration of risk and benefits. In your case with available history, I am more in favor of starting medication. The other option that is suitable for you is CBT (Cognitive behavioral therapy). You can contact any nearby available psychiatrist for this, or you can seek for an online therapy help at icliniq. Although you have mentioned severe anxiety in your description, your primary diagnosis is not clear to me. The previous psychiatrist prescribed Tolaz (Olanzapine) along with other medications that are antipsychotic. Antipsychotics are rarely prescribed in anxiety disorder, as they are not indicated for this. If you had a psychotic episode in the past during your first consultation, then my answer will be completely different. Other than antipsychotic prescription, your history also points toward obsessive symptoms that require more intense treatment. For the confirmation of the diagnosis, please upload previous medical documents or book an online consultation so that future treatment can be decided at the earliest. You are not alone with such a horror story. These problems are found in many people like you, and currently, a lot of help is available in the form of medications and psychotherapy. Rather than focusing on your anxiety symptoms focus on getting help and treated. We at icliniq can help you to any possible extent. Before you proceed for a consultation, please try to get your thyroid profile done from a medical diagnostic center. Take care. |
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Hello doctor, I am 28 years of age and 37 weeks pregnant with my first baby, (have had two miscarriages in the past) and I am experiencing a relapse of severe anxiety from past three months. I developed this problem out of nowhere. Three years back (got married two years back), I consulted a psychiatrist and was put on medications - Feliz S, Ciplar, Clonotril, and Tolaz. I took them for around two months and started to feel better, returning back to normal. I was never completely free from it since then, but it was kind of manageable. But from last three months, it has returned with full rage, I am feeling completely helpless and trapped. The symptoms that I experience are, scared of everything like I am losing control or will lose it eventually. Scared of maintaining my relationships with my partner. Feeling detached from the surroundings. Cannot relate to anything. As if, I belong to an altogether different species. Restless mind, constant intrusive thoughts; of doing silly things, smashing things, throwing stuff at others, abusing them, harming others (Do not feel very attached to my baby also). Anticipating crazy outcome of the events, like I would do something crazy in front of others. I ponder over and over again over everything I say, everything I do, watch all my actions like a maniac. Do not feel like doing anything. I have lost interest in my favorite activities also. Scared to be with my husband or with anyone for no reasons, I love him a lot but still not able to manage things. Get irritated easily. [/INST] Hi. I understand that what you are experiencing is not manageable with anybody. It has been observed in many studies that any anxiety disorders have a high chance of relapse during pregnancy. First I would like to tell you that medications are not that bad. They have the risk, but in the third trimester, they are considered relatively safe. The decision of starting any medication during pregnancy is taken after due consideration of risk and benefits. In your case with available history, I am more in favor of starting medication. The other option that is suitable for you is CBT (Cognitive behavioral therapy). You can contact any nearby available psychiatrist for this, or you can seek for an online therapy help at icliniq. Although you have mentioned severe anxiety in your description, your primary diagnosis is not clear to me. The previous psychiatrist prescribed Tolaz (Olanzapine) along with other medications that are antipsychotic. Antipsychotics are rarely prescribed in anxiety disorder, as they are not indicated for this. If you had a psychotic episode in the past during your first consultation, then my answer will be completely different. Other than antipsychotic prescription, your history also points toward obsessive symptoms that require more intense treatment. For the confirmation of the diagnosis, please upload previous medical documents or book an online consultation so that future treatment can be decided at the earliest. You are not alone with such a horror story. These problems are found in many people like you, and currently, a lot of help is available in the form of medications and psychotherapy. Rather than focusing on your anxiety symptoms focus on getting help and treated. We at icliniq can help you to any possible extent. Before you proceed for a consultation, please try to get your thyroid profile done from a medical diagnostic center. Take care. |
Q. Getting heavy pain in the backbone and the surroundings. What could it be? | Hi doctor, I am a 26 year old male, and I get severe pain in the backbone and the surrounding area. What could it be? | Hi. I need to know the following things: Revert to an orthopaedician online with the details, the pain can be a 'Mechanical Pain,' or it can be 'Neuropathic PIVD (prolapsed intervertebral disc).' |
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Hi doctor, I am a 26 year old male, and I get severe pain in the backbone and the surrounding area. What could it be? [/INST] Hi. I need to know the following things: Revert to an orthopaedician online with the details, the pain can be a 'Mechanical Pain,' or it can be 'Neuropathic PIVD (prolapsed intervertebral disc).' |
Q. Will eating deep fried foods turn to be bad for health? | Hello doctor, I often eat deep fried potatoes with chilly powder. Some say that it will turn into bad materials after they reach the belly. I do not believe it. Is that true? Why is it so? | Hi. Any food that is deep fried in oil or that contains oil in considerable amounts is not good for your body. Excessive intake of oil might lead to cholesterol deposition in your blood vessels, which in turn can reduce blood supply to the heart. This poses a future risk of heart disease. Moreover, excessive intake of oily food is also a risk factor for obesity. If you indulge in regular physical exercise and control your intake of oily food on a daily basis, you can take a small serving of maybe a small cup of your favorite fried potatoes once a week. This again depends on your age, physical activity, and medical history. Just to stay on the safer side, I advise you to undergo a laboratory test called lipid profile. The blood sample will be taken on an empty stomach. This test will give you an insight into your blood levels of cholesterol and triglycerides. |
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Hello doctor, I often eat deep fried potatoes with chilly powder. Some say that it will turn into bad materials after they reach the belly. I do not believe it. Is that true? Why is it so? [/INST] Hi. Any food that is deep fried in oil or that contains oil in considerable amounts is not good for your body. Excessive intake of oil might lead to cholesterol deposition in your blood vessels, which in turn can reduce blood supply to the heart. This poses a future risk of heart disease. Moreover, excessive intake of oily food is also a risk factor for obesity. If you indulge in regular physical exercise and control your intake of oily food on a daily basis, you can take a small serving of maybe a small cup of your favorite fried potatoes once a week. This again depends on your age, physical activity, and medical history. Just to stay on the safer side, I advise you to undergo a laboratory test called lipid profile. The blood sample will be taken on an empty stomach. This test will give you an insight into your blood levels of cholesterol and triglycerides. |
Q. Child is crying on seeing mother and step-dad together. Why? | Hello doctor, I have two children with a different father but my eldest seems to experience trauma or stress. I saw her crying at night whenever she saw her step-father lying beside me or beside her brother. Please help me. I want to know if it is a sign of depression. She feels happy when she gets my full attention and her step-dad's attention but suddenly fades when she sees us playing with each other. | Hi. You have a very beautiful and cheerful daughter. I just saw her picture and she looks great (attachment removed to protect patient identity). Depression is a very major disorder to tag her with, so definitely, she is not having depression. With the amount of data, you have given me it does not seem like she is having depression. She is not being able to accept the change in her life. As an adult, it is easy for us to accept and move on with the change in our life but for her, it is not easy to replace her father with someone else and she is having lots of insecurity. That is the reason she becomes sad when she sees you with them because she still cannot accept two other people in her life. She is having dysthymia and identity crisis. She needs some social support and venting about her feeling. I think a few psychotherapy sessions will help her a lot. Medications will not be of any help to her. It is not a very uncommon thing in children of these age group so do not panic, be calm. |
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Hello doctor, I have two children with a different father but my eldest seems to experience trauma or stress. I saw her crying at night whenever she saw her step-father lying beside me or beside her brother. Please help me. I want to know if it is a sign of depression. She feels happy when she gets my full attention and her step-dad's attention but suddenly fades when she sees us playing with each other. [/INST] Hi. You have a very beautiful and cheerful daughter. I just saw her picture and she looks great (attachment removed to protect patient identity). Depression is a very major disorder to tag her with, so definitely, she is not having depression. With the amount of data, you have given me it does not seem like she is having depression. She is not being able to accept the change in her life. As an adult, it is easy for us to accept and move on with the change in our life but for her, it is not easy to replace her father with someone else and she is having lots of insecurity. That is the reason she becomes sad when she sees you with them because she still cannot accept two other people in her life. She is having dysthymia and identity crisis. She needs some social support and venting about her feeling. I think a few psychotherapy sessions will help her a lot. Medications will not be of any help to her. It is not a very uncommon thing in children of these age group so do not panic, be calm. |
Q. My mother has skin infection in face, neck, and ear canal. What could cause this? | Hello doctor, My mother is 57 years old. She is having skin infection around his face, neck, and ear area and she is a cardiac patient. For the past two days she is taking Surfaz-SN ointment (Clotrimazole, Beclomethasone Dipropionate, and Neomycin sulfate cream), Zenflox- OZ (Ofloxacin and Ornidazole), and Allegra 120 mg. Please help. | Hello. Your mother has herpes zoster. It is caused by varicella zoster virus which causes chickenpox earlier in life and gets reactivated later in life to cause herpes zoster. She has to take tablet Valacyclovir 1 gm thrice a day for seven days. For the pain, tablet Diclofenac 50 mg at night ( if severe, twice a day). Apply Fusidic acid cream twice a day over it to avoid secondary bacterial infection. Varicella zoster virus. Herpes zoster. Tablet Valacyclovir 1 gm thrice a day for one week, Diclofenac 50 mg at night for one week (twice a day if severe pain) along with tablet Rabeprazole 20 mg in the morning empty stomach. Follow up after one week. |
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Hello doctor, My mother is 57 years old. She is having skin infection around his face, neck, and ear area and she is a cardiac patient. For the past two days she is taking Surfaz-SN ointment (Clotrimazole, Beclomethasone Dipropionate, and Neomycin sulfate cream), Zenflox- OZ (Ofloxacin and Ornidazole), and Allegra 120 mg. Please help. [/INST] Hello. Your mother has herpes zoster. It is caused by varicella zoster virus which causes chickenpox earlier in life and gets reactivated later in life to cause herpes zoster. She has to take tablet Valacyclovir 1 gm thrice a day for seven days. For the pain, tablet Diclofenac 50 mg at night ( if severe, twice a day). Apply Fusidic acid cream twice a day over it to avoid secondary bacterial infection. Varicella zoster virus. Herpes zoster. Tablet Valacyclovir 1 gm thrice a day for one week, Diclofenac 50 mg at night for one week (twice a day if severe pain) along with tablet Rabeprazole 20 mg in the morning empty stomach. Follow up after one week. |
Q. Kindly suggest medication to use long-term for generalized anxiety disorder. | Hello doctor,I have GAD problem for more than two decades. Right now I am using Mirtazapine 15 mg and Rivotril 0.25 on SOS. Is there a better medication for long-term use? Previously I used Fludac 20 mg, Trazodone 25 mg and Buspar 5 mg (three times). After I shifted to Mirtaz. My problem is insufficient sleep and some sort of feeling of fear as if it is located in the abdominal area. It starts evening time. | Hi. First of all, I would like to know how are you feeling now on the medication? I know you are not satisfied that is why you want to take a second opinion but since how long have you shifted on this combination and how much improvement are you experiencing are two most important things I would like to know. Answering your query, yes, there are other options which will be better if you are not getting improved on this medication. You also mentioned a discomfort in the abdominal area. Kindly tell me more about that. |
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Hello doctor,I have GAD problem for more than two decades. Right now I am using Mirtazapine 15 mg and Rivotril 0.25 on SOS. Is there a better medication for long-term use? Previously I used Fludac 20 mg, Trazodone 25 mg and Buspar 5 mg (three times). After I shifted to Mirtaz. My problem is insufficient sleep and some sort of feeling of fear as if it is located in the abdominal area. It starts evening time. [/INST] Hi. First of all, I would like to know how are you feeling now on the medication? I know you are not satisfied that is why you want to take a second opinion but since how long have you shifted on this combination and how much improvement are you experiencing are two most important things I would like to know. Answering your query, yes, there are other options which will be better if you are not getting improved on this medication. You also mentioned a discomfort in the abdominal area. Kindly tell me more about that. |
Q. I have got acne on face. Please help. | Hello doctor, I have recently developed acne on my cheeks. I use Cetaphil face wash twice daily and follow it with Biotique honey water toner, and Nivea moisturizer. | Hi. It seems to be mild to moderate acne, use acne soap bars containing Benzoyl peroxide. Wash face one time daily, not more than that. Avoid using antiseptic medicated soaps as they disturb natural face flora. Use Clindamycin 5 % cream, apply in the morning after face wash, and apply Adapalene cream 1 % at night time. You will see the effect in two weeks. I do not think at this stage you need any oral tablets. I just mentioned the generic names of drugs, kindly ask the pharmacy to get these medications as brand names are different in every country. Let me know if you have more questions. Also, do not get pregnant while using these medications as these are teratogenic, and may harm the baby. Discontinue two to three months before if you plan for pregnancy. |
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Hello doctor, I have recently developed acne on my cheeks. I use Cetaphil face wash twice daily and follow it with Biotique honey water toner, and Nivea moisturizer. [/INST] Hi. It seems to be mild to moderate acne, use acne soap bars containing Benzoyl peroxide. Wash face one time daily, not more than that. Avoid using antiseptic medicated soaps as they disturb natural face flora. Use Clindamycin 5 % cream, apply in the morning after face wash, and apply Adapalene cream 1 % at night time. You will see the effect in two weeks. I do not think at this stage you need any oral tablets. I just mentioned the generic names of drugs, kindly ask the pharmacy to get these medications as brand names are different in every country. Let me know if you have more questions. Also, do not get pregnant while using these medications as these are teratogenic, and may harm the baby. Discontinue two to three months before if you plan for pregnancy. |
Q. What are the ways to reduce stomach belly? | Hello doctor, I want to reduce my stomach belly. I need some suggestion. I have a belly for the past six months. | Hi. The belly fat around the waist can put you at risk of lots of diseases. Anything above 40 inches in men and 36 inches is obesity. Diet: count calories, keep a diary for food you are having daily. To reduce weight you have to cut on carbohydrates and fats. You can increase proteins, fibers, lots of vegetables and fruits. Instead of white rice and bread, change it to brown rice and bread. Coffee can also increase your metabolism. Include green tea around three cups a day. Two exercises: Start daily cardio for 30 to 40 minutes at least five days a week with muscle strengthening exercise especially abdominals. Three weight loss pills are also available like Orlistat and Phentermine. |
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Hello doctor, I want to reduce my stomach belly. I need some suggestion. I have a belly for the past six months. [/INST] Hi. The belly fat around the waist can put you at risk of lots of diseases. Anything above 40 inches in men and 36 inches is obesity. Diet: count calories, keep a diary for food you are having daily. To reduce weight you have to cut on carbohydrates and fats. You can increase proteins, fibers, lots of vegetables and fruits. Instead of white rice and bread, change it to brown rice and bread. Coffee can also increase your metabolism. Include green tea around three cups a day. Two exercises: Start daily cardio for 30 to 40 minutes at least five days a week with muscle strengthening exercise especially abdominals. Three weight loss pills are also available like Orlistat and Phentermine. |
Q. Are my MRI and tympanogram results showing any hearing loss? | Hello doctor, I have a normal MRI and a normal tympanogram. Am I losing hearing based on both the test results? | Hello. No, you are not (attachment removed to protect patient identity). But I would like to see the graph of pure tone audiogram to pick out if there is any early hearing loss. Kindly upload the graph of your hearing test. |
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Hello doctor, I have a normal MRI and a normal tympanogram. Am I losing hearing based on both the test results? [/INST] Hello. No, you are not (attachment removed to protect patient identity). But I would like to see the graph of pure tone audiogram to pick out if there is any early hearing loss. Kindly upload the graph of your hearing test. |
Q. Please suggest methods to control BP in a diabetic. | Hello doctor, My mother is 76 years old. She is diabetic and has high BP. She takes Co-Diovan 160/12.5 in the morning, Bisoprolol 10 mg on lunch and Lekarnidipine 10 mg in the evening but the BP yet is not stabilized. What should be done? | Hi. What is your mother's BP on these medicines? Your mother is taking multiple medicines to control BP, still, BP is not under control, the cause may be due to secondary hypertension. The most common cause is kidney disease. Is there any history of heart disease or stroke? For proper BP control follow these guidelines. Avoid junk and fatty foods, reduce salt intake in the diet. Maintain a healthy weight, BMI should be less than 25. Measure BP at home, with the patient seated and backrest, the cuff should be at the heart's level and arm resting on the table. The patient should be relaxed for 15 minutes. Then measure BP. Repeat BP check in other arm. Remeasure BP in the arm with higher BP after 10 minutes. Lower of the two readings is the patient's BP. Take medicines at same times daily, take sound sleep. Regarding BP control, I would recommend to have renal function tests and electrolytes done and ultrasound of kidneys. These reports may change medicines or doses for hypertension. I recommend tablet Amlodipine, Valsartan, HCT 10/160/12.5 daily in the day time. Measure daily BP at random times and note it for 10 days. Continue Bisoprolol. No need for Aldomet. After 10 days, we will see how much BP is controlled and what is the BP trend. Then will decide further about management. Continue Insulin, keep blood sugar levels under control. Non or poor compliance to medicines, inappropriate doses, renal disease. Urea, creatinine, electrolytes, ultrasound of kidneys for size and parenchymal changes. Reduce salt intake, avoid junk, fast food, fatty foods, avoid alcohol, smoking. |
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Hello doctor, My mother is 76 years old. She is diabetic and has high BP. She takes Co-Diovan 160/12.5 in the morning, Bisoprolol 10 mg on lunch and Lekarnidipine 10 mg in the evening but the BP yet is not stabilized. What should be done? [/INST] Hi. What is your mother's BP on these medicines? Your mother is taking multiple medicines to control BP, still, BP is not under control, the cause may be due to secondary hypertension. The most common cause is kidney disease. Is there any history of heart disease or stroke? For proper BP control follow these guidelines. Avoid junk and fatty foods, reduce salt intake in the diet. Maintain a healthy weight, BMI should be less than 25. Measure BP at home, with the patient seated and backrest, the cuff should be at the heart's level and arm resting on the table. The patient should be relaxed for 15 minutes. Then measure BP. Repeat BP check in other arm. Remeasure BP in the arm with higher BP after 10 minutes. Lower of the two readings is the patient's BP. Take medicines at same times daily, take sound sleep. Regarding BP control, I would recommend to have renal function tests and electrolytes done and ultrasound of kidneys. These reports may change medicines or doses for hypertension. I recommend tablet Amlodipine, Valsartan, HCT 10/160/12.5 daily in the day time. Measure daily BP at random times and note it for 10 days. Continue Bisoprolol. No need for Aldomet. After 10 days, we will see how much BP is controlled and what is the BP trend. Then will decide further about management. Continue Insulin, keep blood sugar levels under control. Non or poor compliance to medicines, inappropriate doses, renal disease. Urea, creatinine, electrolytes, ultrasound of kidneys for size and parenchymal changes. Reduce salt intake, avoid junk, fast food, fatty foods, avoid alcohol, smoking. |
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 --> |
<s>[INST]
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 --> |
<s>[INST]
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.---> |
<s>[INST]
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 --> |
<s>[INST]
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 --> |
<s>[INST]
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 a painful pulp outside the ass crack. What is that? | Hello doctor, I have a pulp just outside the ass crack which just originated today and it is painful. | Hello. I went through your question. It seems from the picture that you should be having severe pain (attachment removed to protect identity). This can be the result of thrombosed hemorrhoids, perianal fistula, or a pilonidal sinus. Still, to guide you better I need a few more details. What is the exact site? Is it the anal orifice or around the anal orifice? Is there any discharge serous or purulent? Is there any kind of bleeding? Do you have a fever? Do you have to complain of constipation or straining in the past? At present to relieve your symptoms please take tablet Aceclofenac 100 mg per orally twice daily for two days. After you provide me details, I will add further specific advice. |
<s>[INST]
Hello doctor, I have a pulp just outside the ass crack which just originated today and it is painful. [/INST] Hello. I went through your question. It seems from the picture that you should be having severe pain (attachment removed to protect identity). This can be the result of thrombosed hemorrhoids, perianal fistula, or a pilonidal sinus. Still, to guide you better I need a few more details. What is the exact site? Is it the anal orifice or around the anal orifice? Is there any discharge serous or purulent? Is there any kind of bleeding? Do you have a fever? Do you have to complain of constipation or straining in the past? At present to relieve your symptoms please take tablet Aceclofenac 100 mg per orally twice daily for two days. After you provide me details, I will add further specific advice. |
Q. Why am I not having any interest and feeling hopeless after retirement? | Hello doctor, I find this difficult to explain. I wake from sleep and have to work to get back. I have lost interest in all activities, feel hopeless and empty. I can do things around the house and drive but these take a lot of effort. I just do not feel myself. I at 63, have just retired and I just do not feel anything. I have had dark thoughts too. | Hi. I can understand. You are just retired and that could be the basic problem. Just retired simply means being detached from whatever the circumstances enjoyed before the retirement. Friends, office, responsibility, etc. Suddenly you feel empty and start feeling old. There are many things to explain. You can read about retirement psychological problems. You will have an insight into your present condition. But, you can be reassured, this condition will not last. You must make sure that you be engaged and physically active. That is it. Just make sure you do not weigh yourself down. You are the same person as before, but more mature than before. You can overcome this too. Take care. |
<s>[INST]
Hello doctor, I find this difficult to explain. I wake from sleep and have to work to get back. I have lost interest in all activities, feel hopeless and empty. I can do things around the house and drive but these take a lot of effort. I just do not feel myself. I at 63, have just retired and I just do not feel anything. I have had dark thoughts too. [/INST] Hi. I can understand. You are just retired and that could be the basic problem. Just retired simply means being detached from whatever the circumstances enjoyed before the retirement. Friends, office, responsibility, etc. Suddenly you feel empty and start feeling old. There are many things to explain. You can read about retirement psychological problems. You will have an insight into your present condition. But, you can be reassured, this condition will not last. You must make sure that you be engaged and physically active. That is it. Just make sure you do not weigh yourself down. You are the same person as before, but more mature than before. You can overcome this too. Take care. |
Q. Kindly explain the tests and precautions to be taken for HIV after unprotected sex. | Hi doctor, Yesterday night I had sex with some unknown person. While doing sex my condom got tear and I had removed my penis at the same time and I had lip lock kiss too. I am scared of HIV, could you please guide me what all the precautions I have to take and what all tests I have to take to get to confirm that I have not got infected with any virus. | Hi. As I can see that the episode is recent in time, I would suggest you use post-exposure prophylaxis (PEP) as early as possible within 72 hours of exposure. The chances of HIV transmission are related to the status of your partner and viral load of partner (if she is positive). In general, transmission is very low that is 1 in 10000 contacts with protection, as I can see that there is a break in the condom, it is wise to start PEP. You need to wait at least two weeks for the tests and you can get fourth generation HIV test and DNA PCR test for confirmation. |
<s>[INST]
Hi doctor, Yesterday night I had sex with some unknown person. While doing sex my condom got tear and I had removed my penis at the same time and I had lip lock kiss too. I am scared of HIV, could you please guide me what all the precautions I have to take and what all tests I have to take to get to confirm that I have not got infected with any virus. [/INST] Hi. As I can see that the episode is recent in time, I would suggest you use post-exposure prophylaxis (PEP) as early as possible within 72 hours of exposure. The chances of HIV transmission are related to the status of your partner and viral load of partner (if she is positive). In general, transmission is very low that is 1 in 10000 contacts with protection, as I can see that there is a break in the condom, it is wise to start PEP. You need to wait at least two weeks for the tests and you can get fourth generation HIV test and DNA PCR test for confirmation. |
Q. What are the best things one can do to get pregnant? | Hello doctor, What are the best things one can do to get pregnant? | Hi. As with anything, having a planned pregnancy has a better outcome than an unplanned pregnancy. For both partners, adhering to a healthy lifestyle in terms of diet, fitness, stopping smoking and alcohol, and stress management are important. For the woman, in particular, we check blood count, rubella immunity, thyroid levels, sugars if indicated, and advise folic acid supplements to prevent certain neurological defects. If you are at the age of above 35, or having irregular cycles, endometriosis, or have had pelvic infections, you may want to visit your gynecologist to avoid wasting precious time. If your partner smokes or consumes excess alcohol or diabetic or above age 40, it is better to get a semen analysis done. You can calculate the fertile period of your cycle and try to make use of this period. All the best, hope this helps. |
<s>[INST]
Hello doctor, What are the best things one can do to get pregnant? [/INST] Hi. As with anything, having a planned pregnancy has a better outcome than an unplanned pregnancy. For both partners, adhering to a healthy lifestyle in terms of diet, fitness, stopping smoking and alcohol, and stress management are important. For the woman, in particular, we check blood count, rubella immunity, thyroid levels, sugars if indicated, and advise folic acid supplements to prevent certain neurological defects. If you are at the age of above 35, or having irregular cycles, endometriosis, or have had pelvic infections, you may want to visit your gynecologist to avoid wasting precious time. If your partner smokes or consumes excess alcohol or diabetic or above age 40, it is better to get a semen analysis done. You can calculate the fertile period of your cycle and try to make use of this period. All the best, hope this helps. |
Q. I have low sperm count with very low motility. Attempting to conceive a baby. Please guide me | Hello doctor, We are trying to conceive a baby. But the semen analysis report says that I have low sperm count (6 million counts) with very low motility. Please help me. | Hi. Firstly, we have to diagnose the cause of your problem. The most common cause of this is a condition called varicocele. For the detection of varicocele, I suggest you do the following: |
<s>[INST]
Hello doctor, We are trying to conceive a baby. But the semen analysis report says that I have low sperm count (6 million counts) with very low motility. Please help me. [/INST] Hi. Firstly, we have to diagnose the cause of your problem. The most common cause of this is a condition called varicocele. For the detection of varicocele, I suggest you do the following: |
Q. I had some medicines for quick relief of fever. Can this cause dry mouth? | Hi doctor, I am a female, 24 years old. I had a slight fever past month, so I went to a pharmacist, he gave me two doses of Nimesulide Paracetamol tablets and some quick relief tablet (having Chlorpheniramine, Phynelpherine, Hydrochloric and Guaiphenesin salt). My fever went away, but I had a dry mouth, which I did not pay attention to. Meanwhile, I had a lot of peanut butter and dry fruits. And a week later I had 2 to 3 ulcers in my mouth, when I checked, I found brown-darkbrown marks inside my cheeks. I went to see a general physician, he said it is a side effect of the medicine and it will go away in some time. But now one month has passed. The marks are comparatively light. And mouth gets dry occasionally only. But I feel (because of dry mouth or spicy food maybe) the lining of cheeks gets damaged which again creates a problem. I want to know, how much time will it take to heal properly. And should I avoid some particular food items? The doctor I went to only gave me probiotics for five days. | Hi. As such it is not serious but I will tell you there can be some factors responsible for it like drugs Chlorpheniramine which you have taken. Anxiety can cause dryness in the mouth and ulcers are commonly observed in stressed patients particularly females of age group 20 to 30. Morever patient can be diabetic. Now assess yourself if you feel any of these. But so for drugs are concerned it must go after two weeks. Youdo not need to worry. But if you are worried, stressed, then relax. Otherwise, you will feel like that always. |
<s>[INST]
Hi doctor, I am a female, 24 years old. I had a slight fever past month, so I went to a pharmacist, he gave me two doses of Nimesulide Paracetamol tablets and some quick relief tablet (having Chlorpheniramine, Phynelpherine, Hydrochloric and Guaiphenesin salt). My fever went away, but I had a dry mouth, which I did not pay attention to. Meanwhile, I had a lot of peanut butter and dry fruits. And a week later I had 2 to 3 ulcers in my mouth, when I checked, I found brown-darkbrown marks inside my cheeks. I went to see a general physician, he said it is a side effect of the medicine and it will go away in some time. But now one month has passed. The marks are comparatively light. And mouth gets dry occasionally only. But I feel (because of dry mouth or spicy food maybe) the lining of cheeks gets damaged which again creates a problem. I want to know, how much time will it take to heal properly. And should I avoid some particular food items? The doctor I went to only gave me probiotics for five days. [/INST] Hi. As such it is not serious but I will tell you there can be some factors responsible for it like drugs Chlorpheniramine which you have taken. Anxiety can cause dryness in the mouth and ulcers are commonly observed in stressed patients particularly females of age group 20 to 30. Morever patient can be diabetic. Now assess yourself if you feel any of these. But so for drugs are concerned it must go after two weeks. Youdo not need to worry. But if you are worried, stressed, then relax. Otherwise, you will feel like that always. |
Q. Have 2 pins in foot after hammer toe surgery. Doctor says I will need to be sedated to remove them. Is sedation common? | Hi doctor, I have two pins in my foot after having a hammertoe surgery. The doctor said that I would need to be sedated to remove them. Although it is an office procedure, is sedation common? | Hi. Yes, sedation is common, as it will ease the doctor to do the procedure, and also it calms you during the procedure. The sedation is a very short one will last for only about 3 to 4 hours. But my advice is to avoid driving for the day. |
<s>[INST]
Hi doctor, I have two pins in my foot after having a hammertoe surgery. The doctor said that I would need to be sedated to remove them. Although it is an office procedure, is sedation common? [/INST] Hi. Yes, sedation is common, as it will ease the doctor to do the procedure, and also it calms you during the procedure. The sedation is a very short one will last for only about 3 to 4 hours. But my advice is to avoid driving for the day. |
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