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Q. I am suffering from eczema of cheeks. Are there any side effects in using Corticosteroid? | Hi doctor, I have eczema. There is redness in my cheeks. I have used Corticosteroid cream for six days. Are there any side effects in using it? | Hi. Corticosteroids should never be applied without a doctor's advise. Also, there are certain steroids which should never be applied on the face. If you could send me photos and details, I will be able to give you proper suggestions. Till then, do not use anything on your own. It does more harm than good. Consult a dermatologist online for further treatment --> |
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Hi doctor, I have eczema. There is redness in my cheeks. I have used Corticosteroid cream for six days. Are there any side effects in using it? [/INST] Hi. Corticosteroids should never be applied without a doctor's advise. Also, there are certain steroids which should never be applied on the face. If you could send me photos and details, I will be able to give you proper suggestions. Till then, do not use anything on your own. It does more harm than good. Consult a dermatologist online for further treatment --> |
Q. Is it safe to take Vyvanse for ADHD symptoms? | Hello doctor, Is it safe to take Vyvanse 100 mg for ADHD symptoms? | Hi. Vyvanse (Lisdexamfetamine) is a stimulant. I basically do not approve giving stimulants to target ADHD (attention-deficit hyperactivity disorder) symptoms. And the dosage 100 mg is way above safe dosing range. One side effect to watch out for is motor tics or involuntary movements when you take such a dose. The occurrence of this side effect is dose-dependent and if it occurs, it means that you are using above the therapeutic dose. Consult a psychiatrist online before taking such a dose --> |
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Hello doctor, Is it safe to take Vyvanse 100 mg for ADHD symptoms? [/INST] Hi. Vyvanse (Lisdexamfetamine) is a stimulant. I basically do not approve giving stimulants to target ADHD (attention-deficit hyperactivity disorder) symptoms. And the dosage 100 mg is way above safe dosing range. One side effect to watch out for is motor tics or involuntary movements when you take such a dose. The occurrence of this side effect is dose-dependent and if it occurs, it means that you are using above the therapeutic dose. Consult a psychiatrist online before taking such a dose --> |
Q. Am I at risk of multiple myeloma based on CBC and family histories? | Hello doctor, I am 44 years old male. I am attaching pictures of my seven year CBC history. Here is what happened this year. On my annual physical 11 months back, my WBC was low. Three months back, my GP checked it again. WBC came back in range but platelets were low. Over seven years, platelets have been between 134 and 165. GP sent my CBC history to two oncologists for review of low platelets. One said do test for H.pylori, hepatitis c, and HIV. Did the tests, all came negative. Both the oncologists asked to follow CBC. My father died of multiple myeloma at age of 64. The other day, I noticed a small bruise on my hip. Probably no big deal but have a heightened awareness now. My question is due to my father dying of MM and/or my CBC history, am I at a higher risk of blood cancer? What or when should I be concerned, what to look for? I certainly do not want to go to an oncologist with a single bruise. | Hello. Your CBC does not suggest multiple myeloma (attachment removed to protect patient identity). In the case of multiple myeloma, anemia can be there and clinical symptoms like a constant headache, kidney system related symptoms, etc., can be present. But as your father was having a history of multiple myeloma, you are also at risk. But it does not necessarily mean that you will develop cancer in the future, the risk can be there but exact percentage cannot be predicted. So if you suffer from any unusual symptoms related to multiple myeloma like a headache, affected vision, weight loss, bone fractures, fever, etc., then you have to consult a nearby doctor for detailed evaluation. Your CBC is not showing any dangerous finding but still, I suggest you investigate with peripheral smear examination report and serum immunofixation electrophoresis for further work up. Peripheral smear examination will show any abnormal cells if present and electrophoresis will help in identifying monoclonal M band if present. You can revert back with that report. |
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Hello doctor, I am 44 years old male. I am attaching pictures of my seven year CBC history. Here is what happened this year. On my annual physical 11 months back, my WBC was low. Three months back, my GP checked it again. WBC came back in range but platelets were low. Over seven years, platelets have been between 134 and 165. GP sent my CBC history to two oncologists for review of low platelets. One said do test for H.pylori, hepatitis c, and HIV. Did the tests, all came negative. Both the oncologists asked to follow CBC. My father died of multiple myeloma at age of 64. The other day, I noticed a small bruise on my hip. Probably no big deal but have a heightened awareness now. My question is due to my father dying of MM and/or my CBC history, am I at a higher risk of blood cancer? What or when should I be concerned, what to look for? I certainly do not want to go to an oncologist with a single bruise. [/INST] Hello. Your CBC does not suggest multiple myeloma (attachment removed to protect patient identity). In the case of multiple myeloma, anemia can be there and clinical symptoms like a constant headache, kidney system related symptoms, etc., can be present. But as your father was having a history of multiple myeloma, you are also at risk. But it does not necessarily mean that you will develop cancer in the future, the risk can be there but exact percentage cannot be predicted. So if you suffer from any unusual symptoms related to multiple myeloma like a headache, affected vision, weight loss, bone fractures, fever, etc., then you have to consult a nearby doctor for detailed evaluation. Your CBC is not showing any dangerous finding but still, I suggest you investigate with peripheral smear examination report and serum immunofixation electrophoresis for further work up. Peripheral smear examination will show any abnormal cells if present and electrophoresis will help in identifying monoclonal M band if present. You can revert back with that report. |
Q. Is it advisable to take antibiotics for ureaplasma parvum? | Hello doctor, I and my fiancee have ureaplasma parvum (DNA analysis). I have no symptoms, she has a little excreta. Should we take antibiotics or not? | Hi. I have gone through your query. Men usually do not get significant symptoms in this infection. Women usually get some whitish discharge, not very significant. It would be best to get it treated and both of you would need treatment as it can be sexually transmitted. However, it is completely curable. I would suggest you visit your local urologist for a clinical examination before any treatment. |
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Hello doctor, I and my fiancee have ureaplasma parvum (DNA analysis). I have no symptoms, she has a little excreta. Should we take antibiotics or not? [/INST] Hi. I have gone through your query. Men usually do not get significant symptoms in this infection. Women usually get some whitish discharge, not very significant. It would be best to get it treated and both of you would need treatment as it can be sexually transmitted. However, it is completely curable. I would suggest you visit your local urologist for a clinical examination before any treatment. |
Q. I have itching and infection in my private area. Could have passed from someone with scabies? | Hello doctor, I have itching and infection in my private area for the past one month. Please help. | Hello. Any other area affected? Any history of diabetes mellitus? Hypertension? Thyroid disorder? Any family history of disease? Is itching occurs predominantly at night? Looking forward to your response in order to help you. |
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Hello doctor, I have itching and infection in my private area for the past one month. Please help. [/INST] Hello. Any other area affected? Any history of diabetes mellitus? Hypertension? Thyroid disorder? Any family history of disease? Is itching occurs predominantly at night? Looking forward to your response in order to help you. |
Q. How long should my husband and I wait to try for a baby if we did cocaine? | Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. | Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> |
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Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. [/INST] Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> |
Q. Can Yasmin birth control pill be used as an emergency contraceptive pill? | Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? | Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> |
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Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? [/INST] Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> |
Q. Please explain the poisonous effect of phenol ingestion. | Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. | Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> |
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Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. [/INST] Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> |
Q. For how long should I take Kalachikai powder to overcome PCOD problem? | Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? | Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> |
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Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? [/INST] Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> |
Q. Why do periods get delayed after first time sex? | Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? | Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> |
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Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? [/INST] Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> |
Q. Can stress and lack of sleep cause irregular beats in ECG? | Hello doctor, I have taken my ECG using a device. I have been getting these irregular beats for about a week. Sometimes I think I have been getting some slight chest pain also but not sure if that is a placebo-like effect or not. My uncle who is a doctor thinks they are ectopic beats in relation to lack of sleep and stress.I find myself waking up from breathing related issues frequently often just as I am about to fall asleep. Earlier this week I had a good nights sleep and the heart issue seemed to disappear for that day only. I have made big changes to my lifestyle over the past week as this has really freaked me out. So I am not worried if this is the diagnosis but want to check with a cardiologist. | Hi. These extra beats are called premature ventricular complexes (PVCs) (attachment removed to protect patient identity). Normally heartbeat is caused by an electric current in microvolts. That current is generated in an area of the heart called the sinus node. That current travels from one part of the heart to other parts, that is, from atria to ventricles. Not only sinus node but also other parts including ventricles generate currents too but that is not evident on ECG because that is canceled by currents coming from the sinus node. Sometimes when sinus node current bursts are slowed or ventricular tissue is irritated, ventricles generate current and that travels up the whole ventricle and ventricle contracts and that is called a premature ventricular contraction. In fit and young people, some PVCs are a normal occurrence and are of no concern. Other common causes, as your uncle said, are anxiety, excessive use of coffee, tea or some medications. In your ECG, your heart rate is between 50 and 60, that is normal in young fit people at rest, so some PVCs may appear. Mostly such PVCs occur on rest when the heart rate is slow, when heart rate raises such as during walking or exercise, PVCs disappear, that is normal. I would recommend to avoid anxiety, refrain from alcohol (if you drink), and tea or coffee may be taken (not excessively). To be on the safe side, a blood test called serum electrolytes may be done, in which we will see potassium levels (low or high potassium levels may cause some heart rhythm problems). To summarize, no need to worry, it is normal. Further, on follow up, please provide the following information, so that I may guide you more. A complete 12 leads ECG. Is there any family history of sudden death, or heart attack especially in first degree relatives? Is there any history of loss of consciousness? |
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Hello doctor, I have taken my ECG using a device. I have been getting these irregular beats for about a week. Sometimes I think I have been getting some slight chest pain also but not sure if that is a placebo-like effect or not. My uncle who is a doctor thinks they are ectopic beats in relation to lack of sleep and stress.I find myself waking up from breathing related issues frequently often just as I am about to fall asleep. Earlier this week I had a good nights sleep and the heart issue seemed to disappear for that day only. I have made big changes to my lifestyle over the past week as this has really freaked me out. So I am not worried if this is the diagnosis but want to check with a cardiologist. [/INST] Hi. These extra beats are called premature ventricular complexes (PVCs) (attachment removed to protect patient identity). Normally heartbeat is caused by an electric current in microvolts. That current is generated in an area of the heart called the sinus node. That current travels from one part of the heart to other parts, that is, from atria to ventricles. Not only sinus node but also other parts including ventricles generate currents too but that is not evident on ECG because that is canceled by currents coming from the sinus node. Sometimes when sinus node current bursts are slowed or ventricular tissue is irritated, ventricles generate current and that travels up the whole ventricle and ventricle contracts and that is called a premature ventricular contraction. In fit and young people, some PVCs are a normal occurrence and are of no concern. Other common causes, as your uncle said, are anxiety, excessive use of coffee, tea or some medications. In your ECG, your heart rate is between 50 and 60, that is normal in young fit people at rest, so some PVCs may appear. Mostly such PVCs occur on rest when the heart rate is slow, when heart rate raises such as during walking or exercise, PVCs disappear, that is normal. I would recommend to avoid anxiety, refrain from alcohol (if you drink), and tea or coffee may be taken (not excessively). To be on the safe side, a blood test called serum electrolytes may be done, in which we will see potassium levels (low or high potassium levels may cause some heart rhythm problems). To summarize, no need to worry, it is normal. Further, on follow up, please provide the following information, so that I may guide you more. A complete 12 leads ECG. Is there any family history of sudden death, or heart attack especially in first degree relatives? Is there any history of loss of consciousness? |
Q. Is it possible to have increased pain after taking homeopathic medicine for anal fissure? | Hello doctor, I have an anal fissure. I am taking homeopathy for the past 25 days. It worked for the first 20 days, but for the past five days, my pain has increased significantly. Is it homeopathy aggravation or something else? | Hello Can you please mention the name of the homeopathic remedy taken? The increased pain after an immense relief can be due to two reasons. The first, the given remedy acted superficially hence you noticed immediate relief. However, since the action of remedy is not completed it stopped working at a certain point where you started getting pain again. The second reason is the aggravation of homeopathic remedy which occurs if the remedy is taken too often in large doses. It is important to know how many doses and in which potency the remedy was taken. If this is an aggravation of remedy, stop the remedy, the pain will subside slowly over the time. If the pain does not subside completely, you can take Nux Vomica 200C one dose (four pills or two drops in a spoon of water) once a day for three days. This remedy will help to reduce the aggravation. Also, it is important to know if the fissure has started to heal in the last 20 days or has it got worse. This can be determined by the physician who will perform the physical examination. Hence, I would advise you to consult a physician and get it checked. |
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Hello doctor, I have an anal fissure. I am taking homeopathy for the past 25 days. It worked for the first 20 days, but for the past five days, my pain has increased significantly. Is it homeopathy aggravation or something else? [/INST] Hello Can you please mention the name of the homeopathic remedy taken? The increased pain after an immense relief can be due to two reasons. The first, the given remedy acted superficially hence you noticed immediate relief. However, since the action of remedy is not completed it stopped working at a certain point where you started getting pain again. The second reason is the aggravation of homeopathic remedy which occurs if the remedy is taken too often in large doses. It is important to know how many doses and in which potency the remedy was taken. If this is an aggravation of remedy, stop the remedy, the pain will subside slowly over the time. If the pain does not subside completely, you can take Nux Vomica 200C one dose (four pills or two drops in a spoon of water) once a day for three days. This remedy will help to reduce the aggravation. Also, it is important to know if the fissure has started to heal in the last 20 days or has it got worse. This can be determined by the physician who will perform the physical examination. Hence, I would advise you to consult a physician and get it checked. |
Q. I have itchy blisters over the sides of fingers and palms. Suggest me a cure. | Hi doctor, I am an 18 year old female, and I do not know what is happening with my body. I have itchy blisters on my five fingers, and my entire body feels very itchy. | Hi. Though the description of your query is a bit brief and vague, I could think of two possibilities in your case. I would be able to help you more if you could send me the following details: Since how long do you have these lesions? The exact site and morphology of these lesions. Does your skin appear to be dry or flaky? Is there any history of similar lesions in family, friends, or roommates? Are you living with a pet? Send me a picture of the site. |
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Hi doctor, I am an 18 year old female, and I do not know what is happening with my body. I have itchy blisters on my five fingers, and my entire body feels very itchy. [/INST] Hi. Though the description of your query is a bit brief and vague, I could think of two possibilities in your case. I would be able to help you more if you could send me the following details: Since how long do you have these lesions? The exact site and morphology of these lesions. Does your skin appear to be dry or flaky? Is there any history of similar lesions in family, friends, or roommates? Are you living with a pet? Send me a picture of the site. |
Q. Got my wisdom teeth out. It is now paining a lot and also have a bad taste in my mouth. Is it due to infection? | Hello doctor, I got my wisdom teeth out two weeks back. It is now paining a lot, and I also have a bad taste in my mouth. Is it due to infection? | Hi. Sadly, Yes! Your history is giving symptoms of post-operative infection. If the pain is sharp just at the socket point, then clean this area thoroughly and start saline water mouth rinses at least 8 times a day for 2 weeks. This is best for the fast healing of the wound. Take a small cup of lukewarm water and add 1/4 th teaspoon of salt in it. I suggest you try using the following: If sharp lancinating pain persists even after following these instructions for two days, then it would be better to visit your dentist and ask him to look if you have alveolar osteitis (dry socket) signs. If yes, then he can give you a dressing and thorough wash of the wound. |
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Hello doctor, I got my wisdom teeth out two weeks back. It is now paining a lot, and I also have a bad taste in my mouth. Is it due to infection? [/INST] Hi. Sadly, Yes! Your history is giving symptoms of post-operative infection. If the pain is sharp just at the socket point, then clean this area thoroughly and start saline water mouth rinses at least 8 times a day for 2 weeks. This is best for the fast healing of the wound. Take a small cup of lukewarm water and add 1/4 th teaspoon of salt in it. I suggest you try using the following: If sharp lancinating pain persists even after following these instructions for two days, then it would be better to visit your dentist and ask him to look if you have alveolar osteitis (dry socket) signs. If yes, then he can give you a dressing and thorough wash of the wound. |
Q. My nose feels partially obstructed and my head feels swollen. What to do? | Hello doctor, My nose feels partially obstructed, and my head feels swollen. What to do? Please help. | Hi. Nasal obstruction most commonly occurs due to nasal congestion secondary to allergy or infection. But sometimes it could be due to Deviated Nasal Septum (DNS), which requires examination or x-ray of PNS for confirmation. Most likely in your case, it is nasal congestion with sinusitis. I suggest you try taking tablet Allercet-DC (Cetirizine and Phenylephrine) twice a day for 3 days. Take steam inhalation thrice a day. |
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Hello doctor, My nose feels partially obstructed, and my head feels swollen. What to do? Please help. [/INST] Hi. Nasal obstruction most commonly occurs due to nasal congestion secondary to allergy or infection. But sometimes it could be due to Deviated Nasal Septum (DNS), which requires examination or x-ray of PNS for confirmation. Most likely in your case, it is nasal congestion with sinusitis. I suggest you try taking tablet Allercet-DC (Cetirizine and Phenylephrine) twice a day for 3 days. Take steam inhalation thrice a day. |
Q. I get painful acne with discharge and scars. Please suggest solution. | Hello doctor, I have had acne since three months. I cannot get it to stop. I am a 45-year-old female and have not had issues since I was a teenager. I do not know what is going on. It is mostly on my chin. Occasionally, it will be on my forehead and nose They are very painful with clear drainage. It leaves terrible scars. Everything I have tried makes the acne worse. I have very sensitive skin. I am not sure what to do. What are your suggestions? Currently, I am on Ativan, Ambien, Lamictal, Effexor, and L-methyl folate. | Hello, Welcome to icliniq.com. Are you a diabetic? Are you using any hormonal supplements? Since when your taking tablet Lamictal or Effexor? Lamictal in few cases may cause drug-induced eruption and acne. Effexor also cause rash. I saw your images not clear (attachment removed to protect patient identity), but it shows the pustular and nodular type of leisons followed by healing with pigmentation. You may use Clindamycin gel local application twice a day after face wash. Apply only the area that pustular acne are. Do not apply near the eye. You may take capsule Doxycycline 100 mg twice a day for one week. Check your hormonal status like serum estrogen and testosterone levels. Check your blood sugar levels. Avoid chemicals (new soap or creams) application on the face. If you developed any allergy to the above drugs please stop it immediately and consult with your physician. |
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Hello doctor, I have had acne since three months. I cannot get it to stop. I am a 45-year-old female and have not had issues since I was a teenager. I do not know what is going on. It is mostly on my chin. Occasionally, it will be on my forehead and nose They are very painful with clear drainage. It leaves terrible scars. Everything I have tried makes the acne worse. I have very sensitive skin. I am not sure what to do. What are your suggestions? Currently, I am on Ativan, Ambien, Lamictal, Effexor, and L-methyl folate. [/INST] Hello, Welcome to icliniq.com. Are you a diabetic? Are you using any hormonal supplements? Since when your taking tablet Lamictal or Effexor? Lamictal in few cases may cause drug-induced eruption and acne. Effexor also cause rash. I saw your images not clear (attachment removed to protect patient identity), but it shows the pustular and nodular type of leisons followed by healing with pigmentation. You may use Clindamycin gel local application twice a day after face wash. Apply only the area that pustular acne are. Do not apply near the eye. You may take capsule Doxycycline 100 mg twice a day for one week. Check your hormonal status like serum estrogen and testosterone levels. Check your blood sugar levels. Avoid chemicals (new soap or creams) application on the face. If you developed any allergy to the above drugs please stop it immediately and consult with your physician. |
Q. How to confirm that a person is suffering from Systemic Lupus Erythematosus(SLE) ? | Hi doctor, How to confirm that a person is suffering from SLE (Systemic Lupus Erythematosus)? | Hi. Get ANA test (Antinuclear antibodies) done to diagnose SLE. Though ANA is positive in other autoimmune diseases too, it is strongly positive in SLE. Once this test is found to be positive, it is correlated with signs and symptoms to confirm SLE. In case of doubt, other confirmatory tests would be required. |
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Hi doctor, How to confirm that a person is suffering from SLE (Systemic Lupus Erythematosus)? [/INST] Hi. Get ANA test (Antinuclear antibodies) done to diagnose SLE. Though ANA is positive in other autoimmune diseases too, it is strongly positive in SLE. Once this test is found to be positive, it is correlated with signs and symptoms to confirm SLE. In case of doubt, other confirmatory tests would be required. |
Q. Is it possible to get halitosis because of gastritis? | Hello doctor, I want to ask about halitosis. I already went to the dentist and the dentist said that the problem is not in the mouth and it could be in my stomach so here I am. I hope you can help me because I am at my wit's end right now. How do I know if it is in the stomach? What should I do? I do not think it is acid reflux because I already take PPIs for more than one month and it seems to be still there. Please help me. | Hi. Halitosis or bad breath usually originates from oral or nasal passages. The cause of it is bacterial decay of residual food and debris. Most common causes of halitosis are periodontal diseases, dental caries, oral cavity infection, and coated or uncleaned tongue or decreased salivation. Other causes which are thought of after ruling out the above are a tonsillar abscess, any esophageal pathology which allows collection of residual food in esophageal like a diverticulum or motility disorder like achalasia. Lung pathology like lung abscess can also be the cause of halitosis. Gastritis due to H.pylori can also cause halitosis. Also, bezoars in the stomach can also be a cause. |
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Hello doctor, I want to ask about halitosis. I already went to the dentist and the dentist said that the problem is not in the mouth and it could be in my stomach so here I am. I hope you can help me because I am at my wit's end right now. How do I know if it is in the stomach? What should I do? I do not think it is acid reflux because I already take PPIs for more than one month and it seems to be still there. Please help me. [/INST] Hi. Halitosis or bad breath usually originates from oral or nasal passages. The cause of it is bacterial decay of residual food and debris. Most common causes of halitosis are periodontal diseases, dental caries, oral cavity infection, and coated or uncleaned tongue or decreased salivation. Other causes which are thought of after ruling out the above are a tonsillar abscess, any esophageal pathology which allows collection of residual food in esophageal like a diverticulum or motility disorder like achalasia. Lung pathology like lung abscess can also be the cause of halitosis. Gastritis due to H.pylori can also cause halitosis. Also, bezoars in the stomach can also be a cause. |
Q. Why is there a skin tag in my testicles? | Hello doctor, I am hoping you can answer this question for me. I am submitting a photo of what I am hoping is a skin tag. I have had this for years but never asked about it. It is on my testicles. | Hello. Yes, it seems like a tag (acrochordon). Another possibility is that of a wart. Is it soft and swishy when you squeeze it? Or is it firm? A skin tag either has to be removed with a cautery machine or it can be fulgurated. |
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Hello doctor, I am hoping you can answer this question for me. I am submitting a photo of what I am hoping is a skin tag. I have had this for years but never asked about it. It is on my testicles. [/INST] Hello. Yes, it seems like a tag (acrochordon). Another possibility is that of a wart. Is it soft and swishy when you squeeze it? Or is it firm? A skin tag either has to be removed with a cautery machine or it can be fulgurated. |
Q. Why is there excessive heat in my body with burning sensation in foot? | Hello doctor, I am 55 years old male, weighing 58 kg at 160 cm. My query is that I have a problem of excess heat in my body. I experience severe burning in the foot, especially in the mornings. Please advise remedy. | Hi. Burning sensation in the feet may be because of nerve damage, also called neuropathy. In most people with neuropathy, the leg nerves get damaged first. Damaged nerve fibers are more likely to be overactive and misfire, thereby sending the pain signal to the brain even though there is no wound. This is often accompanied by numbness and tingling sensation on the feet as well. Diabetes is also the most common medical condition that can cause burning feet. Other conditions that can cause burning feet are alcohol abuse, chronic kidney disease, HIV, vitamin deficiency, low thyroid level, drug side effects, peripheral artery disease, infection, and inflammation. Treatment of the burning sensation on the feet is to treat the cause and also to prevent further nerve damage and pain. More information about your symptom is needed so that a proper diagnosis can be made. Information needed to include how long you had the symptoms, how often do you have them, how bad is it, your lifestyle, if you smoke or drink alcohol, the medication you take. |
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Hello doctor, I am 55 years old male, weighing 58 kg at 160 cm. My query is that I have a problem of excess heat in my body. I experience severe burning in the foot, especially in the mornings. Please advise remedy. [/INST] Hi. Burning sensation in the feet may be because of nerve damage, also called neuropathy. In most people with neuropathy, the leg nerves get damaged first. Damaged nerve fibers are more likely to be overactive and misfire, thereby sending the pain signal to the brain even though there is no wound. This is often accompanied by numbness and tingling sensation on the feet as well. Diabetes is also the most common medical condition that can cause burning feet. Other conditions that can cause burning feet are alcohol abuse, chronic kidney disease, HIV, vitamin deficiency, low thyroid level, drug side effects, peripheral artery disease, infection, and inflammation. Treatment of the burning sensation on the feet is to treat the cause and also to prevent further nerve damage and pain. More information about your symptom is needed so that a proper diagnosis can be made. Information needed to include how long you had the symptoms, how often do you have them, how bad is it, your lifestyle, if you smoke or drink alcohol, the medication you take. |
Q. Suffering from OCD. Please help me if I can take Prozak and what will be the dosage? | Hi doctor, I am suffering from OCD (Obsessive Compulsive Disorder) since I was a child, and I did not know that I have this type of sickness until I read about it on internet. And now I am 27 years old. I need to ask you whether I can take a medicine by myself (Prozak or alternative). My symptoms are that I keep repeating certain words and sentences in my mind all the time from morning till evening or some pictures in my mind. And I cannot stop this thing at all. I am really tired of it. Please help me if I can take Prozak and what will be the dosage. Also is there anything I need to know before planning to stop the medicine? | Hi, Thanks for posting a query at icliniq. First of all I would like to inform you that OCD like symptoms occur in various disorders other than OCD itself. And the management of different disorders varies according to etiology. Regarding your question about self treatment, I would suggest against it, as every drug is associated with one or another kind of side effect and they can be better managed only in expert hands. Besides this which drug is suitable for you can be decided by a psychiatrist or other trained mental health professional. Most of the patients do not respond completely to only medication in case of OCD, as they also require some form of psychotherapy treatment. What I suggest at this moment is, first take an online psychotherapy consultation that will evaluate you in detail to decide further course of action. |
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Hi doctor, I am suffering from OCD (Obsessive Compulsive Disorder) since I was a child, and I did not know that I have this type of sickness until I read about it on internet. And now I am 27 years old. I need to ask you whether I can take a medicine by myself (Prozak or alternative). My symptoms are that I keep repeating certain words and sentences in my mind all the time from morning till evening or some pictures in my mind. And I cannot stop this thing at all. I am really tired of it. Please help me if I can take Prozak and what will be the dosage. Also is there anything I need to know before planning to stop the medicine? [/INST] Hi, Thanks for posting a query at icliniq. First of all I would like to inform you that OCD like symptoms occur in various disorders other than OCD itself. And the management of different disorders varies according to etiology. Regarding your question about self treatment, I would suggest against it, as every drug is associated with one or another kind of side effect and they can be better managed only in expert hands. Besides this which drug is suitable for you can be decided by a psychiatrist or other trained mental health professional. Most of the patients do not respond completely to only medication in case of OCD, as they also require some form of psychotherapy treatment. What I suggest at this moment is, first take an online psychotherapy consultation that will evaluate you in detail to decide further course of action. |
Q. How long should my husband and I wait to try for a baby if we did cocaine? | Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. | Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> |
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Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. [/INST] Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> |
Q. Can Yasmin birth control pill be used as an emergency contraceptive pill? | Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? | Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> |
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Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? [/INST] Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> |
Q. Please explain the poisonous effect of phenol ingestion. | Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. | Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> |
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Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. [/INST] Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> |
Q. For how long should I take Kalachikai powder to overcome PCOD problem? | Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? | Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> |
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Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? [/INST] Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> |
Q. Why do periods get delayed after first time sex? | Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? | Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> |
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Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? [/INST] Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> |
Q. My period is delayed this month. Can hypothyroidism be the cause? | Hello doctor, I am a 21-year-old female. I have hypothyroid for the past one and a half years, and currently on 25 mg Thyronorm. Things have been normal, but my period has been delayed this time, it is exactly 46 days since my last one. I feel tired most part of the day, and currently, due to lockdowns, I could not exercise much. Can you please suggest some nutrition and about what can I do to get my period and if my doubt is correct thyroid levels must have been increased. But I cannot take a test right now. Last time, when I checked before one year the amount of TSH was near normal (2.1). | Hi. Do you have any other associated symptoms like painful menstruation? Do you have headaches? For how long this problem is going on? Do you feel you bleed more or is it usual? There are many causes of irregular menses. Any mental stress can cause even your having exams or any other stress-related activity can affect the regularity. There are hormonal disturbances that can lead to menses irregularities. Levothyroxine dose (25 mcg) is very low. If you cannot do your blood tests I think you can increase it to 50 mcg and try to check TSH (thyroid-stimulating hormone) in six weeks hopefully until then labs will be open. Regarding nutrition, you need to eat a low carbohydrate diet without any sugary juices or added sugars in any way. Take a good sleep of seven to eight hours. Drink plenty of water at least two to three liters. If you practice intermittent fasting, it will give your health a great boost. |
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Hello doctor, I am a 21-year-old female. I have hypothyroid for the past one and a half years, and currently on 25 mg Thyronorm. Things have been normal, but my period has been delayed this time, it is exactly 46 days since my last one. I feel tired most part of the day, and currently, due to lockdowns, I could not exercise much. Can you please suggest some nutrition and about what can I do to get my period and if my doubt is correct thyroid levels must have been increased. But I cannot take a test right now. Last time, when I checked before one year the amount of TSH was near normal (2.1). [/INST] Hi. Do you have any other associated symptoms like painful menstruation? Do you have headaches? For how long this problem is going on? Do you feel you bleed more or is it usual? There are many causes of irregular menses. Any mental stress can cause even your having exams or any other stress-related activity can affect the regularity. There are hormonal disturbances that can lead to menses irregularities. Levothyroxine dose (25 mcg) is very low. If you cannot do your blood tests I think you can increase it to 50 mcg and try to check TSH (thyroid-stimulating hormone) in six weeks hopefully until then labs will be open. Regarding nutrition, you need to eat a low carbohydrate diet without any sugary juices or added sugars in any way. Take a good sleep of seven to eight hours. Drink plenty of water at least two to three liters. If you practice intermittent fasting, it will give your health a great boost. |
Q. Newborn is spitting milk after burping and has laryngomalacia. Is that a matter of concern? | Hi doctor, My daughter is 1 month and 26 days old. Her birth weight was 3.05 kg. Her current weight is 4.4 kg. She spits the milk after burping also. She has been diagnosed with laryngomalacia. I wanted to know whether it a matter of concern or not. | Hi. The current weight of the child is absolutely normal according to the birth weight of the child. There is no need to worry about this. Babies often spit very little amount of milk after feeding even after burping, this is a normal thing. If it is problematic, then the weight of the child does not increase. Since the weight of the child is normal according to age, I think this is normal and we should not worry about this. Also working should be done for around 10 minutes for effective results. Laryngomalacia is a condition in which the muscles of the larynx are weak and as a result, there is stridor sound during breathing. This is not a serious issue. Laryngomalacia usually gets corrected around eight months of age. Sometimes calcium levels are low which can result in stridor like sound, so calcium level should be done in the child. If low, then calcium needs to be started. |
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Hi doctor, My daughter is 1 month and 26 days old. Her birth weight was 3.05 kg. Her current weight is 4.4 kg. She spits the milk after burping also. She has been diagnosed with laryngomalacia. I wanted to know whether it a matter of concern or not. [/INST] Hi. The current weight of the child is absolutely normal according to the birth weight of the child. There is no need to worry about this. Babies often spit very little amount of milk after feeding even after burping, this is a normal thing. If it is problematic, then the weight of the child does not increase. Since the weight of the child is normal according to age, I think this is normal and we should not worry about this. Also working should be done for around 10 minutes for effective results. Laryngomalacia is a condition in which the muscles of the larynx are weak and as a result, there is stridor sound during breathing. This is not a serious issue. Laryngomalacia usually gets corrected around eight months of age. Sometimes calcium levels are low which can result in stridor like sound, so calcium level should be done in the child. If low, then calcium needs to be started. |
Q. What has to be done for receding and weak gums? | Hello doctor,I have an issue regarding my gums. For the past few days, I have been feeling that my gums are becoming weak and thin as they are leaving my teeth and going down from my teeth. I want to say that a part of the teeth which is hidden under gum is showing. I am a smoker and I am already trying to leave it. Please suggest me some treatment. I usually brush once daily. | Hello. I have been through your query and I can understand your concern. Receding gums can be a problem associated with many factors. It is known as the recession of gums. I would like to know if you have a habit of brushing your teeth hard. Smoking causes stains on teeth and there could be the urge to remove these stains by brushing hard on the tooth surface leading to the recession of gums. I would like you to have an appointment with your nearest dentist in order to get the teeth cleaned (scaling) properly and also to assess the severity of the recession so that the treatment can be done accordingly. Meanwhile, I would also advise you to brush with a soft or ultra soft-bristled toothbrush twice daily and also floss daily. Also do not scrub the brush onto the teeth hard, be gentle while brushing. I would love to hear from you regarding the follow-ups. |
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Hello doctor,I have an issue regarding my gums. For the past few days, I have been feeling that my gums are becoming weak and thin as they are leaving my teeth and going down from my teeth. I want to say that a part of the teeth which is hidden under gum is showing. I am a smoker and I am already trying to leave it. Please suggest me some treatment. I usually brush once daily. [/INST] Hello. I have been through your query and I can understand your concern. Receding gums can be a problem associated with many factors. It is known as the recession of gums. I would like to know if you have a habit of brushing your teeth hard. Smoking causes stains on teeth and there could be the urge to remove these stains by brushing hard on the tooth surface leading to the recession of gums. I would like you to have an appointment with your nearest dentist in order to get the teeth cleaned (scaling) properly and also to assess the severity of the recession so that the treatment can be done accordingly. Meanwhile, I would also advise you to brush with a soft or ultra soft-bristled toothbrush twice daily and also floss daily. Also do not scrub the brush onto the teeth hard, be gentle while brushing. I would love to hear from you regarding the follow-ups. |
Q. What medicine can be taken for premature ejaculation? | Hello doctor, My age is 28 years old. My body weight is 80 kg and height is 5 feet 11 inches. I am facing a premature ejection problem. When I start sex, I discharge within one minute. Please kindly give me any medicine for treatment or guide me what I can do. | Hi. Quick discharge or premature ejaculation is very common and is usually not associated with any disease but may be due to anxiety, sometimes. However, there may be a problem with prostate gland and thyroid hormone. Most often it is a chronic problem and you have to take medicines off and on. Also, there are exercises to control it. You can learn to control quick discharge by doing this exercise. Pull your muscles that you pull at the end of urination for few seconds then release. Repeat this several times daily. Another is the stop-start technique. When you feel that you are going to ejaculate stop the sexual stimulation and divert your mind, the penis will relax, after some time start the stimulation again and repeat the procedure. Over a few months, you will gradually increase your ejaculation time. You can apply Lignocaine gel to head of penis 10 minutes before sex and wipe it off before starting sex. |
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Hello doctor, My age is 28 years old. My body weight is 80 kg and height is 5 feet 11 inches. I am facing a premature ejection problem. When I start sex, I discharge within one minute. Please kindly give me any medicine for treatment or guide me what I can do. [/INST] Hi. Quick discharge or premature ejaculation is very common and is usually not associated with any disease but may be due to anxiety, sometimes. However, there may be a problem with prostate gland and thyroid hormone. Most often it is a chronic problem and you have to take medicines off and on. Also, there are exercises to control it. You can learn to control quick discharge by doing this exercise. Pull your muscles that you pull at the end of urination for few seconds then release. Repeat this several times daily. Another is the stop-start technique. When you feel that you are going to ejaculate stop the sexual stimulation and divert your mind, the penis will relax, after some time start the stimulation again and repeat the procedure. Over a few months, you will gradually increase your ejaculation time. You can apply Lignocaine gel to head of penis 10 minutes before sex and wipe it off before starting sex. |
Q. I have declined CBC but under normal limits. Why? | Hello doctor, I am 39 years old, female, 5'4", 120 lbs. Healthy, no illnesses to note. Curious if CBC values are anything of worry as some have declined although in normal range over the past four years. | Hi. You have got very good reports (attachment removed to protect patient identity). Your Hb,TLC,TPC counts are in normal range. In addition, you have got a very good lipid profile with good cholesterol HDL being high and bad one LDL being low. |
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Hello doctor, I am 39 years old, female, 5'4", 120 lbs. Healthy, no illnesses to note. Curious if CBC values are anything of worry as some have declined although in normal range over the past four years. [/INST] Hi. You have got very good reports (attachment removed to protect patient identity). Your Hb,TLC,TPC counts are in normal range. In addition, you have got a very good lipid profile with good cholesterol HDL being high and bad one LDL being low. |
Q. When does Methotrexate lower hCG level in ectopic pregnancy? | Hello doctor, I have a query on ectopic pregnancy. My wife is having one and her beta hCG levels were 125.25 ml after taking her first shot of Methotrexate. Yesterday, she got her second shot and her beta hCG levels today were 141. I wanted to know how much time Methotrexate takes to low down those levels and I was wondering if we were a little hurried in taking the second dose so quickly. | Hello. I hope you had taken the Methotrexate dose under supervision only. The usual protocol is to check for a repeat beta hCG on the fourth day of taking Methotrexate. Early testing may cause undue anxiety and panic as it takes some time for the levels to come down. Moreover, a few times the levels get slightly elevated after a Methotrexate. So stay calm and follow the instructions of the gynecologist you are following. Just report to the emergency in case of any acute pain, giddiness or bleeding. |
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Hello doctor, I have a query on ectopic pregnancy. My wife is having one and her beta hCG levels were 125.25 ml after taking her first shot of Methotrexate. Yesterday, she got her second shot and her beta hCG levels today were 141. I wanted to know how much time Methotrexate takes to low down those levels and I was wondering if we were a little hurried in taking the second dose so quickly. [/INST] Hello. I hope you had taken the Methotrexate dose under supervision only. The usual protocol is to check for a repeat beta hCG on the fourth day of taking Methotrexate. Early testing may cause undue anxiety and panic as it takes some time for the levels to come down. Moreover, a few times the levels get slightly elevated after a Methotrexate. So stay calm and follow the instructions of the gynecologist you are following. Just report to the emergency in case of any acute pain, giddiness or bleeding. |
Q. Is it possible to get back pain due to cyst in kidney? | Hi doctor, Last year when I had tested for routine medical they found a small stone in kidney. I took Cystone for a month. Last week I tested because of a mild pain in the back, they did scanning and some laboratory tests. I have attached those reports. The doctor suggested taking Cystone for 60 days. Just to have a better opinion could you please see my reports and advise. Also, the report shows a cyst. Is it problematic? | Hi. I have gone through your query and the attached reports (attachment removed to protect patient identity). I would concur with the suggestion given by the doctor. The stones are currently too small to require any treatment. If you are only mildly symptomatic, the best is to continue with Cystone and drink plenty of water. Usually, these stones pass out with this itself. It would be necessary to check after 3 to 4 months with an ultrasound again to see whether they have been cleared. If they are still present, a decision on treatment can be taken at that time. |
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Hi doctor, Last year when I had tested for routine medical they found a small stone in kidney. I took Cystone for a month. Last week I tested because of a mild pain in the back, they did scanning and some laboratory tests. I have attached those reports. The doctor suggested taking Cystone for 60 days. Just to have a better opinion could you please see my reports and advise. Also, the report shows a cyst. Is it problematic? [/INST] Hi. I have gone through your query and the attached reports (attachment removed to protect patient identity). I would concur with the suggestion given by the doctor. The stones are currently too small to require any treatment. If you are only mildly symptomatic, the best is to continue with Cystone and drink plenty of water. Usually, these stones pass out with this itself. It would be necessary to check after 3 to 4 months with an ultrasound again to see whether they have been cleared. If they are still present, a decision on treatment can be taken at that time. |
Q. Is it advisable to get an annual flu vaccine shot every year for a child? | Hi doctor, I have a few doubts regarding annual flu vaccine. Is it a must to get an annual vaccine shot every year? Is it mandatory for kids? What will be the effect if we miss the dose a year? As all the doctors are not suggesting the vaccine, I am confused whether should I get it for my 5-year-old son or not. He used to get cold and cough often till 4 years. But he is quite fine for the last six months without severe cold or a cough. Please clear my doubts. | Hi. I understand your concern. Flue vaccines are annual because every season there is change is strains of Virus. WHO notify six monthly which strain to be used for next shot. It is not a mandatory vaccine, but it is optional. I usually recommend to my patients if they have poor immunity. Baby born premature, asthma, recurrent respiratory infections, repeated hospital admissions, on chronic medications, poor immune state (nephrotic syndrome, TB, HIV), if swine flu is endemic in that geographic area. If the baby is healthy, no above risk factor, then you can exercise not to give. As flu is air born disease and kids are in general high-risk population, I would recommend. It will be safer to give. |
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Hi doctor, I have a few doubts regarding annual flu vaccine. Is it a must to get an annual vaccine shot every year? Is it mandatory for kids? What will be the effect if we miss the dose a year? As all the doctors are not suggesting the vaccine, I am confused whether should I get it for my 5-year-old son or not. He used to get cold and cough often till 4 years. But he is quite fine for the last six months without severe cold or a cough. Please clear my doubts. [/INST] Hi. I understand your concern. Flue vaccines are annual because every season there is change is strains of Virus. WHO notify six monthly which strain to be used for next shot. It is not a mandatory vaccine, but it is optional. I usually recommend to my patients if they have poor immunity. Baby born premature, asthma, recurrent respiratory infections, repeated hospital admissions, on chronic medications, poor immune state (nephrotic syndrome, TB, HIV), if swine flu is endemic in that geographic area. If the baby is healthy, no above risk factor, then you can exercise not to give. As flu is air born disease and kids are in general high-risk population, I would recommend. It will be safer to give. |
Q. NT scan shows placenta is fundo posterior lower edge reaching internal os. Is travelling fine? | Hi doctor, Our 12 weeks NT scan indicates developing placenta is fundo posterior lower edge reaching internal OS. The doctor advised 30 days complete bed rest. I need your opinion on the same case and also doing an ultrasound scan after two weeks. This scan was done 10 days back and since then I am on bed rest. I have a family vacation (one hour flight) planned to travel in 15 days. Is this something possible and non-risky to do? | Hello. At 12 weeks gestation with placenta fundo-posterior with lower edge reaching internal is a fairly acceptable finding for early pregnancy. It does not really call for bed rest if there has been no episode of any bleeding per vaginum. The safest distance of placenta is more than 2.5 cm from internal os but that is in the third late trimester when the lower segment is formed. The placenta tends to climb up by 32 to 34 weeks and the present low lying status shall change. However, care should be taken to avoid intercourse completely throughout pregnancy and not to lift the weight of any kind which can cause an increase in the intra-abdominal pressure which can cause bleeding. She can walk and do her daily chores with care. Travelling is advised even in normal pregnancy after 18 to 20 weeks when the placenta matures and the fetus has become resilient to any pressure changes with an increase in amniotic fluid. Unless it is absolutely necessary, she should not be traveling as a precautionary measure. |
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Hi doctor, Our 12 weeks NT scan indicates developing placenta is fundo posterior lower edge reaching internal OS. The doctor advised 30 days complete bed rest. I need your opinion on the same case and also doing an ultrasound scan after two weeks. This scan was done 10 days back and since then I am on bed rest. I have a family vacation (one hour flight) planned to travel in 15 days. Is this something possible and non-risky to do? [/INST] Hello. At 12 weeks gestation with placenta fundo-posterior with lower edge reaching internal is a fairly acceptable finding for early pregnancy. It does not really call for bed rest if there has been no episode of any bleeding per vaginum. The safest distance of placenta is more than 2.5 cm from internal os but that is in the third late trimester when the lower segment is formed. The placenta tends to climb up by 32 to 34 weeks and the present low lying status shall change. However, care should be taken to avoid intercourse completely throughout pregnancy and not to lift the weight of any kind which can cause an increase in the intra-abdominal pressure which can cause bleeding. She can walk and do her daily chores with care. Travelling is advised even in normal pregnancy after 18 to 20 weeks when the placenta matures and the fetus has become resilient to any pressure changes with an increase in amniotic fluid. Unless it is absolutely necessary, she should not be traveling as a precautionary measure. |
Q. There is a neck swelling and Mantoux test shows 15 mm raised surface. Can it be TB? | Hello doctor, My mother has gone for the Mantoux test and the report stated 15 mm raised surface. There is a swelling on the left side of the neck near the shoulder. Firstly we went to a homeopath because we thought that it is a stone. After 3 to 4 days it started paining after that we went to the mentioned doctor. He has given those medicines and has written some of the tests. And now he has written a new test called FNAC (which I do not know). So today my mother has gone for the test and yet the report is pending. | Hi. I have reviewed your query and here is my advise. The swelling could be due to infective enlarged lymph nodes, reactive node enlargement or tuberculosis. You cannot rely on the Mantoux test. It is not the test for tuberculosis. To confirm tuberculosis and to rule out the nature of lesion you need to investigate with fine needle aspiration cytology. In this investigation, a needle is inserted into an enlarged node and material taken outside over slide which is stained and examined under the microscope. It is five minutes OPD procedure, so do not worry about that. |
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Hello doctor, My mother has gone for the Mantoux test and the report stated 15 mm raised surface. There is a swelling on the left side of the neck near the shoulder. Firstly we went to a homeopath because we thought that it is a stone. After 3 to 4 days it started paining after that we went to the mentioned doctor. He has given those medicines and has written some of the tests. And now he has written a new test called FNAC (which I do not know). So today my mother has gone for the test and yet the report is pending. [/INST] Hi. I have reviewed your query and here is my advise. The swelling could be due to infective enlarged lymph nodes, reactive node enlargement or tuberculosis. You cannot rely on the Mantoux test. It is not the test for tuberculosis. To confirm tuberculosis and to rule out the nature of lesion you need to investigate with fine needle aspiration cytology. In this investigation, a needle is inserted into an enlarged node and material taken outside over slide which is stained and examined under the microscope. It is five minutes OPD procedure, so do not worry about that. |
Q. I have erectile dysfunction and ejaculation problems. Please advise. | Hello doctor, My cum is not coming out by force or thrust. The cum is just flowing out of my penis. Three years earlier the cum was coming out by force or thrust. I am having erectile dysfunction may be since last two years or two and half years, and I was not having erectile disfunction earlier. I am taking Megalis 20 and Tentex Forte prescribed by a doctor and through these medicines, I am having a proper erection. I am having only one testicle, my another testicle was removed when I was of 13 years due to its under development. I want to have my cum come out by thrust or force from my penis to have a baby as I am married. I am 37 years of age, and my height is 5 feet 8 inches. | Hi. I have gone through your query. I would like to know whether the amount of semen ejaculated had been the same over the last three years or has it decreased? Firstly, the speed with which the ejaculate came out does not unduly affect your fertility. I would suggest you have a semen examination if not done before to check for the sperm count which is more important. Secondly coming to your complaint, I would ideally like to do a full physical examination given your previous history. It could either be some blockage in the path of semen or the semen could be going back into the bladder. I would suggest you to visit your local urologist for a detailed clinical examination, an ultrasound to check if there is any blockage and a semen test to check for the volume and sperm count. Another possibility is incoordination of the muscles that normally gives the speed to the ejaculate, which cannot be tested to identify. As I said before, if your primary concern is to have a child, then I would suggest you to get a semen analysis first. If it is normal then you do not have anything to worry about. |
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Hello doctor, My cum is not coming out by force or thrust. The cum is just flowing out of my penis. Three years earlier the cum was coming out by force or thrust. I am having erectile dysfunction may be since last two years or two and half years, and I was not having erectile disfunction earlier. I am taking Megalis 20 and Tentex Forte prescribed by a doctor and through these medicines, I am having a proper erection. I am having only one testicle, my another testicle was removed when I was of 13 years due to its under development. I want to have my cum come out by thrust or force from my penis to have a baby as I am married. I am 37 years of age, and my height is 5 feet 8 inches. [/INST] Hi. I have gone through your query. I would like to know whether the amount of semen ejaculated had been the same over the last three years or has it decreased? Firstly, the speed with which the ejaculate came out does not unduly affect your fertility. I would suggest you have a semen examination if not done before to check for the sperm count which is more important. Secondly coming to your complaint, I would ideally like to do a full physical examination given your previous history. It could either be some blockage in the path of semen or the semen could be going back into the bladder. I would suggest you to visit your local urologist for a detailed clinical examination, an ultrasound to check if there is any blockage and a semen test to check for the volume and sperm count. Another possibility is incoordination of the muscles that normally gives the speed to the ejaculate, which cannot be tested to identify. As I said before, if your primary concern is to have a child, then I would suggest you to get a semen analysis first. If it is normal then you do not have anything to worry about. |
Q. My braces are not activated by power chains and creating gaps. Please help. | Hello doctor, Why my ortho does not put brackets in power chains while missing one or two spots? I have straight teeth and I am in the sixth year with braces. I think instead of closing gaps, this is creating gaps. Please help. | Hello. There are different types of power chains that are available for the treatment depending on the interlink space. 1. Short (connects every alternate bracket). 2. Long (connects every third bracket). 3. Closed (connects each bracket). So depending on the stage of your treatment, either of the types can be used which may or may not connect individual brackets. Also, we would require the history of the type of malocclusion you had in the first place as the duration of the treatment varies with the complexity of the malocclusion. Complex malocclusion which require a lot of rotations and closure of gaps may take longer than usual. Also, the density of your alveolar bone and your body's bone remodeling rate affects the duration of final results. So in order to give a definitive diagnosis, we would require your treatment history which includes - 1. Preoperative and post-operative clinic photographs (intraoral and extraoral both). 2. Preoperative dental x-rays (OPG and lateral cephalogram). 3. Treatment history including the types of malocclusion, brackets used, wires used and the movements caused. 4. Oral hygiene maintenance routine that you follow during the braces treatment. Waiting for your reply. Brush twice daily with flouride containing paste. Use of salt water gargles everyday especially after meals.Tongue cleaning on regular basis. A periodic check up with your dentist once every 6 months. A visit to the dentist for oral prophylaxis (teeth cleaning and polishing) once every six months. After providing the required information. |
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Hello doctor, Why my ortho does not put brackets in power chains while missing one or two spots? I have straight teeth and I am in the sixth year with braces. I think instead of closing gaps, this is creating gaps. Please help. [/INST] Hello. There are different types of power chains that are available for the treatment depending on the interlink space. 1. Short (connects every alternate bracket). 2. Long (connects every third bracket). 3. Closed (connects each bracket). So depending on the stage of your treatment, either of the types can be used which may or may not connect individual brackets. Also, we would require the history of the type of malocclusion you had in the first place as the duration of the treatment varies with the complexity of the malocclusion. Complex malocclusion which require a lot of rotations and closure of gaps may take longer than usual. Also, the density of your alveolar bone and your body's bone remodeling rate affects the duration of final results. So in order to give a definitive diagnosis, we would require your treatment history which includes - 1. Preoperative and post-operative clinic photographs (intraoral and extraoral both). 2. Preoperative dental x-rays (OPG and lateral cephalogram). 3. Treatment history including the types of malocclusion, brackets used, wires used and the movements caused. 4. Oral hygiene maintenance routine that you follow during the braces treatment. Waiting for your reply. Brush twice daily with flouride containing paste. Use of salt water gargles everyday especially after meals.Tongue cleaning on regular basis. A periodic check up with your dentist once every 6 months. A visit to the dentist for oral prophylaxis (teeth cleaning and polishing) once every six months. After providing the required information. |
Q. My stomach pain is radiating to my back and vomitus is yellow in color. Please help. | Hello doctor, My sister is having severe stomach ache and yellow vomiting and the pain goes around her abdomen to the back. She is suffering from this pain for the past one week. Please help. | Hello. I can imagine you must be very upset about your sister. And I really feel sorry that she is in pain for a week's time. Well, the pain you mention that is severe and radiating to back is suggestive of pancreatitis. However, the possibility of peptic ulcers cannot be completely ruled out. Ideally, the pancreatitis that is inflammation of the pancreas (a gland at the back of tummy) should be managed in the hospital. However, the pain of ulcers (peptic ulcers) in the stomach and small bowel can be managed at home. But before making a diagnosis it is required that you provide further history about her pain. Did she have this before? And if yes, how long it last? Did she frequently have heartburn or acidity issues? Is she on some medications right now? You mentioned her age, what is her marital status? Did she have fever? or yellowish eyes? or dark yellow eyes? You mention she has yellowish vomiting, but is she able to take orally or she is throwing up everything like water or food that you give to her? You see all this information can help us to decide the most probable cause of the underlying pain and consider some treatment to see the response. For time being, you can give her capsule Esomeprazole 4o mg now and half hour before meals. Expect the reduction in pain if it is due to peptic ulcer disease. The pain of pancreatitis will not settle with this capsule. If she is unable to take orally, then you can visit a nearby nursing clinic and get IV Omeprazole 40 mg. Pancreatitis. Peptic ulcer disease. Complete blood count. Serum amylase and lipase. Liver function tests. Urine detailed report. Ultrasound abdomen. Follow up to discuss after investigation, or earlier before getting tested, if you have more concerns. |
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Hello doctor, My sister is having severe stomach ache and yellow vomiting and the pain goes around her abdomen to the back. She is suffering from this pain for the past one week. Please help. [/INST] Hello. I can imagine you must be very upset about your sister. And I really feel sorry that she is in pain for a week's time. Well, the pain you mention that is severe and radiating to back is suggestive of pancreatitis. However, the possibility of peptic ulcers cannot be completely ruled out. Ideally, the pancreatitis that is inflammation of the pancreas (a gland at the back of tummy) should be managed in the hospital. However, the pain of ulcers (peptic ulcers) in the stomach and small bowel can be managed at home. But before making a diagnosis it is required that you provide further history about her pain. Did she have this before? And if yes, how long it last? Did she frequently have heartburn or acidity issues? Is she on some medications right now? You mentioned her age, what is her marital status? Did she have fever? or yellowish eyes? or dark yellow eyes? You mention she has yellowish vomiting, but is she able to take orally or she is throwing up everything like water or food that you give to her? You see all this information can help us to decide the most probable cause of the underlying pain and consider some treatment to see the response. For time being, you can give her capsule Esomeprazole 4o mg now and half hour before meals. Expect the reduction in pain if it is due to peptic ulcer disease. The pain of pancreatitis will not settle with this capsule. If she is unable to take orally, then you can visit a nearby nursing clinic and get IV Omeprazole 40 mg. Pancreatitis. Peptic ulcer disease. Complete blood count. Serum amylase and lipase. Liver function tests. Urine detailed report. Ultrasound abdomen. Follow up to discuss after investigation, or earlier before getting tested, if you have more concerns. |
Q. Sompraz for duodenal ulcer is causing gas problem. What to do? | Hello doctor, My husband had duodenal ulcer two months back and was treated immediately by a gastroenterologist. For the past 70 days, he is taking Sompraz 40. But sometimes he has wind formation in his stomach. He is very nervous and believes that he might have developed cancer. He always does this whatever disease (thinking about cancer). Please let me know about the seriousness. | Hello. Any ulcers in the duodenum, can cause the feeling of wind anytime. Proper treatment is required to get rid of it. Only Sompraz (Esomeprazole) will not solve the problems. You have to give some other medicines to him. Avoid fatty and spicy food. Do regular walk and exercise is a must. Let done USG (ultrasound) whole abdomen to exclude other problems. USG whole abdomen. Syrup Gelusil 2 tablespoons TDS, syrup Sucral two tablespoons TDS, tablet Normaxin (Clidinium bromide and Dicyclomine) 1 BD. Take all these for seven days. After seven days. |
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Hello doctor, My husband had duodenal ulcer two months back and was treated immediately by a gastroenterologist. For the past 70 days, he is taking Sompraz 40. But sometimes he has wind formation in his stomach. He is very nervous and believes that he might have developed cancer. He always does this whatever disease (thinking about cancer). Please let me know about the seriousness. [/INST] Hello. Any ulcers in the duodenum, can cause the feeling of wind anytime. Proper treatment is required to get rid of it. Only Sompraz (Esomeprazole) will not solve the problems. You have to give some other medicines to him. Avoid fatty and spicy food. Do regular walk and exercise is a must. Let done USG (ultrasound) whole abdomen to exclude other problems. USG whole abdomen. Syrup Gelusil 2 tablespoons TDS, syrup Sucral two tablespoons TDS, tablet Normaxin (Clidinium bromide and Dicyclomine) 1 BD. Take all these for seven days. After seven days. |
Q. How long should my husband and I wait to try for a baby if we did cocaine? | Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. | Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> |
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Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. [/INST] Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> |
Q. Can Yasmin birth control pill be used as an emergency contraceptive pill? | Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? | Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> |
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Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? [/INST] Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> |
Q. Please explain the poisonous effect of phenol ingestion. | Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. | Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> |
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Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. [/INST] Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> |
Q. For how long should I take Kalachikai powder to overcome PCOD problem? | Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? | Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> |
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Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? [/INST] Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> |
Q. Why do periods get delayed after first time sex? | Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? | Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> |
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Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? [/INST] Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> |
Q. Can leaving tobacco chewing cure oral fibrosis? | Hello doctor, I am a patient of oral fibrosis. Is it curable or not? And leaving tobacco is how much helpful? | Hello. Oral submucous fibrosis is a common premalignant condition. Main causes are tobacco-gutkha, beetle nut. In this condition the most important thing is to stop the habit immediately. There are many treatment therapies available like steroids, vitamin therapy, an oral exercise which are helping to improve the condition. Some time there is a need for surgery. First, you stop your habits and see your dentist as soon as possible. He or she can examine and tell you about treatment plan according to your condition. |
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Hello doctor, I am a patient of oral fibrosis. Is it curable or not? And leaving tobacco is how much helpful? [/INST] Hello. Oral submucous fibrosis is a common premalignant condition. Main causes are tobacco-gutkha, beetle nut. In this condition the most important thing is to stop the habit immediately. There are many treatment therapies available like steroids, vitamin therapy, an oral exercise which are helping to improve the condition. Some time there is a need for surgery. First, you stop your habits and see your dentist as soon as possible. He or she can examine and tell you about treatment plan according to your condition. |
Q. I am suffering from headache from the last 20 years. Please advise. | Hello doctor, I am suffering from a headache from the last 20 years. I am a male, 40 years old, 65 kg, smoker (four cigarettes per day). I am taking Saridon per day two tablets. | Hello. It looks like you are having a chronic headache which was not resolved by Saridon which are painkillers. Chronic headaches can be one of the disabling problems. You have to see a doctor for an evaluation if your headache is of the following nature. You usually have two or more headaches a week. You take painkillers for your headache most days, the headache pattern changes or it gets worse, the headaches are disabling, the headache is accompanied by fever, neck stiffness, numbness, difficulty speaking. Chronic headaches causes include the following. Brain tumor, Inflammation or other problems with the blood vessels in and around the brain including stroke especially considering that you are a smoker, infections such as meningitis, traumatic brain injury, high blood pressure, chronic migraines. It is important to be evaluated as this may lead to depression, anxiety, sleep disturbance, and other psychological issues. Treatment of your headache will depend on the cause. Tests and scans need to be done to get a clear diagnosis. In the meantime, please also consider stopping smoking as it might be related to the cause of your headache. Also keep a headache diary which will help you determine what triggers your headache, wherein the head is the pain, when it started, and how long it lasted. Best wishes. |
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Hello doctor, I am suffering from a headache from the last 20 years. I am a male, 40 years old, 65 kg, smoker (four cigarettes per day). I am taking Saridon per day two tablets. [/INST] Hello. It looks like you are having a chronic headache which was not resolved by Saridon which are painkillers. Chronic headaches can be one of the disabling problems. You have to see a doctor for an evaluation if your headache is of the following nature. You usually have two or more headaches a week. You take painkillers for your headache most days, the headache pattern changes or it gets worse, the headaches are disabling, the headache is accompanied by fever, neck stiffness, numbness, difficulty speaking. Chronic headaches causes include the following. Brain tumor, Inflammation or other problems with the blood vessels in and around the brain including stroke especially considering that you are a smoker, infections such as meningitis, traumatic brain injury, high blood pressure, chronic migraines. It is important to be evaluated as this may lead to depression, anxiety, sleep disturbance, and other psychological issues. Treatment of your headache will depend on the cause. Tests and scans need to be done to get a clear diagnosis. In the meantime, please also consider stopping smoking as it might be related to the cause of your headache. Also keep a headache diary which will help you determine what triggers your headache, wherein the head is the pain, when it started, and how long it lasted. Best wishes. |
Q. Having low platelet-8000/cumm. Testing of dengue, NS1 is negative. | Hi doctor, My father is admitted to the hospital as his platelet count is 8000/cumm. The tests for dengue and NS1 are negative. After injection of 4 units of platelet, his platelet count is 12000/cumm. Then after administering 2 and 4 more units, the platelet count was 23000/cumm and 22000/cumm respectively. Is it normal? | Hi. This is definitely not normal. Even though dengue antigen is negative, the low platelet count gives suspicion of dengue. The line of management is on the right way. So do not worry. Once the platelet count crosses 25000, we can stop the platelet transfusion. Only frequent follow up is needed. He will recover soon. |
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Hi doctor, My father is admitted to the hospital as his platelet count is 8000/cumm. The tests for dengue and NS1 are negative. After injection of 4 units of platelet, his platelet count is 12000/cumm. Then after administering 2 and 4 more units, the platelet count was 23000/cumm and 22000/cumm respectively. Is it normal? [/INST] Hi. This is definitely not normal. Even though dengue antigen is negative, the low platelet count gives suspicion of dengue. The line of management is on the right way. So do not worry. Once the platelet count crosses 25000, we can stop the platelet transfusion. Only frequent follow up is needed. He will recover soon. |
Q. Can I use Kojivit gel to improve my skin tone along with clearmin soap? | Hi doctor, I am a 26 year old female. My face tone looks uneven and very dull. Can I use Kojivit gel to improve my skin tone along with clearmin soap? Is clearmin soap good? Or please suggest any other soap. | Hi. You may continue the use of Kojivit gel, which has Kojic acid. However, I would recommend you to replace Kojivit gel with Vitamin-C based creams. The soap you have mentioned is fine, but make sure you are following a good facial routine, which means cleansing, toning, and moisturizing. Also, I hope the soap you are using does not make your skin over dry, as this could be one of the reasons for dullness. I would better recommend a face wash which is more gentle and hygienic than soap. You may try Cetaphil face wash and moisturizer depending upon your skin type, and you can also tone your skin with rose water sprays regularly. As per recent research, Vitamin-K based creams work much better for skin moisturizing along with improving the blood supply and regenerating the broken capillaries, which are responsible for dullness over some time. |
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Hi doctor, I am a 26 year old female. My face tone looks uneven and very dull. Can I use Kojivit gel to improve my skin tone along with clearmin soap? Is clearmin soap good? Or please suggest any other soap. [/INST] Hi. You may continue the use of Kojivit gel, which has Kojic acid. However, I would recommend you to replace Kojivit gel with Vitamin-C based creams. The soap you have mentioned is fine, but make sure you are following a good facial routine, which means cleansing, toning, and moisturizing. Also, I hope the soap you are using does not make your skin over dry, as this could be one of the reasons for dullness. I would better recommend a face wash which is more gentle and hygienic than soap. You may try Cetaphil face wash and moisturizer depending upon your skin type, and you can also tone your skin with rose water sprays regularly. As per recent research, Vitamin-K based creams work much better for skin moisturizing along with improving the blood supply and regenerating the broken capillaries, which are responsible for dullness over some time. |
Q. How to conceive faster? Why AF Kit is being used? | Hi doctor, How to conceive faster? Is AF Kit advisable to use? | Hi. AF Kit is used for vaginal discharge and fungal infection. If taken by both partners, it will cure you of such symptoms and also treat PID (pelvic inflammatory disease). It is good to take this treatment as you are trying to conceive. To conceive faster, try having sexual intercourse during your ovulation days, which are roughly from 9th to 22nd day in a 30-day cycle. |
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Hi doctor, How to conceive faster? Is AF Kit advisable to use? [/INST] Hi. AF Kit is used for vaginal discharge and fungal infection. If taken by both partners, it will cure you of such symptoms and also treat PID (pelvic inflammatory disease). It is good to take this treatment as you are trying to conceive. To conceive faster, try having sexual intercourse during your ovulation days, which are roughly from 9th to 22nd day in a 30-day cycle. |
Q. What does abutment of the nerve root mean? | Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for annular bulging and tear? | Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online --> |
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Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for annular bulging and tear? [/INST] Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online --> |
Q. Is high intake of protein powder helpful or harmful to the health? | Hello doctor, Is high intake of protein powder helpful or harmful to the health? And what is considered as too much protein? | Hi. The recommended dietary intake of protein is 30% of your total calorie or food intake, which means 30% of what you eat should be proteins. If it exceeds 45 or 50%, then it can cause problems, especially to your kidneys. High protein powders can be used if you have protein deficiency or if your normal diet does not supply adequate protein. If you are asking this for bodybuilding purpose, then taking a very limited quantity over a short period is considered to be fine. |
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Hello doctor, Is high intake of protein powder helpful or harmful to the health? And what is considered as too much protein? [/INST] Hi. The recommended dietary intake of protein is 30% of your total calorie or food intake, which means 30% of what you eat should be proteins. If it exceeds 45 or 50%, then it can cause problems, especially to your kidneys. High protein powders can be used if you have protein deficiency or if your normal diet does not supply adequate protein. If you are asking this for bodybuilding purpose, then taking a very limited quantity over a short period is considered to be fine. |
Q. What diet plan can be used to gain weight in an anemic? | Hello doctor, My wife was anemic and as per the doctor's advise she was taking Iron tablets. Now she is eating iron-rich foods. However, we need a balanced diet for her to put little more weight. She was 59 kg six months back and now her weight is 54 kg. Need to increase the weight as well along with a balanced diet. Please suggest a good chart for my wife to take iron rich and vitamin-rich food as well as good fat to gain weight. | Hello. As per the reports were taken before the surgery (attachment removed to protect patient identity), please do mention the after reports if any taken. She needs to take a wholesome diet rich in protein along with Iron also. In anyways, do wait for the results to come up and do not hurriedly take any precaution to gain weight. Breakfast should include a sandwich, oats, milk should be made mandatory every morning. Include all kinds of foods in her diet but, four to five small meals per day in an equal interval should be taken. In lunch green vegetables, non-vegetarian like fish especially salmon, small fish are very good. Eggs can be taken in a boiled form in breakfast or lunch but not in the night. Evening snacks can be soups, juices, beetroot juice, carrot soup, tomato, mixed veg soup, chicken soup. During night time all kinds of pulses and cereals should be taken. One or two breads (chapatti), and any day. Rice half plate and chapatti during lunch time. Banana is rich in Iron. But take during the daytime banana shake, milk banana shake are good. Avoid fatty and oily foods. Fewer spices and salt should be done. Walking is good. Coconut water early in the morning in empty stomach is very good. |
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Hello doctor, My wife was anemic and as per the doctor's advise she was taking Iron tablets. Now she is eating iron-rich foods. However, we need a balanced diet for her to put little more weight. She was 59 kg six months back and now her weight is 54 kg. Need to increase the weight as well along with a balanced diet. Please suggest a good chart for my wife to take iron rich and vitamin-rich food as well as good fat to gain weight. [/INST] Hello. As per the reports were taken before the surgery (attachment removed to protect patient identity), please do mention the after reports if any taken. She needs to take a wholesome diet rich in protein along with Iron also. In anyways, do wait for the results to come up and do not hurriedly take any precaution to gain weight. Breakfast should include a sandwich, oats, milk should be made mandatory every morning. Include all kinds of foods in her diet but, four to five small meals per day in an equal interval should be taken. In lunch green vegetables, non-vegetarian like fish especially salmon, small fish are very good. Eggs can be taken in a boiled form in breakfast or lunch but not in the night. Evening snacks can be soups, juices, beetroot juice, carrot soup, tomato, mixed veg soup, chicken soup. During night time all kinds of pulses and cereals should be taken. One or two breads (chapatti), and any day. Rice half plate and chapatti during lunch time. Banana is rich in Iron. But take during the daytime banana shake, milk banana shake are good. Avoid fatty and oily foods. Fewer spices and salt should be done. Walking is good. Coconut water early in the morning in empty stomach is very good. |
Q. I am not having any control on my mind and emotions. Why? | Hello doctor, I am 22 years old, currently pursuing my masters. I have noticed it over a few months now. I have absolutely no control of my mind or my emotions. I am happy one moment and the next moment all I want to do is cry. I feel unhappy and claustrophobic all the time. I have always got this urge to escape or harm myself. I have not inflicted pain on myself because I am scared but I do have such thoughts all the time. I used to be able to memorize things and do well in exams. But now it is bothering me. I cannot find the patience and persistence I used to have before. I have become impatient, bored easily and angry often. And I have always had these conflicting thoughts in my head. I would love to know why and what I could do to help myself feel calmer. I have tried meditating but yesterday I burst out crying and I could not do it anymore. I would be grateful for your help. | Hello. Based on your symptoms you seem to be suffering from a mood disorder, either bipolar or cyclothymia or depression. There is a need for detailed assessment and evaluation to confirm the diagnosis. It happens in acute phases of illness that disturbance is so high, one cannot concentrate properly hence meditation is very difficult. Once your Illness settles little, you would be able to do meditation. I would advise you to consult a psychiatrist, get your diagnosis confirmed and go-ahead with planned treatment. Do not delay in seeking the treatment, your condition and symptom severity seems high. If you find it hard to fight alone, involve your family members for support and care. You need them at the moment. Wish you get well soon. |
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Hello doctor, I am 22 years old, currently pursuing my masters. I have noticed it over a few months now. I have absolutely no control of my mind or my emotions. I am happy one moment and the next moment all I want to do is cry. I feel unhappy and claustrophobic all the time. I have always got this urge to escape or harm myself. I have not inflicted pain on myself because I am scared but I do have such thoughts all the time. I used to be able to memorize things and do well in exams. But now it is bothering me. I cannot find the patience and persistence I used to have before. I have become impatient, bored easily and angry often. And I have always had these conflicting thoughts in my head. I would love to know why and what I could do to help myself feel calmer. I have tried meditating but yesterday I burst out crying and I could not do it anymore. I would be grateful for your help. [/INST] Hello. Based on your symptoms you seem to be suffering from a mood disorder, either bipolar or cyclothymia or depression. There is a need for detailed assessment and evaluation to confirm the diagnosis. It happens in acute phases of illness that disturbance is so high, one cannot concentrate properly hence meditation is very difficult. Once your Illness settles little, you would be able to do meditation. I would advise you to consult a psychiatrist, get your diagnosis confirmed and go-ahead with planned treatment. Do not delay in seeking the treatment, your condition and symptom severity seems high. If you find it hard to fight alone, involve your family members for support and care. You need them at the moment. Wish you get well soon. |
Q. What is the reason for swelling and pain in joints with disability to walk? | Hello doctor, I am having severe joint pains for two days. Initially, I had a fever. but now it has subsided but unable to move or walk freely as all joints seemed swollen. | Hi. Acute generalized joint pain is an uncomfortable problem that needs attention as soon as possible especially because you are unable to move or walk freely. Diseases that can cause the kind of joint pain you are having include Gout where uric acid forms crystals that deposit in the joints causing inflammation and pain, arthritis-like septic arthritis and psoriatic arthritis, infection of the joints, joint injuries. Treatment of painful swollen joints depends on the problem or diagnosis. It can include non-steroidal anti-inflammatory drugs for pain and swelling, steroid medications are taken for a short period of time to reduce pain and swelling of the joints. The steroids block the inflammatory chemicals in the body. Acute gout can be treated with medication that reduces uric acid like Colchicine, antibiotics if the pain and swelling are caused by infectious causes to stop the infection, surgery if your pain is caused by injury. It will help if you are checked and assessment is done so that more history can be given and correct diagnosis can be made. |
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Hello doctor, I am having severe joint pains for two days. Initially, I had a fever. but now it has subsided but unable to move or walk freely as all joints seemed swollen. [/INST] Hi. Acute generalized joint pain is an uncomfortable problem that needs attention as soon as possible especially because you are unable to move or walk freely. Diseases that can cause the kind of joint pain you are having include Gout where uric acid forms crystals that deposit in the joints causing inflammation and pain, arthritis-like septic arthritis and psoriatic arthritis, infection of the joints, joint injuries. Treatment of painful swollen joints depends on the problem or diagnosis. It can include non-steroidal anti-inflammatory drugs for pain and swelling, steroid medications are taken for a short period of time to reduce pain and swelling of the joints. The steroids block the inflammatory chemicals in the body. Acute gout can be treated with medication that reduces uric acid like Colchicine, antibiotics if the pain and swelling are caused by infectious causes to stop the infection, surgery if your pain is caused by injury. It will help if you are checked and assessment is done so that more history can be given and correct diagnosis can be made. |
Q. I have scars and spots on face with hair fall and dry hair. Why? | Hello doctor,I have scars and spots on face, hair fall and dry hair. Please help. | Hi. I request you to kindly upload a few images of the affected area on the face so that I can guide you better. You may use Radant lite cream for dark spots. However, for scars, I suggest either chemical peeling or laser resurfacing. Kindly let me know if you have dandruff? As dandruff is an important cause of hair fall. Get a few basic investigations like thyroid screen, serum ferritin levels, vitamin D3 levels, vitamin B12 levels as deficiency can cause increased hair shedding. You may in the mean time take an oral Biotin supplement like tablet Revilus once a day. Use Renocia hair solution on scalp skin every night. Take care. |
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Hello doctor,I have scars and spots on face, hair fall and dry hair. Please help. [/INST] Hi. I request you to kindly upload a few images of the affected area on the face so that I can guide you better. You may use Radant lite cream for dark spots. However, for scars, I suggest either chemical peeling or laser resurfacing. Kindly let me know if you have dandruff? As dandruff is an important cause of hair fall. Get a few basic investigations like thyroid screen, serum ferritin levels, vitamin D3 levels, vitamin B12 levels as deficiency can cause increased hair shedding. You may in the mean time take an oral Biotin supplement like tablet Revilus once a day. Use Renocia hair solution on scalp skin every night. Take care. |
Q. How long should my husband and I wait to try for a baby if we did cocaine? | Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. | Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> |
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Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. [/INST] Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> |
Q. Can Yasmin birth control pill be used as an emergency contraceptive pill? | Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? | Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> |
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Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? [/INST] Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> |
Q. Please explain the poisonous effect of phenol ingestion. | Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. | Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> |
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Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. [/INST] Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> |
Q. For how long should I take Kalachikai powder to overcome PCOD problem? | Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? | Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> |
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Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? [/INST] Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> |
Q. Why do periods get delayed after first time sex? | Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? | Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> |
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Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? [/INST] Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> |
Q. Will Nano-Leo give permanent solution for erection problem? | Hello doctor, I am 48 years old. I am experiencing weak erection and difficulty in sustaining the same. This condition was observed 10 years back. Also, there is premature ejaculation. Other physical ailments that I have are, I am suffering from hypertension and taking Amlopres-L (Amlodipine and Lisinopril) for the last 10 years, high cholesterol and triglycerides. My cholesterol level is 225 and triglyceride is 200 for the last 12 years. I used to do frequent masturbation in early age. I do have erection during morning hours many times, particularly after sound sleep or if I had long walk previous day. I am having Sildenafil 25 mg or 5 mg Cialis, which is effective enough. But, I wish to get rid of tablet support and live natural way. I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days. I wish to have your second opinion on this. Please guide. | Hi. For further doubts consult a sexologist online --> |
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Hello doctor, I am 48 years old. I am experiencing weak erection and difficulty in sustaining the same. This condition was observed 10 years back. Also, there is premature ejaculation. Other physical ailments that I have are, I am suffering from hypertension and taking Amlopres-L (Amlodipine and Lisinopril) for the last 10 years, high cholesterol and triglycerides. My cholesterol level is 225 and triglyceride is 200 for the last 12 years. I used to do frequent masturbation in early age. I do have erection during morning hours many times, particularly after sound sleep or if I had long walk previous day. I am having Sildenafil 25 mg or 5 mg Cialis, which is effective enough. But, I wish to get rid of tablet support and live natural way. I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days. I wish to have your second opinion on this. Please guide. [/INST] Hi. For further doubts consult a sexologist online --> |
Q. Is it advisable to take Hydroxyurea for thrombocythemia? | Hello doctor, I am 25 years old. I have been diagnosed with essential thrombocythemia. The reasons are elevated platelet count (about 700,000 to 900,000 platelets per microliter of blood), positive JAK2 V617F mutation analysis, etc. There are different opinions coming from doctors in my country. Avoiding details, some advice me to take Hydroxyurea, some say that Hydroxyurea is unacceptable for guys of my age because of hard side effects and advise me to take Interferon alpha. Some say that I should not take any medicines and exclude disaggregates and I should just monitor platelets count to be lower than 1,000,000 and some other indicators. Kindly advise. | Hello. I can understand your situation through which you are going. I have reviewed your query and below is my advice for your case. Usually, in case of essential thrombocythemia, there is no need to undergo treatment with Hydroxyurea in all case of ET. It is myeloproliferative neoplasm and the chance of acute myeloid leukemia is less in such case. In young age group people usually there is no need for starting Hydroxyurea. You need to check your blood pressure, sugar level and cholesterol value to decide further regarding treatment. It is advisable to maintain a healthy lifestyle and take more green leafy vegetables. Regular exercise advisable in such case to prevent clot formation. The smoking should be avoided strictly. In such high platelet count to reduce clot formation in the blood, you may need to given Aspirin in a low dose which you are taking. You can continue Aspirin and maintain a healthylifestyle with active exercise. |
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Hello doctor, I am 25 years old. I have been diagnosed with essential thrombocythemia. The reasons are elevated platelet count (about 700,000 to 900,000 platelets per microliter of blood), positive JAK2 V617F mutation analysis, etc. There are different opinions coming from doctors in my country. Avoiding details, some advice me to take Hydroxyurea, some say that Hydroxyurea is unacceptable for guys of my age because of hard side effects and advise me to take Interferon alpha. Some say that I should not take any medicines and exclude disaggregates and I should just monitor platelets count to be lower than 1,000,000 and some other indicators. Kindly advise. [/INST] Hello. I can understand your situation through which you are going. I have reviewed your query and below is my advice for your case. Usually, in case of essential thrombocythemia, there is no need to undergo treatment with Hydroxyurea in all case of ET. It is myeloproliferative neoplasm and the chance of acute myeloid leukemia is less in such case. In young age group people usually there is no need for starting Hydroxyurea. You need to check your blood pressure, sugar level and cholesterol value to decide further regarding treatment. It is advisable to maintain a healthy lifestyle and take more green leafy vegetables. Regular exercise advisable in such case to prevent clot formation. The smoking should be avoided strictly. In such high platelet count to reduce clot formation in the blood, you may need to given Aspirin in a low dose which you are taking. You can continue Aspirin and maintain a healthylifestyle with active exercise. |
Q. Kindly advise treatment for digestive problem. | Hello doctor, My height is 173 cm, weight 75 kg. I have a chronic digestive problem for 10 years. I have taken allopathy, Ayurveda and homeopathy but no successful result. Please advise me. | Hi. Chronic digestive disorders which are common include irritable bowel syndrome, stomach ulcers, gastroesophageal reflux disease, cancer, infections, gallstones. The symptoms of digestive problems include diarrhea, stomach cramps, bloating, gas, stomach pain, vomiting, blood in stool, reflux of food, weight changes. The treatment usually includes a combination of medication and lifestyle changes depending on what the disease is. Since you did not get any help from alternative medicine, it is best that you be checked thoroughly and tests done so that a proper diagnosis and treatment can be given. The tests that can be done depending on your symptoms include blood tests, endoscopy, abdominal X-ray, abdominal sonar. More history from you about your symptoms is needed so that an informed diagnosis can be made. |
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Hello doctor, My height is 173 cm, weight 75 kg. I have a chronic digestive problem for 10 years. I have taken allopathy, Ayurveda and homeopathy but no successful result. Please advise me. [/INST] Hi. Chronic digestive disorders which are common include irritable bowel syndrome, stomach ulcers, gastroesophageal reflux disease, cancer, infections, gallstones. The symptoms of digestive problems include diarrhea, stomach cramps, bloating, gas, stomach pain, vomiting, blood in stool, reflux of food, weight changes. The treatment usually includes a combination of medication and lifestyle changes depending on what the disease is. Since you did not get any help from alternative medicine, it is best that you be checked thoroughly and tests done so that a proper diagnosis and treatment can be given. The tests that can be done depending on your symptoms include blood tests, endoscopy, abdominal X-ray, abdominal sonar. More history from you about your symptoms is needed so that an informed diagnosis can be made. |
Q. I am having one eyeball misalignment and dual vision after a train travel. Kindly advise. | Hello doctor, I am 33 years old male. I traveled by train for 12 hours and came sleeping, then I developed a headache. Now, suddenly I am having one eyeball misalignment and dual vision. No other symptoms. Please help. | Hi. You are experiencing sudden squint. Please get blood pressure checked now. The double vision right now is not an emergency but if you have high BP, that has to be taken care of. If you do not have a BP instrument, kindly tell me if you have these signs. Dizziness, headache at the back of your head, slurred speech. If you have these signs, please visit an emergency ward of a hospital nearby. The eye problem can be taken care of in the morning. |
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Hello doctor, I am 33 years old male. I traveled by train for 12 hours and came sleeping, then I developed a headache. Now, suddenly I am having one eyeball misalignment and dual vision. No other symptoms. Please help. [/INST] Hi. You are experiencing sudden squint. Please get blood pressure checked now. The double vision right now is not an emergency but if you have high BP, that has to be taken care of. If you do not have a BP instrument, kindly tell me if you have these signs. Dizziness, headache at the back of your head, slurred speech. If you have these signs, please visit an emergency ward of a hospital nearby. The eye problem can be taken care of in the morning. |
Q. Why is there fatigue and weakness with shortness of breath on doing exercise? | Hello doctor, I am 41 years old male suffering from fatigue and weakness. Even a little exercise makes me short of breath. My father was a heart patient with triple by pass. I want to find out if my weakness is due to heart problem. I have had ECG and 2D echo done. Both were normal. Are there any other tests that can be done to find out if heart is healthy and functioning properly? Please advise. Currently, I am taking Eltroxin 100 for hypothyroidism, Nexpro, and Domstal for acidity. | Hello. I passed carefully through your concern and would explain that as your cardiac tests (ECG and echo) have resulted normal at rest (attachment removed to protect patient identity), an obvious cardiac disorder is primarily excluded. As you have coronary risk factors like strong hereditary for CAD (coronary artery disease), and probably hyperlipidemia (in the settings of hypothyroidism) and a suspicious symptomatology, an exercise cardiac stress test could be an option for further investigating any possible cardiac implication. Nevertheless, most likely factors responsible for your weakness seem to be outside your heart. First, you should clarify whether your actual thyroid therapy is appropriate and no dose adjustment is necessary. In this regard, blood thyroid hormones level should be checked. Another issue to clarify would be the investigation of other possible influencing factors like anemia (check a complete blood count), pulmonary function (pulmonary function tests), blood glucose level, blood electrolytes level, blood pressure values. You should discuss with your doctor on the above-mentioned issues. |
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Hello doctor, I am 41 years old male suffering from fatigue and weakness. Even a little exercise makes me short of breath. My father was a heart patient with triple by pass. I want to find out if my weakness is due to heart problem. I have had ECG and 2D echo done. Both were normal. Are there any other tests that can be done to find out if heart is healthy and functioning properly? Please advise. Currently, I am taking Eltroxin 100 for hypothyroidism, Nexpro, and Domstal for acidity. [/INST] Hello. I passed carefully through your concern and would explain that as your cardiac tests (ECG and echo) have resulted normal at rest (attachment removed to protect patient identity), an obvious cardiac disorder is primarily excluded. As you have coronary risk factors like strong hereditary for CAD (coronary artery disease), and probably hyperlipidemia (in the settings of hypothyroidism) and a suspicious symptomatology, an exercise cardiac stress test could be an option for further investigating any possible cardiac implication. Nevertheless, most likely factors responsible for your weakness seem to be outside your heart. First, you should clarify whether your actual thyroid therapy is appropriate and no dose adjustment is necessary. In this regard, blood thyroid hormones level should be checked. Another issue to clarify would be the investigation of other possible influencing factors like anemia (check a complete blood count), pulmonary function (pulmonary function tests), blood glucose level, blood electrolytes level, blood pressure values. You should discuss with your doctor on the above-mentioned issues. |
Q. I am facing serious premature ejaculation issues since last 7 years. Suggest a solution for my PE problem. | Hello doctor, I am a 25 year old male. I am facing serious premature ejaculation issues since the last 7 years, and it has become worse with time. I have been masturbating five times a week since the last 10 years, but now when I masturbate, I ejaculate within 10 seconds. I also have two huge nerves or veins on my penis. They are quite huge and look odd. The head of my penis has also become huge, and the rest of the penis is getting thinner. If I do not masturbate for a week, l get wet dreams. My body structure is very thin, and I feel weak throughout the day. I want to solve this PE problem. Can I train myself with start and stop technique while masturbating? Will it help? Or should I stop masturbating? Please suggest a solution for my PE problem. I do not want to take antidepressants or SSRIs as they have major side effects. | Hi. There is no relation between premature ejaculation (PE) and masturbation. Due to anxiety, the ejaculation will happen sooner. This can be managed by calming down and avoiding stress. Think that everything will be fine. It is normal physiology that during erection, veins appear prominent. Penis size varies from individual to individual. For thin people, the penis will appear longer, as the fat in the lower abdomen is less. Getting wet dream is a normal phenomenon, and only if anyone tells that he is not getting it should be evaluated. My suggestion is to distract yourself. Do meditation and yoga. Masturbate whenever you have the urge. |
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Hello doctor, I am a 25 year old male. I am facing serious premature ejaculation issues since the last 7 years, and it has become worse with time. I have been masturbating five times a week since the last 10 years, but now when I masturbate, I ejaculate within 10 seconds. I also have two huge nerves or veins on my penis. They are quite huge and look odd. The head of my penis has also become huge, and the rest of the penis is getting thinner. If I do not masturbate for a week, l get wet dreams. My body structure is very thin, and I feel weak throughout the day. I want to solve this PE problem. Can I train myself with start and stop technique while masturbating? Will it help? Or should I stop masturbating? Please suggest a solution for my PE problem. I do not want to take antidepressants or SSRIs as they have major side effects. [/INST] Hi. There is no relation between premature ejaculation (PE) and masturbation. Due to anxiety, the ejaculation will happen sooner. This can be managed by calming down and avoiding stress. Think that everything will be fine. It is normal physiology that during erection, veins appear prominent. Penis size varies from individual to individual. For thin people, the penis will appear longer, as the fat in the lower abdomen is less. Getting wet dream is a normal phenomenon, and only if anyone tells that he is not getting it should be evaluated. My suggestion is to distract yourself. Do meditation and yoga. Masturbate whenever you have the urge. |
Q. After defecation, secretion of seminal fluid followed by pain in penis on erection and slight pain in groin | Hi doctor, I am a 32 year old healthy male. After defecation, I have secretion of seminal fluid, which is followed by pain in the penis. On erection, I have slight pain in the groin. | Hi. Secretion of seminal fluid after defecation is a normal event. Do not worry about it. The reason for the pain could be due to an infection, and it has to be diagnosed. The location and the source of infection have to be identified. Please get the following tests done: |
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Hi doctor, I am a 32 year old healthy male. After defecation, I have secretion of seminal fluid, which is followed by pain in the penis. On erection, I have slight pain in the groin. [/INST] Hi. Secretion of seminal fluid after defecation is a normal event. Do not worry about it. The reason for the pain could be due to an infection, and it has to be diagnosed. The location and the source of infection have to be identified. Please get the following tests done: |
Q. What can be done to remove excess iron from heart and liver in a thalessemia patient? | Hello doctor, My brother is a Thalassemia major patient. He goes through regular bi-weekly blood transfusions. He has been also taking one Desferal injection on daily basis. Recently T2 MRI scan was done for him which shows a severe amount of iron in heart and liver. I need your expert advice on chelating iron from heart and liver. Please suggest. | Hello. Sorry to hear about your brother condition. To treat chronic iron overload in the body due to thalassemia major, he can be given an intravenous injection or subcutaneous infusion of Desferal. Usually, in such case, 1 to 2 gm daily dose of Desferal might be needed. The only thing can be done for such iron overload due to thalassemia is Desferal injection or subcutaneous infusion. There is no other specific treatment for such iron overload apart from Desferal. You need to visit hematologist or trained pediatrician nearby for Desferal therapy. Unfortunately, no other treatment option apart from Iron chelators is available. |
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Hello doctor, My brother is a Thalassemia major patient. He goes through regular bi-weekly blood transfusions. He has been also taking one Desferal injection on daily basis. Recently T2 MRI scan was done for him which shows a severe amount of iron in heart and liver. I need your expert advice on chelating iron from heart and liver. Please suggest. [/INST] Hello. Sorry to hear about your brother condition. To treat chronic iron overload in the body due to thalassemia major, he can be given an intravenous injection or subcutaneous infusion of Desferal. Usually, in such case, 1 to 2 gm daily dose of Desferal might be needed. The only thing can be done for such iron overload due to thalassemia is Desferal injection or subcutaneous infusion. There is no other specific treatment for such iron overload apart from Desferal. You need to visit hematologist or trained pediatrician nearby for Desferal therapy. Unfortunately, no other treatment option apart from Iron chelators is available. |
Q. Having a blurry vision and itching in the eye. Give me advice. | Hello doctor, My vision gets blurry, especially when I look at green lights at night. I wake up with a blurry vision every day. And at times, my eyes pain and itch. Please help me. | Hi. Blurring of vision at night and morning may be because of refractive error. This requires evaluation by an ophthalmologist. The itching in the eye can be due to allergic conjunctivitis. I suggest you try using anti-allergic eye drops. |
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Hello doctor, My vision gets blurry, especially when I look at green lights at night. I wake up with a blurry vision every day. And at times, my eyes pain and itch. Please help me. [/INST] Hi. Blurring of vision at night and morning may be because of refractive error. This requires evaluation by an ophthalmologist. The itching in the eye can be due to allergic conjunctivitis. I suggest you try using anti-allergic eye drops. |
Q. My 5 year old kid has a lump on his neck. What to do? | Hello doctor, My 5 year old son has a lump on his neck. He had a similar lump about two years back, but it disappeared. The size of the lump is a little bigger this time. What to do? | Hi. Lump in the neck is due to an enlarged lymph node caused by an infection. If the node is enlarged, then a course of antibiotic has to be given after consulting a pediatrician. If it responds to the antibiotics, then nothing more is required. But if the lump is increasing in spite of antibiotics, then the following tests need to be done to know the type of pathology: |
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Hello doctor, My 5 year old son has a lump on his neck. He had a similar lump about two years back, but it disappeared. The size of the lump is a little bigger this time. What to do? [/INST] Hi. Lump in the neck is due to an enlarged lymph node caused by an infection. If the node is enlarged, then a course of antibiotic has to be given after consulting a pediatrician. If it responds to the antibiotics, then nothing more is required. But if the lump is increasing in spite of antibiotics, then the following tests need to be done to know the type of pathology: |
Q. How to enhance the absorption of Accutane? | Hello doctor, It is said that "oral absorption of isotretinoin is enhanced when given with a high-fat meal." My meal, while on Accutane just has normal fat. Does it affect the absorption? | Hi. Yes, absorption of Accutane (Isotretinoin) is enhanced with a high-fat meal, but it does not keep increasing with an increase in the fat intake. So, if your diet contains a moderate amount of fat, it is enough for the absorption of Accutane. |
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Hello doctor, It is said that "oral absorption of isotretinoin is enhanced when given with a high-fat meal." My meal, while on Accutane just has normal fat. Does it affect the absorption? [/INST] Hi. Yes, absorption of Accutane (Isotretinoin) is enhanced with a high-fat meal, but it does not keep increasing with an increase in the fat intake. So, if your diet contains a moderate amount of fat, it is enough for the absorption of Accutane. |
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. Why are there acne scars and acne pits on my cheeks with uneven skin tone? | Hello doctor, I have acne scars and acne pits on my cheeks as well as uneven skin tone. What should I do? | Hi. Acne scar treatment depends on the type of scar. Boxcar scar is superficial one-time, can be improved with microdermabrasion combined with peel, derma roller, ice pick scar- small deep scars, improved with TCA CROSS procedure, rolling scar- needs subcision (minor surgical procedure), fractional carbon dioxide laser, hypertrophic scar-intralesional injection of Triamcinolone acetonide to flatten it, then any of the above mentioned treatment modality depending on the result obtained. In your clinical picture (attachment removed to protect patient identity), I can see you have a few ice pick scars and boxcar scars. Boxcar scars can be improved with a few sessions of medium depth chemical peels. Meet your dermatologist and discuss these options, you can choose which suits you best according to downtime of each procedure, number of sessions, cost. For dark spots, Use Kojic acid cream, apply on top of dark spot at night. It helps to lighten the pigmentation. Use a good sunscreen with SPF 50 in the morning to prevent further darkening of spots. |
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Hello doctor, I have acne scars and acne pits on my cheeks as well as uneven skin tone. What should I do? [/INST] Hi. Acne scar treatment depends on the type of scar. Boxcar scar is superficial one-time, can be improved with microdermabrasion combined with peel, derma roller, ice pick scar- small deep scars, improved with TCA CROSS procedure, rolling scar- needs subcision (minor surgical procedure), fractional carbon dioxide laser, hypertrophic scar-intralesional injection of Triamcinolone acetonide to flatten it, then any of the above mentioned treatment modality depending on the result obtained. In your clinical picture (attachment removed to protect patient identity), I can see you have a few ice pick scars and boxcar scars. Boxcar scars can be improved with a few sessions of medium depth chemical peels. Meet your dermatologist and discuss these options, you can choose which suits you best according to downtime of each procedure, number of sessions, cost. For dark spots, Use Kojic acid cream, apply on top of dark spot at night. It helps to lighten the pigmentation. Use a good sunscreen with SPF 50 in the morning to prevent further darkening of spots. |
Q. Why is my ECG showing low voltage with QRS 86 mm? | Hi doctor, My ECG shows low voltage with QRS 86 mm. I am physically fit and active with no such issue a year ago. What could be the cause and solution? | Hello. Could you upload your ECG picture? It must be 86 msec, I guess. Low voltage ECG may be seen as a normal variant, also seen in obese individuals, smoker or patients with heart disease like fluid around the heart or in lung disease. But, if you do not have any symptoms then it is likely a normal variant. Patients with a disease will have other symptoms too. |
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Hi doctor, My ECG shows low voltage with QRS 86 mm. I am physically fit and active with no such issue a year ago. What could be the cause and solution? [/INST] Hello. Could you upload your ECG picture? It must be 86 msec, I guess. Low voltage ECG may be seen as a normal variant, also seen in obese individuals, smoker or patients with heart disease like fluid around the heart or in lung disease. But, if you do not have any symptoms then it is likely a normal variant. Patients with a disease will have other symptoms too. |
Q. Transilluminated my scrotum, but my testicle does not glow. Why? | Hello doctor,I am 23 years old and just learned about transillumination of the scrotum. I did the exam on myself and my right testicle does not glow when the light is shinned under. I cannot feel any lumps on palpation. Should I get additional examination? | Hi. It is very nice to know the effect of health education imparted to you. On self-examination, if there is a normal smooth contour of testes, uniform consistency, no lump or heavy mass felt, then no need for further evaluation. Transillumination is usefull only when there is a testicular swelling and to differentiate a fluid filled sac (hydrocele-transilluminate) Vs solid mass (tumor- no transillumination glow). |
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Hello doctor,I am 23 years old and just learned about transillumination of the scrotum. I did the exam on myself and my right testicle does not glow when the light is shinned under. I cannot feel any lumps on palpation. Should I get additional examination? [/INST] Hi. It is very nice to know the effect of health education imparted to you. On self-examination, if there is a normal smooth contour of testes, uniform consistency, no lump or heavy mass felt, then no need for further evaluation. Transillumination is usefull only when there is a testicular swelling and to differentiate a fluid filled sac (hydrocele-transilluminate) Vs solid mass (tumor- no transillumination glow). |
Q. What is the reason for green stool after recovering from pneumonia in a child? | Hello doctor, My nephew got pneumonia two weeks back. He recovered but the problem is his stool got green again after medicine and also when he takes a bath it happens. He is 4 months old. Otherwise, he is fine but this problem becomes severe later. So, we are worried. Would you like to prescribe any medicine or tell why it is happening? | Hello. For pneumonia, if Augmentin (Amoxicillin with Clavulanic acid) given, then this medicine tend to cause loose motion with color variation of stool. If this is the case then you can stop the medicine, if it is continued till now. If the baby is exclusively breastfed, and passing adequate urine (5 to 6 times a day), then no need to worry. At this age, the stool consistency and frequency is highly variable, which is a normal physiological process. Focus on exclusive breastfeeding which is highly recommended. As top feeding also is a matter of concern for loose motion later. I do not think there is a need for any medication, if the baby is fine, feeding well, playful and hydration is maintained (passing urine adequately). |
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Hello doctor, My nephew got pneumonia two weeks back. He recovered but the problem is his stool got green again after medicine and also when he takes a bath it happens. He is 4 months old. Otherwise, he is fine but this problem becomes severe later. So, we are worried. Would you like to prescribe any medicine or tell why it is happening? [/INST] Hello. For pneumonia, if Augmentin (Amoxicillin with Clavulanic acid) given, then this medicine tend to cause loose motion with color variation of stool. If this is the case then you can stop the medicine, if it is continued till now. If the baby is exclusively breastfed, and passing adequate urine (5 to 6 times a day), then no need to worry. At this age, the stool consistency and frequency is highly variable, which is a normal physiological process. Focus on exclusive breastfeeding which is highly recommended. As top feeding also is a matter of concern for loose motion later. I do not think there is a need for any medication, if the baby is fine, feeding well, playful and hydration is maintained (passing urine adequately). |
Q. What can be done for osteogenic sarcoma? | Hi doctor, My sister's age is 26 years. She fell down on the floor and got right distal leg femur fracture. Later on, revealed after different tests including MRI, bone scan, biopsy report as osteogenic sarcoma. | Hi. I have gone through the reports of your sister (attachment removed to protect patient identity). It looks she has osteosarcoma, a type of bone cancer. In the pathology report, they have not mentioned which subtype osteosarcoma and the grade of this sarcoma (high or low). Now she must do a CT scan chest to check for any spread to the lungs. If the lungs are free then it is a localized disease. Usually, for localized osteosarcoma, she may need chemotherapy followed by surgery (limb-sparing surgery if feasible) and then again chemotherapy. It is difficult to comment (step-wise treatment) without seeing and examining the patient physically. |
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Hi doctor, My sister's age is 26 years. She fell down on the floor and got right distal leg femur fracture. Later on, revealed after different tests including MRI, bone scan, biopsy report as osteogenic sarcoma. [/INST] Hi. I have gone through the reports of your sister (attachment removed to protect patient identity). It looks she has osteosarcoma, a type of bone cancer. In the pathology report, they have not mentioned which subtype osteosarcoma and the grade of this sarcoma (high or low). Now she must do a CT scan chest to check for any spread to the lungs. If the lungs are free then it is a localized disease. Usually, for localized osteosarcoma, she may need chemotherapy followed by surgery (limb-sparing surgery if feasible) and then again chemotherapy. It is difficult to comment (step-wise treatment) without seeing and examining the patient physically. |
Q. Will Kalarchikai cure multiple ovarian cysts in PCOD? | Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well. | Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help. |
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Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well. [/INST] Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help. |
Q. My puppy nipped me and it is not vaccinated yet. Should I get anti-rabies vaccine? | Hello doctor, Do I need an anti-rabies vaccine, because my 2 and a half-month-old puppy nipped me? It is barely a bite but I cleaned it and no symptoms seem to show up, my puppy is not vaccinated yet because it is too young. I am 18 years old. | Hi. If the bite was unprovoked and if it caused bleeding then you should get a course of anti-rabies vaccine plus a shot of tetanus immunoglobulin, to be on the safe side. Even though it is a pet, it is not immunized so the standard protocol is to get vaccinated if the above-mentioned factors are present. Also, wash the wound with soap and water thoroughly. If the skin was not broken and if the attack was provoked, then it is not necessary to get vaccinated. However, given the nil immunization status of your pet, you may want to be on the safe side and get the shots. |
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Hello doctor, Do I need an anti-rabies vaccine, because my 2 and a half-month-old puppy nipped me? It is barely a bite but I cleaned it and no symptoms seem to show up, my puppy is not vaccinated yet because it is too young. I am 18 years old. [/INST] Hi. If the bite was unprovoked and if it caused bleeding then you should get a course of anti-rabies vaccine plus a shot of tetanus immunoglobulin, to be on the safe side. Even though it is a pet, it is not immunized so the standard protocol is to get vaccinated if the above-mentioned factors are present. Also, wash the wound with soap and water thoroughly. If the skin was not broken and if the attack was provoked, then it is not necessary to get vaccinated. However, given the nil immunization status of your pet, you may want to be on the safe side and get the shots. |
Q. The leg vein swells up when I do sit-ups. Why? | Hello doctor, I am 22 years old male. I am an athlete. One of my legs vein swells when I do sit-ups. Only for a short duration. I am tensed is there a problem. Kindly help me. | Hello. I read your concern. The swollen up vein could be varicose veins. And if you keep doing some activities that increase the pressure in the lower body or abdomen, it can give rise to immense pressure preventing backflow of the blood to the heart via veins. So, there is swelling in the veins. If you continue to do the same activity then you may lead to damage the valves in the vein. Now, at this stage, you may have a check up with some cardiologist to know the exact cause of the swelling. However, nothing to panic. Until then, I request you not to indulge in those activities that bring the swelling in the vein as a precautionary measure. You may continue with moderate activities that will anyway help you achieve the same result. |
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Hello doctor, I am 22 years old male. I am an athlete. One of my legs vein swells when I do sit-ups. Only for a short duration. I am tensed is there a problem. Kindly help me. [/INST] Hello. I read your concern. The swollen up vein could be varicose veins. And if you keep doing some activities that increase the pressure in the lower body or abdomen, it can give rise to immense pressure preventing backflow of the blood to the heart via veins. So, there is swelling in the veins. If you continue to do the same activity then you may lead to damage the valves in the vein. Now, at this stage, you may have a check up with some cardiologist to know the exact cause of the swelling. However, nothing to panic. Until then, I request you not to indulge in those activities that bring the swelling in the vein as a precautionary measure. You may continue with moderate activities that will anyway help you achieve the same result. |
Q. Had Medroxyprogesterone after a negative scan and now I am getting positive UPT test. How? | Hello doctor, I am 26 years old. I went to my PCP for a pregnancy test and it was positive. Had an ultrasound a few days later and the technician said he did not see pregnancy in my uterus so he performed a transvaginal ultrasound to see if I was pregnant in my uterus but I was not. I took a pregnancy test there it was negative. I went back to my PCP 10 days later for blood work to see if my hormone levels are going up or down. Two days later she told me I did not need to come back in for a second bloodwork because I definitely was not pregnant. So she prescribed me Medroxyprogesterone 5 mg for 10 days to restart my cycle because I still have not. I am on day 7 and I took a pregnancy test yesterday night and it gave a visible faint line positive result. So I tested again this morning and I still have a positive result. Could this be because of the Medroxyprogesterone? | Hi. How are you doing? You are about 14 weeks gestation, based on your last menstrual period. At this size, the embryo is easily visible. The blood test will also have high hormonal levels. Pregnancy hormone detected by scan and urine is serum beta hCG. If the fetus is healthy, the levels of this hormone increases exponentially. So if it is 2 Iunits today, in 48 hours it will be 4 IU, and so on. So by 14 weeks, the levels should be very high and easily seen on the scan. Mostly doctor noted a very low level of this hormone. It takes a few weeks for this level to fall to below detectable levels. If you want to still confirm the health of the baby, ask the doctor for the beta hCG result. After 48 hours of the test, check the same beta hCG. If the embryo is healthy, the level of hCG will double. If the baby is unhealthy, this level will fall or rise, will be less than double. So, Medroxyprogestrone acetate will not cause pregnancy hormone reaction, so this hormone is not causing pregnancy hormones. If your doctor feels that levels are very low. I would advise you to wait for 10 to 14 days. You will have periods, if the baby is not there. |
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Hello doctor, I am 26 years old. I went to my PCP for a pregnancy test and it was positive. Had an ultrasound a few days later and the technician said he did not see pregnancy in my uterus so he performed a transvaginal ultrasound to see if I was pregnant in my uterus but I was not. I took a pregnancy test there it was negative. I went back to my PCP 10 days later for blood work to see if my hormone levels are going up or down. Two days later she told me I did not need to come back in for a second bloodwork because I definitely was not pregnant. So she prescribed me Medroxyprogesterone 5 mg for 10 days to restart my cycle because I still have not. I am on day 7 and I took a pregnancy test yesterday night and it gave a visible faint line positive result. So I tested again this morning and I still have a positive result. Could this be because of the Medroxyprogesterone? [/INST] Hi. How are you doing? You are about 14 weeks gestation, based on your last menstrual period. At this size, the embryo is easily visible. The blood test will also have high hormonal levels. Pregnancy hormone detected by scan and urine is serum beta hCG. If the fetus is healthy, the levels of this hormone increases exponentially. So if it is 2 Iunits today, in 48 hours it will be 4 IU, and so on. So by 14 weeks, the levels should be very high and easily seen on the scan. Mostly doctor noted a very low level of this hormone. It takes a few weeks for this level to fall to below detectable levels. If you want to still confirm the health of the baby, ask the doctor for the beta hCG result. After 48 hours of the test, check the same beta hCG. If the embryo is healthy, the level of hCG will double. If the baby is unhealthy, this level will fall or rise, will be less than double. So, Medroxyprogestrone acetate will not cause pregnancy hormone reaction, so this hormone is not causing pregnancy hormones. If your doctor feels that levels are very low. I would advise you to wait for 10 to 14 days. You will have periods, if the baby is not there. |
Q. I have pain in the chest and arm though all the reports are normal. Why? | Hi doctor, I have a lot of chest pain and arm pain for the last few months. Especially my underarm and sides of the chest, and under chest worsens when pressed. All my reports are clear (blood and urine test, barium swallow, neck sonography, ECG, chest and arm X-ray). Though arm X-ray had slight calcification on the shoulder. For the last few days, I feel some kind of movement inside my chest whenever I make sudden movements. It also feels like something is moving and popping (majorly) in my left chest, sometimes in the right one, and just under the breast bone. Please help. What could the cause of this be? I did all my tests before this started happening so I do not know what is the next step. | Hello. From what you have mentioned, most likely you have musculoskeletal pain. Which may be due to trauma or strenuous exercise. Please provide me with a chest X-ray in order to exclude other serious diseases. Musculoskeletal pain is characterised with pain with inspiration plus tenderness when pressing. My advice is to use Voltaren gel thrice per day for three weeks. Deep heat thrice per day for three weeks. |
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Hi doctor, I have a lot of chest pain and arm pain for the last few months. Especially my underarm and sides of the chest, and under chest worsens when pressed. All my reports are clear (blood and urine test, barium swallow, neck sonography, ECG, chest and arm X-ray). Though arm X-ray had slight calcification on the shoulder. For the last few days, I feel some kind of movement inside my chest whenever I make sudden movements. It also feels like something is moving and popping (majorly) in my left chest, sometimes in the right one, and just under the breast bone. Please help. What could the cause of this be? I did all my tests before this started happening so I do not know what is the next step. [/INST] Hello. From what you have mentioned, most likely you have musculoskeletal pain. Which may be due to trauma or strenuous exercise. Please provide me with a chest X-ray in order to exclude other serious diseases. Musculoskeletal pain is characterised with pain with inspiration plus tenderness when pressing. My advice is to use Voltaren gel thrice per day for three weeks. Deep heat thrice per day for three weeks. |
Q. I am sexually active and period is delayed though UPT is negative. Kindly help. | Hello doctor, I am 18 years old and female. I have a 28 day cycle period and I am currently five days late. I have recently become sexually active and use condoms. I took a home pregnancy test the day I was due and it came back negative and I also took two to three days after my period was due which also came back negative. I have recently been extremely stressed due to school and have come down with the flu approx 9 to 10 days ago. I have been on APO-Cephalexin antibiotics for approximately 4 to 5 days. I was wondering why my period is late? Please help. | Hello. If condoms are used correctly, they are about 80 % effective in preventing pregnancy. Stress and illness and taking certain new medications can definitely affect when your period comes. Have you had any early symptoms of pregnancy which most girls experience before they even have a positive pregnancy test? If you need accurate confirmation of pregnancy as soon as possible, you can have blood work done that I recommend for patients in your situation. Also, finding a different contraceptive option that is right for you can help in the future. Just let me know what your preferences are and I could help if you would like to explore birth control options. |
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Hello doctor, I am 18 years old and female. I have a 28 day cycle period and I am currently five days late. I have recently become sexually active and use condoms. I took a home pregnancy test the day I was due and it came back negative and I also took two to three days after my period was due which also came back negative. I have recently been extremely stressed due to school and have come down with the flu approx 9 to 10 days ago. I have been on APO-Cephalexin antibiotics for approximately 4 to 5 days. I was wondering why my period is late? Please help. [/INST] Hello. If condoms are used correctly, they are about 80 % effective in preventing pregnancy. Stress and illness and taking certain new medications can definitely affect when your period comes. Have you had any early symptoms of pregnancy which most girls experience before they even have a positive pregnancy test? If you need accurate confirmation of pregnancy as soon as possible, you can have blood work done that I recommend for patients in your situation. Also, finding a different contraceptive option that is right for you can help in the future. Just let me know what your preferences are and I could help if you would like to explore birth control options. |
Q. How long should my husband and I wait to try for a baby if we did cocaine? | Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. | Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> |
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Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. [/INST] Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> |
Q. Can Yasmin birth control pill be used as an emergency contraceptive pill? | Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? | Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> |
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Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? [/INST] Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> |
Q. Please explain the poisonous effect of phenol ingestion. | Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. | Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> |
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Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. [/INST] Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> |
Q. For how long should I take Kalachikai powder to overcome PCOD problem? | Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? | Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> |
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Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? [/INST] Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> |
Q. Why do periods get delayed after first time sex? | Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? | Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> |
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Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? [/INST] Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> |
Q. I masturbate only by rubbing the tip of the penis. Is it a wrong way? | Hi doctor, During masturbation I just rub the tip of the penis and not the entire penis. Is it a wrong way of doing? I do not get excited during sex and unable to ejaculate. Only, rubbing the tip of the penis gives me excitement. Also, two weeks ago, I have undergone circumcision as my foreskin did not retract. Before circumcision too, I have the same problem. Please help. | Hi. For further doubts consult a sexologist online --> |
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Hi doctor, During masturbation I just rub the tip of the penis and not the entire penis. Is it a wrong way of doing? I do not get excited during sex and unable to ejaculate. Only, rubbing the tip of the penis gives me excitement. Also, two weeks ago, I have undergone circumcision as my foreskin did not retract. Before circumcision too, I have the same problem. Please help. [/INST] Hi. For further doubts consult a sexologist online --> |
Q. Will BP tablets cause high uric acid level? | Hi doctor, I am 35 years old. Height 166 cm, weight 76 kg. My uric acid level has come to 8.9. I did this checkup one year before and it was 8.4. At that time I had stopped eating all pulses for at least one month. I am pure vegetarian. I do not have any symptom of gout or any other stuff. I do have hypertension for which I take daily tablet Metpure XL 12.5 mg. Being pure vegetarian, I feel uric acid is very high. Has this to do anything with my BP tablet? Do I need to do any extra test regarding kidney or anything? What all vegetarian food do I need to avoid? | Hi. You seem to have high uric acid levels but asymptomatic hyperuricemia does not need treatment. You may have a family history of hyperuricemia which explains why you have it despite being a vegan. Also, being obese or losing too much weight can increase blood uric acid levels. Your blood pressure medication is not causing this unless you are taking Thiazide diuretics. Please keep an eye on your uric acid levels and serum creatinine to check renal function. You may want to check your thyroid hormones as well as hypothyroidism can also cause hyperuricemia. Please do the following investigation and keep us posted on the results. Serum creatinine, thyroid function tests. |
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Hi doctor, I am 35 years old. Height 166 cm, weight 76 kg. My uric acid level has come to 8.9. I did this checkup one year before and it was 8.4. At that time I had stopped eating all pulses for at least one month. I am pure vegetarian. I do not have any symptom of gout or any other stuff. I do have hypertension for which I take daily tablet Metpure XL 12.5 mg. Being pure vegetarian, I feel uric acid is very high. Has this to do anything with my BP tablet? Do I need to do any extra test regarding kidney or anything? What all vegetarian food do I need to avoid? [/INST] Hi. You seem to have high uric acid levels but asymptomatic hyperuricemia does not need treatment. You may have a family history of hyperuricemia which explains why you have it despite being a vegan. Also, being obese or losing too much weight can increase blood uric acid levels. Your blood pressure medication is not causing this unless you are taking Thiazide diuretics. Please keep an eye on your uric acid levels and serum creatinine to check renal function. You may want to check your thyroid hormones as well as hypothyroidism can also cause hyperuricemia. Please do the following investigation and keep us posted on the results. Serum creatinine, thyroid function tests. |
Q. I have not got withdrawal bleeding after 10 days of taking Unwanted 72. Why? | Hello doctor, I had unprotected sex 10 days back and then took Unwanted 72 after four hours. I have not got any withdrawal bleeding yet. What does it mean? When should I take the pregnancy test? Also, I am a patient of PCOD. | Hello. You have rightly taken the emergency contraceptive pill within 72 hours of unprotected intercourse. The success rate of ECP is 99 % and ideally,the withdrawal bleed should start in the next 4 to 7 days, but if it has not yet, then you can opt for a serum beta hCG test after eight days post last intercourse to rule out pregnancy, if any, due to possible emergency contraceptive pill failure. If the hCG levels are less than 3 mIU then you are pregnancy safe else you are pregnant. If the test is negative then you can safely wait for the menses to return for at least two weeks and then, can get an ultrasound pelvis done to check for endometrial thickness and post that if the endometrial thickness is more than 9 mm then you can opt for a withdrawal bleed with Progesterone. |
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Hello doctor, I had unprotected sex 10 days back and then took Unwanted 72 after four hours. I have not got any withdrawal bleeding yet. What does it mean? When should I take the pregnancy test? Also, I am a patient of PCOD. [/INST] Hello. You have rightly taken the emergency contraceptive pill within 72 hours of unprotected intercourse. The success rate of ECP is 99 % and ideally,the withdrawal bleed should start in the next 4 to 7 days, but if it has not yet, then you can opt for a serum beta hCG test after eight days post last intercourse to rule out pregnancy, if any, due to possible emergency contraceptive pill failure. If the hCG levels are less than 3 mIU then you are pregnancy safe else you are pregnant. If the test is negative then you can safely wait for the menses to return for at least two weeks and then, can get an ultrasound pelvis done to check for endometrial thickness and post that if the endometrial thickness is more than 9 mm then you can opt for a withdrawal bleed with Progesterone. |
Q. Why is there foot pain while moving feet to left, upward and back? | Hello doctor, I have foot pain while moving feet to left and upwards or back since last night. The similar uncomfortable feeling started to happen to me before some time (like sudden feet muscle or vein cramp or pain while standing up from sitting). Before, when I was awake and just when it started I used to straight and stretch my feet and fingers and there was no pain or it was gone within five seconds before to start. If this is the same thing, this time it happened when I was sleeping. I was not able to stretch my feet and fingers so woke up with pain and then it started getting more painful. I started to feel pain in every step while moving feet to left and upwards or back. This foot is now bit puffy or swollen than the other. Any suggestion about medication, rest, exercise? | Hi. I want to ask some questions regarding your condition. What work do you do? Do you stand a lot of time? Is there any recent history of bedrest? What medicines are you taking nowadays? Do you smoke? Swelling in foot or leg, pain on movement and pressure may be due to a condition called deep vein thrombosis. This condition occurs in those people who stand a lot of time, or who recently had surgery and are on bedrest or those patients who have some type of cancer or taking cancer treatment, and in those people who have a genetic disease in which blood clots easily. Otherwise, this condition is rare. This condition requires Doppler ultrasound of the leg to be diagnosed. Moreover, the leg pain or foot pain requires examination of pulses, which of course is not possible here. I would recommend to consulting a rheumatologist regarding this condition, as I do not think it is due to vascular cause. CBC (complete blood count), ESR (erythrocyte sedimentation rate), CRP (C-reactive protein), S. uric acid. Take simple muscle relaxant and painkiller. Tablet Paracetamol or Orphenadrine citrate 2 to 3 times a day or at time of pain. Tablet Tizanidine 4 mg twice a day. |
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Hello doctor, I have foot pain while moving feet to left and upwards or back since last night. The similar uncomfortable feeling started to happen to me before some time (like sudden feet muscle or vein cramp or pain while standing up from sitting). Before, when I was awake and just when it started I used to straight and stretch my feet and fingers and there was no pain or it was gone within five seconds before to start. If this is the same thing, this time it happened when I was sleeping. I was not able to stretch my feet and fingers so woke up with pain and then it started getting more painful. I started to feel pain in every step while moving feet to left and upwards or back. This foot is now bit puffy or swollen than the other. Any suggestion about medication, rest, exercise? [/INST] Hi. I want to ask some questions regarding your condition. What work do you do? Do you stand a lot of time? Is there any recent history of bedrest? What medicines are you taking nowadays? Do you smoke? Swelling in foot or leg, pain on movement and pressure may be due to a condition called deep vein thrombosis. This condition occurs in those people who stand a lot of time, or who recently had surgery and are on bedrest or those patients who have some type of cancer or taking cancer treatment, and in those people who have a genetic disease in which blood clots easily. Otherwise, this condition is rare. This condition requires Doppler ultrasound of the leg to be diagnosed. Moreover, the leg pain or foot pain requires examination of pulses, which of course is not possible here. I would recommend to consulting a rheumatologist regarding this condition, as I do not think it is due to vascular cause. CBC (complete blood count), ESR (erythrocyte sedimentation rate), CRP (C-reactive protein), S. uric acid. Take simple muscle relaxant and painkiller. Tablet Paracetamol or Orphenadrine citrate 2 to 3 times a day or at time of pain. Tablet Tizanidine 4 mg twice a day. |
Q. Can osteoarthritis cause pain in knee? | Hello doctor, I have pain in the right knee for two months. While using a staircase, it used to pain initially whenever I starting walking or running. The pain is exactly on the front side of the knee and just below the left side of the kneecap. I started jogging a year back and continued for six months, during jogging or walking I was feeling a cracking sound but I thought it was normal. Recently, my weight started increasing so again I started jogging and gym workouts. In the gym, I was doing leg workouts like squats, leg extension, leg press, and deadlift. Knee pain started and I realized I was doing squats and deadlift in the wrong form. Later, I corrected and started doing workouts in proper form and pain is slightly reduced. I have consulted a doctor regarding this and he gave me some medicine and said it as early osteoarthritis. Kindly advise me whether I can continue my workouts, is this issue curable, how to manage this. Medicines which I am taking now is Fixit 300 (Nizatidine 300 mg), Loflam (Aceclofenac 100 mg), Joint free triple action (Glucosamine, Chondroitin, and MSM). | Hello. Your X-rays are normal for age (attachment removed to protect patient identity). What you describe is patellofemoral compression syndrome and weight gain, wrong exercises, jogging on an incline, poor shoe wear, open chain exercise like squats, knee rolls have a role to play. Physiotherapy to do like closed chain exercises, leg presses with knee not bending more than 30 degrees, patellar taping, core strengthening exercises, gluteal clam shells, hamstring stretches, VMO (vastus medialis) exercise, etc. Take NSAID like Aceclofenac but I see no role of Glucosamine combination tablets. The process of relief takes a long time so do not get frustrated and believe me this is a curable condition but effort has to be yours. |
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Hello doctor, I have pain in the right knee for two months. While using a staircase, it used to pain initially whenever I starting walking or running. The pain is exactly on the front side of the knee and just below the left side of the kneecap. I started jogging a year back and continued for six months, during jogging or walking I was feeling a cracking sound but I thought it was normal. Recently, my weight started increasing so again I started jogging and gym workouts. In the gym, I was doing leg workouts like squats, leg extension, leg press, and deadlift. Knee pain started and I realized I was doing squats and deadlift in the wrong form. Later, I corrected and started doing workouts in proper form and pain is slightly reduced. I have consulted a doctor regarding this and he gave me some medicine and said it as early osteoarthritis. Kindly advise me whether I can continue my workouts, is this issue curable, how to manage this. Medicines which I am taking now is Fixit 300 (Nizatidine 300 mg), Loflam (Aceclofenac 100 mg), Joint free triple action (Glucosamine, Chondroitin, and MSM). [/INST] Hello. Your X-rays are normal for age (attachment removed to protect patient identity). What you describe is patellofemoral compression syndrome and weight gain, wrong exercises, jogging on an incline, poor shoe wear, open chain exercise like squats, knee rolls have a role to play. Physiotherapy to do like closed chain exercises, leg presses with knee not bending more than 30 degrees, patellar taping, core strengthening exercises, gluteal clam shells, hamstring stretches, VMO (vastus medialis) exercise, etc. Take NSAID like Aceclofenac but I see no role of Glucosamine combination tablets. The process of relief takes a long time so do not get frustrated and believe me this is a curable condition but effort has to be yours. |
Q. What is the reason for rectal burning and hot air from the nose? | Hello doctor, The last six months I am having rectal burning and hot air from the nose. I have visited many hospitals and all doctors checked the rectum area by putting their fingers and told fissure. I have taken many antibiotics and no results. Last time I checked my blood test and found H-pylori positive. I took many tablets. Again I checked that disease and did not find in the stomach. Please guide me for burning rectal area. | Hi. I appreciate you seeking help. I would recommend the following for relief. Pilex ointment to be applied topically at the anus (with the clean applicator) 1 to 2 times daily, before and after passing stool, for the next one week. Keep up a healthy, balanced and anti-inflammatory diet, preferably Mediterranean one comprising mostly of fresh leafy greens and seasonal fruits. Include broccoli sprouts in your diet on a daily basis. Stay well hydrated and have an active lifestyle. Recommend aerobic exercises, walking is the safest, for at least 30 minutes daily. Restrict foods that worsen your constipation, if any, and consequently complicate fissure issues still. Try to avoid constipation by all means lest it injures the anal canal or anus. High-calorie foodstuff including sweets, cakes, pastries, greasy, oily, hot, spicy and fast foods are best avoided too. Take a glass of freshly prepared juice made of ripe bael fruit, honey (one tablespoon), black pepper, cardamom, etc., all, daily evening. Take freshly prepared buttermilk, to which 1/2 teaspoon fresh turmeric powder is mixed thoroughly, daily during lunch. A glass of non-sweetened and pure cranberry juice, once daily. |
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Hello doctor, The last six months I am having rectal burning and hot air from the nose. I have visited many hospitals and all doctors checked the rectum area by putting their fingers and told fissure. I have taken many antibiotics and no results. Last time I checked my blood test and found H-pylori positive. I took many tablets. Again I checked that disease and did not find in the stomach. Please guide me for burning rectal area. [/INST] Hi. I appreciate you seeking help. I would recommend the following for relief. Pilex ointment to be applied topically at the anus (with the clean applicator) 1 to 2 times daily, before and after passing stool, for the next one week. Keep up a healthy, balanced and anti-inflammatory diet, preferably Mediterranean one comprising mostly of fresh leafy greens and seasonal fruits. Include broccoli sprouts in your diet on a daily basis. Stay well hydrated and have an active lifestyle. Recommend aerobic exercises, walking is the safest, for at least 30 minutes daily. Restrict foods that worsen your constipation, if any, and consequently complicate fissure issues still. Try to avoid constipation by all means lest it injures the anal canal or anus. High-calorie foodstuff including sweets, cakes, pastries, greasy, oily, hot, spicy and fast foods are best avoided too. Take a glass of freshly prepared juice made of ripe bael fruit, honey (one tablespoon), black pepper, cardamom, etc., all, daily evening. Take freshly prepared buttermilk, to which 1/2 teaspoon fresh turmeric powder is mixed thoroughly, daily during lunch. A glass of non-sweetened and pure cranberry juice, once daily. |
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