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Q. Bled after Postpone 72, but experiencing temperature and vomiting. Does it indicate pregnancy? | Hi doctor, I had sex with my partner before ten days. She took Postpone 72 on the next day. She had bleeding after a week for four days. Now, she has temperature and vomiting for a week. Is she pregnant? | Hi. Just do a urine pregnancy test, if you think, that she is pregnant. But mostly it will be negative. Now, she has temperature and vomiting mostly due to something other reason. It could be due to gastroenteritis if she ate food from outside. Consult a nearby physician. You may require to do CBC or urine routine test. Taking oral antibiotics and Paracetamol will help. You have to consult a gynecologist to know whether she has a vaginal infection. We need to find the source of the infection and have to treat it accordingly. Mostly, it is due to a stomach infection. Drink more water. The periods can be irregular for two to three months due to the tablet Postpone. |
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Hi doctor, I had sex with my partner before ten days. She took Postpone 72 on the next day. She had bleeding after a week for four days. Now, she has temperature and vomiting for a week. Is she pregnant? [/INST] Hi. Just do a urine pregnancy test, if you think, that she is pregnant. But mostly it will be negative. Now, she has temperature and vomiting mostly due to something other reason. It could be due to gastroenteritis if she ate food from outside. Consult a nearby physician. You may require to do CBC or urine routine test. Taking oral antibiotics and Paracetamol will help. You have to consult a gynecologist to know whether she has a vaginal infection. We need to find the source of the infection and have to treat it accordingly. Mostly, it is due to a stomach infection. Drink more water. The periods can be irregular for two to three months due to the tablet Postpone. |
Q. After going gym, I started to have pain in the knee. How to fix it? | Hi doctor, I started with the gym last week. I trained myself at home for a few weeks. After going to the gym, I began to have pain in the knees. It hurts me a lot. I am unable to do squats for a week. I tried to fix it, and nothing helped me. I do not know what to do. Please help. | Hi. It is common to have pain when you start an exercise programme after a gap. You can try icing the sore parts after doing exercise as well as do gentle stretches in leg muscles. If you are sore, take NSAIDs (Nonsteroidal anti-inflammatory drugs) for a few days and then start again. Knee pain may occur due to chondromalacia patellae, and this may need more attention especially if the pain does not settle after a course of an NSAID. |
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Hi doctor, I started with the gym last week. I trained myself at home for a few weeks. After going to the gym, I began to have pain in the knees. It hurts me a lot. I am unable to do squats for a week. I tried to fix it, and nothing helped me. I do not know what to do. Please help. [/INST] Hi. It is common to have pain when you start an exercise programme after a gap. You can try icing the sore parts after doing exercise as well as do gentle stretches in leg muscles. If you are sore, take NSAIDs (Nonsteroidal anti-inflammatory drugs) for a few days and then start again. Knee pain may occur due to chondromalacia patellae, and this may need more attention especially if the pain does not settle after a course of an NSAID. |
Q. Why do I have increased pain and pressure in the tooth after undergoing root canal treatment? | Hi doctor, I did a root canal on the upper first molar tooth before three weeks. I had sensitivity towards cold and sweets for years. The tooth was slightly loose. So I did a root canal on it. The second sitting was done before a week. I started to have pressure on the tooth after two days. I consulted the dentist, and he told me that the seal has got broken. The doctor said to me that the tooth should be pain-free for a weekend to have a fixing over it. But, I had more pain than before doing a root canal. The pain was terrible. Now, I have pain, pressure and it hurts even for a light pressure on the tooth. I do not have sensitivity. Now, it has been two days, and still, I have pain over the tooth. Please help. | Hi. You have an infection still lingering in your tooth undergoing root canal treatment. It causes pain. Your dentist should place a calcium hydroxide dressing in the tooth, and it disinfects the canals. A course of antibiotics should be given. Also, the tooth should be trimmed to avoid contact with opposite jaw tooth. If the pain does not get better, get an X-ray done and upload it to me. So that, I can advise you appropriately. |
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Hi doctor, I did a root canal on the upper first molar tooth before three weeks. I had sensitivity towards cold and sweets for years. The tooth was slightly loose. So I did a root canal on it. The second sitting was done before a week. I started to have pressure on the tooth after two days. I consulted the dentist, and he told me that the seal has got broken. The doctor said to me that the tooth should be pain-free for a weekend to have a fixing over it. But, I had more pain than before doing a root canal. The pain was terrible. Now, I have pain, pressure and it hurts even for a light pressure on the tooth. I do not have sensitivity. Now, it has been two days, and still, I have pain over the tooth. Please help. [/INST] Hi. You have an infection still lingering in your tooth undergoing root canal treatment. It causes pain. Your dentist should place a calcium hydroxide dressing in the tooth, and it disinfects the canals. A course of antibiotics should be given. Also, the tooth should be trimmed to avoid contact with opposite jaw tooth. If the pain does not get better, get an X-ray done and upload it to me. So that, I can advise you appropriately. |
Q. I had sex five days after finishing Norfloxacin. Will I get pregnant? | Hello doctor, I had sex five days after finishing my antibiotic Norfloxacin. Is there a chance of getting pregnant? I am on the pill for more than a year and I take it religiously. | Hi. How are you doing? If you have been taking the contraceptive pills or birth control pills, then you are absolutely safe and no chance of pregnancy. When you have been taking the pills regularly, the hormone pills will completely suppress the hormones causing the follicles to grow and ovulation will not occur. So there would be no eggs released during the cycles. This change is not affected by the antibiotics. So rest assured, you will not get pregnant if your hormonal pills have not been missed. |
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Hello doctor, I had sex five days after finishing my antibiotic Norfloxacin. Is there a chance of getting pregnant? I am on the pill for more than a year and I take it religiously. [/INST] Hi. How are you doing? If you have been taking the contraceptive pills or birth control pills, then you are absolutely safe and no chance of pregnancy. When you have been taking the pills regularly, the hormone pills will completely suppress the hormones causing the follicles to grow and ovulation will not occur. So there would be no eggs released during the cycles. This change is not affected by the antibiotics. So rest assured, you will not get pregnant if your hormonal pills have not been missed. |
Q. I have nightfall problem and testicular swelling. How to treat it? | Hi doctor, I am 27 years old. I have a nightfall problem for a week. My right testicle has pain on the back side. I had epididymitis before a year, and I had treatment for it. Now, the pain and swelling are gone. But my nightfall problem is not stopped. My penis head is white, and it does not have sensitivity. My left testicle has swelling. Please suggest me a solution. | Hi. For the diagnosis and treatment of testicular swelling, you must visit a urologist or surgeon. A course of antibiotics and anti-inflammatory drugs will help you to settle it down. Nightfall is not an illness by itself. The semen is produced continuously, and if it does not have a natural outlet, it comes out in the form of nocturnal emission or nightfall. It has no bearing on your physical energy or vigor. If you feel uncomfortable, you can start taking tablet Clonil 25 (Clomipramine) at bedtime for a month. It will help you. |
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Hi doctor, I am 27 years old. I have a nightfall problem for a week. My right testicle has pain on the back side. I had epididymitis before a year, and I had treatment for it. Now, the pain and swelling are gone. But my nightfall problem is not stopped. My penis head is white, and it does not have sensitivity. My left testicle has swelling. Please suggest me a solution. [/INST] Hi. For the diagnosis and treatment of testicular swelling, you must visit a urologist or surgeon. A course of antibiotics and anti-inflammatory drugs will help you to settle it down. Nightfall is not an illness by itself. The semen is produced continuously, and if it does not have a natural outlet, it comes out in the form of nocturnal emission or nightfall. It has no bearing on your physical energy or vigor. If you feel uncomfortable, you can start taking tablet Clonil 25 (Clomipramine) at bedtime for a month. It will help you. |
Q. I am bleeding heavily with clots after using emergency contraceptive pills. Is it worrisome? | Hello doctor, I am a 23-year-old female who is currently struggling with the unknown of what is happening to my body. Since I first started menstruating, I have always been heavy and longer than average. My normal periods last for 8-10 days, and I use typically 1.5 complete boxes of tampons during a cycle. I am in a long term relationship and have only had this singular sexual partner since 2017. I am not on birth control of any means and in some cases, I have had to use emergency contraceptives post intercourse. In the past two months, I have used contraceptives twice, once in the end of March, and most recently about two weeks ago. Since then, and this is the first time experiencing this, I have had dark brown, clumpy discharge, the closest comparison would be like damp coffee grounds. Within the past week, I had also gotten a thing flesh-toned or white clot with blood on it, about 2.5 inches in length. I am started to feel concerned as the discharge has not stopped and I believe that is occurring rather than a menstrual cycle, at the time I am writing this I should have had my period cycle now, but instead, I have this dark brown discharge. At this time, I fear the idea of going to a doctor’s office for the safety of myself during this pandemic but also do not want to prolong any critical issues I may be facing. I have taken photographed images of all of this in worry that the typed description does not come across correctly. Please help. | Hi. Do not be stressed, I am here to help. According to your history, you have not got periods this month and you are having some abnormal discharge. I saw the picture. (attachment removed to protect patient identity). My first suggestion would be to do get a urine pregnancy test. I understand that you have used emergency contraceptive but sometimes it fails. We need to know whether you have a pregnancy in which cases sometime the discharge is of nature as you described. You may be in the process of a miscarriage. If this is negative, then the next step would be to get a pelvic ultrasound done because the discharge seems unusual. But let me assure you that there are more chances of you having a miscarriage due to the failure of emergency contraceptives. In case your urine pregnancy test is positive you need to take proper treatment like pregnancy termination kits or Misoprostol tablets depending on the condition of the conceptus (baby) at this time. In case your pregnancy test is negative you need a pap smear, ultrasound, and sos biopsy of the tissue you are discharging. Whatever it is, it can be managed properly if it is addressed on time. There is no need for panic. Please follow up with your pregnancy test results. I hope this helps. Failure of emergency contraception. Pregnancy test. Endometrial hyperplasia. According to the test results. |
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Hello doctor, I am a 23-year-old female who is currently struggling with the unknown of what is happening to my body. Since I first started menstruating, I have always been heavy and longer than average. My normal periods last for 8-10 days, and I use typically 1.5 complete boxes of tampons during a cycle. I am in a long term relationship and have only had this singular sexual partner since 2017. I am not on birth control of any means and in some cases, I have had to use emergency contraceptives post intercourse. In the past two months, I have used contraceptives twice, once in the end of March, and most recently about two weeks ago. Since then, and this is the first time experiencing this, I have had dark brown, clumpy discharge, the closest comparison would be like damp coffee grounds. Within the past week, I had also gotten a thing flesh-toned or white clot with blood on it, about 2.5 inches in length. I am started to feel concerned as the discharge has not stopped and I believe that is occurring rather than a menstrual cycle, at the time I am writing this I should have had my period cycle now, but instead, I have this dark brown discharge. At this time, I fear the idea of going to a doctor’s office for the safety of myself during this pandemic but also do not want to prolong any critical issues I may be facing. I have taken photographed images of all of this in worry that the typed description does not come across correctly. Please help. [/INST] Hi. Do not be stressed, I am here to help. According to your history, you have not got periods this month and you are having some abnormal discharge. I saw the picture. (attachment removed to protect patient identity). My first suggestion would be to do get a urine pregnancy test. I understand that you have used emergency contraceptive but sometimes it fails. We need to know whether you have a pregnancy in which cases sometime the discharge is of nature as you described. You may be in the process of a miscarriage. If this is negative, then the next step would be to get a pelvic ultrasound done because the discharge seems unusual. But let me assure you that there are more chances of you having a miscarriage due to the failure of emergency contraceptives. In case your urine pregnancy test is positive you need to take proper treatment like pregnancy termination kits or Misoprostol tablets depending on the condition of the conceptus (baby) at this time. In case your pregnancy test is negative you need a pap smear, ultrasound, and sos biopsy of the tissue you are discharging. Whatever it is, it can be managed properly if it is addressed on time. There is no need for panic. Please follow up with your pregnancy test results. I hope this helps. Failure of emergency contraception. Pregnancy test. Endometrial hyperplasia. According to the test results. |
Q. How long should my husband and I wait to try for a baby if we did cocaine? | Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. | Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> |
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Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. [/INST] Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> |
Q. Can Yasmin birth control pill be used as an emergency contraceptive pill? | Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? | Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> |
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Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? [/INST] Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> |
Q. Please explain the poisonous effect of phenol ingestion. | Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. | Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> |
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Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. [/INST] Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> |
Q. For how long should I take Kalachikai powder to overcome PCOD problem? | Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? | Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> |
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Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? [/INST] Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> |
Q. Why do periods get delayed after first time sex? | Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? | Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> |
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Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? [/INST] Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> |
Q. I have red spots on my uncircumcised penis. Please help to get rid of it. | Hi doctor, I have candida balanoposthitis. I consulted a doctor, and he gave me Glospor DS 200 mg for a week with Livafin ointment. But still, I am having red spots on the penis. My penis is uncircumcised. Please provide your suggestion. | Hi. Please say whether you have diabetes. Please tell whether you are sexually active, with a regular partner and whether you use a condom. Please upload the appropriate images of the present condition, so that, I can guide you further. |
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Hi doctor, I have candida balanoposthitis. I consulted a doctor, and he gave me Glospor DS 200 mg for a week with Livafin ointment. But still, I am having red spots on the penis. My penis is uncircumcised. Please provide your suggestion. [/INST] Hi. Please say whether you have diabetes. Please tell whether you are sexually active, with a regular partner and whether you use a condom. Please upload the appropriate images of the present condition, so that, I can guide you further. |
Q. Why did I get bleeding after taking morning after pill? | Hello doctor, I took a morning after pill about eight hours after my fiance's condom broke. It has been a week and I started bleeding today. It was a heavy flow at first (blood-red) but it stopped after 24 hours (became light pink towards the end). I just want to know, am I pregnant or is there a possibility that I am? | Hello. You have taken I-pill (an emergency contraceptive pill that is hormonal medicine) that interferes normal cycle and prevent conception by preventing ovulation, fertilization, implantation. In return within 1 to 2 weeks, there should be withdrawal bleed that you have got. So it is normal. There are least chances of pregnancy. Next cycle could be irregular but as the body gets rid of the effect of medication, cycles will get back to normal. |
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Hello doctor, I took a morning after pill about eight hours after my fiance's condom broke. It has been a week and I started bleeding today. It was a heavy flow at first (blood-red) but it stopped after 24 hours (became light pink towards the end). I just want to know, am I pregnant or is there a possibility that I am? [/INST] Hello. You have taken I-pill (an emergency contraceptive pill that is hormonal medicine) that interferes normal cycle and prevent conception by preventing ovulation, fertilization, implantation. In return within 1 to 2 weeks, there should be withdrawal bleed that you have got. So it is normal. There are least chances of pregnancy. Next cycle could be irregular but as the body gets rid of the effect of medication, cycles will get back to normal. |
Q. I had a dental scan on the day I conceived. Is it fine? | Hi doctor, I had a dental scan the week I conceived my baby or possibly the day I conceived. Should I be worried? | Hi. The dose of radiation in a dental X-ray is very less and approximately 0.01 mSv. This will not cause any significant harm if you got X-ray done on the day you might have conceived. Please avoid X-rays during the pregnancy. |
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Hi doctor, I had a dental scan the week I conceived my baby or possibly the day I conceived. Should I be worried? [/INST] Hi. The dose of radiation in a dental X-ray is very less and approximately 0.01 mSv. This will not cause any significant harm if you got X-ray done on the day you might have conceived. Please avoid X-rays during the pregnancy. |
Q. What is the reason for vomiting sensation after taking three I-pills in a month? | Hello doctor, I am 19 years old and had taken three I-pill in a month and after having the third pill, I am feeling very strange like vomiting and uncomfortable. What is the reason behind it? Can it be a serious problem? Please help me. | Hi. I-pill is hormonal contraceptive pills that affect the menstrual cycle and prevent conception. But hormones have their individual effects as well. Recurrent I-pill can give you nausea, vomitings, breast tenderness, etc. If I-pill is taken in the first ten days of periods with proper dose and without vomiting, then it will inhibit ovulation and as a result, conception. So, no need to have recurrent I-pill in the same menstrual cycle. Now have plenty of water, fruits, vegetables and avoid any hormones as recurrently ovulation has stopped. Give the body some time and wait for withdrawal bleed. It can take around two weeks post last pill or a few more days as you have taken three pills in a cycle. |
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Hello doctor, I am 19 years old and had taken three I-pill in a month and after having the third pill, I am feeling very strange like vomiting and uncomfortable. What is the reason behind it? Can it be a serious problem? Please help me. [/INST] Hi. I-pill is hormonal contraceptive pills that affect the menstrual cycle and prevent conception. But hormones have their individual effects as well. Recurrent I-pill can give you nausea, vomitings, breast tenderness, etc. If I-pill is taken in the first ten days of periods with proper dose and without vomiting, then it will inhibit ovulation and as a result, conception. So, no need to have recurrent I-pill in the same menstrual cycle. Now have plenty of water, fruits, vegetables and avoid any hormones as recurrently ovulation has stopped. Give the body some time and wait for withdrawal bleed. It can take around two weeks post last pill or a few more days as you have taken three pills in a cycle. |
Q. Can chest pain have other reasons than heart attack? | Hello doctor, My mom had chest pain yesterday evening at 3 PM. It was mild pain on the left side. Today morning she also had mild pain three times. I had contacted a cardiologist yesterday. He asked me to perform an ECG test. After seeing the ECG report, he said there is little issue in ECG line. Then he provided tablet of Aspirin and one injection. Then he asked for a few blood tests. After seeing the blood test report he said it is not a heart attack and provided Ecospirin for seven days. Sometimes she is still having mild pain. Please tell me is there anything to be worried or everything is normal. | Hi. Good news, there is no heart attack. It is normal. If there is recurrent chest pain especially with exertion or chest pain that relieves with rest and recurs on walking, climbing stairs, etc., then to be on safer side, have an ETT (exercise tolerance test) done. In this test, your mom will be asked to walk on a graded ramp and simultaneously ECG will be done. If there are no changes in ECG, non-cardiac chest pain will be confirmed. TSH (thyroid stimulating hormone) and lipid profile are normal as well (attachment removed to protect patient identity). |
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Hello doctor, My mom had chest pain yesterday evening at 3 PM. It was mild pain on the left side. Today morning she also had mild pain three times. I had contacted a cardiologist yesterday. He asked me to perform an ECG test. After seeing the ECG report, he said there is little issue in ECG line. Then he provided tablet of Aspirin and one injection. Then he asked for a few blood tests. After seeing the blood test report he said it is not a heart attack and provided Ecospirin for seven days. Sometimes she is still having mild pain. Please tell me is there anything to be worried or everything is normal. [/INST] Hi. Good news, there is no heart attack. It is normal. If there is recurrent chest pain especially with exertion or chest pain that relieves with rest and recurs on walking, climbing stairs, etc., then to be on safer side, have an ETT (exercise tolerance test) done. In this test, your mom will be asked to walk on a graded ramp and simultaneously ECG will be done. If there are no changes in ECG, non-cardiac chest pain will be confirmed. TSH (thyroid stimulating hormone) and lipid profile are normal as well (attachment removed to protect patient identity). |
Q. I have heartburn, dry cough, and nausea for almost a month now. Can you suggest medicines? | Hi doctor, I have been having heartburn, dry cough, and nauseous feel for almost a month now. I have amended my diet for more than two months and have not been eating pork or beef. I am taking veggies and fish now. Also, I am eating small portions already. At the onset, I experience that food has been stuck in my throat, and my stomach feels like it is always full, although I feel hunger. Both my toes cramps at the same time and my toe bumps are also painful. I have been diagnosed with gastritis since a decade ago. I am a 35 years old female and weighs 51 kg. Doctor, can you prescribe me medication? Thank you very much! | Hi. I reviewed your detailed history, which is more suggestive of reflux disease. I would like to prescribe some treatment at the moment, and I am hopeful that it will get better. There is nothing to worry about and nothing to panic. If you have any other query kindly get back to me. Thank You. No need at the moment GERD (gastroesophageal reflux disease). 1. Capsule Omeprazole 40 mg. One in the morning and one in the evening before meals for two weeks and then only one in the morning before meals for two weeks. 2. Tablet Levosulpiride 25 mg. one tablet two times daily before meals for two weeks. 3. Syrup Gaviscon 10 mL. Two times daily after meals. 1. Elevate the headend of your bed by at least 5 inches. 2. There should be at least 2 hours gap between dinner and going to bed. 3. Avoid smoking. 4. Avoid late-night tea/coffee. Get back to me in a week. |
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Hi doctor, I have been having heartburn, dry cough, and nauseous feel for almost a month now. I have amended my diet for more than two months and have not been eating pork or beef. I am taking veggies and fish now. Also, I am eating small portions already. At the onset, I experience that food has been stuck in my throat, and my stomach feels like it is always full, although I feel hunger. Both my toes cramps at the same time and my toe bumps are also painful. I have been diagnosed with gastritis since a decade ago. I am a 35 years old female and weighs 51 kg. Doctor, can you prescribe me medication? Thank you very much! [/INST] Hi. I reviewed your detailed history, which is more suggestive of reflux disease. I would like to prescribe some treatment at the moment, and I am hopeful that it will get better. There is nothing to worry about and nothing to panic. If you have any other query kindly get back to me. Thank You. No need at the moment GERD (gastroesophageal reflux disease). 1. Capsule Omeprazole 40 mg. One in the morning and one in the evening before meals for two weeks and then only one in the morning before meals for two weeks. 2. Tablet Levosulpiride 25 mg. one tablet two times daily before meals for two weeks. 3. Syrup Gaviscon 10 mL. Two times daily after meals. 1. Elevate the headend of your bed by at least 5 inches. 2. There should be at least 2 hours gap between dinner and going to bed. 3. Avoid smoking. 4. Avoid late-night tea/coffee. Get back to me in a week. |
Q. How lipomas are treated in homeopathy? | Dear doctor, Is there a homeopathic cure available for lipomas? What are the treatment options available in homeopathy for lipomas? | Hi. Lipomas are essentially non-malignant and non-dangerouscollection of soft fatty tissues. Homeopathy has no medicines to cure lipoma. However, homeopathic scope in lipoma aims at reducing the size, pain if any, and can control new growths. Also,homeopathic medicines can soften the consistency of lipoma making you feel comfortable and confident. Surgery is the only option to remove it, but it is also a temporary one. If you have any further questions, feel free to ask a homeopathy specialist online --> |
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Dear doctor, Is there a homeopathic cure available for lipomas? What are the treatment options available in homeopathy for lipomas? [/INST] Hi. Lipomas are essentially non-malignant and non-dangerouscollection of soft fatty tissues. Homeopathy has no medicines to cure lipoma. However, homeopathic scope in lipoma aims at reducing the size, pain if any, and can control new growths. Also,homeopathic medicines can soften the consistency of lipoma making you feel comfortable and confident. Surgery is the only option to remove it, but it is also a temporary one. If you have any further questions, feel free to ask a homeopathy specialist online --> |
Q. Stopped taking medicine Effexor. Now having dizziness and brain zaps. | Dear doctor, I have stopped taking my medications, Effexor 75 mg for a few days. I am wondering when my dizziness and brain zaps would stop. | Hi. The sudden discontinuation of Venlafaxine (Effexor) particularly seemed to cause discontinuation symptoms during the first three to seven days. Ideally, it should not be stopped abruptly. It should rather be decreased sequentially over two to three weeks. And, another strategy is to consider switching to Fluoxetine, which may suppress the discontinuation symptoms and it has little tendency to cause such symptoms itself; and then discontinuing that. My advice is to wait for a few more days and if the symptoms still persist, meet your physician again and suggest to put on Fluoxetine. Revert back for further queries to a general medicine physician online --> |
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Dear doctor, I have stopped taking my medications, Effexor 75 mg for a few days. I am wondering when my dizziness and brain zaps would stop. [/INST] Hi. The sudden discontinuation of Venlafaxine (Effexor) particularly seemed to cause discontinuation symptoms during the first three to seven days. Ideally, it should not be stopped abruptly. It should rather be decreased sequentially over two to three weeks. And, another strategy is to consider switching to Fluoxetine, which may suppress the discontinuation symptoms and it has little tendency to cause such symptoms itself; and then discontinuing that. My advice is to wait for a few more days and if the symptoms still persist, meet your physician again and suggest to put on Fluoxetine. Revert back for further queries to a general medicine physician online --> |
Q. Is it possible to use the Vein Gogh treatment to remove permanently the dilated blood vessels? | Dear doctor, Is it possible to use the VeinGogh treatment on the sclera of the eye to remove permanently the dilated blood vessels (telangiectasia of the sclera)? | Hi. VeinGogh treatment is usually used for the treatment of varicose veins where the veins are dilated on the legs. This technique is not used for the treatment of scleral veins. The recommended way is an evaluation to find out the underlying cause and set the treatment option accordingly. The common causes are chronic inflammations of sclera and tumors of the ciliary body. Hence I advise you to consult an eye care ophthalmologist online for treatment accordingly --> |
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Dear doctor, Is it possible to use the VeinGogh treatment on the sclera of the eye to remove permanently the dilated blood vessels (telangiectasia of the sclera)? [/INST] Hi. VeinGogh treatment is usually used for the treatment of varicose veins where the veins are dilated on the legs. This technique is not used for the treatment of scleral veins. The recommended way is an evaluation to find out the underlying cause and set the treatment option accordingly. The common causes are chronic inflammations of sclera and tumors of the ciliary body. Hence I advise you to consult an eye care ophthalmologist online for treatment accordingly --> |
Q. The injection area abscessed when a 9 months old was given an immunization for measles. What to do? | Dear doctor, My 9 month old daughter had an immunization for measles. It was given on her right arm and the area is abscessed. She is not consuming food properly. What to do? | Hi. Injection abscess needs to be drained with an antibiotic. You need to consult your nearest pediatrician immediately. If untreated it can lead to complications. Read on what our experts say about injection abscess, its treatment options, and preventions. |
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Dear doctor, My 9 month old daughter had an immunization for measles. It was given on her right arm and the area is abscessed. She is not consuming food properly. What to do? [/INST] Hi. Injection abscess needs to be drained with an antibiotic. You need to consult your nearest pediatrician immediately. If untreated it can lead to complications. Read on what our experts say about injection abscess, its treatment options, and preventions. |
Q. Why am I having excessive vaginal discharge after taking antibiotics for acne? | Hi doctor, I have been taking antibiotics for about two years now for my acne and recently (the past month) I have been having excessive discharge and I do not know if they are related but it is to the point where I have to wear a panty liner everyday. There are no other side effects like itchiness or pain or anything. It is just annoying. What should I do? | Hi. Two years you have taken antibiotics which is really not very suitable for the whole body generally. Recurrent antibiotics could give resistance to it and the body starts to respond it slowly and then gradually develops resistance as the intake is continued. Recurrent antibiotics can harm normal flora of different body parts actually including vagina than organs prone to infection easily. Genetically, on stress, excitement, ovulation, Fertilization, implantation secretion could increase. Have one vaginal swab to exclude any infection. Collect report and discuss here. Strict hygiene. Avoid unnecessary medications. Have mud mask for acne. Use condoms for sex to avoid sexually transmitted infection. Have soft comfortable undergarments. Can have sitz bath for irritation. |
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Hi doctor, I have been taking antibiotics for about two years now for my acne and recently (the past month) I have been having excessive discharge and I do not know if they are related but it is to the point where I have to wear a panty liner everyday. There are no other side effects like itchiness or pain or anything. It is just annoying. What should I do? [/INST] Hi. Two years you have taken antibiotics which is really not very suitable for the whole body generally. Recurrent antibiotics could give resistance to it and the body starts to respond it slowly and then gradually develops resistance as the intake is continued. Recurrent antibiotics can harm normal flora of different body parts actually including vagina than organs prone to infection easily. Genetically, on stress, excitement, ovulation, Fertilization, implantation secretion could increase. Have one vaginal swab to exclude any infection. Collect report and discuss here. Strict hygiene. Avoid unnecessary medications. Have mud mask for acne. Use condoms for sex to avoid sexually transmitted infection. Have soft comfortable undergarments. Can have sitz bath for irritation. |
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 do I get chills without any trigger or cold climate? | Hi doctor, I am a 23-year-old female. I have severe chills that I needed to wear thick sweaters and jackets at home without AC or fan. I do not feel the heat. And just cold water or slight cold breeze in the morning makes my head frozen or close to shutting down and it is getting worse. It always starts with the nose and then my head. Sometimes, I have to sleep to make the symptoms less severe. I am not under any medications nor do I have any medical condition. | Hello. I can understand your concern. According to your statement, you have been suffering from severe chills that you needed to wear thick warm clothes at home without AC or fan in summer now. Chills are the sensation of feeling cold. Chills are caused by rapid muscle contraction and relaxation. They are the body's way of producing heat when it feels cold. They often occur alongside a fever which is when the person's temperature is higher than normal. However, a person can also experience chills without a fever like you and there can be many different reasons for this. Possible causes include hypothyroidism is when a person's thyroid gland does not produce enough hormone that regulates their metabolism. Some people like you are more sensitive to the cold and may feel chills more frequently. Any type of viral or bacterial infection sometimes produces chills before a person gets a fever. Chill is a classic symptom of Malaria. It can have three stages. 1. Cold stage where a person experience chills. 2. Hot stage where they have a high temperature. 3. Sweating stage. Anemia may develop due to poor diet, age, chronic illness, medications, gynecological diseases, etc. Most common symptoms include waking up tired, looking pale, and always feeling cold with chills. Hypothermia can be resulted from dropping body temperature below the normal range due to any causes. Hypothermia can be dangerous especially when your body temperature falls further. If the temperature falls below 96 degrees you should seek medical care immediately. So you should monitor the body temperature with a thermometer during chills. You can do some investigations like CBC (complete blood count) with PBF (peripheral blood film), thyroid function test (T3, T4, TSH), RBS (random blood sugar), etc. Treatment depends on causes. So we should find out the exact causes of your suffering and then treat them accordingly. I want to add that dehydration, anxiety, panic attacks may cause chills too. When your body does not have enough fluids it is hard to maintain regular body temperature and this can lead to hyperthermia and fever like symptoms including chills. Again anxiety is more often associated with feeling sweaty than feeling cold but sometimes it can cause a chilly feel as well. And if you have panic attacks you might experience full body chills according to the National Institute of Mental Health (NIMH). In order to cope up with your chills, you can do the following • Drink lots of fluids including oral rehydration saline and plenty of rest. • Sponge with lukewarm water. • Don't bundle up in blankets or use AC or high speed fans. • Enjoy a warm soup and drink warm beverages. • Use a humidifier. Please inform the results after undergoing the investigations. |
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Hi doctor, I am a 23-year-old female. I have severe chills that I needed to wear thick sweaters and jackets at home without AC or fan. I do not feel the heat. And just cold water or slight cold breeze in the morning makes my head frozen or close to shutting down and it is getting worse. It always starts with the nose and then my head. Sometimes, I have to sleep to make the symptoms less severe. I am not under any medications nor do I have any medical condition. [/INST] Hello. I can understand your concern. According to your statement, you have been suffering from severe chills that you needed to wear thick warm clothes at home without AC or fan in summer now. Chills are the sensation of feeling cold. Chills are caused by rapid muscle contraction and relaxation. They are the body's way of producing heat when it feels cold. They often occur alongside a fever which is when the person's temperature is higher than normal. However, a person can also experience chills without a fever like you and there can be many different reasons for this. Possible causes include hypothyroidism is when a person's thyroid gland does not produce enough hormone that regulates their metabolism. Some people like you are more sensitive to the cold and may feel chills more frequently. Any type of viral or bacterial infection sometimes produces chills before a person gets a fever. Chill is a classic symptom of Malaria. It can have three stages. 1. Cold stage where a person experience chills. 2. Hot stage where they have a high temperature. 3. Sweating stage. Anemia may develop due to poor diet, age, chronic illness, medications, gynecological diseases, etc. Most common symptoms include waking up tired, looking pale, and always feeling cold with chills. Hypothermia can be resulted from dropping body temperature below the normal range due to any causes. Hypothermia can be dangerous especially when your body temperature falls further. If the temperature falls below 96 degrees you should seek medical care immediately. So you should monitor the body temperature with a thermometer during chills. You can do some investigations like CBC (complete blood count) with PBF (peripheral blood film), thyroid function test (T3, T4, TSH), RBS (random blood sugar), etc. Treatment depends on causes. So we should find out the exact causes of your suffering and then treat them accordingly. I want to add that dehydration, anxiety, panic attacks may cause chills too. When your body does not have enough fluids it is hard to maintain regular body temperature and this can lead to hyperthermia and fever like symptoms including chills. Again anxiety is more often associated with feeling sweaty than feeling cold but sometimes it can cause a chilly feel as well. And if you have panic attacks you might experience full body chills according to the National Institute of Mental Health (NIMH). In order to cope up with your chills, you can do the following • Drink lots of fluids including oral rehydration saline and plenty of rest. • Sponge with lukewarm water. • Don't bundle up in blankets or use AC or high speed fans. • Enjoy a warm soup and drink warm beverages. • Use a humidifier. Please inform the results after undergoing the investigations. |
Q. Why is Paracetamol prescribed, if fever is an immune response of the body to act as defense mechanism? | Hello doctor, Is fever an immune response of the body to act as defense mechanism against infection, why is Paracetamol prescribed to reduce temperature?What will be happen, if not used? | Hi. Very much impressed by your query. Yes as you said, fever is an immune response of the body to act as defense mechanism against infection. Most of the time Paracetamol is not needed if body temperature is not crossing >102 degree F. But any temperature >102 degree F causes many biochemical and physiological damages to the body, such as: Because of all this Paracetamol is used. But definitely not required for a low grade fever. For further queries, consult a general medicine physician online --> |
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Hello doctor, Is fever an immune response of the body to act as defense mechanism against infection, why is Paracetamol prescribed to reduce temperature?What will be happen, if not used? [/INST] Hi. Very much impressed by your query. Yes as you said, fever is an immune response of the body to act as defense mechanism against infection. Most of the time Paracetamol is not needed if body temperature is not crossing >102 degree F. But any temperature >102 degree F causes many biochemical and physiological damages to the body, such as: Because of all this Paracetamol is used. But definitely not required for a low grade fever. For further queries, consult a general medicine physician online --> |
Q. What can be done for sudden chest and back pain? | Hello doctor, I have chest pain, and back pain for the past six months and feeling heavy in the mornings. Feeling like vomiting in the morning, and sometimes, sudden high pain in chest on walking. | Hello. I reviewed all your performed tests (attachment removed to protect patient identity) and would explain as follows. Your total cholesterol or HDL ratio is high. This means that you should make some diet modifications in order to reduce cholesterol levels. Starting statins may be needed. Your vitamin D levels are slightly low. For this reason, it is necessary to start Vitamin D supplements. Your other tests are normal. But considering your symptoms, I would recommend performing an exercise cardiac stress test to investigate for coronary artery disease and a fibrogastroscopy to investigate for acid reflux. |
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Hello doctor, I have chest pain, and back pain for the past six months and feeling heavy in the mornings. Feeling like vomiting in the morning, and sometimes, sudden high pain in chest on walking. [/INST] Hello. I reviewed all your performed tests (attachment removed to protect patient identity) and would explain as follows. Your total cholesterol or HDL ratio is high. This means that you should make some diet modifications in order to reduce cholesterol levels. Starting statins may be needed. Your vitamin D levels are slightly low. For this reason, it is necessary to start Vitamin D supplements. Your other tests are normal. But considering your symptoms, I would recommend performing an exercise cardiac stress test to investigate for coronary artery disease and a fibrogastroscopy to investigate for acid reflux. |
Q. How can I treat a patient addicted to alcohol? | Hi doctor, My question is regarding my friend. She is an alcoholic. She drinks every single day and mostly when she is alone. She is drunk most of the time, in office, at home. She started drinking approximately two years back. She loves a guy from a different religion and is not allowed to marry him. The guy has stated the same problem regarding marriage. She blames God for this and considers it her destiny to drink and lose contact with her senses and outer world. She thinks she is the worst person is the world. She never wears any makeup, chews her nails, in short, she does not want to look good for anyone. I am the only person who knows about it and I begged her to see a psychiatrist but she is not agreeing. How do I help her? What can be done to make her feel good about herself? | Hello. First, you need to listen to your friend, her pain, her feelings. Most of the people just want someone to listen. They do not do it to know the solution of the problem but just to pour out the stress and internal conflict from their mind. After two to three sessions of listening you can slowly start making her understand when her mind is light after ventilating things and is more receptive. You need to tell her that alcohol is not the solution of her problems. Alcohol would lead to addiction disorder and it would be harmful to her physical and mental health both. Running away from any problem does not solve it. You can then convince her to get psychatric consultation, if she finds it hard to go to some one and facing them, online chat consultation is the solution. If she needs my help, I would be happy to help her. |
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Hi doctor, My question is regarding my friend. She is an alcoholic. She drinks every single day and mostly when she is alone. She is drunk most of the time, in office, at home. She started drinking approximately two years back. She loves a guy from a different religion and is not allowed to marry him. The guy has stated the same problem regarding marriage. She blames God for this and considers it her destiny to drink and lose contact with her senses and outer world. She thinks she is the worst person is the world. She never wears any makeup, chews her nails, in short, she does not want to look good for anyone. I am the only person who knows about it and I begged her to see a psychiatrist but she is not agreeing. How do I help her? What can be done to make her feel good about herself? [/INST] Hello. First, you need to listen to your friend, her pain, her feelings. Most of the people just want someone to listen. They do not do it to know the solution of the problem but just to pour out the stress and internal conflict from their mind. After two to three sessions of listening you can slowly start making her understand when her mind is light after ventilating things and is more receptive. You need to tell her that alcohol is not the solution of her problems. Alcohol would lead to addiction disorder and it would be harmful to her physical and mental health both. Running away from any problem does not solve it. You can then convince her to get psychatric consultation, if she finds it hard to go to some one and facing them, online chat consultation is the solution. If she needs my help, I would be happy to help her. |
Q. I am having brown discharge after sex. Why? | Hello doctor, I am a female 44 years old. After sex, there is a brown discharge. It only happens at that time. There is no other discharge after that. Is it something to panic about? I am taking BP medication Nebicad H and Thyronorm for thyroid. | Hello. This is called post-coital bleeding especially occurring in form of darkish brown mucoid secretion mixed discharge or often in form of spotting and usually accompanied with pain. The most common cause of such complaints is usually cervical erosions or cervicitis which can be confirmed after a per speculum examination and a pap smear by your gynecologist. This is usually due to a frictional lesion of the cervix during intercourse and a repeat friction causes fresh bleed each time increasing inflammation. The treatment is usually a 10 days course of antibiotics with complete abstinence from intercourse for three weeks and a repeat PAP smear after a month to evaluate the recovery. Other possible cause could be a cervical polyp, a cervical growth or often vaginal dryness secondary to chronic vaginitis-causing vaginal abrasions and bleeding. The best next step shall be a gynecological examination and a PAP smear. |
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Hello doctor, I am a female 44 years old. After sex, there is a brown discharge. It only happens at that time. There is no other discharge after that. Is it something to panic about? I am taking BP medication Nebicad H and Thyronorm for thyroid. [/INST] Hello. This is called post-coital bleeding especially occurring in form of darkish brown mucoid secretion mixed discharge or often in form of spotting and usually accompanied with pain. The most common cause of such complaints is usually cervical erosions or cervicitis which can be confirmed after a per speculum examination and a pap smear by your gynecologist. This is usually due to a frictional lesion of the cervix during intercourse and a repeat friction causes fresh bleed each time increasing inflammation. The treatment is usually a 10 days course of antibiotics with complete abstinence from intercourse for three weeks and a repeat PAP smear after a month to evaluate the recovery. Other possible cause could be a cervical polyp, a cervical growth or often vaginal dryness secondary to chronic vaginitis-causing vaginal abrasions and bleeding. The best next step shall be a gynecological examination and a PAP smear. |
Q. Why is there bad breath in spite of flossing and using mouthwash? | Hello doctor, Majority of times after I floss and then brush my teeth afterward I use cool mint Listerine mouthwash. I do not understand what is going on but my fiance says I have an unpleasant smell in my mouth. I do not have to be so close to him talking. After I had a wash with the Listerine, I do not eat anything or drink until after we meet up. I do not understand what is going on. I do all that I can to have fresh breath why am I not getting no benefits out of it? I am so frustrated. This issue is there for the past one month. | Hello. You do not need to be frustrated. It is very common. There are various factors affecting your bad breath. You can try these things to improve your oral hygiene. Avoid foods and beverages that cause bad breath, eat more fruits and vegetables, take sufficient amount of water, try sugar-free gum if your mouth tends to get dry. Brush your teeth at least twice a day. Make sure to reach the gum line as well as tooth surfaces. Floss at least once a day. Rinse with a mouthwash twice a day. If you do not like the odor of your mouthwash you could change its flavor. Sometimes when we are empty stomach for a long time, bad breath still comes out of the mouth. Our digestive system also affects our breath, so take care of your digestion. Have a great time. |
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Hello doctor, Majority of times after I floss and then brush my teeth afterward I use cool mint Listerine mouthwash. I do not understand what is going on but my fiance says I have an unpleasant smell in my mouth. I do not have to be so close to him talking. After I had a wash with the Listerine, I do not eat anything or drink until after we meet up. I do not understand what is going on. I do all that I can to have fresh breath why am I not getting no benefits out of it? I am so frustrated. This issue is there for the past one month. [/INST] Hello. You do not need to be frustrated. It is very common. There are various factors affecting your bad breath. You can try these things to improve your oral hygiene. Avoid foods and beverages that cause bad breath, eat more fruits and vegetables, take sufficient amount of water, try sugar-free gum if your mouth tends to get dry. Brush your teeth at least twice a day. Make sure to reach the gum line as well as tooth surfaces. Floss at least once a day. Rinse with a mouthwash twice a day. If you do not like the odor of your mouthwash you could change its flavor. Sometimes when we are empty stomach for a long time, bad breath still comes out of the mouth. Our digestive system also affects our breath, so take care of your digestion. Have a great time. |
Q. Why is there lower abdominal pain and chest burning with blood in vomit? | Hello doctor,I am experiencing lower abdominal pain and chest burning and constant bloating and I am gassy today and when I threw up it burned even worse in my chest and throat with some blood mixed in it. I am a smoker. But what could this be? I have been told before without tests that it is gastritis but I am so scared. This has been happening since I gave birth to my son. | Hi. In your query you have mentioned a little bit of blood, a little for you could be a sizable amount in the eyes of a physician. Also, you have mentioned that you developed vomiting mixed with blood during or after your pregnancy. During the course of pregnancy some mother's can develop esophageal varices (dilated veins), but usually, these varices do not bleed. You should get an upper GI endoscopy done in consultation with a gastroenterologist. Endoscopy will just rule out the worrisome diagnosis and if it is esophagitis it can be treated with PPI (proton pump inhibitor) and dietary and lifestyle modifications. |
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Hello doctor,I am experiencing lower abdominal pain and chest burning and constant bloating and I am gassy today and when I threw up it burned even worse in my chest and throat with some blood mixed in it. I am a smoker. But what could this be? I have been told before without tests that it is gastritis but I am so scared. This has been happening since I gave birth to my son. [/INST] Hi. In your query you have mentioned a little bit of blood, a little for you could be a sizable amount in the eyes of a physician. Also, you have mentioned that you developed vomiting mixed with blood during or after your pregnancy. During the course of pregnancy some mother's can develop esophageal varices (dilated veins), but usually, these varices do not bleed. You should get an upper GI endoscopy done in consultation with a gastroenterologist. Endoscopy will just rule out the worrisome diagnosis and if it is esophagitis it can be treated with PPI (proton pump inhibitor) and dietary and lifestyle modifications. |
Q. What is the success rate for taking Unwanted 72 within half an hour of unprotected sex? | Hello doctor, I had unprotected sex with my fiancee two days ago and I gave her Unwanted 72 and we had sex just after the departure of her period. What is the chances of medicine success rate as I gave her within half an hour? | Hello. The average success rate of an emergency contraceptive pill may range from 75 to 85 % after an unprotected intercourse if taken immediately. So, rest assured and wait till the expected period. But, however, I would suggest to use this pill only as an emergency back up, and go for a consistent contraceptive method like oral contraceptive pills which are more effective and cause fewer side effects. Because this emergency pill is high dose hormonal pill, side effects like delay in periods or irregular bleeding may occur. |
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Hello doctor, I had unprotected sex with my fiancee two days ago and I gave her Unwanted 72 and we had sex just after the departure of her period. What is the chances of medicine success rate as I gave her within half an hour? [/INST] Hello. The average success rate of an emergency contraceptive pill may range from 75 to 85 % after an unprotected intercourse if taken immediately. So, rest assured and wait till the expected period. But, however, I would suggest to use this pill only as an emergency back up, and go for a consistent contraceptive method like oral contraceptive pills which are more effective and cause fewer side effects. Because this emergency pill is high dose hormonal pill, side effects like delay in periods or irregular bleeding may occur. |
Q. I have swelling and pain in elbow area after an accident. Why? | Hello doctor, I was involved in a car accident which my vehicle ran reverse on my left arm and got swelling and bruises all over my arm and now when I try to lay my arm down on something, there is a lot of pain in the elbow area and around the top of the elbow area and the doctor says there is nothing broken. I am just wondering what I should do. It is warm to the touch. | Hello. There must be crushing of the tissues and what is called internal degloving and a collection of blood called a hematoma and that causes the part to be swollen and warm to touch. As long as there is no fracture then you do not need a plaster but a sling to rest the arm is mandatory till the pain comes under control and the swelling reduces. The sling will also enforce rest to the part and will help keep the forearm from swelling up. Ice the arm and elbow 20 minutes for five to six times a day. Elevate when in bed on two pillows. If no better in a week then re-visit a doctor for a review. |
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Hello doctor, I was involved in a car accident which my vehicle ran reverse on my left arm and got swelling and bruises all over my arm and now when I try to lay my arm down on something, there is a lot of pain in the elbow area and around the top of the elbow area and the doctor says there is nothing broken. I am just wondering what I should do. It is warm to the touch. [/INST] Hello. There must be crushing of the tissues and what is called internal degloving and a collection of blood called a hematoma and that causes the part to be swollen and warm to touch. As long as there is no fracture then you do not need a plaster but a sling to rest the arm is mandatory till the pain comes under control and the swelling reduces. The sling will also enforce rest to the part and will help keep the forearm from swelling up. Ice the arm and elbow 20 minutes for five to six times a day. Elevate when in bed on two pillows. If no better in a week then re-visit a doctor for a review. |
Q. What are some exercises without equipment to lose weight? | Hello doctor, I want to lose my weight. I am very obsessed. I want to get slim. Please tell me some exercises to lose weight. Please tell me exercises that I can do anywhere without any types of equipment. | Hello. Two very good exercises with which you can lose weight without equipment are as follows. Running is considered the best exercise for improving cardiac status and losing weight. A 30 minutes run each day five days a week. Skipping is also a good exercise that can be done in a room. However, restricted calories are as important as the exercise itself to decrease weight. |
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Hello doctor, I want to lose my weight. I am very obsessed. I want to get slim. Please tell me some exercises to lose weight. Please tell me exercises that I can do anywhere without any types of equipment. [/INST] Hello. Two very good exercises with which you can lose weight without equipment are as follows. Running is considered the best exercise for improving cardiac status and losing weight. A 30 minutes run each day five days a week. Skipping is also a good exercise that can be done in a room. However, restricted calories are as important as the exercise itself to decrease weight. |
Q. Is it possible to treat erectile dysfunction without any medication or surgery? | Hello doctor, I am 18 years old and I have been prone to masturbating for the past three years, and now I have erectile dysfunction. Is there any way I can treat this without any medication or any surgery? I have not consulted any doctor yet. | Hello. Masturbation is normal and does not cause physical problems or sexual problems. Also, do not give any importance to an advertisement that mentions that masturbation cause health problems or destroys life, and masturbation does not require any treatment. Erectile dysfunction can be due to stress or anxiety or due to a physical cause. For physical cause, you need to do some blood tests like sugar and hormones. Stop smoking if you smoke. If you are taking any medicine or nutritional supplement on regular basis then it may be due to the side effect of that. But general exercise will help you. |
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Hello doctor, I am 18 years old and I have been prone to masturbating for the past three years, and now I have erectile dysfunction. Is there any way I can treat this without any medication or any surgery? I have not consulted any doctor yet. [/INST] Hello. Masturbation is normal and does not cause physical problems or sexual problems. Also, do not give any importance to an advertisement that mentions that masturbation cause health problems or destroys life, and masturbation does not require any treatment. Erectile dysfunction can be due to stress or anxiety or due to a physical cause. For physical cause, you need to do some blood tests like sugar and hormones. Stop smoking if you smoke. If you are taking any medicine or nutritional supplement on regular basis then it may be due to the side effect of that. But general exercise will help you. |
Q. Pain increasing gradually even after using a heel pad for plantar fasciitis. Please help. | Hi I have been diagnosed with plantar fascitis. Doctor said to use heel pad. Using it but no relief. Pain is increasing gradually. Please help. | hi, welcome to icliniq. Sorry to hear about you being troubled with plantar fascitis. it's a fairly common problem. heel pad is indeed helpful but apart from it you need to stop walking bare foot as much as possible. don't use any accupuncture type of footwear, use soft footwear. contrast bath is helpful- alternative warm and cold water fomentation one after other for period of 10 mins atleast twice a day is beneficial. if there is no relief after this conservative treatment along with some pain killers, local steroid injection (methylprednisolone) injection at the site of maximum pain can give you immense relief in those symptoms. please get the injection only from orthopedic surgeon. i hope you get cured of your ailment. feel free to ask any other querry. Thanks |
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Hi I have been diagnosed with plantar fascitis. Doctor said to use heel pad. Using it but no relief. Pain is increasing gradually. Please help. [/INST] hi, welcome to icliniq. Sorry to hear about you being troubled with plantar fascitis. it's a fairly common problem. heel pad is indeed helpful but apart from it you need to stop walking bare foot as much as possible. don't use any accupuncture type of footwear, use soft footwear. contrast bath is helpful- alternative warm and cold water fomentation one after other for period of 10 mins atleast twice a day is beneficial. if there is no relief after this conservative treatment along with some pain killers, local steroid injection (methylprednisolone) injection at the site of maximum pain can give you immense relief in those symptoms. please get the injection only from orthopedic surgeon. i hope you get cured of your ailment. feel free to ask any other querry. Thanks |
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 having sex soon after abortion lead to pregnancy? | Hello doctor, I recently had a vacuum abortion in the first trimester three days ago and just had sexual intercourse two days later. Currently, I am on my last day of antibiotics given by the hospital and will start on Microgynon tomorrow. I am afraid of getting pregnant again. Do I have to immediately go to the nearest clinic and get an emergency contraceptive? Am I allowed to take that after all that has happened? I am currently on Metronidazole and Paracetamol. Please help. | Hello. Since you just had an abortion, there is no chance of pregnancy as there is no ovulation happening during this period. So relax and do not worry. You need not take any medication, but be very careful next time. For more information consult an obstetrician and gynaecologist online --> |
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Hello doctor, I recently had a vacuum abortion in the first trimester three days ago and just had sexual intercourse two days later. Currently, I am on my last day of antibiotics given by the hospital and will start on Microgynon tomorrow. I am afraid of getting pregnant again. Do I have to immediately go to the nearest clinic and get an emergency contraceptive? Am I allowed to take that after all that has happened? I am currently on Metronidazole and Paracetamol. Please help. [/INST] Hello. Since you just had an abortion, there is no chance of pregnancy as there is no ovulation happening during this period. So relax and do not worry. You need not take any medication, but be very careful next time. For more information consult an obstetrician and gynaecologist online --> |
Q. How can I cure toothache at home quickly? | Hello doctor, I have a severe toothache. I have tried clove on it but that only takes the pain away for 2 to 3 minutes and my tooth is rotted and another tooth is growing out of it. What is the fastest way to cure it at home now? Also, do you think they can put me to sleep and then take the decayed tooth out? | Hi. Home remedies will not give long-lasting relief from pain, therefore you should consult a dentist and get evaluated. A combination of antibiotics and anti-inflammatory painkillers like Ibuprofen can help in reducing infection and also relieve pain. The tooth can be removed after numbing it, therefore, you do not need to get general anesthesia and just numbing the tooth and adjacent structures is sufficient. |
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Hello doctor, I have a severe toothache. I have tried clove on it but that only takes the pain away for 2 to 3 minutes and my tooth is rotted and another tooth is growing out of it. What is the fastest way to cure it at home now? Also, do you think they can put me to sleep and then take the decayed tooth out? [/INST] Hi. Home remedies will not give long-lasting relief from pain, therefore you should consult a dentist and get evaluated. A combination of antibiotics and anti-inflammatory painkillers like Ibuprofen can help in reducing infection and also relieve pain. The tooth can be removed after numbing it, therefore, you do not need to get general anesthesia and just numbing the tooth and adjacent structures is sufficient. |
Q. My son was born with aortic stenosis. Is this because of the vaccine? | Dear doctor, I was two months pregnant when I got vaccines to complete my citizenship status (immigration). My son was born with aortic stenosis. Is this because of the vaccine? | Hi. Could you provide more information: The above are the important factors causing heart defects in newborn. The incidence of the heart defect in the general population: First look at the incidence of congenital heart defects. The crude incidence of congenital heart defects is approximately eight per 1000 live births. Among them, aortic valve stenosis accounts for 3 to 5 % of all the congenital heart defects. Some studies have documented a higher prevalence of aortic valve stenosis in white children than in black and Hispanic children. There is a strong male sex predilection in aortic valve stenosis: the male-to-female ratio is 4:1. Now let us go to discuss the etiology (cause) of the defect: Causes of aortic valve stenosis are multifactorial. There can be family predilection too. The recurrence risk in offspring of an affected father is approximately 3 % but is approximately 15 % in offspring of an affected mother. Abnormal fetal hemodynamics are theorized to contribute to the development of aortic valve stenosis. It is associated with some maternal infections (rubella) but literature regarding association with the vaccine is not available. A definite genetic defect for aortic valve stenosis has not been identified, although it is associated with some syndrome, like Down syndrome, DiGeorge syndrome, etc. Conclusion: By the above discussion, it is clear that it is a multifactorial defect, we cannot blame it on the vaccine itself. Management: The management depends on the type of the problem. Some children may require balloon dilatation. Hope this will help you. Kindly ask a child health specialist online if you have further queries --> |
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Dear doctor, I was two months pregnant when I got vaccines to complete my citizenship status (immigration). My son was born with aortic stenosis. Is this because of the vaccine? [/INST] Hi. Could you provide more information: The above are the important factors causing heart defects in newborn. The incidence of the heart defect in the general population: First look at the incidence of congenital heart defects. The crude incidence of congenital heart defects is approximately eight per 1000 live births. Among them, aortic valve stenosis accounts for 3 to 5 % of all the congenital heart defects. Some studies have documented a higher prevalence of aortic valve stenosis in white children than in black and Hispanic children. There is a strong male sex predilection in aortic valve stenosis: the male-to-female ratio is 4:1. Now let us go to discuss the etiology (cause) of the defect: Causes of aortic valve stenosis are multifactorial. There can be family predilection too. The recurrence risk in offspring of an affected father is approximately 3 % but is approximately 15 % in offspring of an affected mother. Abnormal fetal hemodynamics are theorized to contribute to the development of aortic valve stenosis. It is associated with some maternal infections (rubella) but literature regarding association with the vaccine is not available. A definite genetic defect for aortic valve stenosis has not been identified, although it is associated with some syndrome, like Down syndrome, DiGeorge syndrome, etc. Conclusion: By the above discussion, it is clear that it is a multifactorial defect, we cannot blame it on the vaccine itself. Management: The management depends on the type of the problem. Some children may require balloon dilatation. Hope this will help you. Kindly ask a child health specialist online if you have further queries --> |
Q. Suffering from nervousness, unknown fear, loss of concentration and sleep disturbance. | Dear doctor, My brother is suffering from nervousness, unknown fear, loss of concentration and no sleep during the whole night. He lost his wife four months ago due to sudden death. We have consulted a psychiatrist and he prescribed some medicines, but no relief yet. Give me suggestions. | Hi. Your brother is probably suffering from complicated grief reaction or depression. Generally, medicines take some time to have a proper effect. If he has started the medicine in the last one week, then it is better to wait for a few more days.If he has already taken the medicine for more than one week, then there is a possibility that the current medicine is not going to work for him within the current dose ranges. In such a case, we can either increase the dose of medication or change to another medicine which has better potential for your brother.I suggest you provide me the following details: With the above said details, either post a query or book a session for an online therapy for further consultation; so the needful can be done for him. Regarding loss of concentration, it is generally one of the symptoms of depression. So, I hope that with the treatment of depression, it will be corrected. |
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Dear doctor, My brother is suffering from nervousness, unknown fear, loss of concentration and no sleep during the whole night. He lost his wife four months ago due to sudden death. We have consulted a psychiatrist and he prescribed some medicines, but no relief yet. Give me suggestions. [/INST] Hi. Your brother is probably suffering from complicated grief reaction or depression. Generally, medicines take some time to have a proper effect. If he has started the medicine in the last one week, then it is better to wait for a few more days.If he has already taken the medicine for more than one week, then there is a possibility that the current medicine is not going to work for him within the current dose ranges. In such a case, we can either increase the dose of medication or change to another medicine which has better potential for your brother.I suggest you provide me the following details: With the above said details, either post a query or book a session for an online therapy for further consultation; so the needful can be done for him. Regarding loss of concentration, it is generally one of the symptoms of depression. So, I hope that with the treatment of depression, it will be corrected. |
Q. Is it possible to get headache with shivering due to an epidermal anesthesia? | Hello doctor, My friend, 32 years old, seven years back during delivery time epidural anesthesia was given. After that, have got a headache now. It is a chronic headache like a migraine, no other complication, no hematoma, and all rigor and shivering present. What is the diagnosis? | Hello. First of all, I would like to say that the epidural analgesia taken seven years back is definitely not the reason for her chronic headache. As she is having chills and rigors, check her temperature, and headache along with that suggests some acute viral fever. Kindly review with a physician for addressing the current issue. Although keeping in mind her chronic complaints of a headache I would suggest her to visit a neurologist for the evaluation of cause and treatment of same. A migraine. Acute viral infection. Acetaminophen. |
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Hello doctor, My friend, 32 years old, seven years back during delivery time epidural anesthesia was given. After that, have got a headache now. It is a chronic headache like a migraine, no other complication, no hematoma, and all rigor and shivering present. What is the diagnosis? [/INST] Hello. First of all, I would like to say that the epidural analgesia taken seven years back is definitely not the reason for her chronic headache. As she is having chills and rigors, check her temperature, and headache along with that suggests some acute viral fever. Kindly review with a physician for addressing the current issue. Although keeping in mind her chronic complaints of a headache I would suggest her to visit a neurologist for the evaluation of cause and treatment of same. A migraine. Acute viral infection. Acetaminophen. |
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. Will positive Toxoplasma IgG result in miscarriage? | Hello doctor, My wife has a history of two earlier miscarriages which occurred during the first trimester in the first month. We consulted a local gynecologist and the problem turned up to be high toxoplasmic infection reading was IgG 82. She received Rovamycin Forte for three months along with other supplements like Folinext and Ecospirin for six months. Now my wife is pregnant. Again we visited the doctor and she advised to perform toxoplasma IgG which again came back positive with IgG 78. Her first day of the last menses was 27th feburary. She has been receiving Rovamycin Forte once again and Duphaston, Folxt, Ecospirin and Doxinate. But now the problem is, she is unwell and been vomiting nearly every day during evening hours. There is a little brown discharge seen. In this situation, I am very much concerned about what will happen next? Will it be a miscarriage for the third time? Please help. | Hello. We consider toxoplasmosis when IgM are positive, it meas the person has an active infection. When IgG are positive, it means you are protected from future infection. Your wife is in her first week of pregnancy, so spotting is a common finding due to implantation. Vomiting is also common until 12 weeks. She does not have to worry about it. She can try small frequent meals, baked bread, etc. I recommend an ultrasound at five or six weeks to evaluate the well-being of pregnancy. The symptoms that you prescribe does not mean that it will be a future miscarriage. It is common in every pregnancy. If this pregnancy terminate spontaneously, then after that you have to perform several examinations. But I recommend you to be positive. Ultrasound scan. |
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Hello doctor, My wife has a history of two earlier miscarriages which occurred during the first trimester in the first month. We consulted a local gynecologist and the problem turned up to be high toxoplasmic infection reading was IgG 82. She received Rovamycin Forte for three months along with other supplements like Folinext and Ecospirin for six months. Now my wife is pregnant. Again we visited the doctor and she advised to perform toxoplasma IgG which again came back positive with IgG 78. Her first day of the last menses was 27th feburary. She has been receiving Rovamycin Forte once again and Duphaston, Folxt, Ecospirin and Doxinate. But now the problem is, she is unwell and been vomiting nearly every day during evening hours. There is a little brown discharge seen. In this situation, I am very much concerned about what will happen next? Will it be a miscarriage for the third time? Please help. [/INST] Hello. We consider toxoplasmosis when IgM are positive, it meas the person has an active infection. When IgG are positive, it means you are protected from future infection. Your wife is in her first week of pregnancy, so spotting is a common finding due to implantation. Vomiting is also common until 12 weeks. She does not have to worry about it. She can try small frequent meals, baked bread, etc. I recommend an ultrasound at five or six weeks to evaluate the well-being of pregnancy. The symptoms that you prescribe does not mean that it will be a future miscarriage. It is common in every pregnancy. If this pregnancy terminate spontaneously, then after that you have to perform several examinations. But I recommend you to be positive. Ultrasound scan. |
Q. I am having bad thoughts and not able to sleep. Why? | Hello doctor, I feel there is an excessive discontinuity since a few days in my sleep. I could not get adequate sleep for the whole night and along with lack of sleep at night, I feel some anxiousness and stress also and these mentally stressed feelings remain throughout the whole day. Till now the anxiety level is not extreme actually but due to this mentally, I feel uneasy. And always I am being surrounded by some kind of bad tension, which tensions actually. I want to remove them out of me but I could not. These bad thoughts or tension do force me to think, to be surrounded by them. I could not be able to get rid of these. | Hello. I can understand your concern. Some unconscious underlying anxiety resulted in rumination thoughts and worries. These are disturbing the sleep and you are not able to sleep properly. The lack of sleep is further deteriorating the symptoms and ultimately a vicious cycle is getting formed. Insomnia-worries-insomnia cycle should be broken. If these symptoms are resulting in impairment in your day to day functioning then please visit a doctor for evaluation. A psychiatric consultation is needed for an evaluation of anxiety. Drugs like Paroxetine can be utilized for the relief of symptoms of anxiety and will also help in making your sleep sound and peaceful. Apart from these, I would also advise you to improve the sleep hygiene. Fix your time to go to sleep and waking up. Avoid taking tea, coffee, alcohol, carbonated drinks in the evening. Bathing with warm water in the evening also helps in good sleep. Avoid any activity like watching TV, reading books or playing games on the cell phone from bed. Use your bed for sleeping only. If you fail to get sleep with in 10 minutes of going to bed then get up and try to distract yourself. Avoid trying to get sleep. Do not think that you will not be able to sleep. This will increase the rumination. Take care. |
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Hello doctor, I feel there is an excessive discontinuity since a few days in my sleep. I could not get adequate sleep for the whole night and along with lack of sleep at night, I feel some anxiousness and stress also and these mentally stressed feelings remain throughout the whole day. Till now the anxiety level is not extreme actually but due to this mentally, I feel uneasy. And always I am being surrounded by some kind of bad tension, which tensions actually. I want to remove them out of me but I could not. These bad thoughts or tension do force me to think, to be surrounded by them. I could not be able to get rid of these. [/INST] Hello. I can understand your concern. Some unconscious underlying anxiety resulted in rumination thoughts and worries. These are disturbing the sleep and you are not able to sleep properly. The lack of sleep is further deteriorating the symptoms and ultimately a vicious cycle is getting formed. Insomnia-worries-insomnia cycle should be broken. If these symptoms are resulting in impairment in your day to day functioning then please visit a doctor for evaluation. A psychiatric consultation is needed for an evaluation of anxiety. Drugs like Paroxetine can be utilized for the relief of symptoms of anxiety and will also help in making your sleep sound and peaceful. Apart from these, I would also advise you to improve the sleep hygiene. Fix your time to go to sleep and waking up. Avoid taking tea, coffee, alcohol, carbonated drinks in the evening. Bathing with warm water in the evening also helps in good sleep. Avoid any activity like watching TV, reading books or playing games on the cell phone from bed. Use your bed for sleeping only. If you fail to get sleep with in 10 minutes of going to bed then get up and try to distract yourself. Avoid trying to get sleep. Do not think that you will not be able to sleep. This will increase the rumination. Take care. |
Q. Is the dosage of Advil taken by me adequate for toothache? | Hello doctor, Recently I have been experiencing severe tooth pain and cannot reach a dentist at the moment. Due to the pain, I have been taking Advil. Yesterday I took three Advil, two at once and then waited eight hours to take one more. Today I have taken two Advil every eight hours for a total of six all together. Each Advil is 200 mg, so I was just wondering if I will be okay? I take Albuterol (asthma pump) before a workout or when needed. | Hello. In an emergency, if you have severe pain and take some painkiller then it is fine for temporary relief. But you should not take it as you have taken. If there is an infection causing your dental pain then your painkiller gives only symptomatic relief, but your dental infection will still be present. Excess intake of any medication (such as painkiller) may be harmful. Many dental pain needs treatment as well as medication. Only medication gives you symptomatic relief. So I recommend you to see your dentist to find out root cause and treatment. Do not take any medication without the advice of a registered practitioner. |
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Hello doctor, Recently I have been experiencing severe tooth pain and cannot reach a dentist at the moment. Due to the pain, I have been taking Advil. Yesterday I took three Advil, two at once and then waited eight hours to take one more. Today I have taken two Advil every eight hours for a total of six all together. Each Advil is 200 mg, so I was just wondering if I will be okay? I take Albuterol (asthma pump) before a workout or when needed. [/INST] Hello. In an emergency, if you have severe pain and take some painkiller then it is fine for temporary relief. But you should not take it as you have taken. If there is an infection causing your dental pain then your painkiller gives only symptomatic relief, but your dental infection will still be present. Excess intake of any medication (such as painkiller) may be harmful. Many dental pain needs treatment as well as medication. Only medication gives you symptomatic relief. So I recommend you to see your dentist to find out root cause and treatment. Do not take any medication without the advice of a registered practitioner. |
Q. Kindly tell me the treatment for frizzy chemically treated hair with hair fall. | Hello doctor, My hair is breaking recently a lot on the top. It is quite embarrassing. I use sulfate free shampoo and mine is chemically treated hair. Hair is so frizzy. What is the solution? | Hi. Chemical treatment is a common cause of hair brittleness as it breaks disulfide bonds that gives strength to hair. This would take some weeks time to resolve. I suggest you take an oral Biotin supplement like tablet Revilus once a day for six months. In addition, I suggest you use a serum Q-sera serum. Use it on scalp skin, twice daily. Take care. |
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Hello doctor, My hair is breaking recently a lot on the top. It is quite embarrassing. I use sulfate free shampoo and mine is chemically treated hair. Hair is so frizzy. What is the solution? [/INST] Hi. Chemical treatment is a common cause of hair brittleness as it breaks disulfide bonds that gives strength to hair. This would take some weeks time to resolve. I suggest you take an oral Biotin supplement like tablet Revilus once a day for six months. In addition, I suggest you use a serum Q-sera serum. Use it on scalp skin, twice daily. Take care. |
Q. Can a mobile tower harm 3 months old baby? | Hello doctor, We are living in a building. It has four floors. We are on the third floor. There is a mobile tower on the roof. Is there any harm to the baby and us due to the tower? Please advise us if there is any harm, then what to do? The baby is three months old. | Hi. Normally, it is said that radiations from the mobile tower are not carcinogenic. However, there is no proof for that. This statement is based on research. Currently, there are no guidelines stating that one should stay away from mobile tower radiations, so there is nothing to worry as such. Your child should not be affected by that. No special precautions are warranted. |
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Hello doctor, We are living in a building. It has four floors. We are on the third floor. There is a mobile tower on the roof. Is there any harm to the baby and us due to the tower? Please advise us if there is any harm, then what to do? The baby is three months old. [/INST] Hi. Normally, it is said that radiations from the mobile tower are not carcinogenic. However, there is no proof for that. This statement is based on research. Currently, there are no guidelines stating that one should stay away from mobile tower radiations, so there is nothing to worry as such. Your child should not be affected by that. No special precautions are warranted. |
Q. I have itchy lumps and rashes on stomach and thigh. Why? | Hi doctor, A few days back, I found these red bumps on my thigh and they had appeared out of nowhere. They are definitely lumpy and itchy. I also found a patch on my stomach with the same lumps with a rash type look to the patch. Both are really itchy. I am wondering what this could be and if I should see a doctor. | Hi. I have gone through your case. In my opinion, you are having an urticarial rash. It is a type of allergy which could be due to many factors. Some are following. Drugs like painkiller or antibiotics, dairy product, meat or chicken, insect bite, artificial, sweating or heavy exercise. Please note if you have any of the above factor and try to prevent it as a part of treatment, (though many times difficult to find the causative factor and difficult to prevent it as well. But keep trying). Take tablet Cetirizine 10 mg at night for 14 days. Take soft and home made diet. Take care. |
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Hi doctor, A few days back, I found these red bumps on my thigh and they had appeared out of nowhere. They are definitely lumpy and itchy. I also found a patch on my stomach with the same lumps with a rash type look to the patch. Both are really itchy. I am wondering what this could be and if I should see a doctor. [/INST] Hi. I have gone through your case. In my opinion, you are having an urticarial rash. It is a type of allergy which could be due to many factors. Some are following. Drugs like painkiller or antibiotics, dairy product, meat or chicken, insect bite, artificial, sweating or heavy exercise. Please note if you have any of the above factor and try to prevent it as a part of treatment, (though many times difficult to find the causative factor and difficult to prevent it as well. But keep trying). Take tablet Cetirizine 10 mg at night for 14 days. Take soft and home made diet. 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. I have mild chest pain where gastric medicine did not help. What to do? | Hello doctor, I am a 30-year-old female. Since last night I am suffering from mild chest pain. I took Digene and gastric medicine thinking it is a gastric problem but I do not find any difference. Please help. | Hello. I can understand your concern. According to your statement, you have been suffering from chest pain with some numbness in the left arm. Chest pain can result from various conditions such as: Muscle strain inflammation of the muscles and tendons around the ribs can result in persistent chest pain which can be become worse with activities. Acid reflux can result in a recurring discomfort in the chest. Peptic ulcer disease which are sores in the stomach lining can cause chest tightness or pain. Panic attack may cause chest pain in addition to nausea, dizziness, fear, rapid heart rate, fear, etc. Costochondritis is the inflammation of the cartilage of the rib cage. It can cause chest pain which may be aggravated with activities or posture changes. Any respiratory related diseases like pleurisy, TB (tuberculosis), pneumonia, etc., can cause chest pain. Again cardiac diseases such as MI (myocardial infarction), pericarditis, HOCM (Hypertrophic obstructive cardiomyopathy), MVP (mitral valve prolapse), etc also can cause chest pain. You should undergo CXR (chest x-ray), ECG (electrocardiogram), CBC (complete blood count), echocardiography, endoscopy of upper GIT (gastrointestinal tract), etc to find out the underlying cause of your chest pain. Treatment depends on causes. So please inform me of the investigation results, and check your blood pressure regularly. In the meantime, you can take Gaviscon syrup (two teaspoons three times daily), Domperidone (one tablet three times daily), Lansoprazole capsule30 mg once daily for your chest pain. |
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Hello doctor, I am a 30-year-old female. Since last night I am suffering from mild chest pain. I took Digene and gastric medicine thinking it is a gastric problem but I do not find any difference. Please help. [/INST] Hello. I can understand your concern. According to your statement, you have been suffering from chest pain with some numbness in the left arm. Chest pain can result from various conditions such as: Muscle strain inflammation of the muscles and tendons around the ribs can result in persistent chest pain which can be become worse with activities. Acid reflux can result in a recurring discomfort in the chest. Peptic ulcer disease which are sores in the stomach lining can cause chest tightness or pain. Panic attack may cause chest pain in addition to nausea, dizziness, fear, rapid heart rate, fear, etc. Costochondritis is the inflammation of the cartilage of the rib cage. It can cause chest pain which may be aggravated with activities or posture changes. Any respiratory related diseases like pleurisy, TB (tuberculosis), pneumonia, etc., can cause chest pain. Again cardiac diseases such as MI (myocardial infarction), pericarditis, HOCM (Hypertrophic obstructive cardiomyopathy), MVP (mitral valve prolapse), etc also can cause chest pain. You should undergo CXR (chest x-ray), ECG (electrocardiogram), CBC (complete blood count), echocardiography, endoscopy of upper GIT (gastrointestinal tract), etc to find out the underlying cause of your chest pain. Treatment depends on causes. So please inform me of the investigation results, and check your blood pressure regularly. In the meantime, you can take Gaviscon syrup (two teaspoons three times daily), Domperidone (one tablet three times daily), Lansoprazole capsule30 mg once daily for your chest pain. |
Q. Is it possible that sex after cocaine consumption will affect baby? | Hello doctor, I had a big night with lots of alcohol and several lines of Cocaine. My wife and I had sex the next day which has resulted in a pregnancy. We are both happy with the news but are concerned about any risks associated with the effects of the Cocaine on my sperm (potential abnormalities for the child, etc). Should we be worried about this? I am otherwise very healthy (good diet, daily exercise). I do not drink that often and the Cocaine use was a one-time thing. | Hello. The one-time cocaine use will not affect the present pregnancy as the lot of sperms which fertilized the ovum was manufactured three months back, when you were not exposed to cocaine, so unlikely that the present would have undergone any morphological or DNA changes. Nevertheless, medical follow up with NT scan, triple and quadruple marker tests and level 2 anomaly scan would be imperative during the course of pregnancy. |
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Hello doctor, I had a big night with lots of alcohol and several lines of Cocaine. My wife and I had sex the next day which has resulted in a pregnancy. We are both happy with the news but are concerned about any risks associated with the effects of the Cocaine on my sperm (potential abnormalities for the child, etc). Should we be worried about this? I am otherwise very healthy (good diet, daily exercise). I do not drink that often and the Cocaine use was a one-time thing. [/INST] Hello. The one-time cocaine use will not affect the present pregnancy as the lot of sperms which fertilized the ovum was manufactured three months back, when you were not exposed to cocaine, so unlikely that the present would have undergone any morphological or DNA changes. Nevertheless, medical follow up with NT scan, triple and quadruple marker tests and level 2 anomaly scan would be imperative during the course of pregnancy. |
Q. Is it possible to detect interstitial lung disease on a 64 slice chest CT angiography? | Hello doctor,Can an interstitial lung disease be detected on a 64 slice chest CT angiography or a 128 slice 3 mm of the chest with no contrast? For the past four months, I have symptoms of chest tightness, fatigue, anxiety, broken sleep, and low back pain. | Hi. Interstitial lung disease can be visualized in 64 slices and 128 slice CT machines (attachment removed to protect patient identity). A particular HRCT chest protocol is to be followed. No contrast is needed. |
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Hello doctor,Can an interstitial lung disease be detected on a 64 slice chest CT angiography or a 128 slice 3 mm of the chest with no contrast? For the past four months, I have symptoms of chest tightness, fatigue, anxiety, broken sleep, and low back pain. [/INST] Hi. Interstitial lung disease can be visualized in 64 slices and 128 slice CT machines (attachment removed to protect patient identity). A particular HRCT chest protocol is to be followed. No contrast is needed. |
Q. What can be done for severe anxiety and major depressive disorder? | Hello doctor, I am a female, 18 years of age, 5'1", 160 lbs. I am currently on the medications Seroquel 50 mg and Remeron 45 mg. I have been diagnosed with the major depressive disorder (severe with psychotic features), and generalized anxiety disorder. I have been on multiple medications that have not helped me. These are Prozac, Zoloft, Clonidine, Buspar, Vistaril, Risperdal, Luvox, Remeron (currently on), Seroquel (currently on), and Cymbalta. I am reaching out because I am struggling a lot and I feel hopeless. I do not know what to do at this point. Some of my symptoms are crying multiple times a day every day, feeling extremely overwhelmed, no energy at all. I cannot stop my mind from racing and thinking about too much at once, and more. My anxiety is so severe that I cannot go anywhere alone, I sweat, my heart races, I panic. What should I do at this point? I have a 2-year-old little boy. I have had a very hard childhood and deal with a lot of those issues today. My father passed away from cancer and my mother abandoned my sisters and me for drugs. This has impacted me greatly. | Hi. The description given here about you and your symptoms are really thought-provoking for any psychologist. To know that you are already under treatment for MDD and GAD is depressive in itself because you are just 18. Over and above you went through an ordeal of negative life incidents and now you are with an infant whom you should take care of. I do understand. I would like to know that are you employed? How do you get the funds to live on and then for treatment? Do you have an own home to live? The first step in any psychological disorder is to accept the disorder as it is and understand, the treatment process will be long enough. Understanding this aspect will help you overcome the depression associated with the thoughts regarding your disorders. Once you understand it, you worry less about it. These disorders are like any other physical endocrine disorders like diabetes, thyroid, etc. These physical disorders have to be maintained life-long with the help of medicines and the more you worry about them, you will lose your sleep, but worrying is of no use there. The same is applicable to you too. I suggest cognitive behavior therapy, relaxation therapy, and progressive counseling. Take care. |
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Hello doctor, I am a female, 18 years of age, 5'1", 160 lbs. I am currently on the medications Seroquel 50 mg and Remeron 45 mg. I have been diagnosed with the major depressive disorder (severe with psychotic features), and generalized anxiety disorder. I have been on multiple medications that have not helped me. These are Prozac, Zoloft, Clonidine, Buspar, Vistaril, Risperdal, Luvox, Remeron (currently on), Seroquel (currently on), and Cymbalta. I am reaching out because I am struggling a lot and I feel hopeless. I do not know what to do at this point. Some of my symptoms are crying multiple times a day every day, feeling extremely overwhelmed, no energy at all. I cannot stop my mind from racing and thinking about too much at once, and more. My anxiety is so severe that I cannot go anywhere alone, I sweat, my heart races, I panic. What should I do at this point? I have a 2-year-old little boy. I have had a very hard childhood and deal with a lot of those issues today. My father passed away from cancer and my mother abandoned my sisters and me for drugs. This has impacted me greatly. [/INST] Hi. The description given here about you and your symptoms are really thought-provoking for any psychologist. To know that you are already under treatment for MDD and GAD is depressive in itself because you are just 18. Over and above you went through an ordeal of negative life incidents and now you are with an infant whom you should take care of. I do understand. I would like to know that are you employed? How do you get the funds to live on and then for treatment? Do you have an own home to live? The first step in any psychological disorder is to accept the disorder as it is and understand, the treatment process will be long enough. Understanding this aspect will help you overcome the depression associated with the thoughts regarding your disorders. Once you understand it, you worry less about it. These disorders are like any other physical endocrine disorders like diabetes, thyroid, etc. These physical disorders have to be maintained life-long with the help of medicines and the more you worry about them, you will lose your sleep, but worrying is of no use there. The same is applicable to you too. I suggest cognitive behavior therapy, relaxation therapy, and progressive counseling. Take care. |
Q. Please advise whether I can take Gestafine and Folvite during pregnancy. | Hello doctor, I am 26 years old. I did not get my period for the past five weeks and yesterday I checked for my pregnancy and it turned out to be positive. I called my gynecologist and she suggested me to take Gestafine 200 one at night. And Folvite one in the afternoon. And also, she suggested taking one injection LUPI hCG HP 5000 that I will take it today evening. Is that the correct medication given by my doctor? What other precautions and other things that I have to do now? Please suggest me. And also about the food. | Hello. In an uncomplicated pregnancy, except tablet Folvite (Vitamin B9), nothing else is required in early pregnancy. The rest can be taken, and safe in pregnancy, but I would not say they are necessary. Secondly, continue tablet Folvite until three months. Then do a dating ultrasound now. Do a nuchal translucency, nasal bone ultrasound at 11 to 14 weeks. You can also do a dual marker testing for Downs syndrome. Then you must continue Iron and Calcium till the end of pregnancy from the third month onwards. At five months, that is between 18 to 20 weeks do an anomaly scan. At 24 to 28 weeks do a glucose tolerance test with 75 gm glucose. You should also take two doses of tetanus anytime after the third month. Take plenty of fruits vegetables and fluids. Take protein rich diet. |
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Hello doctor, I am 26 years old. I did not get my period for the past five weeks and yesterday I checked for my pregnancy and it turned out to be positive. I called my gynecologist and she suggested me to take Gestafine 200 one at night. And Folvite one in the afternoon. And also, she suggested taking one injection LUPI hCG HP 5000 that I will take it today evening. Is that the correct medication given by my doctor? What other precautions and other things that I have to do now? Please suggest me. And also about the food. [/INST] Hello. In an uncomplicated pregnancy, except tablet Folvite (Vitamin B9), nothing else is required in early pregnancy. The rest can be taken, and safe in pregnancy, but I would not say they are necessary. Secondly, continue tablet Folvite until three months. Then do a dating ultrasound now. Do a nuchal translucency, nasal bone ultrasound at 11 to 14 weeks. You can also do a dual marker testing for Downs syndrome. Then you must continue Iron and Calcium till the end of pregnancy from the third month onwards. At five months, that is between 18 to 20 weeks do an anomaly scan. At 24 to 28 weeks do a glucose tolerance test with 75 gm glucose. You should also take two doses of tetanus anytime after the third month. Take plenty of fruits vegetables and fluids. Take protein rich diet. |
Q. Why am I having cracking and popping sounds in jaws and wrist? | Hello doctor, My jaw pops and cracks and it has been happening for like two years. It used to be worse but it comes and goes. Also, when I move my wrists, there is a cracking or popping noise. Sometimes, my wrist locks and I have to roll it to fix it. Is this bad? I am a female. | Hello. Fingers popping is common and not considered to be a cause for worry. It, however, must be remembered that you should avoid popping them. Jaw cracking is another condition that as long it is not painful it can be observed, but if you have pain in the areas just in front of the ears when you clench your teeth or you feel a click, or you are unable to either open your jaw fully or if the jaw dislocates then you should see a doctor. Wrist clicking and locking need to be seen by a doctor to confirm that this is from a generalized laxity of the ligaments and not from an injury. |
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Hello doctor, My jaw pops and cracks and it has been happening for like two years. It used to be worse but it comes and goes. Also, when I move my wrists, there is a cracking or popping noise. Sometimes, my wrist locks and I have to roll it to fix it. Is this bad? I am a female. [/INST] Hello. Fingers popping is common and not considered to be a cause for worry. It, however, must be remembered that you should avoid popping them. Jaw cracking is another condition that as long it is not painful it can be observed, but if you have pain in the areas just in front of the ears when you clench your teeth or you feel a click, or you are unable to either open your jaw fully or if the jaw dislocates then you should see a doctor. Wrist clicking and locking need to be seen by a doctor to confirm that this is from a generalized laxity of the ligaments and not from an injury. |
Q. Suffering severe chest pain and palpitation after food and walk. | Dear doctor, I have HOCM by birth and suffering severe chest pain and palpitation after food and walk. One year back, I underwent angioplasty and stenting. | Hi. Hypertrophic Obstructive Cardiomyopathy (HOCM) needs further treatment even after stenting. Can you tell me exactly what drugs you are on? So that I can help you further. Revert back to a cardiologist online --> |
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Dear doctor, I have HOCM by birth and suffering severe chest pain and palpitation after food and walk. One year back, I underwent angioplasty and stenting. [/INST] Hi. Hypertrophic Obstructive Cardiomyopathy (HOCM) needs further treatment even after stenting. Can you tell me exactly what drugs you are on? So that I can help you further. Revert back to a cardiologist online --> |
Q. Had HPV and LEEP, bleed during sex, heavy periods, abdominal pain, fatigue and headaches. Is it cancer? | Dear doctor, I am a 32 year old female. I had HPV and LEEP 12 years ago. Now, I have the following symptoms: Bleeding during sex. Heavy periods. Extra painful abdomen pain. Heavy feeling of fatigue and headaches. Could I have cancer? | Hi. All the symptoms you have mentioned warrant a doctor visit with a full examination and Pap smear as a minimum, and colposcopy to be very sure. With your HPV and LEEP background, it is even more important that you get this done on priority. In all probability, it may be nothing, or early pre-cancer, but it is better to check and get treated. Hope this helps, take care. Consult an obstetrician and gynaecologist online for further queries --> |
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Dear doctor, I am a 32 year old female. I had HPV and LEEP 12 years ago. Now, I have the following symptoms: Bleeding during sex. Heavy periods. Extra painful abdomen pain. Heavy feeling of fatigue and headaches. Could I have cancer? [/INST] Hi. All the symptoms you have mentioned warrant a doctor visit with a full examination and Pap smear as a minimum, and colposcopy to be very sure. With your HPV and LEEP background, it is even more important that you get this done on priority. In all probability, it may be nothing, or early pre-cancer, but it is better to check and get treated. Hope this helps, take care. Consult an obstetrician and gynaecologist online for further queries --> |
Q. What should people with PCOS eat and not eat? | Dear doctor, People with PCOS, can they drink apple juice? Does it help? What should people with PCOS eat and should not eat? | Hi. People with PCOS (polycystic ovaries syndrome) usually are obese or overweight. However, there are lean people with PCOS also. People with PCOS will usually have insulin resistance. So, try to avoid sugary foods and keep a check on your weight and follow a regular exercise routine. This will help to cure the disease also. Hope it helps. Consult an obstetrician and gynaecologist online for further help --> |
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Dear doctor, People with PCOS, can they drink apple juice? Does it help? What should people with PCOS eat and should not eat? [/INST] Hi. People with PCOS (polycystic ovaries syndrome) usually are obese or overweight. However, there are lean people with PCOS also. People with PCOS will usually have insulin resistance. So, try to avoid sugary foods and keep a check on your weight and follow a regular exercise routine. This will help to cure the disease also. Hope it helps. Consult an obstetrician and gynaecologist online for further help --> |
Q. How to manage OCD without medications? My mind always repeats some words. | Dear doctor, How to manage OCD without any medications? I got a word in my mind and it repeats every time in my mind. What is the practical way to rectify it? | Hi. In my experience, it is close to impossible to control OCD behaviors without medications. It is due to a biochemical imbalance in your brain that needs to be corrected and that requires a course of psychiatric medications, which are safe and easily tolerated. Consult a psychiatrist online for further help --> |
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Dear doctor, How to manage OCD without any medications? I got a word in my mind and it repeats every time in my mind. What is the practical way to rectify it? [/INST] Hi. In my experience, it is close to impossible to control OCD behaviors without medications. It is due to a biochemical imbalance in your brain that needs to be corrected and that requires a course of psychiatric medications, which are safe and easily tolerated. Consult a psychiatrist online for further help --> |
Q. Having extremely high triglyceride level and VLDL. Advise medicines. | Dear doctor, I am a 31 year old male. Below is my lipid profile report: Total cholesterol: 186 mm/dL. Triglycerides: 876 mm/dL. HDL: 38 mm/dL. LDL: 27 mm/dL. VLDL: 175 mm/dL. Please advise medicines if needed. | Hi. Your triglyceride level and VLDL (very low density lipoprotein) is extremely high. This can put you at the risk of heart attack, stroke, and pancreatitis. My advise is to start taking tablet Roseday-F (10/160) daily night after food. Also stop eating non-vegetarian food, especially mutton and beef. Repeat your lipid profile after three months. |
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Dear doctor, I am a 31 year old male. Below is my lipid profile report: Total cholesterol: 186 mm/dL. Triglycerides: 876 mm/dL. HDL: 38 mm/dL. LDL: 27 mm/dL. VLDL: 175 mm/dL. Please advise medicines if needed. [/INST] Hi. Your triglyceride level and VLDL (very low density lipoprotein) is extremely high. This can put you at the risk of heart attack, stroke, and pancreatitis. My advise is to start taking tablet Roseday-F (10/160) daily night after food. Also stop eating non-vegetarian food, especially mutton and beef. Repeat your lipid profile after three months. |
Q. What could be the reason for recurrent blood in stool and right-sided stomach pain? | Hello doctor, I would like to know the reason for pain in the stomach at the right side and blood in the stool. Once I had blood in stool previously and used homeopathy medicine to stop that, but it recurred after five days. | Hello. Stomach pain on the right side can occur due to a variety of reasons like stomach infection, appendicitis, infection in your intestine, and problems in your kidneys or the ureters (a tube that connects your kidneys to your urinary bladder). Stomach pain with blood in stools is something to worry about. The cause for it can be acute infectious gastroenteritis, inflammatory bowel disease, or ulcer in your gastrointestinal tract. To diagnose all of these, I need to ask you some questions. Do you have any fever? Do you have weight loss? How is the appetite? Is the blood in stools fresh blood or is it brownish red? Do you have any history of piles? Are the stools hard? Do you have any diarrhea? Does the stomach pain has any relation to food intake i.e. does it get relieved by eating food or does it increase on eating food? Once you answer these questions, I would suggest what tests to be get done and how to treat the disease. I hope this helps. |
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Hello doctor, I would like to know the reason for pain in the stomach at the right side and blood in the stool. Once I had blood in stool previously and used homeopathy medicine to stop that, but it recurred after five days. [/INST] Hello. Stomach pain on the right side can occur due to a variety of reasons like stomach infection, appendicitis, infection in your intestine, and problems in your kidneys or the ureters (a tube that connects your kidneys to your urinary bladder). Stomach pain with blood in stools is something to worry about. The cause for it can be acute infectious gastroenteritis, inflammatory bowel disease, or ulcer in your gastrointestinal tract. To diagnose all of these, I need to ask you some questions. Do you have any fever? Do you have weight loss? How is the appetite? Is the blood in stools fresh blood or is it brownish red? Do you have any history of piles? Are the stools hard? Do you have any diarrhea? Does the stomach pain has any relation to food intake i.e. does it get relieved by eating food or does it increase on eating food? Once you answer these questions, I would suggest what tests to be get done and how to treat the disease. I hope this helps. |
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 took I-pill 10 days back after an unprotected sex. Why have I not got my periods yet? | Hello doctor, Before 10 days, I had unprotected sex and that day at night I took a pill of unwanted 72. Till now I have not get periods. What are the chances of pregnancy? Please tell me. I am very worried about this. | Hello. It depends on when sexual intercourse happened (in relation to ovulation). The pill provides about 95 % protection against pregnancy. If the pill was taken when the period was due in next 2 to 3 days, it will delay your period. If it was taken more than a week before expected period, period should start on or before expected date. You can judge yourself accordingly. Sometimes, the period can start as late as 15 days after pill. You can wait till then and if period does not start, you can get a pregnancy test done to confirm or rule out the same. |
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Hello doctor, Before 10 days, I had unprotected sex and that day at night I took a pill of unwanted 72. Till now I have not get periods. What are the chances of pregnancy? Please tell me. I am very worried about this. [/INST] Hello. It depends on when sexual intercourse happened (in relation to ovulation). The pill provides about 95 % protection against pregnancy. If the pill was taken when the period was due in next 2 to 3 days, it will delay your period. If it was taken more than a week before expected period, period should start on or before expected date. You can judge yourself accordingly. Sometimes, the period can start as late as 15 days after pill. You can wait till then and if period does not start, you can get a pregnancy test done to confirm or rule out the same. |
Q. Why is there a red rash spreading over my cheeks and the bridge of my nose? | Hi doctor, I am a 15-year-old female. I weigh 130 pounds and am 5 feet 2 inches tall. I have recently had a red rash that is spread over my cheeks and the bridge of my nose. It has very clean margins and looks a lot like the malar (butterfly) rash that goes along with lupus. However, the blood test that my doctor ordered for lupus came back negative so I am wondering what this could be. I have had two episodes of this rash, the first of which happened about a month ago and lasted for about five days to a week, and a little over a week ago the rash came back. It stings and has gotten dry and somewhat stiff. Though the rash itself is somewhat similar to the ones associated with rosacea and eczema, I do not have any of the symptoms expected with the two conditions. In addition to the rash I have also been having stomach issues which include nausea, vomiting, and a generally upset stomach. On to of these symptoms I am also experiencing fatigue, soreness in my joints, what I believe is Raynaud's phenomenon in my toes. I have also experienced slight dizziness so often upon standing up. | Hi. It looks like the rash one has from lupus (attachment removed to protect patient identity). But you are tested negative for it. Considering your other symptoms it is auto-immune in origin. Other causes could be drug-induced malar rash, polymyositis, rheumatoid arthritis, and scleroderma. In autoimmune diseases, there is a formation of antibodies against your own body substances and cells. It does not have any specific cause. The cause is multifactorial, genetic, environmental, etc. It affects almost all organs in the body. You have to do the following investigations to find the involvement of the particular systems. Complete blood count, ECG, and echo, urinalysis, X-ray chest, blood urea and creatinine, ESR, CRP, liver function test. If the abnormalities are present in any of the above tests, finally we have to do the antinuclear antibody titers, ENA profile, anti-ds DNA antibody, complement levels C3 and C4. NSAIDS, Hydroquinone, and Methotrexate, etc., are commonly used for the treatment of autoimmune diseases. Nowadays plenty of monoclonal antibody treatments are available. It cannot be cured. You can reduce the severity of the disease and avoid experiencing the symptoms. |
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Hi doctor, I am a 15-year-old female. I weigh 130 pounds and am 5 feet 2 inches tall. I have recently had a red rash that is spread over my cheeks and the bridge of my nose. It has very clean margins and looks a lot like the malar (butterfly) rash that goes along with lupus. However, the blood test that my doctor ordered for lupus came back negative so I am wondering what this could be. I have had two episodes of this rash, the first of which happened about a month ago and lasted for about five days to a week, and a little over a week ago the rash came back. It stings and has gotten dry and somewhat stiff. Though the rash itself is somewhat similar to the ones associated with rosacea and eczema, I do not have any of the symptoms expected with the two conditions. In addition to the rash I have also been having stomach issues which include nausea, vomiting, and a generally upset stomach. On to of these symptoms I am also experiencing fatigue, soreness in my joints, what I believe is Raynaud's phenomenon in my toes. I have also experienced slight dizziness so often upon standing up. [/INST] Hi. It looks like the rash one has from lupus (attachment removed to protect patient identity). But you are tested negative for it. Considering your other symptoms it is auto-immune in origin. Other causes could be drug-induced malar rash, polymyositis, rheumatoid arthritis, and scleroderma. In autoimmune diseases, there is a formation of antibodies against your own body substances and cells. It does not have any specific cause. The cause is multifactorial, genetic, environmental, etc. It affects almost all organs in the body. You have to do the following investigations to find the involvement of the particular systems. Complete blood count, ECG, and echo, urinalysis, X-ray chest, blood urea and creatinine, ESR, CRP, liver function test. If the abnormalities are present in any of the above tests, finally we have to do the antinuclear antibody titers, ENA profile, anti-ds DNA antibody, complement levels C3 and C4. NSAIDS, Hydroquinone, and Methotrexate, etc., are commonly used for the treatment of autoimmune diseases. Nowadays plenty of monoclonal antibody treatments are available. It cannot be cured. You can reduce the severity of the disease and avoid experiencing the symptoms. |
Q. Why is there itchy white spot on my penis head with a rough skin after erection? | Hi doctor, I have these itchy white spot on my penis head and also a rough skin after erected. The white spot will be better after applying Clotrimazole ointment, but I can still see some bumps under the skin. | Hi. Your concern is balanoposthitis. It is a candidal fungal infection which causes secondary irritation and redness. Start using Lulifin cream (Luliconazole) once daily bedtime for 30 consecutive days. Apply Efficort (Hydrocortisone) 0.127 % cream once daily during daytime until redness subsides, then discard it. Check your fasting and postprandial blood sugar levels. It is not contagious and not harmful. |
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Hi doctor, I have these itchy white spot on my penis head and also a rough skin after erected. The white spot will be better after applying Clotrimazole ointment, but I can still see some bumps under the skin. [/INST] Hi. Your concern is balanoposthitis. It is a candidal fungal infection which causes secondary irritation and redness. Start using Lulifin cream (Luliconazole) once daily bedtime for 30 consecutive days. Apply Efficort (Hydrocortisone) 0.127 % cream once daily during daytime until redness subsides, then discard it. Check your fasting and postprandial blood sugar levels. It is not contagious and not harmful. |
Q. Is it possible to have symptoms of STD or HIV after three months of exposure? | Hi doctor, I am here to ask some questions regarding HIV and some other possible STDs for the woman having unprotected oral sex (cunnilingus). I tested for HIV after 12 weeks and two days of exposure. I had no sex during this period. The HIV 1/2 rapid screen test showed me a negative result. Does the result conclusive? I consulted a doctor, and she told me that doing a home testing is inaccurate. Is it true? Since, in these three months, I do not have any severe symptoms. Now, it is four months after my exposure. I have small red bumps in the back of my throat. I do not have pain and difficulty in swallowing. Is this a strep throat or pharyngitis? Is it due to STDs? Is it possible for me to have STD symptoms after three months? Please help. | Hi. Please say whether the throat pain got resolved with medications. If you have it, then it is unlikely to be a cause due to HIV infection. Secondly, the home kit for HIV has a low sensitivity and low specificity. So, it is inconclusive. ELISA (enzyme-linked immunosorbent assay) is a standard test advisable for HIV testing. Since it is four months, the window period for acquiring an HIV infection has overlapped, and hence, having a negative report at this point is very sure to conclude as not having HIV infection. I would suggest you get tested for ELISA now and repeat it after four weeks again or after a month. Also get a swab sampling done for your throat pain and consult a physician. |
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Hi doctor, I am here to ask some questions regarding HIV and some other possible STDs for the woman having unprotected oral sex (cunnilingus). I tested for HIV after 12 weeks and two days of exposure. I had no sex during this period. The HIV 1/2 rapid screen test showed me a negative result. Does the result conclusive? I consulted a doctor, and she told me that doing a home testing is inaccurate. Is it true? Since, in these three months, I do not have any severe symptoms. Now, it is four months after my exposure. I have small red bumps in the back of my throat. I do not have pain and difficulty in swallowing. Is this a strep throat or pharyngitis? Is it due to STDs? Is it possible for me to have STD symptoms after three months? Please help. [/INST] Hi. Please say whether the throat pain got resolved with medications. If you have it, then it is unlikely to be a cause due to HIV infection. Secondly, the home kit for HIV has a low sensitivity and low specificity. So, it is inconclusive. ELISA (enzyme-linked immunosorbent assay) is a standard test advisable for HIV testing. Since it is four months, the window period for acquiring an HIV infection has overlapped, and hence, having a negative report at this point is very sure to conclude as not having HIV infection. I would suggest you get tested for ELISA now and repeat it after four weeks again or after a month. Also get a swab sampling done for your throat pain and consult a physician. |
Q. Does blood phosphorus level of 4. 58 mean kidney failure? | Hello doctor, My reports are as follows. My blood phosphorous level is 4.58 mg, and it was always 3.2 mg. Rest kidney test is fine. Seeing my report, can you please tell me if my kidney is failing? I am too much worried. I am having Metformin 1000 mg as I am prediabetic and Voveron painkiller last week? | Hi. As such increase in phosphorus is not a marker of kidney disease. It can happen due to an increase in the daily products intake, pain-killer intake, and dehydration. I do not find any reason to worry. |
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Hello doctor, My reports are as follows. My blood phosphorous level is 4.58 mg, and it was always 3.2 mg. Rest kidney test is fine. Seeing my report, can you please tell me if my kidney is failing? I am too much worried. I am having Metformin 1000 mg as I am prediabetic and Voveron painkiller last week? [/INST] Hi. As such increase in phosphorus is not a marker of kidney disease. It can happen due to an increase in the daily products intake, pain-killer intake, and dehydration. I do not find any reason to worry. |
Q. I have severe stomach pain, dizziness and nausea with hyperacidity. Please suggest medication. | Hi doctor, I am a 30-year-old female. I weigh about 45 kg with a height of 5'3". I am experiencing severe stomachache, hyperacidity, dizziness, and nausea. This is the first time I felt and I feel like there is too much acid on my stomach. What medications can I take? | Hello. You are experiencing dyspepsia, and epigastric pain if I am not wrong. It is due to hypersecretion of gastric acid or due to some insult against the gastric mucosa which is a protective layer of the stomach. This layer gets eroded due to various reasons like alcohol, painkillers, etc. Over secretion of acid might be due to stress, lack of sleep, lack of alkaline food in the diet, etc. So check these factors. Kremil S is not competent. Maalox only gives momentary relief. So let us use PPIs (proton pump inhibitors) for a few days and shut down the acid production significantly. This might give the gastric mucosa some time to heal and become tough again. Remember, these medications which I am going to prescribe are not to be taken perpetually. Take them as advised. Gastritis. Gastritis. Capsule Esomeprazole and Domperidone early in the morning on empty stomach and at bed time. Capsule Lactobacillus one in the afternoon. Discontinue Maalox. Sleep well. Abstain from alcohol for at least 10 days. Stress relief. Continue this treatment for ten days and follow up after that. |
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Hi doctor, I am a 30-year-old female. I weigh about 45 kg with a height of 5'3". I am experiencing severe stomachache, hyperacidity, dizziness, and nausea. This is the first time I felt and I feel like there is too much acid on my stomach. What medications can I take? [/INST] Hello. You are experiencing dyspepsia, and epigastric pain if I am not wrong. It is due to hypersecretion of gastric acid or due to some insult against the gastric mucosa which is a protective layer of the stomach. This layer gets eroded due to various reasons like alcohol, painkillers, etc. Over secretion of acid might be due to stress, lack of sleep, lack of alkaline food in the diet, etc. So check these factors. Kremil S is not competent. Maalox only gives momentary relief. So let us use PPIs (proton pump inhibitors) for a few days and shut down the acid production significantly. This might give the gastric mucosa some time to heal and become tough again. Remember, these medications which I am going to prescribe are not to be taken perpetually. Take them as advised. Gastritis. Gastritis. Capsule Esomeprazole and Domperidone early in the morning on empty stomach and at bed time. Capsule Lactobacillus one in the afternoon. Discontinue Maalox. Sleep well. Abstain from alcohol for at least 10 days. Stress relief. Continue this treatment for ten days and follow up after that. |
Q. Why are there white vaginal discharge and mild spotting? | Hello doctor, My girlfriend had her periods 16 days back but two days back she had a white spotting and today she had blood coming out of her vagina for a second but stopped. Please tell me what does this mean. | Hi. The reason for this kind of bleeding can be some abnormal uterine bleeding or simply ovulation bleeding. Today is her 16th day of period probably ovulation day and her detailed obstetric history is not known. So watch for any pain or repeat episode of bleeding and if so get one ultrasound pelvis done. |
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Hello doctor, My girlfriend had her periods 16 days back but two days back she had a white spotting and today she had blood coming out of her vagina for a second but stopped. Please tell me what does this mean. [/INST] Hi. The reason for this kind of bleeding can be some abnormal uterine bleeding or simply ovulation bleeding. Today is her 16th day of period probably ovulation day and her detailed obstetric history is not known. So watch for any pain or repeat episode of bleeding and if so get one ultrasound pelvis done. |
Q. Kindly suggest me some good stool softeners to avoid constipation. | Hello doctor, I am 41 years old, male having severe constipation. The stool is very hard. Hence difficulty passing it. Please suggest some good stool softener. Tablet form would be preferred. Any other medicine? | Hello. For that, you should eat high fiber diet like fruits, apple, banana, oranges, green leafy vegetables like spinach, raw cucumber. Avoid smoking if any, refined food, fatty, and oily food. You should have plenty of fluids and regular exercises. Lifestyle modifications are advisable to maintain the response. Also, it is worthwhile to get a thyroid test done if not had recently. In medicines, we usually prescribe tablets like Bisacodyl 5 to 10 mg depending upon the response, bedtime once a day. Also in syrup, there are options like Cremaffin plus 15 to 30 ml bedtime to maintain your stool soft. |
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Hello doctor, I am 41 years old, male having severe constipation. The stool is very hard. Hence difficulty passing it. Please suggest some good stool softener. Tablet form would be preferred. Any other medicine? [/INST] Hello. For that, you should eat high fiber diet like fruits, apple, banana, oranges, green leafy vegetables like spinach, raw cucumber. Avoid smoking if any, refined food, fatty, and oily food. You should have plenty of fluids and regular exercises. Lifestyle modifications are advisable to maintain the response. Also, it is worthwhile to get a thyroid test done if not had recently. In medicines, we usually prescribe tablets like Bisacodyl 5 to 10 mg depending upon the response, bedtime once a day. Also in syrup, there are options like Cremaffin plus 15 to 30 ml bedtime to maintain your stool soft. |
Q. Why do my eyes get red when I stop eye drops after a retinal detachment surgery? | Hello doctor, I have had a retinal detachment surgery 7.5 months back with silicon oil. Four months back silicon oil was removed and at the same time cataract surgery was also done. This was my right eye. The vision in the eye is 6/9 with glasses in the operated eye and 6/6 in the other one. Since the first surgery 7.5 months back I am on Predforte eye drops. When I taper them off to 1, the eye starts getting red. My last eye exam was a month back and the retina specialist suggested to have one drop morning and evening for another 14 days. He said there is a subtle infection in the eye. However, when I stopped taking the drops after 15 days, the eye got red again and I restarted it and the redness was gone. I am worried about when I will be able to stop it. Can you please explain what may be the reason and how harmful it is to continue? The eye doctor (retina specialist) asked me to recheck after three months. | Hi. You might be suffering from inflammation, not infection. A steroid is usually given to control inflammation. The principle is to continue on the lowest possible dose of steroid which can keep inflammation in control. In the meantime, it is important to keep an eye on side effects of a steroid-like rise in intraocular pressure. You are on a low dose, you can continue but check with your surgeon periodically. Take care. |
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Hello doctor, I have had a retinal detachment surgery 7.5 months back with silicon oil. Four months back silicon oil was removed and at the same time cataract surgery was also done. This was my right eye. The vision in the eye is 6/9 with glasses in the operated eye and 6/6 in the other one. Since the first surgery 7.5 months back I am on Predforte eye drops. When I taper them off to 1, the eye starts getting red. My last eye exam was a month back and the retina specialist suggested to have one drop morning and evening for another 14 days. He said there is a subtle infection in the eye. However, when I stopped taking the drops after 15 days, the eye got red again and I restarted it and the redness was gone. I am worried about when I will be able to stop it. Can you please explain what may be the reason and how harmful it is to continue? The eye doctor (retina specialist) asked me to recheck after three months. [/INST] Hi. You might be suffering from inflammation, not infection. A steroid is usually given to control inflammation. The principle is to continue on the lowest possible dose of steroid which can keep inflammation in control. In the meantime, it is important to keep an eye on side effects of a steroid-like rise in intraocular pressure. You are on a low dose, you can continue but check with your surgeon periodically. Take care. |
Q. Why am I having difficulty swallowing, sore throat, and white spots in throat? | Hi doctor, For the past few days, I have had difficulty swallowing, a sore throat, and these white spots on the back of my throat that keep getting bigger. I was already tested for streptococcus which was negative and I am wondering what else it could be? | Hello. You seem to suffer from fungal sores and ulceration of oral cavity and oropharynx. I suggest you do a local application of Clotrimazole (Clotrin) gel over the affected area thrice daily after rinsing the mouth with Benzdymine oral rinses. In addition, Tylenol will help in relieving the pain and inflammation. Avoid spicy foods, citrus foods, extra warm foods, masalas, smoke, and alcohol until it gets better. Additionally, take Multivitamin supplements and especially Vitamin B12 supplements till you are better. You may require a course of Fluconazole tablet, which is taken once now and then one more tablet a week later. |
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Hi doctor, For the past few days, I have had difficulty swallowing, a sore throat, and these white spots on the back of my throat that keep getting bigger. I was already tested for streptococcus which was negative and I am wondering what else it could be? [/INST] Hello. You seem to suffer from fungal sores and ulceration of oral cavity and oropharynx. I suggest you do a local application of Clotrimazole (Clotrin) gel over the affected area thrice daily after rinsing the mouth with Benzdymine oral rinses. In addition, Tylenol will help in relieving the pain and inflammation. Avoid spicy foods, citrus foods, extra warm foods, masalas, smoke, and alcohol until it gets better. Additionally, take Multivitamin supplements and especially Vitamin B12 supplements till you are better. You may require a course of Fluconazole tablet, which is taken once now and then one more tablet a week later. |
Q. Is it possible to get a pressure sensation in teeth due to hard biting? | Hello doctor, I feel a pressure in one of my front teeth. It is not painful and does not hurt to eat. Just feel pressure. I remember biting something the other day and it felt a little like I had bitten it too hard. No visible change to any of my teeth and it is not painful. The pressure is inconsistent. | Hi. I had gone through your question and I can understand your concern. As per your history, it looks because of biting on hard substance, periodontal ligament has been damaged transiently, it is a thin membrane between teeth and bone. There is nothing to worry, it will selfheal within three to four days. Remember that do not keep touching it, this may be enjoyable but it can lead to periodontal tissue damage. Also, take soft foods and do not bite on hard fruits like apple or even hard meat too. |
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Hello doctor, I feel a pressure in one of my front teeth. It is not painful and does not hurt to eat. Just feel pressure. I remember biting something the other day and it felt a little like I had bitten it too hard. No visible change to any of my teeth and it is not painful. The pressure is inconsistent. [/INST] Hi. I had gone through your question and I can understand your concern. As per your history, it looks because of biting on hard substance, periodontal ligament has been damaged transiently, it is a thin membrane between teeth and bone. There is nothing to worry, it will selfheal within three to four days. Remember that do not keep touching it, this may be enjoyable but it can lead to periodontal tissue damage. Also, take soft foods and do not bite on hard fruits like apple or even hard meat too. |
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. Some gassy feeling in the throat is causing bad breath. Is it esophageal outpouching? | Hello doctor, My question is about my throat. At the back of my throat, I can feel that there is a gas coming and it feels warm. Also, it has a bad smell. I tried everything but nothing provides a solution to my problem. I have tried using Chlorhexidine mouthwashes but it did not resolve my issue. I have already consulted an ENT specialist. I have been experiencing occasional tonsil stones but he did not advise anything other than removing them manually. So far upon inspection, there are no stones present. Is it possible to have esophageal outpouchings? I do not experience vomiting or painful swallowing. I have occasional hyperacidity which resolves by taking Prazoles. My problem is bothering me especially when I talk. People say that my breath stinks. Also, I am uncomfortable with a gassy feeling behind my throat. I have good oral hygiene and have already visited the dentist and ruled out oral problems as the cause. I am also thinking of PND. Every morning when I gargle there is a thick mucus on the back of my throat. I am desperate for a solution. Please help. | Hi, Welcome to iciniq.com. The most probable problem out there would be a chronic GERD with LPR (chronic gastroesophageal reflux disease with laryngopharyngeal reflux). Let me explain what exactly is happening. Your stomach contains contents that are acidic in nature and is only meant for the stomach, if these content reflux or have a reverse entry into your food pipe (esophagus) or throat which is not meant to handle this acidic pH. This can lead to a chronic inflammation leading to chronic ulcers giving a feeling of something stuck on the throat or the bloaty feeling, repeated belching, or even bad odor in your breath. Yes, esophageal diverticula (outpouchings are a differential diagnosis and have to be checked with contrast barium swallow). The probability of having these outpouchings are less considering as you do not have vomiting or difficulty in swallowing. Please follow some instructions: 1. Maintain a strict diet schedule, and eat on time. 2. Avoid oily, spicy, and cold food items/ beverages. 3. Keep a minimum gap of two hours between your last meal and going to bed. 4. Try to sleep in the left lateral position. 5. Eat frequently but in little quantities, never over eat. 6. Salt water gargles at least 8 to 10 times a day for one month. 7. Keep sipping on warm fluids as much as possible. 8. Avoid exposure to dust by wearing an n95 mask. You can consider the following treatment. Take tablet Pantoprazole with Domperidome combination once in the morning for 20 days, syrup Gelusil or Mucaine gel one teaspoon three times a day 20 minutes before food. The treatment schedule includes more precautionary measures rather than drugs themselves. I hope this helps. |
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Hello doctor, My question is about my throat. At the back of my throat, I can feel that there is a gas coming and it feels warm. Also, it has a bad smell. I tried everything but nothing provides a solution to my problem. I have tried using Chlorhexidine mouthwashes but it did not resolve my issue. I have already consulted an ENT specialist. I have been experiencing occasional tonsil stones but he did not advise anything other than removing them manually. So far upon inspection, there are no stones present. Is it possible to have esophageal outpouchings? I do not experience vomiting or painful swallowing. I have occasional hyperacidity which resolves by taking Prazoles. My problem is bothering me especially when I talk. People say that my breath stinks. Also, I am uncomfortable with a gassy feeling behind my throat. I have good oral hygiene and have already visited the dentist and ruled out oral problems as the cause. I am also thinking of PND. Every morning when I gargle there is a thick mucus on the back of my throat. I am desperate for a solution. Please help. [/INST] Hi, Welcome to iciniq.com. The most probable problem out there would be a chronic GERD with LPR (chronic gastroesophageal reflux disease with laryngopharyngeal reflux). Let me explain what exactly is happening. Your stomach contains contents that are acidic in nature and is only meant for the stomach, if these content reflux or have a reverse entry into your food pipe (esophagus) or throat which is not meant to handle this acidic pH. This can lead to a chronic inflammation leading to chronic ulcers giving a feeling of something stuck on the throat or the bloaty feeling, repeated belching, or even bad odor in your breath. Yes, esophageal diverticula (outpouchings are a differential diagnosis and have to be checked with contrast barium swallow). The probability of having these outpouchings are less considering as you do not have vomiting or difficulty in swallowing. Please follow some instructions: 1. Maintain a strict diet schedule, and eat on time. 2. Avoid oily, spicy, and cold food items/ beverages. 3. Keep a minimum gap of two hours between your last meal and going to bed. 4. Try to sleep in the left lateral position. 5. Eat frequently but in little quantities, never over eat. 6. Salt water gargles at least 8 to 10 times a day for one month. 7. Keep sipping on warm fluids as much as possible. 8. Avoid exposure to dust by wearing an n95 mask. You can consider the following treatment. Take tablet Pantoprazole with Domperidome combination once in the morning for 20 days, syrup Gelusil or Mucaine gel one teaspoon three times a day 20 minutes before food. The treatment schedule includes more precautionary measures rather than drugs themselves. I hope this helps. |
Q. Please suggest diet to prevent dialysis and control creatinine level in a diabetic. | Hello doctor, I am a male, 68 years old, diabetic, with chronic kidney disease, and creatinine level 5.96. What diet should be given to prevent dialysis and control creatinine level? | Hi. Reviewing the laboratory results (attachment removed to protect patient identity), the patient has already developed significant damage, creatinine is too high and has already secondary hyperparathyroidism. Type 2 diabetes with renal complication. Dialysis is unavoidable, at this stage. To control diabetes and further renal damage, must avoid Metformin and must avoid a high dose of DD-4 or extended release Sulfonylurea. A safe option is low dose DD-4 or Insulin low dose weight adjusted. Keep diet in moderation for protein, does not need high protein diet and must follow up with nephrology. |
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Hello doctor, I am a male, 68 years old, diabetic, with chronic kidney disease, and creatinine level 5.96. What diet should be given to prevent dialysis and control creatinine level? [/INST] Hi. Reviewing the laboratory results (attachment removed to protect patient identity), the patient has already developed significant damage, creatinine is too high and has already secondary hyperparathyroidism. Type 2 diabetes with renal complication. Dialysis is unavoidable, at this stage. To control diabetes and further renal damage, must avoid Metformin and must avoid a high dose of DD-4 or extended release Sulfonylurea. A safe option is low dose DD-4 or Insulin low dose weight adjusted. Keep diet in moderation for protein, does not need high protein diet and must follow up with nephrology. |
Q. Is it possible to get pregnant after oral sex? | Hi doctor, I have a lot of stress going on right now and most of my anxiety is coming back on having oral intercourse with a guy but he did not ejaculate, there was precum though. I am on birth control but after doing the oral intercourse two days later I started my period that was a week early and lasted 14 days. Can I get pregnant? | Hello. No, you can never get pregnant with oral intercourse only. Vaginal intercourse without precaution would lead to pregnancy during the fertile period. And the periods you are having is not because of pregnancy but may be because of hormonal imbalance. Get your thyroid profile and serum prolactin and fasting insulin FBS. Plus ultrasound to know the endometrial thickness. The birth control pill if you are taking, may result in this if taken irregularly. |
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Hi doctor, I have a lot of stress going on right now and most of my anxiety is coming back on having oral intercourse with a guy but he did not ejaculate, there was precum though. I am on birth control but after doing the oral intercourse two days later I started my period that was a week early and lasted 14 days. Can I get pregnant? [/INST] Hello. No, you can never get pregnant with oral intercourse only. Vaginal intercourse without precaution would lead to pregnancy during the fertile period. And the periods you are having is not because of pregnancy but may be because of hormonal imbalance. Get your thyroid profile and serum prolactin and fasting insulin FBS. Plus ultrasound to know the endometrial thickness. The birth control pill if you are taking, may result in this if taken irregularly. |
Q. Had PCL surgery before five weeks. When can I walk without support? | Hi doctor, Five weeks before my PCL surgery was done using a screw which fixed my left knee PCL with the leg down bone patella. After four weeks, my doctor had recommended me to start walking with a well-weight and try to bend my leg to remove the freeze. After five weeks, my doctor has suggested me to try to walk without knee braceses and allow for my sitting work but I need to use braces while walking. This time I am walking with the help of a walker. But after two days, I have to go to the office. So, please let me know should I use a cane or crutches for walking and when I can walk without any support? | Hello. You had a PCL (posterior cruciate ligament) injury five weeks back which was managed by a screw fixation. I have seen both your pre-operative MRI scan and a post-operative X-ray (attachment removed to protect patient identity). In my opinion, you can continue with the use of knee ROM brace with intermittent knee movements, crutch aided PWB movement for one more week and then crutch aided full weight bearing ambulation. Repeat X-ray after four weeks, and maybe 6 to 8 weeks post-surgery, the patient can be made to ambulate without any support depending upon initial reduction and subsequent healing. So, as of now, you can go to your office with the help of crutches and partial weight bearing on the operated leg. |
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Hi doctor, Five weeks before my PCL surgery was done using a screw which fixed my left knee PCL with the leg down bone patella. After four weeks, my doctor had recommended me to start walking with a well-weight and try to bend my leg to remove the freeze. After five weeks, my doctor has suggested me to try to walk without knee braceses and allow for my sitting work but I need to use braces while walking. This time I am walking with the help of a walker. But after two days, I have to go to the office. So, please let me know should I use a cane or crutches for walking and when I can walk without any support? [/INST] Hello. You had a PCL (posterior cruciate ligament) injury five weeks back which was managed by a screw fixation. I have seen both your pre-operative MRI scan and a post-operative X-ray (attachment removed to protect patient identity). In my opinion, you can continue with the use of knee ROM brace with intermittent knee movements, crutch aided PWB movement for one more week and then crutch aided full weight bearing ambulation. Repeat X-ray after four weeks, and maybe 6 to 8 weeks post-surgery, the patient can be made to ambulate without any support depending upon initial reduction and subsequent healing. So, as of now, you can go to your office with the help of crutches and partial weight bearing on the operated leg. |
Q. Father died during angioplasty due to pulmonary edema. Need second opinion. | Dear doctor, My father died during angioplasty. The treating doctor said that the death is due to pulmonary edema. But we suspect it may be because of a medical negligence. I need a second opinion. | Hi. What happens in a heart attack is that the patient's heart is not functioning properly. It does not maintain the speed and pressure required. And therefore, the blood and the fluid collects in the body including the lungs. When the fluid collects in the lungs, a person cannot breathe well. Angioplasty is quite a standard procedure for heart attack. It is an urgent procedure for acute heart attack meaning sudden heart attack or a planned procedure in an angina patient. In either way, if the pumping is slow then pulmonary edema can result. Have a look at the echocardiography, if done. If the LVEF/EF is low, then the chances are that your doctor is right. Sorry again for your loss. |
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Dear doctor, My father died during angioplasty. The treating doctor said that the death is due to pulmonary edema. But we suspect it may be because of a medical negligence. I need a second opinion. [/INST] Hi. What happens in a heart attack is that the patient's heart is not functioning properly. It does not maintain the speed and pressure required. And therefore, the blood and the fluid collects in the body including the lungs. When the fluid collects in the lungs, a person cannot breathe well. Angioplasty is quite a standard procedure for heart attack. It is an urgent procedure for acute heart attack meaning sudden heart attack or a planned procedure in an angina patient. In either way, if the pumping is slow then pulmonary edema can result. Have a look at the echocardiography, if done. If the LVEF/EF is low, then the chances are that your doctor is right. Sorry again for your loss. |
Q. Ayurvedic medication for multidrug/antibiotic resistant bacterial infections. | Hello doctor, I am a 26 year old male. I was addicted to cold drinks which had been getting me sick (catching a cold) over the past nine years. | Hi. You can try the following ayurvedic medicines: Continue this for two weeks and review after two weeks with an ayurveda specialist online --> |
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Hello doctor, I am a 26 year old male. I was addicted to cold drinks which had been getting me sick (catching a cold) over the past nine years. [/INST] Hi. You can try the following ayurvedic medicines: Continue this for two weeks and review after two weeks with an ayurveda specialist online --> |
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