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Q. I have an open sore behind my lower molar and it hurts badly. How to manage it? | Hi doctor, Behind my bottom right molar, there is an open sore, and it feels like something is tearing out. It is swollen over my molar too. There is a white discoloration around the sore, and back of my throat hurts on the same side. It hurts badly. I have difficulty in swallowing and in eating foods. Please help. | Hi. You have not mentioned the duration of your problem. It can be due to third molar impaction. When a wisdom tooth comes out from the oral cavity, sometimes it makes a problem. But if you have a difficulty with swallowing, then you should go to a local medical emergency. You can have a localized infection. A dental X-ray can help you. It can be a pericoronitis or due to a third molar impaction. You can take antibiotics. You can remove the impacted tooth after seeing the X-ray. The affected area should be clean. Follow proper oral hygiene and do not touch the affected area. Take a soft diet and do not take hot food. Do not apply force or pressure on the affected area. |
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Hi doctor, Behind my bottom right molar, there is an open sore, and it feels like something is tearing out. It is swollen over my molar too. There is a white discoloration around the sore, and back of my throat hurts on the same side. It hurts badly. I have difficulty in swallowing and in eating foods. Please help. [/INST] Hi. You have not mentioned the duration of your problem. It can be due to third molar impaction. When a wisdom tooth comes out from the oral cavity, sometimes it makes a problem. But if you have a difficulty with swallowing, then you should go to a local medical emergency. You can have a localized infection. A dental X-ray can help you. It can be a pericoronitis or due to a third molar impaction. You can take antibiotics. You can remove the impacted tooth after seeing the X-ray. The affected area should be clean. Follow proper oral hygiene and do not touch the affected area. Take a soft diet and do not take hot food. Do not apply force or pressure on the affected area. |
Q. I have heart burn and a small bubble like growth in the throat. What could it be? | Hi doctor, I have a small bubble-like growth in the back of the throat near tonsils. It flares up with irritation during coughing, grunting, and when I do exercise in the early morning. I snore at the night time, and I have heartburn. I consulted a doctor, and I was prescribed with Prilosec. Please help. | Hi. Please send a picture of your throat. |
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Hi doctor, I have a small bubble-like growth in the back of the throat near tonsils. It flares up with irritation during coughing, grunting, and when I do exercise in the early morning. I snore at the night time, and I have heartburn. I consulted a doctor, and I was prescribed with Prilosec. Please help. [/INST] Hi. Please send a picture of your throat. |
Q. My left eye seems to go inward. Why? | Hello doctor, I guess my husband has seen my left eye goes inward a lot and I can also notice it now. What could this be? I am worried about it. | Hi From your description, I can say that you are suffering from esotropia (an inward deviation of eyes). And from the fact that your husband had to notice it, tells me that you do not have any other problems like double vision. So you may be suffering from accommodative esotropia. If in case you are having double vision, the cause for this most probably is a nerve palsy. At your age, there could be two main causes of accommodative esotropia. Have you recently had a fever or have any sleep deprivation or are you dieting? Such stresses and similar issues can cause the mechanisms which keep your eyes straight to not work to their fullest extent. This is the commonest cause that we see. Have got any blurred vision or pain on your eyebrows? If so, you may need glasses to correct your esotropia. A simple way to find out if you need glasses is to do a pinhole test. Take a piece of paper, poke a small hole through it with a pen tip and try to see letter or objects that are around 6 m or 20 feet away through the hole. If you are able to see things clearly through the hole than without it, it means you may need glasses. Wearing glasses of appropriate power helps to correct the problem in a majority of patients. There are no home remedies for this condition that are known to give good relief from symptoms, although reducing near work, getting adequate sleep and relaxation techniques may work. A visit to your optometrist, especially if you have symptoms of pain along your eyebrow or see better through a pinhole is advisable. If you do have double vision, seeing an ophthalmologist might be suitable. |
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Hello doctor, I guess my husband has seen my left eye goes inward a lot and I can also notice it now. What could this be? I am worried about it. [/INST] Hi From your description, I can say that you are suffering from esotropia (an inward deviation of eyes). And from the fact that your husband had to notice it, tells me that you do not have any other problems like double vision. So you may be suffering from accommodative esotropia. If in case you are having double vision, the cause for this most probably is a nerve palsy. At your age, there could be two main causes of accommodative esotropia. Have you recently had a fever or have any sleep deprivation or are you dieting? Such stresses and similar issues can cause the mechanisms which keep your eyes straight to not work to their fullest extent. This is the commonest cause that we see. Have got any blurred vision or pain on your eyebrows? If so, you may need glasses to correct your esotropia. A simple way to find out if you need glasses is to do a pinhole test. Take a piece of paper, poke a small hole through it with a pen tip and try to see letter or objects that are around 6 m or 20 feet away through the hole. If you are able to see things clearly through the hole than without it, it means you may need glasses. Wearing glasses of appropriate power helps to correct the problem in a majority of patients. There are no home remedies for this condition that are known to give good relief from symptoms, although reducing near work, getting adequate sleep and relaxation techniques may work. A visit to your optometrist, especially if you have symptoms of pain along your eyebrow or see better through a pinhole is advisable. If you do have double vision, seeing an ophthalmologist might be suitable. |
Q. Why do I have excessive sweating after stopping the habit of alcohol drinking? | Hi doctor, I am a 36-year-old male. I was a daily drinker of hard alcohol for the past four years. I am in depression and anxiety. I consulted a doctor. The doctor gave me Zoloft and Propranolol. Before few days, I have removed a large ganglion cyst from my right wrist. I made a step to stop the habit of drinking alcohol. I started to have sweating from my head profusely and consistently. I had it for two weeks. Now, the sweating from my head has got subsided, and it moved to my legs. I tested for STD and HIV. It came negative. Why do I have sweating like this? Please help. | Hi. I have gone through your problem, and I can understand your concern. Yes, these symptoms are due to alcohol withdrawal. As you have stopped drinking alcohol, you can have these symptoms along with other symptoms such as tremor, palpitations, anxiety, and other severe withdrawal symptoms such as seizure and delirium. Withdrawal symptoms usually decrease in intensity by one to two weeks. You can take Thiamine and Benzodiazepine. Benzodiazepine help in reducing these symptoms and promote good sleep. Thiamine is vitamin which is usually deficit in an alcoholic. As you have abstinent around two weeks, you need only a low dose of Benzodiazepine. It will provide adequate sleep and also cause a decrease in sweat. Take tablet Trazodone. It also helps in sleep. You can consult a doctor for a prescription. |
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Hi doctor, I am a 36-year-old male. I was a daily drinker of hard alcohol for the past four years. I am in depression and anxiety. I consulted a doctor. The doctor gave me Zoloft and Propranolol. Before few days, I have removed a large ganglion cyst from my right wrist. I made a step to stop the habit of drinking alcohol. I started to have sweating from my head profusely and consistently. I had it for two weeks. Now, the sweating from my head has got subsided, and it moved to my legs. I tested for STD and HIV. It came negative. Why do I have sweating like this? Please help. [/INST] Hi. I have gone through your problem, and I can understand your concern. Yes, these symptoms are due to alcohol withdrawal. As you have stopped drinking alcohol, you can have these symptoms along with other symptoms such as tremor, palpitations, anxiety, and other severe withdrawal symptoms such as seizure and delirium. Withdrawal symptoms usually decrease in intensity by one to two weeks. You can take Thiamine and Benzodiazepine. Benzodiazepine help in reducing these symptoms and promote good sleep. Thiamine is vitamin which is usually deficit in an alcoholic. As you have abstinent around two weeks, you need only a low dose of Benzodiazepine. It will provide adequate sleep and also cause a decrease in sweat. Take tablet Trazodone. It also helps in sleep. You can consult a doctor for a prescription. |
Q. What is the black pointy substance sticking out of my gums? | Hi doctor, I have done a root canal before few years. But it fell off, and nothing has been there for a few years. This morning, when I woke up, I saw a black pointy substance sticking out on my gum. What is it? | Hi. I have gone through the attachment (attachment removed to protect patient identity). On looking your tooth and after going through your complaint, there is a retained root piece. It is left behind there. There is nothing to worry. You need to extract it soon from your dentist. Root canal treatment generally fails when the tooth is not capped. Since it has fallen on its own, the top portion of the tooth has come off leaving the root stump. In some instances, you can see it after a long time due to gum recession. |
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Hi doctor, I have done a root canal before few years. But it fell off, and nothing has been there for a few years. This morning, when I woke up, I saw a black pointy substance sticking out on my gum. What is it? [/INST] Hi. I have gone through the attachment (attachment removed to protect patient identity). On looking your tooth and after going through your complaint, there is a retained root piece. It is left behind there. There is nothing to worry. You need to extract it soon from your dentist. Root canal treatment generally fails when the tooth is not capped. Since it has fallen on its own, the top portion of the tooth has come off leaving the root stump. In some instances, you can see it after a long time due to gum recession. |
Q. My stool is often covered with bright red blood, and I feel fatigued. Why? | Hi Doctor, Almost 40 days back I saw bright red drops of blood coming out when I was passing the stool, I saw blood(bright red/red) in my stool for next two days and then the problem went away but I became conscious. Since past week I'd noticed very small amount of blood in my stool.But last night I saw my stool covered in bright red/red blood. I am also constantly seeing mucus/jelly type substance in my stool. One other thing I am worried about is I often see grey/dark grey liquid thing on my stool I am not sure its blood. I do feel fatigued, but I am not feeling any kind of pain anywhere in my body. Even when passing the stool I dont feel any kind of pain. But my urge to poop has increased lately. My age is 23 and weight is around 77 kg my height is 6 ft. | Hello dear, hope you are fine. The presentation you described is likely to be a hemorrhoids (biles), that causing blood in the stool. The fatigue you described maybe due to loss of blood, that caused anemia. I recommend that to confirm the diagnosis, to be examined by a surgeon, so to make sure it's only hemorrhoid, and no other masses there causing your symptoms. I also recommend to have blood test, CBC , so to check your hemoglobin. once diagnosis is confirmed, we will discuss the management (which mostly include having high fiber diet and oral laxatives). |
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Hi Doctor, Almost 40 days back I saw bright red drops of blood coming out when I was passing the stool, I saw blood(bright red/red) in my stool for next two days and then the problem went away but I became conscious. Since past week I'd noticed very small amount of blood in my stool.But last night I saw my stool covered in bright red/red blood. I am also constantly seeing mucus/jelly type substance in my stool. One other thing I am worried about is I often see grey/dark grey liquid thing on my stool I am not sure its blood. I do feel fatigued, but I am not feeling any kind of pain anywhere in my body. Even when passing the stool I dont feel any kind of pain. But my urge to poop has increased lately. My age is 23 and weight is around 77 kg my height is 6 ft. [/INST] Hello dear, hope you are fine. The presentation you described is likely to be a hemorrhoids (biles), that causing blood in the stool. The fatigue you described maybe due to loss of blood, that caused anemia. I recommend that to confirm the diagnosis, to be examined by a surgeon, so to make sure it's only hemorrhoid, and no other masses there causing your symptoms. I also recommend to have blood test, CBC , so to check your hemoglobin. once diagnosis is confirmed, we will discuss the management (which mostly include having high fiber diet and oral laxatives). |
Q. How long should my husband and I wait to try for a baby if we did cocaine? | Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. | Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> |
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Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. [/INST] Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> |
Q. Can Yasmin birth control pill be used as an emergency contraceptive pill? | Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? | Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> |
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Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? [/INST] Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> |
Q. Please explain the poisonous effect of phenol ingestion. | Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. | Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> |
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Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. [/INST] Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> |
Q. For how long should I take Kalachikai powder to overcome PCOD problem? | Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? | Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> |
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Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? [/INST] Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> |
Q. Why do periods get delayed after first time sex? | Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? | Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> |
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Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? [/INST] Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> |
Q. Please tell me the treatment to remove scar on my face. | Hello doctor, I have these marks which were initially boils. I have had these marks on my chin before but was not so bad, but the other day I had three boils and it made the marks on my face look more standing out as before they were not noticeable. I used hot water on my boils and I think that it brought out the marks on my face. Will they fade? As they are depressing me as they look like spots or a scar when they are not a spot. How do I get rid of it? Please help. | Hi. I have seen your query and concern and examined your picture (attachment removed to protect patient identity). With your descriptions and given picture, it seems you have a hypertrophic scar (raised scar due to excess collagen deposits). If you will not treat them, it will remain as such, but rarely can it subside too. It is a reaction pattern of the body to injury. It can be treated by intralesional steroid injection like Kenokort (Triamcinolone acetonide) 10 mg/ml, 0.1ml/cm2 intralesional at the gap of three weeks interval, given by a dermatologist. |
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Hello doctor, I have these marks which were initially boils. I have had these marks on my chin before but was not so bad, but the other day I had three boils and it made the marks on my face look more standing out as before they were not noticeable. I used hot water on my boils and I think that it brought out the marks on my face. Will they fade? As they are depressing me as they look like spots or a scar when they are not a spot. How do I get rid of it? Please help. [/INST] Hi. I have seen your query and concern and examined your picture (attachment removed to protect patient identity). With your descriptions and given picture, it seems you have a hypertrophic scar (raised scar due to excess collagen deposits). If you will not treat them, it will remain as such, but rarely can it subside too. It is a reaction pattern of the body to injury. It can be treated by intralesional steroid injection like Kenokort (Triamcinolone acetonide) 10 mg/ml, 0.1ml/cm2 intralesional at the gap of three weeks interval, given by a dermatologist. |
Q. I bleed after sex, but not always. What could be the reason behind it? | Hi doctor, I am 23 years old. I have bleeding after sex for a few years. It does not happen every time. I consulted a doctor, and I got tested for STI. The results came negative. The doctor did a physical examination and told me that everything is fine. I also had constipation for a week. Please suggest. | Hi. I have gone through the attachment (attachment removed to protect patient identity). Having bleeding after sex is not normal. The reasons are multiple. It can be due to STD (sexually transmitted diseases), PID (pelvic inflammatory disease), cyst near the vaginal opening, and trauma due to vigorous sex. Since you have negative results for STD, then there is nothing to worry. I would suggest you use lubricants to have proper lubrication. Dryness of vagina or rough sex can also cause bleeding after sex. If you are allergic to lubricants, then it is better to wait for a proper stimulation with the right use of foreplay before having intercourse. |
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Hi doctor, I am 23 years old. I have bleeding after sex for a few years. It does not happen every time. I consulted a doctor, and I got tested for STI. The results came negative. The doctor did a physical examination and told me that everything is fine. I also had constipation for a week. Please suggest. [/INST] Hi. I have gone through the attachment (attachment removed to protect patient identity). Having bleeding after sex is not normal. The reasons are multiple. It can be due to STD (sexually transmitted diseases), PID (pelvic inflammatory disease), cyst near the vaginal opening, and trauma due to vigorous sex. Since you have negative results for STD, then there is nothing to worry. I would suggest you use lubricants to have proper lubrication. Dryness of vagina or rough sex can also cause bleeding after sex. If you are allergic to lubricants, then it is better to wait for a proper stimulation with the right use of foreplay before having intercourse. |
Q. My gums are itchy after eating. Please help. | Hi doctor, My gums are itchy after eating. I used mouthwash. After using it, I usually rinse my mouth with water. I started to have a burning sensation in my gums after using mouthwash. But still, my gums are itchy. | Hi. You have gingivitis. You have itching sensation after having meals is because of the periodontal pocket presenting with a gap between the teeth and gums. Please mention about the mouthwash used whether it is Chlorhexidine or H2O2 (Hydrogen peroxide). If you use H2O2, it should not be used more than 5 % concentration. Sometimes, mouthwash can cause a chemical burn. Doing dental scaling (oral prophylaxis) is necessary. |
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Hi doctor, My gums are itchy after eating. I used mouthwash. After using it, I usually rinse my mouth with water. I started to have a burning sensation in my gums after using mouthwash. But still, my gums are itchy. [/INST] Hi. You have gingivitis. You have itching sensation after having meals is because of the periodontal pocket presenting with a gap between the teeth and gums. Please mention about the mouthwash used whether it is Chlorhexidine or H2O2 (Hydrogen peroxide). If you use H2O2, it should not be used more than 5 % concentration. Sometimes, mouthwash can cause a chemical burn. Doing dental scaling (oral prophylaxis) is necessary. |
Q. I have got black stools along with fluctuating appetite. Please help. | Hello doctor, I have got black stools along with fluctuating appetite, stomach pain, and diarrhea and general run-downness including being freezing. Do I need to worry? | Hi. I have gone through your query and can understand your health concern. Black colored stools could be due to many causes. It could be due to some medicines like Iron supplements or NSAID analgesic or antiplatelet drugs, etc. If you are taking any of these drugs, stop them. Yes, you need to worry as black colored stools are indicative of bleeding in the gastrointestinal tract also. I suggest you consult a physician as early as possible. You need an ultrasound of the abdomen and pelvis and certain other investigations if required. |
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Hello doctor, I have got black stools along with fluctuating appetite, stomach pain, and diarrhea and general run-downness including being freezing. Do I need to worry? [/INST] Hi. I have gone through your query and can understand your health concern. Black colored stools could be due to many causes. It could be due to some medicines like Iron supplements or NSAID analgesic or antiplatelet drugs, etc. If you are taking any of these drugs, stop them. Yes, you need to worry as black colored stools are indicative of bleeding in the gastrointestinal tract also. I suggest you consult a physician as early as possible. You need an ultrasound of the abdomen and pelvis and certain other investigations if required. |
Q. Should I get sinus lift surgery before implant placement? | Hello doctor, I had a tooth pulled about six months ago and continued to have slight pain at the site. I was told today that it is because my sinuses are so low and they suggested I get a sinus lift, bone graft, and implant. I have terrible dental anxiety (my blood pressure goes up just thinking of going to the dentist) that I really do not want to go through all this if I do not have to. I did some research and it sounds much more involved than I think I can handle, not to mention the cost involved. I am 51 and not really worried about having an implant put in because of the cost as well. What I want to know is what would happen if I do not get the sinus lift? Will it eventually calm down or will it get worse? Before I agree to this procedure, I really want to know all my options. I understand that dentists believe that implants are the best but this is an involved procedure that costs a lot of money and downtime that I really cannot afford. | Hi. Well, if the sinus is low, then sinus lift procedure is a must to place an implant. Without sinus lift, an implant cannot be placed. It is a surgical procedure that can be very effectively done by an oral surgeon or a trained implantologist, so you need not be so worried about it. Can you please tell what do you have just irritation in the extraction area or there are associated symptoms like pain on the cheek around the nose or nasal congestion, etc.? Also, upload the X-ray so that I can advise you more precisely. Please revert back with answers. |
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Hello doctor, I had a tooth pulled about six months ago and continued to have slight pain at the site. I was told today that it is because my sinuses are so low and they suggested I get a sinus lift, bone graft, and implant. I have terrible dental anxiety (my blood pressure goes up just thinking of going to the dentist) that I really do not want to go through all this if I do not have to. I did some research and it sounds much more involved than I think I can handle, not to mention the cost involved. I am 51 and not really worried about having an implant put in because of the cost as well. What I want to know is what would happen if I do not get the sinus lift? Will it eventually calm down or will it get worse? Before I agree to this procedure, I really want to know all my options. I understand that dentists believe that implants are the best but this is an involved procedure that costs a lot of money and downtime that I really cannot afford. [/INST] Hi. Well, if the sinus is low, then sinus lift procedure is a must to place an implant. Without sinus lift, an implant cannot be placed. It is a surgical procedure that can be very effectively done by an oral surgeon or a trained implantologist, so you need not be so worried about it. Can you please tell what do you have just irritation in the extraction area or there are associated symptoms like pain on the cheek around the nose or nasal congestion, etc.? Also, upload the X-ray so that I can advise you more precisely. Please revert back with answers. |
Q. Why do my teenage duaughter gets frequent leg pain? | Hi doctor, I have a 16-year-old daughter who gets leg pains on a regular basis but not so frequent. It occurs let us say every three months. This started from childhood and she still gets it. She told me she cannot sleep at night when she gets these leg pains. Do you have any advice on home remedies and medication to help her get rid of the pain? | Hi. Growing pain are a common cause of leg pain in children. These pains are muscle aches that can occur in thighs, behind the knees, or the calves. Other possible causes of leg pain that may be more serious can include juvenile idiopathic arthritis (JIA), lupus, Lyme's disease, and leukemia. If the pain is prolonged, fever, severe pain, rashes, sluggish or inactive then it is to worry about. But not in your daughter's case. Here some tips which surely will help to treat the pain. Treatment of growing pains depends on how much pain your child has. The following things may ease discomfort and help your child feel better. 1. Massaging the legs. 2. Streching the leg muscles, though it is difficult for younger kids, need to do it slowly. 3. Placing a warm cloth or heating pad on the sore leg. Be careful not to burn the skin and do not use it during sleep. The pain should be reduced in two to three weeks, if it still continues and she get fever and the above-mentioned symptoms, then you can take her to the children's specialist so that any Ibrufen or other medicines can be given by diagnosing it. |
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Hi doctor, I have a 16-year-old daughter who gets leg pains on a regular basis but not so frequent. It occurs let us say every three months. This started from childhood and she still gets it. She told me she cannot sleep at night when she gets these leg pains. Do you have any advice on home remedies and medication to help her get rid of the pain? [/INST] Hi. Growing pain are a common cause of leg pain in children. These pains are muscle aches that can occur in thighs, behind the knees, or the calves. Other possible causes of leg pain that may be more serious can include juvenile idiopathic arthritis (JIA), lupus, Lyme's disease, and leukemia. If the pain is prolonged, fever, severe pain, rashes, sluggish or inactive then it is to worry about. But not in your daughter's case. Here some tips which surely will help to treat the pain. Treatment of growing pains depends on how much pain your child has. The following things may ease discomfort and help your child feel better. 1. Massaging the legs. 2. Streching the leg muscles, though it is difficult for younger kids, need to do it slowly. 3. Placing a warm cloth or heating pad on the sore leg. Be careful not to burn the skin and do not use it during sleep. The pain should be reduced in two to three weeks, if it still continues and she get fever and the above-mentioned symptoms, then you can take her to the children's specialist so that any Ibrufen or other medicines can be given by diagnosing it. |
Q. Is my blood test report normal? | Hi doctor, I need a doctor to review this blood work that I received. I have had chronic sinus infections. Currently, I am taking Doxycycline 100 mg, twice a day for three weeks, for an upper respiratory infection. I am now on my second week of antibiotics. | Hello. I have gone through your reports (attachment removed to protect patient identity). Overall, it is fine with some abnormalities. Firstly, your potassium is high which is likely a false positive report due to hemolysis of RBC. So, nothing to worry about it. However, better to get reconfirmed. Next is your, SGOT and SGPT, which indicates liver injury and the most probable reason for such mild elevation is fatty liver, for which you need to have a healthy lifestyle, low fat and oily, calorie diet and weight loss if you are overweight. Also, ultrasound of liver is advisable to confirm fatty liver. Also, it is better to obtain hepatitis viral profile (hepatitis B and C test) to rule out the possibility of hepatitis. Next is your WBC in urine which are borderlinely elevated suggests a possibility of UTI. Although it is not significantly elevated. Also, Doxycycline will work over it. So, you may just repeat urine routine examination if you develop any symptoms of UTI like burning, increased frequency, etc. Mild ESR (erythrocyte sedimentation rate) elevation may be due to upper respiratory infection. Rest of your blood parameters are fine and figures in red are not necessarily abnormal. In the CT scan, cysts are associated with sinusitis and can be observed. Also, lung nodules and ovarian cyst are also commonly found and need no specific treatment other than observation. Also, while obtaining an ultrasound of the liver, it should also include ovaries to characterize those cyst better. So, overall, findings in CT are benign and does not appear worrisome. However, once get examined by a local doctor for complete evaluation. |
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Hi doctor, I need a doctor to review this blood work that I received. I have had chronic sinus infections. Currently, I am taking Doxycycline 100 mg, twice a day for three weeks, for an upper respiratory infection. I am now on my second week of antibiotics. [/INST] Hello. I have gone through your reports (attachment removed to protect patient identity). Overall, it is fine with some abnormalities. Firstly, your potassium is high which is likely a false positive report due to hemolysis of RBC. So, nothing to worry about it. However, better to get reconfirmed. Next is your, SGOT and SGPT, which indicates liver injury and the most probable reason for such mild elevation is fatty liver, for which you need to have a healthy lifestyle, low fat and oily, calorie diet and weight loss if you are overweight. Also, ultrasound of liver is advisable to confirm fatty liver. Also, it is better to obtain hepatitis viral profile (hepatitis B and C test) to rule out the possibility of hepatitis. Next is your WBC in urine which are borderlinely elevated suggests a possibility of UTI. Although it is not significantly elevated. Also, Doxycycline will work over it. So, you may just repeat urine routine examination if you develop any symptoms of UTI like burning, increased frequency, etc. Mild ESR (erythrocyte sedimentation rate) elevation may be due to upper respiratory infection. Rest of your blood parameters are fine and figures in red are not necessarily abnormal. In the CT scan, cysts are associated with sinusitis and can be observed. Also, lung nodules and ovarian cyst are also commonly found and need no specific treatment other than observation. Also, while obtaining an ultrasound of the liver, it should also include ovaries to characterize those cyst better. So, overall, findings in CT are benign and does not appear worrisome. However, once get examined by a local doctor for complete evaluation. |
Q. I have pain and sensitivity in my tooth due to cavity. Is it normal? | Hi doctor, I am 14 years old. I have pain in my canine tooth due to a cavity. I have a sensitivity problem when I brush my teeth and when I eat ice cream. Is it normal? | Hi. If you have not filled the tooth and if there is sensitivity in the tooth, then it will not have a long term. It takes a month to have a formation of secondary dentine. So for one month, you must not eat too hot or too cold foods. Please mention about the treatment taken for the tooth. If you have filled the tooth, then there is no need to worry. It subsides with time. Kindly fill your teeth soon. If it is not filled, then you can have continuous pain in the tooth. You can also try using a desensitizing toothpaste. |
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Hi doctor, I am 14 years old. I have pain in my canine tooth due to a cavity. I have a sensitivity problem when I brush my teeth and when I eat ice cream. Is it normal? [/INST] Hi. If you have not filled the tooth and if there is sensitivity in the tooth, then it will not have a long term. It takes a month to have a formation of secondary dentine. So for one month, you must not eat too hot or too cold foods. Please mention about the treatment taken for the tooth. If you have filled the tooth, then there is no need to worry. It subsides with time. Kindly fill your teeth soon. If it is not filled, then you can have continuous pain in the tooth. You can also try using a desensitizing toothpaste. |
Q. My HIV test is positive. What is the reason for contracting the virus? | Hello doctor, I recently tested positive for HIV and had a viral load test which was 160k and CD4 count of 145. My issue now is with how I could have contracted the virus. I have had three sexual partners and there was always protection. Two tested negatives after I informed them about my results and the last and most recent is insisting he is not ready and it was protected all the way. Although we did have anal at times and I cannot be 100 % sure that the condom was there. I have also had a parasitic infection which affects my scalp for a couple of years. Is it possible for something to mimic HIV in tests? I have been to the dentist thrice in all my life for an extraction and checkups. I also had an appendicectomy 13 years back. I have had occasional IV therapy and a few injections. I have never shown any symptoms. I am also anemic. | Hi. For condoms to be effective, it has to be a latex condom used consistently and correctively and a newer condom for each sexual act. There should not be any break or it should not have slipped off during the act. If all the steps had been followed, then only it is said that 98 to 99 % effective in the prevention of STI and HIV. Unfortunately, condoms are not used properly resulting in failure rates. The tests which you underwent for HIV are highly sensitive and specific. There is no chance of mimicking any other infection. You need to initiate antiretroviral therapy as soon as possible. It is a really effective therapy. |
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Hello doctor, I recently tested positive for HIV and had a viral load test which was 160k and CD4 count of 145. My issue now is with how I could have contracted the virus. I have had three sexual partners and there was always protection. Two tested negatives after I informed them about my results and the last and most recent is insisting he is not ready and it was protected all the way. Although we did have anal at times and I cannot be 100 % sure that the condom was there. I have also had a parasitic infection which affects my scalp for a couple of years. Is it possible for something to mimic HIV in tests? I have been to the dentist thrice in all my life for an extraction and checkups. I also had an appendicectomy 13 years back. I have had occasional IV therapy and a few injections. I have never shown any symptoms. I am also anemic. [/INST] Hi. For condoms to be effective, it has to be a latex condom used consistently and correctively and a newer condom for each sexual act. There should not be any break or it should not have slipped off during the act. If all the steps had been followed, then only it is said that 98 to 99 % effective in the prevention of STI and HIV. Unfortunately, condoms are not used properly resulting in failure rates. The tests which you underwent for HIV are highly sensitive and specific. There is no chance of mimicking any other infection. You need to initiate antiretroviral therapy as soon as possible. It is a really effective therapy. |
Q. I am taking Corparin injection daily. Will it cause any harm to my pregnancy? | Hi doctor, I am six weeks pregnant, and I am using 20 units of Corparin injection daily. On the first day, I was given 20 units, and on the next day, I was given 40 units. Will it cause any harm to my pregnancy? | Hi. Corparin (Enoxaparin) has low molecular weight. It blocks the formation of blood coagulation proteins, and it prevents the formation of blood clots. So the blood flow to the baby will be good. There will not be any rejection of the baby tissue by your body. Thus it reduces the chances of abortion. It is especially useful if you have SLE (systemic lupus erythematosus) or APLA syndrome (antiphospholipid antibody syndrome) or history of having repeated abortion or history of having an abortion after seeing the baby's heartbeat in a previous pregnancy. The effective dose of the drug is 1 mg by kilogram body weight, once a day. It is given subcutaneously. Usually, we can take 40 mg per day. Duration of action of this medicine is 24 hours if it is a prophylactic dose. If it is a therapeutic dose, it is given twice a day (if you had a history of thromboembolism or pulmonary embolism or deep vein thrombosis). A single change of dosage will not make any significant difference. Try to have a right dose of 40 mg per day from the next dose. Do not worry about the previous dose as you cannot change it. Just do everything right from the next dose. You and your baby will be fine. |
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Hi doctor, I am six weeks pregnant, and I am using 20 units of Corparin injection daily. On the first day, I was given 20 units, and on the next day, I was given 40 units. Will it cause any harm to my pregnancy? [/INST] Hi. Corparin (Enoxaparin) has low molecular weight. It blocks the formation of blood coagulation proteins, and it prevents the formation of blood clots. So the blood flow to the baby will be good. There will not be any rejection of the baby tissue by your body. Thus it reduces the chances of abortion. It is especially useful if you have SLE (systemic lupus erythematosus) or APLA syndrome (antiphospholipid antibody syndrome) or history of having repeated abortion or history of having an abortion after seeing the baby's heartbeat in a previous pregnancy. The effective dose of the drug is 1 mg by kilogram body weight, once a day. It is given subcutaneously. Usually, we can take 40 mg per day. Duration of action of this medicine is 24 hours if it is a prophylactic dose. If it is a therapeutic dose, it is given twice a day (if you had a history of thromboembolism or pulmonary embolism or deep vein thrombosis). A single change of dosage will not make any significant difference. Try to have a right dose of 40 mg per day from the next dose. Do not worry about the previous dose as you cannot change it. Just do everything right from the next dose. You and your baby will be fine. |
Q. I am suffering from Pcos. Can I take coffee? | Hi doctor, I am 23 years old female. I have PCOS. I was a heavy coffee drinker before knowing this condition. But I have controlled it. I am taking black coffee once a week. Is it fine to have a coffee when having PCOS? | Hi. Coffee is a substance that increases the insulin resistance immediately after consumption. In PCOD, the insulin resistance is high. But having one cup per day will not be very harmful. Usually, PCOD (polycystic ovarian syndrome) is associated with overweight and with a family history of diabetes. You seem to have a lean type of PCOD. Try to have a controlled diet, high protein diet, low cholesterol, fat, and sugar. Avoid eating junk food. Do regular exercise. You may not be gaining weight, but your blood cholesterol may be the culprit. For medical management, take tablet Metformin SR 1000 mg once at night daily. It is used for treating diabetes, but it will reduce insulin resistance. Have a birth control pill like Dronis 30 or Doris or Tarana or Yasmin (contains Drospirenone) cyclically for three to six months. Have the tablets for 21 days and have a break of seven days. Start a new one from the eighth day. Your periods will become regular, and a hormonal balance can be attained. |
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Hi doctor, I am 23 years old female. I have PCOS. I was a heavy coffee drinker before knowing this condition. But I have controlled it. I am taking black coffee once a week. Is it fine to have a coffee when having PCOS? [/INST] Hi. Coffee is a substance that increases the insulin resistance immediately after consumption. In PCOD, the insulin resistance is high. But having one cup per day will not be very harmful. Usually, PCOD (polycystic ovarian syndrome) is associated with overweight and with a family history of diabetes. You seem to have a lean type of PCOD. Try to have a controlled diet, high protein diet, low cholesterol, fat, and sugar. Avoid eating junk food. Do regular exercise. You may not be gaining weight, but your blood cholesterol may be the culprit. For medical management, take tablet Metformin SR 1000 mg once at night daily. It is used for treating diabetes, but it will reduce insulin resistance. Have a birth control pill like Dronis 30 or Doris or Tarana or Yasmin (contains Drospirenone) cyclically for three to six months. Have the tablets for 21 days and have a break of seven days. Start a new one from the eighth day. Your periods will become regular, and a hormonal balance can be attained. |
Q. How long should my husband and I wait to try for a baby if we did cocaine? | Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. | Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> |
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Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. [/INST] Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> |
Q. Can Yasmin birth control pill be used as an emergency contraceptive pill? | Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? | Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> |
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Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? [/INST] Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> |
Q. Please explain the poisonous effect of phenol ingestion. | Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. | Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> |
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Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. [/INST] Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> |
Q. For how long should I take Kalachikai powder to overcome PCOD problem? | Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? | Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> |
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Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? [/INST] Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> |
Q. Why do periods get delayed after first time sex? | Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? | Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> |
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Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? [/INST] Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> |
Q. My mother is on insulin with fever. Please help. | Hello doctor, Last month, my mother went to the hospital for diabetics, and her reading is 200 mg before having food, and after meal reading is 300. Doctor gave her 35 points of insulin. Again she took her sugar test yesterday, and her result is 180 (within normal levels). My mother suffering from fever right now. So my question is, Do this fever occur due to high amount of insulin even though she was within limits now? Now, what should we do? How much insulin should she take? | Hi. From your history, I have noted that your mother was diagnosed with uncontrolled type 2 diabetes and was on insulin since one month. Now on review, yesterday it was found that it is under control with the present dose of insulin. Coming to your concern, insulin will not cause fever, whatever dose you are taking. But uncontrolled diabetes can be a trigger for infections like urinary infections, chest infections, and even be more cautious about insulin site infections if you are not properly injecting. Please make sure you are rotating the sites of injection between the abdomen, thighs, and upper arm. ? Viral fever, ? UTI (urinary tract infection). Urine routine, HBA1c (glycated hemoglobin), serum creatinine, CBC (complete blood count) with ESR (erythrocyte sedimentation rate). Continue insulin in the prescribed dose. Rotate insulin site. Do regular exercise for 30 minutes per day. Follow strict diabetic diet. Review with the above reports. Please attach your old prescription |
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Hello doctor, Last month, my mother went to the hospital for diabetics, and her reading is 200 mg before having food, and after meal reading is 300. Doctor gave her 35 points of insulin. Again she took her sugar test yesterday, and her result is 180 (within normal levels). My mother suffering from fever right now. So my question is, Do this fever occur due to high amount of insulin even though she was within limits now? Now, what should we do? How much insulin should she take? [/INST] Hi. From your history, I have noted that your mother was diagnosed with uncontrolled type 2 diabetes and was on insulin since one month. Now on review, yesterday it was found that it is under control with the present dose of insulin. Coming to your concern, insulin will not cause fever, whatever dose you are taking. But uncontrolled diabetes can be a trigger for infections like urinary infections, chest infections, and even be more cautious about insulin site infections if you are not properly injecting. Please make sure you are rotating the sites of injection between the abdomen, thighs, and upper arm. ? Viral fever, ? UTI (urinary tract infection). Urine routine, HBA1c (glycated hemoglobin), serum creatinine, CBC (complete blood count) with ESR (erythrocyte sedimentation rate). Continue insulin in the prescribed dose. Rotate insulin site. Do regular exercise for 30 minutes per day. Follow strict diabetic diet. Review with the above reports. Please attach your old prescription |
Q. What is the reason for throat pain with jaw and ear pain? | Hello doctor, I have been struggling with a throat pain on my left side of the mouth accompanied with jaw and ear pain on the same side. I had been to the doctors three times and been on antibiotics twice. Still, it does not go away. I was referred to a local ENT. I can feel lymph nodes swollen on the same side as well and now a swollen lump under the jaw on the same side. I am very scared and I need some advice. | Hello. When you had swollen lymph nodes in your body, what was the diagnosis? Did those heal completely? Is the current issue the palpable node? Is it present only on the left side or both sides? Are the swollen nodes also painful? My initial suspects are temporomandibular joint disorder or arthritis, stupid process enlargement on the left side, tonsillitis and ear problem. Are there any problems with chewing or swallowing or hearing? Any ear discharge or ear fullness or ringing noise in ear or giddiness? Can you upload the jaw X-ray? Have you done any scanning for the sinuses? Any sinus problem like nose block or a headache or a runny nose or thick nasal discharge? Do you take medicines for diabetes or blood pressure or thyroid? |
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Hello doctor, I have been struggling with a throat pain on my left side of the mouth accompanied with jaw and ear pain on the same side. I had been to the doctors three times and been on antibiotics twice. Still, it does not go away. I was referred to a local ENT. I can feel lymph nodes swollen on the same side as well and now a swollen lump under the jaw on the same side. I am very scared and I need some advice. [/INST] Hello. When you had swollen lymph nodes in your body, what was the diagnosis? Did those heal completely? Is the current issue the palpable node? Is it present only on the left side or both sides? Are the swollen nodes also painful? My initial suspects are temporomandibular joint disorder or arthritis, stupid process enlargement on the left side, tonsillitis and ear problem. Are there any problems with chewing or swallowing or hearing? Any ear discharge or ear fullness or ringing noise in ear or giddiness? Can you upload the jaw X-ray? Have you done any scanning for the sinuses? Any sinus problem like nose block or a headache or a runny nose or thick nasal discharge? Do you take medicines for diabetes or blood pressure or thyroid? |
Q. My front tooth is crooked and loose along with gum pain. How to correct it? | Hi doctor, My front tooth is going to fall out. It is very crooked and loose for about four to five years. Then, I started to have anxiety, and I am grinding my teeth bad. It got looser and looser for the past couple of years. Now, I have deep, sharp pains in my gums on that side. It hurts me a lot, and I have sensitivity in the tooth. The cold air coming from outside kills me. My head and right ear are also aching for the past couple of days. Please help me. | Hi. I have gone through the attachment (attachment removed to protect patient identity). You have mild inflammation in the gums. Your front teeth are not organized in the arch. Please send a front view of your anterior teeth. You need a clinical examination followed by a dental X-ray for estimating the bone level and the grade of tooth mobility. There is a possibility to save your tooth. You need oral prophylaxis, and you can have a flap surgery for grafting (after estimation if there is a bone loss). Avoid doing hard brushing. Follow these oral hygiene instructions. Maintain your oral hygiene by cleaning your teeth and tongue properly. Brush your teeth two times a day with a soft toothbrush. You can rinse your mouth with warm water mixed with a pinch of salt, or you can use a good antiseptic mouthwash. These instructions help you to maintain oral hygiene. Consult your dentist soon for a clinical examination and treatment. |
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Hi doctor, My front tooth is going to fall out. It is very crooked and loose for about four to five years. Then, I started to have anxiety, and I am grinding my teeth bad. It got looser and looser for the past couple of years. Now, I have deep, sharp pains in my gums on that side. It hurts me a lot, and I have sensitivity in the tooth. The cold air coming from outside kills me. My head and right ear are also aching for the past couple of days. Please help me. [/INST] Hi. I have gone through the attachment (attachment removed to protect patient identity). You have mild inflammation in the gums. Your front teeth are not organized in the arch. Please send a front view of your anterior teeth. You need a clinical examination followed by a dental X-ray for estimating the bone level and the grade of tooth mobility. There is a possibility to save your tooth. You need oral prophylaxis, and you can have a flap surgery for grafting (after estimation if there is a bone loss). Avoid doing hard brushing. Follow these oral hygiene instructions. Maintain your oral hygiene by cleaning your teeth and tongue properly. Brush your teeth two times a day with a soft toothbrush. You can rinse your mouth with warm water mixed with a pinch of salt, or you can use a good antiseptic mouthwash. These instructions help you to maintain oral hygiene. Consult your dentist soon for a clinical examination and treatment. |
Q. What does the MRI of ankle, foot and hip taken after four years of a fall injury indicate? | Hello doctor, I would very much like a second opinion on a recent MRI of my ankle, foot and hip after a fall over four years ago. I have been wearing an air cast boot for support but I have an extremely inverted ankle or foot following the fall. However, the MRI of the foot, ankle, and hips are normal. | Hi. Your MRI of the ankle, foot, and hip seems to be normal (attachment removed to protect patient identity). Well, I am not able to understand your problem. What difficulty you have? Is it present while sitting or only on standing? Kindly elaborate more of your symptoms so that I can help you better. If possible send a photograph of both your foot while standing. |
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Hello doctor, I would very much like a second opinion on a recent MRI of my ankle, foot and hip after a fall over four years ago. I have been wearing an air cast boot for support but I have an extremely inverted ankle or foot following the fall. However, the MRI of the foot, ankle, and hips are normal. [/INST] Hi. Your MRI of the ankle, foot, and hip seems to be normal (attachment removed to protect patient identity). Well, I am not able to understand your problem. What difficulty you have? Is it present while sitting or only on standing? Kindly elaborate more of your symptoms so that I can help you better. If possible send a photograph of both your foot while standing. |
Q. Why do I have elevated vitamin B12 and SGOT? | Hi doctor, I am 33 years old male. I have a B12 level of 1800 pg/mL and SGOT of 80 U/L. My SGOT level is within range. I have never taken B12 supplements. Please suggest. | Hi. Do not be scared. Repeat the tests soon. A raised B12 can happen due to laboratory error. Even after that, if you have SGOT (aspartate transaminase) above SGPT (alanine transaminase), you should do a USG (ultrasound) abdomen. A raised SGOT above SGPT of about 2:1 ratio suggests an alcoholic liver disease. I do not know about your drinking habits. A chronically elevated SGOT above SGPT can also occur due to nonhepatic causes like hypothyroidism and in some myopathies (muscle illness). You should get your tests repeated along with serum TSH levels, complete blood count and kidney function tests. Serum B12 is metabolized in the liver, and its excess is excreted through kidneys. |
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Hi doctor, I am 33 years old male. I have a B12 level of 1800 pg/mL and SGOT of 80 U/L. My SGOT level is within range. I have never taken B12 supplements. Please suggest. [/INST] Hi. Do not be scared. Repeat the tests soon. A raised B12 can happen due to laboratory error. Even after that, if you have SGOT (aspartate transaminase) above SGPT (alanine transaminase), you should do a USG (ultrasound) abdomen. A raised SGOT above SGPT of about 2:1 ratio suggests an alcoholic liver disease. I do not know about your drinking habits. A chronically elevated SGOT above SGPT can also occur due to nonhepatic causes like hypothyroidism and in some myopathies (muscle illness). You should get your tests repeated along with serum TSH levels, complete blood count and kidney function tests. Serum B12 is metabolized in the liver, and its excess is excreted through kidneys. |
Q. I have an abscessed tooth. How long will it take to spread? | Hi doctor, I am 26 years old female. I have an abscess in my tooth for over a year now. I am getting it infected for the second time now. The previous infection was before six months. It is present at the bottom of one of my lower molars. It hurts me a lot. How long will it take to spread throughout the body? | Hi. There is a less chance to have the infection spreading to the whole body. But, sometimes, it happens when the swelling gets increased and when the fever becomes uncontrollable for two to three days. There is a chance to have a cystic lesion due to the chronic infection. You can treat it either by doing a root canal or get it removed as soon as possible. During the meantime, take Augmentin 625 (Amoxycillin with Clavulanic acid) twice daily for five days. It will eradicate your infection at this stage, and it prevents further spread. |
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Hi doctor, I am 26 years old female. I have an abscess in my tooth for over a year now. I am getting it infected for the second time now. The previous infection was before six months. It is present at the bottom of one of my lower molars. It hurts me a lot. How long will it take to spread throughout the body? [/INST] Hi. There is a less chance to have the infection spreading to the whole body. But, sometimes, it happens when the swelling gets increased and when the fever becomes uncontrollable for two to three days. There is a chance to have a cystic lesion due to the chronic infection. You can treat it either by doing a root canal or get it removed as soon as possible. During the meantime, take Augmentin 625 (Amoxycillin with Clavulanic acid) twice daily for five days. It will eradicate your infection at this stage, and it prevents further spread. |
Q. The area surrounding my urethra is enlarged without discharge or odor. Why? | Hi doctor, I am 19 years old. The area surrounding my urethra is enlarged. It is whitish, and it has a cottage cheese-like texture. There is no discharge or odor. I do not know what to do. I am embarrassed. Please help. | Hi. It can be a pelvic or sexually transmitted infection or candidiasis. Have strict hygiene. Use soft, comfortable, and cotton undergarments. Use condoms while having sex to avoid having sexually transmitted disease. Have high, low vaginal and urethral swab. After collecting the swab, have one Canesten pessary for two alternate nights at bedtime. So the infection can flow out if you have it. You can have sitz bath if you feel irritated. Collect the swab report and discuss here or with your local gynecologist. You need to treat it soon. |
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Hi doctor, I am 19 years old. The area surrounding my urethra is enlarged. It is whitish, and it has a cottage cheese-like texture. There is no discharge or odor. I do not know what to do. I am embarrassed. Please help. [/INST] Hi. It can be a pelvic or sexually transmitted infection or candidiasis. Have strict hygiene. Use soft, comfortable, and cotton undergarments. Use condoms while having sex to avoid having sexually transmitted disease. Have high, low vaginal and urethral swab. After collecting the swab, have one Canesten pessary for two alternate nights at bedtime. So the infection can flow out if you have it. You can have sitz bath if you feel irritated. Collect the swab report and discuss here or with your local gynecologist. You need to treat it soon. |
Q. Please tell me some good medicine for having healthy weight and body. | Hi doctor, I am 17 years old. I understand things late, and my medicines are going on. Please tell me some good medicine or syrup for having healthy weight and body. | Hi. A healthy body has a healthy mind. To have a better brain function, you should have a healthy body. You are quite young with no other medical conditions. Instead of resorting to medicines, I recommend you improve your diet. It should be wholesome, with a well-balanced diet. It should include a good mix of carbs, proteins, and fats. You can take help from an expert nutritionist. In addition to a good diet, you should have a proper blood circulation in the body. For that, you should follow a good workout routine. Have a 30 to 40 minutes exercise daily. You have to check your Vitamin B12, and TSH (thyroid stimulating hormone) levels to make sure that there are no deficiencies. You can take a good multivitamin supplement. |
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Hi doctor, I am 17 years old. I understand things late, and my medicines are going on. Please tell me some good medicine or syrup for having healthy weight and body. [/INST] Hi. A healthy body has a healthy mind. To have a better brain function, you should have a healthy body. You are quite young with no other medical conditions. Instead of resorting to medicines, I recommend you improve your diet. It should be wholesome, with a well-balanced diet. It should include a good mix of carbs, proteins, and fats. You can take help from an expert nutritionist. In addition to a good diet, you should have a proper blood circulation in the body. For that, you should follow a good workout routine. Have a 30 to 40 minutes exercise daily. You have to check your Vitamin B12, and TSH (thyroid stimulating hormone) levels to make sure that there are no deficiencies. You can take a good multivitamin supplement. |
Q. My front tooth got chipped before two days. What should be the next step? | Hi doctor, My front tooth got chipped away before two days. I am so nervous about it. How to recover my tooth? | Hi. I can understand your concern. It depends upon the vitality of the tooth. If your tooth is vital and if there is no associated pain, then it can be restored with a simple composite filling. In case, if there is a loss of vitality, you can treat it by a root canal treatment. Please mention whether you have pain or sensitivity towards hot, cold, or sweet substances. If you want to save the tooth immediately, it is best to do restoration in the tooth. Please answer the question, so that I can provide you a better possible treatment plan and prognosis. |
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Hi doctor, My front tooth got chipped away before two days. I am so nervous about it. How to recover my tooth? [/INST] Hi. I can understand your concern. It depends upon the vitality of the tooth. If your tooth is vital and if there is no associated pain, then it can be restored with a simple composite filling. In case, if there is a loss of vitality, you can treat it by a root canal treatment. Please mention whether you have pain or sensitivity towards hot, cold, or sweet substances. If you want to save the tooth immediately, it is best to do restoration in the tooth. Please answer the question, so that I can provide you a better possible treatment plan and prognosis. |
Q. Having chest pain frequently. Is it a heart attack? | Hi doctor, My father is 59 years old. He weights 65 kilograms. He has diabetes and also has blood pressure too. Sometimes, my father gets chest pain. He feels better after taking tablet Angised. Last night, he had pain in the heart. We went to the hospital immediately. They gave two tablets to my father. After a couple of hours, he was better. So, we came back home. Please tell me medicine or home remedy to overcome these problems. | Hi. From your history, it seems that your father has angina pectoris. Angina pectoris is not a heart attack, but it is a chest pain that occurs while exerting such as walking at a high pace, climbing stairs, during emotional stress and relieved by rest or taking tablet Nitroglycerine under the tongue. If this pain occurs more and more frequently or with less exertion or at rest, then there is something to be worried. I do not know about the workups done for your father such as ECG, echocardiography, stress ECG, and angiography. I do not know about the medications taken by your father for BP, and diabetes. Please give a detailed history about it. If you send me the reports, I can guide you further. If your father is having chest pain on rest or despite taking maximum medicines, I advise your father to go for coronary angiography and angioplasty. He has to reduce intake of salt to less than one teaspoon in a 24-hour diet. He should stop taking fatty meals, junk foods, and beef. He has to quit smoking if he has the habit. |
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Hi doctor, My father is 59 years old. He weights 65 kilograms. He has diabetes and also has blood pressure too. Sometimes, my father gets chest pain. He feels better after taking tablet Angised. Last night, he had pain in the heart. We went to the hospital immediately. They gave two tablets to my father. After a couple of hours, he was better. So, we came back home. Please tell me medicine or home remedy to overcome these problems. [/INST] Hi. From your history, it seems that your father has angina pectoris. Angina pectoris is not a heart attack, but it is a chest pain that occurs while exerting such as walking at a high pace, climbing stairs, during emotional stress and relieved by rest or taking tablet Nitroglycerine under the tongue. If this pain occurs more and more frequently or with less exertion or at rest, then there is something to be worried. I do not know about the workups done for your father such as ECG, echocardiography, stress ECG, and angiography. I do not know about the medications taken by your father for BP, and diabetes. Please give a detailed history about it. If you send me the reports, I can guide you further. If your father is having chest pain on rest or despite taking maximum medicines, I advise your father to go for coronary angiography and angioplasty. He has to reduce intake of salt to less than one teaspoon in a 24-hour diet. He should stop taking fatty meals, junk foods, and beef. He has to quit smoking if he has the habit. |
Q. I still have pain in my knees after a surgery. Should I go for knee replacement? | Hi doctor, I had surgery on my knee. During coughing or yawning, I get a sharp pain on the knee. I am unable to stand for a long time. It hurts a lot. My MRI doctor suggests me to have a replacement on the knee. Please advise. | Hi. Your knee seems to be arthritic, and hence the doctor advises for replacement. I need to see the X-ray of your knee so that I can take a decision. It hurts because of the weakened muscles. So you need to strengthen your quadriceps muscle by doing daily exercise under a physiotherapist. Also, do core strengthening exercise for your back. Please send your X-rays. You need to take Calcium and Vitamin D medications. Wear a hanged knee brace while standing or walking. It will give a lot of support to your knee. |
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Hi doctor, I had surgery on my knee. During coughing or yawning, I get a sharp pain on the knee. I am unable to stand for a long time. It hurts a lot. My MRI doctor suggests me to have a replacement on the knee. Please advise. [/INST] Hi. Your knee seems to be arthritic, and hence the doctor advises for replacement. I need to see the X-ray of your knee so that I can take a decision. It hurts because of the weakened muscles. So you need to strengthen your quadriceps muscle by doing daily exercise under a physiotherapist. Also, do core strengthening exercise for your back. Please send your X-rays. You need to take Calcium and Vitamin D medications. Wear a hanged knee brace while standing or walking. It will give a lot of support to your knee. |
Q. I bleed whenever I get horny. Why? | Hello doctor, I bleed whenever I get wet and horny. I am currently taking a Depo shot every three months and Adderall every day for ADHD. I am 15 years old. My height is 5'6 and I weigh about 200 pounds. Please help. | Hi. Abnormal uterine bleeding is the most common side effect of Depo-Provera therapy, especially in the early months of use. It is a problem whenever bleeding continues for more than 14 days, is heavy, or symptoms such as pelvic pain accompany it. Bleeding irregularities that typically occur may include breakthrough bleeding (you are having this), spotting between periods, prolonged periods lighter or heavier periods than normal, lack of period (usually after one year). Some women with 8-10 days of bleeding over two weeks are administered tablet Ethinyl estradiol for 10 days and bleeding generally stops in five days. Other physicians prescribe an estrogen patch. If estrogen is contraindicated, patients are given 800 mg of Ibuprofen three times a day for five days. In all cases of heavy bleeding apparently related to Depo-Provera use, other causes (e.g., cervical malignancy, uterine fibroids, sexually transmitted diseases) should be ruled out before treatment. Depo-Provera acceptors can anticipate irregular bleeding as long as for one year and learn to accept it. If not too severe, this is the most effective management strategy. I hope this helps. |
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Hello doctor, I bleed whenever I get wet and horny. I am currently taking a Depo shot every three months and Adderall every day for ADHD. I am 15 years old. My height is 5'6 and I weigh about 200 pounds. Please help. [/INST] Hi. Abnormal uterine bleeding is the most common side effect of Depo-Provera therapy, especially in the early months of use. It is a problem whenever bleeding continues for more than 14 days, is heavy, or symptoms such as pelvic pain accompany it. Bleeding irregularities that typically occur may include breakthrough bleeding (you are having this), spotting between periods, prolonged periods lighter or heavier periods than normal, lack of period (usually after one year). Some women with 8-10 days of bleeding over two weeks are administered tablet Ethinyl estradiol for 10 days and bleeding generally stops in five days. Other physicians prescribe an estrogen patch. If estrogen is contraindicated, patients are given 800 mg of Ibuprofen three times a day for five days. In all cases of heavy bleeding apparently related to Depo-Provera use, other causes (e.g., cervical malignancy, uterine fibroids, sexually transmitted diseases) should be ruled out before treatment. Depo-Provera acceptors can anticipate irregular bleeding as long as for one year and learn to accept it. If not too severe, this is the most effective management strategy. 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. Why is my penis tip swollen with different color? | Hello doctor, My penis tip is swollen and skin is also looking different. It happened three months back. I consulted a urologist, skin specialist also, it has not reduced. I did not have any bad habits and not have any illegal relation, unmarried. Please help me. Sometimes near the tip, there is burning, irritatation and it is reducing. | Hi. You seem to be suffering from balanitis. There are various causes for balanitis which include yeast infection (the most common cause), bacterial infections, viral infection, sexually transmitted infections, skin irritation, and allergy. I would suggest you consult a physician. You may need a short course of antibiotics. |
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Hello doctor, My penis tip is swollen and skin is also looking different. It happened three months back. I consulted a urologist, skin specialist also, it has not reduced. I did not have any bad habits and not have any illegal relation, unmarried. Please help me. Sometimes near the tip, there is burning, irritatation and it is reducing. [/INST] Hi. You seem to be suffering from balanitis. There are various causes for balanitis which include yeast infection (the most common cause), bacterial infections, viral infection, sexually transmitted infections, skin irritation, and allergy. I would suggest you consult a physician. You may need a short course of antibiotics. |
Q. My daughter's cough got worse after taking Prednisone. Why? | Hi doctor, I have a two-year-old daughter. She suffers from a cough for the past 17 days. It is nonproductive, and it gets worse when lying down. During night time, it comes as a dry hacking cough. The illness started with nasal congestion, and quickly, it became a cough. There is no rash, no changes in bowel movements or urination, or energy level. She has undergone tonsillectomy and adenoidectomy before ten months for sleep apnea, and it was successful. She gets this problem for the past six months. She does not have a fever. We used steroids before these events. Now, her cough got worsened for the past two days. We consulted a pediatrician, and she was given with Prednisone 15 mg two times a day and Augmentin. I gave steroids to her. She woke up in the night and had vomiting two times. She had a fever of 104 degrees. She also had congestion. I consulted the pediatrician. Currently, she takes Zofran 4 mg, Ibuprofen 10 mg, and Augmentin. Does she have a new viral infection? Why does her cough got worsened? Is it due to a progressive lower respiratory bacterial infection? Is it due to a drug reaction to the steroid? | Hi. It is less likely to be a viral infection as the temperature is quite high. It may be a viral bug, and it can be worsened after the administration of the steroid. Do not give steroid without a prescription to the child. Do a respiratory PCR, and it helps to find the exact cause of the same. A cough may have worsened following the steroid probably, because, it can be an infectious disease to be treated by antibiotics. It may not be a drug reaction to the steroid, but possibly an overdose. Children do vomit multiple times with a high oral dose of steroids. |
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Hi doctor, I have a two-year-old daughter. She suffers from a cough for the past 17 days. It is nonproductive, and it gets worse when lying down. During night time, it comes as a dry hacking cough. The illness started with nasal congestion, and quickly, it became a cough. There is no rash, no changes in bowel movements or urination, or energy level. She has undergone tonsillectomy and adenoidectomy before ten months for sleep apnea, and it was successful. She gets this problem for the past six months. She does not have a fever. We used steroids before these events. Now, her cough got worsened for the past two days. We consulted a pediatrician, and she was given with Prednisone 15 mg two times a day and Augmentin. I gave steroids to her. She woke up in the night and had vomiting two times. She had a fever of 104 degrees. She also had congestion. I consulted the pediatrician. Currently, she takes Zofran 4 mg, Ibuprofen 10 mg, and Augmentin. Does she have a new viral infection? Why does her cough got worsened? Is it due to a progressive lower respiratory bacterial infection? Is it due to a drug reaction to the steroid? [/INST] Hi. It is less likely to be a viral infection as the temperature is quite high. It may be a viral bug, and it can be worsened after the administration of the steroid. Do not give steroid without a prescription to the child. Do a respiratory PCR, and it helps to find the exact cause of the same. A cough may have worsened following the steroid probably, because, it can be an infectious disease to be treated by antibiotics. It may not be a drug reaction to the steroid, but possibly an overdose. Children do vomit multiple times with a high oral dose of steroids. |
Q. How can I stop smoking? | Hello doctor, I have a smoking habit for the past eight years. How can I stop smoking? I have used Nicotex to relieve this issue. Please explain. | Hi. I have gone through your post and understand your concern, Let me assure you that quitting smoking is not that difficult as people believe if you have a strong will, there are many treatment options. I would suggest some of them. You can start Bupropion sustained release tablet once a day before stopping smoking for a few days and then once you start to feel disliking smoking, stop cigarettes and take it twice a day. You can chew Nicotine gum if you feel an urge at any point in time. However, as I said strong will for quitting is important. |
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Hello doctor, I have a smoking habit for the past eight years. How can I stop smoking? I have used Nicotex to relieve this issue. Please explain. [/INST] Hi. I have gone through your post and understand your concern, Let me assure you that quitting smoking is not that difficult as people believe if you have a strong will, there are many treatment options. I would suggest some of them. You can start Bupropion sustained release tablet once a day before stopping smoking for a few days and then once you start to feel disliking smoking, stop cigarettes and take it twice a day. You can chew Nicotine gum if you feel an urge at any point in time. However, as I said strong will for quitting is important. |
Q. I have bad breath and smelling mouth. Could tonsil stones be the reason? | Hi doctor, I always have bad breath and a smelling mouth. Recently, I found stinky tonsil stones. Is there any antibiotic or treatment available to cure it? | Hi. Bad breath or halitosis is a problem where the breath is smelly. It has some causes from food to some disorders. As you have tonsil stones, you can have infections in it. It can be treated by using antibiotics. If you have a recurrent infection in the tonsil, then I suggest you visit an ENT specialist. If you are not allergic to antibiotics, you can take Azithromycin tablet once a day for three days. If the infection persists, continue taking it for six days. Take Montral (Montelukast with Levocetirizine) tablet daily after dinner for seven days. Do mouth gargles using Chlorhexidine mouthwash (1:1) two times daily. Maintain oral hygiene. Brush your teeth two times daily and floss it every day. |
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Hi doctor, I always have bad breath and a smelling mouth. Recently, I found stinky tonsil stones. Is there any antibiotic or treatment available to cure it? [/INST] Hi. Bad breath or halitosis is a problem where the breath is smelly. It has some causes from food to some disorders. As you have tonsil stones, you can have infections in it. It can be treated by using antibiotics. If you have a recurrent infection in the tonsil, then I suggest you visit an ENT specialist. If you are not allergic to antibiotics, you can take Azithromycin tablet once a day for three days. If the infection persists, continue taking it for six days. Take Montral (Montelukast with Levocetirizine) tablet daily after dinner for seven days. Do mouth gargles using Chlorhexidine mouthwash (1:1) two times daily. Maintain oral hygiene. Brush your teeth two times daily and floss it every day. |
Q. Why are there itching and black spots on penis after sex? | Hello doctor, I am male, 32 years old. Last month I got married. After marriage started having sex daily. Now my penis tip inside foreskin has become blackish and showing black patches and it is itching too. Previously I did not face such kind of problem. Now for the past eight days, I have stopped having sex. Initially, it started itching after sex, but I ignored it. Before two days itching was terrible. Now I am feeling irritation inside penis while urinating and in relax mode too. My wife having white discharge problem for the past two months and she is on medication for that. We do not use any condom nor any lubricant. Since three days started using soap for washing my penis and surrounding areas and Clotrimazole dusting powder. I think it is dermatitis and fungal infection. Which medication should I use? Shall I visit any dermatologist or with the help of medication it will be curable? For how many days I should avoid having sex or I can have sex? | Hello. It very well looks like a fungal infection (attachment removed to protect patient identity), the source could be your partner's genitalia as she is complaining of white per vaginal discharge for a long time. You both should consult a gynecologist soon and order swab testing for urself. The gynecologist would also start you guys on some antifungals. Treatment would be comprised of 15 days to a month depending on the severity. Do not make sexual connections till the period of asepsis. |
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Hello doctor, I am male, 32 years old. Last month I got married. After marriage started having sex daily. Now my penis tip inside foreskin has become blackish and showing black patches and it is itching too. Previously I did not face such kind of problem. Now for the past eight days, I have stopped having sex. Initially, it started itching after sex, but I ignored it. Before two days itching was terrible. Now I am feeling irritation inside penis while urinating and in relax mode too. My wife having white discharge problem for the past two months and she is on medication for that. We do not use any condom nor any lubricant. Since three days started using soap for washing my penis and surrounding areas and Clotrimazole dusting powder. I think it is dermatitis and fungal infection. Which medication should I use? Shall I visit any dermatologist or with the help of medication it will be curable? For how many days I should avoid having sex or I can have sex? [/INST] Hello. It very well looks like a fungal infection (attachment removed to protect patient identity), the source could be your partner's genitalia as she is complaining of white per vaginal discharge for a long time. You both should consult a gynecologist soon and order swab testing for urself. The gynecologist would also start you guys on some antifungals. Treatment would be comprised of 15 days to a month depending on the severity. Do not make sexual connections till the period of asepsis. |
Q. I get shortness of breath and chest tightness after taking Hydroxychloroquine for fever. Why? | Hello doctor, I have manageable shortness of breath, chest tightness but no cold. My x-rays are clean, and ECG is also normal. My BP looks high 140/90. Mainly, I am unable to breathe normally. I am feeling little shortness always. Currently, I am taking the last doctor's medication. I understand it is a bit tough for the doctors to find the solution immediately. But looking for the best. Right now believing in my daily food rather than medicine. Initially, it started with cold on last month. I took homeopathy tablets. I developed a fever of 99 F and took homeopathy medication. It sustained for three days (fever of 99F). So the doctor asked me to report to the near by government medical college hospital. I reported and took even the COVID test and the result is negative. The hospital provided me Hydroxychloroquine and Rantac tablets. After taking that my fever is gone. I was fine but suddenly got shortness of breath early this month. I am not sure if this was due to any allergy to food. On that day I took two eggs and four jack fruit. The same day I reported to the hospital. They gave two more days of Hydroxychloroquine. From that time I am having shortness of breath but there was no cold or cough. Doctor says all the reports are normal but still unable to find the solution. | Hello, Welcome to icliniq.com. I can understand your concern. According to your statement, you have been suffering from shortness of breath, chest tightness without any cough, and cold. Shortness of breath, chest tightness can result from some conditions which are mentioned below. Anxiety is a common condition associated with chest tightness, shortness of breath, rapid heart rate, sweating, nausea, etc. GERD (gastroesophageal reflux disease) occurs when stomach acid travels back up from the stomach to the esophagus and associated with chest tightness, shortness of breath, difficulty swallowing, etc. Muscle strain typically occurs from intense activities like reaching or lifting when twisting related with the same clinical features. Costochondritis is the inflammation of the cartilage in the rib and associated with the same type of features. Even PUD (peptic ulcer disease), valvular heart diseases, pulmonary HTN (hypertension), esophageal rupture, pericarditis, hiatus hernia, etc can cause chest tightness with shortness of breath. Treatment depends on the causes. So you should undergo ETT (exercise tolerance testing), echo, endoscopy of upper GIT (gastrointestinal tract), barium swallow test, CBC (complete blood count), etc for detection of underlying causes which are responsible for your sufferings. You should also undergo FEV1 (forced expiratory volume), ABG (arterial blood gas) analysis, spirometry for pulmonary function test, reversibility test, etc for the diagnosis of bronchial asthma as your pulmonologist has diagnosed earlier according to your prescription. (attachment removed to protect patient identity). |
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Hello doctor, I have manageable shortness of breath, chest tightness but no cold. My x-rays are clean, and ECG is also normal. My BP looks high 140/90. Mainly, I am unable to breathe normally. I am feeling little shortness always. Currently, I am taking the last doctor's medication. I understand it is a bit tough for the doctors to find the solution immediately. But looking for the best. Right now believing in my daily food rather than medicine. Initially, it started with cold on last month. I took homeopathy tablets. I developed a fever of 99 F and took homeopathy medication. It sustained for three days (fever of 99F). So the doctor asked me to report to the near by government medical college hospital. I reported and took even the COVID test and the result is negative. The hospital provided me Hydroxychloroquine and Rantac tablets. After taking that my fever is gone. I was fine but suddenly got shortness of breath early this month. I am not sure if this was due to any allergy to food. On that day I took two eggs and four jack fruit. The same day I reported to the hospital. They gave two more days of Hydroxychloroquine. From that time I am having shortness of breath but there was no cold or cough. Doctor says all the reports are normal but still unable to find the solution. [/INST] Hello, Welcome to icliniq.com. I can understand your concern. According to your statement, you have been suffering from shortness of breath, chest tightness without any cough, and cold. Shortness of breath, chest tightness can result from some conditions which are mentioned below. Anxiety is a common condition associated with chest tightness, shortness of breath, rapid heart rate, sweating, nausea, etc. GERD (gastroesophageal reflux disease) occurs when stomach acid travels back up from the stomach to the esophagus and associated with chest tightness, shortness of breath, difficulty swallowing, etc. Muscle strain typically occurs from intense activities like reaching or lifting when twisting related with the same clinical features. Costochondritis is the inflammation of the cartilage in the rib and associated with the same type of features. Even PUD (peptic ulcer disease), valvular heart diseases, pulmonary HTN (hypertension), esophageal rupture, pericarditis, hiatus hernia, etc can cause chest tightness with shortness of breath. Treatment depends on the causes. So you should undergo ETT (exercise tolerance testing), echo, endoscopy of upper GIT (gastrointestinal tract), barium swallow test, CBC (complete blood count), etc for detection of underlying causes which are responsible for your sufferings. You should also undergo FEV1 (forced expiratory volume), ABG (arterial blood gas) analysis, spirometry for pulmonary function test, reversibility test, etc for the diagnosis of bronchial asthma as your pulmonologist has diagnosed earlier according to your prescription. (attachment removed to protect patient identity). |
Q. I have a cracked tooth and it hurts me a lot. What can I do to get relief? | Hi doctor, I have a cracked tooth. It hurts me a lot for a week. Now, I can eat only on one side of the mouth. What can I do to get relief? | Hi. Please say about the location of the cracked tooth. Please mention whether it is present in the front tooth or back tooth. If there is a pain, you can take Amoxycillin two tablets one at morning and night. You can also take Aceclopara (Aceclofenac with Paracetamol) for the pain along with it. You can take tablet Rantac before breakfast and dinner. If the crack is present in a front tooth or back tooth, consider going to the dentist to examine the condition. If it is present in a front tooth, you can treat it by bonding and root canal treatment can also be done. A crown can be placed over it for esthetic purpose. You can go for an implant also. If it is present in a back tooth, you can do a root canal treatment, and it can be managed by placing a crown over it. If the crack is too difficult to be handled by root canal treatment, then it can be extracted. |
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Hi doctor, I have a cracked tooth. It hurts me a lot for a week. Now, I can eat only on one side of the mouth. What can I do to get relief? [/INST] Hi. Please say about the location of the cracked tooth. Please mention whether it is present in the front tooth or back tooth. If there is a pain, you can take Amoxycillin two tablets one at morning and night. You can also take Aceclopara (Aceclofenac with Paracetamol) for the pain along with it. You can take tablet Rantac before breakfast and dinner. If the crack is present in a front tooth or back tooth, consider going to the dentist to examine the condition. If it is present in a front tooth, you can treat it by bonding and root canal treatment can also be done. A crown can be placed over it for esthetic purpose. You can go for an implant also. If it is present in a back tooth, you can do a root canal treatment, and it can be managed by placing a crown over it. If the crack is too difficult to be handled by root canal treatment, then it can be extracted. |
Q. I have difficulty in taking a deep breath. What can I do to normalize it? | Hi doctor, I have difficulty in taking a deep breath. I feel uncomfortable. My uric acid and cholesterol levels are at a higher range than normal. What can I do to normalize my breathing? | Hi. I have gone through the attachment (attachment removed to protect patient identity). You have an LDL (low-density lipoprotein) cholesterol of 161 mg/dL. You can manage it by taking tablet Atorvastatin or tablet Rosuvastatin 20 mg at night for a month and see for improvement. Also, have a walk for half an hour a day. It helps you. You can have difficulty in having deep breathing due to thickened pleura. You can take a painkiller for a week. Please consider taking these drugs after consulting your local physician. |
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Hi doctor, I have difficulty in taking a deep breath. I feel uncomfortable. My uric acid and cholesterol levels are at a higher range than normal. What can I do to normalize my breathing? [/INST] Hi. I have gone through the attachment (attachment removed to protect patient identity). You have an LDL (low-density lipoprotein) cholesterol of 161 mg/dL. You can manage it by taking tablet Atorvastatin or tablet Rosuvastatin 20 mg at night for a month and see for improvement. Also, have a walk for half an hour a day. It helps you. You can have difficulty in having deep breathing due to thickened pleura. You can take a painkiller for a week. Please consider taking these drugs after consulting your local physician. |
Q. How to gain weight through ayurvedic treatment? | Hi doctor, I fell sick seriously before 13 years. I have lost my weight after that. It was due to sunstroke, and I am facing digestive issues after having it. I have a heaviness in my chest. I consulted a doctor and checked it. There was no infection. I find difficult to gain weight after having digestive problems. Please suggest me a permanent cure. | Hi. I can understand your concern. You are thinking in the right way. Indigestion may affect weight gain. Your lifestyle, food habits and lack of physical activity may cause indigestion, and it leads to acidity. Take the following ayurvedic medicines and follow these instructions. Take Chitrakadi Vati (Chitraka with Vida Lavana) two tablets and chew it before food. Take Avipattikar Churna (Trikatu with Haritaki) three grams with Kamadugha Rasa (Amrutha satwa with Svarna Gairika) one tablet twice a day after meals. Take Drakshasava 15 ml (Draksha with Lavanga) twice a day with an equal amount of water half an hour after meals. Take these medicines regularly for one month. Avoid eating spicy and fried junk foods. Avoid smoking and drinking if you have these habits. Do regular kapalbhati, Mandukasana, and pranayamas like anuloma vilom and Nadi shodan. Do these things and provide your valuable feedback after fifteen days. |
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Hi doctor, I fell sick seriously before 13 years. I have lost my weight after that. It was due to sunstroke, and I am facing digestive issues after having it. I have a heaviness in my chest. I consulted a doctor and checked it. There was no infection. I find difficult to gain weight after having digestive problems. Please suggest me a permanent cure. [/INST] Hi. I can understand your concern. You are thinking in the right way. Indigestion may affect weight gain. Your lifestyle, food habits and lack of physical activity may cause indigestion, and it leads to acidity. Take the following ayurvedic medicines and follow these instructions. Take Chitrakadi Vati (Chitraka with Vida Lavana) two tablets and chew it before food. Take Avipattikar Churna (Trikatu with Haritaki) three grams with Kamadugha Rasa (Amrutha satwa with Svarna Gairika) one tablet twice a day after meals. Take Drakshasava 15 ml (Draksha with Lavanga) twice a day with an equal amount of water half an hour after meals. Take these medicines regularly for one month. Avoid eating spicy and fried junk foods. Avoid smoking and drinking if you have these habits. Do regular kapalbhati, Mandukasana, and pranayamas like anuloma vilom and Nadi shodan. Do these things and provide your valuable feedback after fifteen days. |
Q. Is it safe to smoke marijuana following a root canal treatment? | Hi doctor, Is it safe or risk to my healing process, if I smoke marijuana following a root canal treatment? | Hi. It is not safe to smoke marijuana after a root canal treatment. It can increase the pain in the root canal treated tooth. It delays the healing process, and it causes pain. If there is a pain, you can consider taking medications prescribed by your dentist. Stop smoking marijuana, and it is not good for your oral health now. Frequent smoking of marijuana causes dry mouth, and you are at high risk of developing gum disease. Avoid smoking marijuana, and it is good for your health. |
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Hi doctor, Is it safe or risk to my healing process, if I smoke marijuana following a root canal treatment? [/INST] Hi. It is not safe to smoke marijuana after a root canal treatment. It can increase the pain in the root canal treated tooth. It delays the healing process, and it causes pain. If there is a pain, you can consider taking medications prescribed by your dentist. Stop smoking marijuana, and it is not good for your oral health now. Frequent smoking of marijuana causes dry mouth, and you are at high risk of developing gum disease. Avoid smoking marijuana, and it is good for your health. |
Q. What could be the cause for reduction in milk secretion in a healthy mom? | Hi doctor, I gave birth to my child before four weeks. I am providing breastfeeding to my child from her birth. My breastfeeding was fine before three days. But now, my milk supply has got dropped. My baby seems to have a loss of weight, and she is not peeing often. Yesterday, she pooped a light green colored poop. She is not sucking as long as she was before. But she sleeps up to two to three hours. I am well hydrated, eating well and resting well. I am not taking medication. What is the cause of having a reduction in milk production in me? I am worried. Please help. | Hi. Start giving top feeds to the child for some time and take some days off from breastfeeding. Weight loss and a reduced urine output of the child is because of low milk intake. Low milk production may occur due to many reasons, the most common one being stress. So take rest for some time and start giving top feeds to the baby. It will provide benefits to both of you. |
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Hi doctor, I gave birth to my child before four weeks. I am providing breastfeeding to my child from her birth. My breastfeeding was fine before three days. But now, my milk supply has got dropped. My baby seems to have a loss of weight, and she is not peeing often. Yesterday, she pooped a light green colored poop. She is not sucking as long as she was before. But she sleeps up to two to three hours. I am well hydrated, eating well and resting well. I am not taking medication. What is the cause of having a reduction in milk production in me? I am worried. Please help. [/INST] Hi. Start giving top feeds to the child for some time and take some days off from breastfeeding. Weight loss and a reduced urine output of the child is because of low milk intake. Low milk production may occur due to many reasons, the most common one being stress. So take rest for some time and start giving top feeds to the baby. It will provide benefits to both of you. |
Q. How long should my husband and I wait to try for a baby if we did cocaine? | Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. | Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> |
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Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. [/INST] Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> |
Q. Can Yasmin birth control pill be used as an emergency contraceptive pill? | Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? | Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> |
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Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? [/INST] Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> |
Q. Please explain the poisonous effect of phenol ingestion. | Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. | Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> |
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Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. [/INST] Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> |
Q. For how long should I take Kalachikai powder to overcome PCOD problem? | Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? | Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> |
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Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? [/INST] Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> |
Q. Why do periods get delayed after first time sex? | Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? | Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> |
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Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? [/INST] Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> |
Q. My nose is stuffy, and I have headaches. Is it a chronic sinus infection? | I think I may have chronic sinus infection. It started 4 months ago, one morning I woke up and blow up my nose with yellow/greenish mucus and blood. I was having it only in the morning. I didnt had any other symptoms except feeling tired. I took advil sinus and used seawater nasal spray. It lasted couple weeks. After I only had a bit mucus dripping my throat when I woke up, but generally felt well, until couple months after I started to hurt and feel pressure in my inner right eye. I went to walk in clinic and got prescribed Amoxicillin/Potassium Clav for 7 days. My eye got better, but after I stopped antibiotics, after couple days I started to feel unwell again, so I contacted another doctor online and he prescribed me another antibiotics Clarithromycin 500 mg for 10 days. After I finished them, again the same. One day past and I didnt felt well. I was feeling tired, pain in my nose, my ears, even dizzy, my body temperature was higher than regular 37.2. So I contacted a nurse online and she told me that probably antibiotics doesnt work, because I had viral infection and told me to avoid diary, take vitamin C, D and probiotics( I was taking them and with antibiotics). It past two weeks generally I feel better, but still have stuffy nose in the morning with a bit yellow mucus, hurt my nose, or feel pressure in it. But I started to worry, because I started to have headaches on top of my head sometimes going to the back part and sometimes tingling feeling in the left side of my head, also I feel my heart rate is higher, specially in the morning. I already thinking maybe I am having anxiety, when I read what can happen if you dont treat sinus infection. I am using corticosteroid nasal spray, seawater spray, neti pot. Should I contact again doctor online and ask for more antibiotics? I guess with all this Coronavirus, I cant get referral to ENT specialist .Do you have any advice how I should treat it? | Hi, Looks like your having a chronic allergic problem out there. Now there are certain things which have to be understood in detail. 1. Allergic rhinitis is an immune complex issue which is innately present and starts showing symptoms at one particular age. It basically is a hyper responsiveness to something which is foreign and has accidentally entered into you nose causing cascade of chemical events leading to nasal congestion, watery nasal discharge, sneezing, itching in eye and nose, fullness in the ear and often leads to sinusitis causing heaviness in the area of your face involving the frontal and maxillary regions besides your nose. 2. Antibiotics has a limited role here unless it's an infection that we are are treating 3. You have to wear a n95 mask and not allow the triggering factor to enter into your nose in the first place (trigerring factors range from dust, pollens, animal fur, fumes, strong odours etc and the list is endless), allowing the triggering problem to keep entering your nose is just going to prolong the problem through life and no medication will ever be effective 4. Nasal steroid sprays have definelty a role to play, I usually suggest a combination of a topical steroid such as fluticasone propionate along with a antihistamine such as azelastine hydrochloride 2 puffs in each nostril 2 times a day 12 hrs apart for 3 months straight 5. Certain antiallergics containing fexofenadien 120mg one tab two times a day 12hrs apart for 20 days is effective. Antibiotics like clarithromycin 500 mg twice a day if taken have to used for 2 long months to be extremely effective(I give clarithromycin for both its antibiotic and immunomodulatory activity, later of which is more important) 6. Salt water gargles 8 to 10 times a day for 10 days, sipping on warm water, steam inhalations avoiding cold, spicy and oily junk food goes a long way, smoking and alcohol to be completely avoided as it slows down the mucociliary activity and leads to secretions inisde your nose causing a severe sinusitis and its related problems. Hope this advice helps |
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I think I may have chronic sinus infection. It started 4 months ago, one morning I woke up and blow up my nose with yellow/greenish mucus and blood. I was having it only in the morning. I didnt had any other symptoms except feeling tired. I took advil sinus and used seawater nasal spray. It lasted couple weeks. After I only had a bit mucus dripping my throat when I woke up, but generally felt well, until couple months after I started to hurt and feel pressure in my inner right eye. I went to walk in clinic and got prescribed Amoxicillin/Potassium Clav for 7 days. My eye got better, but after I stopped antibiotics, after couple days I started to feel unwell again, so I contacted another doctor online and he prescribed me another antibiotics Clarithromycin 500 mg for 10 days. After I finished them, again the same. One day past and I didnt felt well. I was feeling tired, pain in my nose, my ears, even dizzy, my body temperature was higher than regular 37.2. So I contacted a nurse online and she told me that probably antibiotics doesnt work, because I had viral infection and told me to avoid diary, take vitamin C, D and probiotics( I was taking them and with antibiotics). It past two weeks generally I feel better, but still have stuffy nose in the morning with a bit yellow mucus, hurt my nose, or feel pressure in it. But I started to worry, because I started to have headaches on top of my head sometimes going to the back part and sometimes tingling feeling in the left side of my head, also I feel my heart rate is higher, specially in the morning. I already thinking maybe I am having anxiety, when I read what can happen if you dont treat sinus infection. I am using corticosteroid nasal spray, seawater spray, neti pot. Should I contact again doctor online and ask for more antibiotics? I guess with all this Coronavirus, I cant get referral to ENT specialist .Do you have any advice how I should treat it? [/INST] Hi, Looks like your having a chronic allergic problem out there. Now there are certain things which have to be understood in detail. 1. Allergic rhinitis is an immune complex issue which is innately present and starts showing symptoms at one particular age. It basically is a hyper responsiveness to something which is foreign and has accidentally entered into you nose causing cascade of chemical events leading to nasal congestion, watery nasal discharge, sneezing, itching in eye and nose, fullness in the ear and often leads to sinusitis causing heaviness in the area of your face involving the frontal and maxillary regions besides your nose. 2. Antibiotics has a limited role here unless it's an infection that we are are treating 3. You have to wear a n95 mask and not allow the triggering factor to enter into your nose in the first place (trigerring factors range from dust, pollens, animal fur, fumes, strong odours etc and the list is endless), allowing the triggering problem to keep entering your nose is just going to prolong the problem through life and no medication will ever be effective 4. Nasal steroid sprays have definelty a role to play, I usually suggest a combination of a topical steroid such as fluticasone propionate along with a antihistamine such as azelastine hydrochloride 2 puffs in each nostril 2 times a day 12 hrs apart for 3 months straight 5. Certain antiallergics containing fexofenadien 120mg one tab two times a day 12hrs apart for 20 days is effective. Antibiotics like clarithromycin 500 mg twice a day if taken have to used for 2 long months to be extremely effective(I give clarithromycin for both its antibiotic and immunomodulatory activity, later of which is more important) 6. Salt water gargles 8 to 10 times a day for 10 days, sipping on warm water, steam inhalations avoiding cold, spicy and oily junk food goes a long way, smoking and alcohol to be completely avoided as it slows down the mucociliary activity and leads to secretions inisde your nose causing a severe sinusitis and its related problems. Hope this advice helps |
Q. I have pain in the last tooth of the upper jaw. Please suggest a medicine. | Hi doctor, I have pain in the last tooth of the upper jaw. Please suggest me some medication to get relief. | Hi. I have gone through the attachment (attachment removed to protect patient identity). Your tooth structure is fine. But third molars are always susceptible to infection. So do not worry and pain will get reduced soon. Report to a nearby dental hospital for radiograph after three days. Thus, if there is any caries, it can be detected and addressed accordingly. Take these medications for pain for three days. Take tablet Ordent (Ofloxacin 200 mg with Ornidazole 500 mg) twice daily for three days. Use Hexidine mouthwash once daily and rinse for 15 seconds in the mornings for 15 days. Take tablet Ketorolac 10 mg as needed. It will give relief from pain instantly. |
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Hi doctor, I have pain in the last tooth of the upper jaw. Please suggest me some medication to get relief. [/INST] Hi. I have gone through the attachment (attachment removed to protect patient identity). Your tooth structure is fine. But third molars are always susceptible to infection. So do not worry and pain will get reduced soon. Report to a nearby dental hospital for radiograph after three days. Thus, if there is any caries, it can be detected and addressed accordingly. Take these medications for pain for three days. Take tablet Ordent (Ofloxacin 200 mg with Ornidazole 500 mg) twice daily for three days. Use Hexidine mouthwash once daily and rinse for 15 seconds in the mornings for 15 days. Take tablet Ketorolac 10 mg as needed. It will give relief from pain instantly. |
Q. Is there any relation between high TSH level and severe hair fall? | Hi doctor, I am 31 years old female. My weight is 49 kilograms. I have raised TSH level of 7.5 mIU/L. I have severe hair fall, and my iron, vitamin D3, and vitamin B levels are normal. How to bring my TSH level to a normal range? | Hi. I have gone through the attachment (attachment removed to protect patient identity). You have raised TSH levels. But it is not significant enough to necessitate treatment. You can repeat your thyroid function test after three months again to make sure that it has not risen further. Regarding your hair fall, it depends on the thyroid function also. You can take tablet Zinc gluconate 100 mg once daily for two months for your hair fall. You can use Minoxidil 2 % hairspray for your scalp for four months. Use it with care and avoid having contact with your face. Try to avoid having pollution effects on your scalp. |
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Hi doctor, I am 31 years old female. My weight is 49 kilograms. I have raised TSH level of 7.5 mIU/L. I have severe hair fall, and my iron, vitamin D3, and vitamin B levels are normal. How to bring my TSH level to a normal range? [/INST] Hi. I have gone through the attachment (attachment removed to protect patient identity). You have raised TSH levels. But it is not significant enough to necessitate treatment. You can repeat your thyroid function test after three months again to make sure that it has not risen further. Regarding your hair fall, it depends on the thyroid function also. You can take tablet Zinc gluconate 100 mg once daily for two months for your hair fall. You can use Minoxidil 2 % hairspray for your scalp for four months. Use it with care and avoid having contact with your face. Try to avoid having pollution effects on your scalp. |
Q. Had alcohol after 30 days of Polyethylene glycol intake. Will it lead to any adverse reaction? | Hi doctor, I was given with Polyethylene glycol for 40 days before undergoing endoscopy and colonoscopy procedures. I had symptoms of edema and consumed 200 ml of alcohol before seven days. Can I have possible adverse reactions? | Hi. Please explain about the purpose for doing colonoscopy and endoscopy. Edema can occur due to many reasons. It can occur due to nutritional deficiency. |
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Hi doctor, I was given with Polyethylene glycol for 40 days before undergoing endoscopy and colonoscopy procedures. I had symptoms of edema and consumed 200 ml of alcohol before seven days. Can I have possible adverse reactions? [/INST] Hi. Please explain about the purpose for doing colonoscopy and endoscopy. Edema can occur due to many reasons. It can occur due to nutritional deficiency. |
Q. When I am in a silent room, I can hear a low sound from my ears. What is it? | Hi doctor, Sometimes when I concentrate in a silent room, I can hear a low sound from my ears. I went for a checkup, and there was nothing wrong in my ear. The doctor told me that the sound occurred because of hair cells and said to me that it is normal. What is hair cells? Is it normal to notice it? Could it be a sound of normal blood flow near the ears? | Hi. Hair cells are hearing cells inside the inner ears provided with cilia, and when vibrated, it stimulates auditory impulses. Yes, these cells have a unique sound, and it will not be audible to us. It needs a high technology device to pick it. Tinnitus has a lot of causes. First, you need to perform tympanometry and pure tone audiometry. Show me the results, and then we can diagnose the cause. |
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Hi doctor, Sometimes when I concentrate in a silent room, I can hear a low sound from my ears. I went for a checkup, and there was nothing wrong in my ear. The doctor told me that the sound occurred because of hair cells and said to me that it is normal. What is hair cells? Is it normal to notice it? Could it be a sound of normal blood flow near the ears? [/INST] Hi. Hair cells are hearing cells inside the inner ears provided with cilia, and when vibrated, it stimulates auditory impulses. Yes, these cells have a unique sound, and it will not be audible to us. It needs a high technology device to pick it. Tinnitus has a lot of causes. First, you need to perform tympanometry and pure tone audiometry. Show me the results, and then we can diagnose the cause. |
Q. A cat has scratched my child's toe. Should I get her a vaccination? | Hi doctor, My baby is 22 months old. Yesterday, a cat scratched his toe. But my child does not have a wound or blood there. Do I have to give vaccination to my baby? | Hi. A cat has scratched your child, and it has not caused any barrier disruption or wound or bleeding. But still, it is advisable to clean the area with running water and soap. Apply some antiseptic in the area. Rabies is generally transmitted by animal saliva when it comes in contact with disrupted skin barrier and wound formed by the bite. In your case, you are safe from rabies, and rabies vaccine is not required. The scratch caused by a cat generally causes cat scratch disease. It causes scratching of the skin barrier and makes a wound. This causes infection with some bacteria like streptococci. You should wash the area properly and apply antiseptic. If there is a wound, you must give antibiotics. A tetanus vaccine is required when your child is not adequately immunized till date. |
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Hi doctor, My baby is 22 months old. Yesterday, a cat scratched his toe. But my child does not have a wound or blood there. Do I have to give vaccination to my baby? [/INST] Hi. A cat has scratched your child, and it has not caused any barrier disruption or wound or bleeding. But still, it is advisable to clean the area with running water and soap. Apply some antiseptic in the area. Rabies is generally transmitted by animal saliva when it comes in contact with disrupted skin barrier and wound formed by the bite. In your case, you are safe from rabies, and rabies vaccine is not required. The scratch caused by a cat generally causes cat scratch disease. It causes scratching of the skin barrier and makes a wound. This causes infection with some bacteria like streptococci. You should wash the area properly and apply antiseptic. If there is a wound, you must give antibiotics. A tetanus vaccine is required when your child is not adequately immunized till date. |
Q. What is the treatment followed for acyanotic heart disease in a six month baby? | Hi doctor, My baby is six months old female. Recently, we did a 2D echo test, and the result came as acyanotic congenital heart disease. The report shows a small sized ostium secundum ASD with left to right shunt across the defect, approximately with a size of 8 mm. Why does it occur? What can I do now? Can medicine cure it? Does it require surgery? Please suggest. | Hi. I have gone through your child's report (attachment removed to protect patient identity). It is an atrial septal defect. Have a follow up till the age of one and a half to two years. There is 80 to 90 % chance for the defect to get closed by itself. If not, when the child attains a weight of 11 kilograms, a decision can be made to close it either by a device or by open surgery (rarely required). There is no specific cause for this to occur and in some cases, it may be genetic. |
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Hi doctor, My baby is six months old female. Recently, we did a 2D echo test, and the result came as acyanotic congenital heart disease. The report shows a small sized ostium secundum ASD with left to right shunt across the defect, approximately with a size of 8 mm. Why does it occur? What can I do now? Can medicine cure it? Does it require surgery? Please suggest. [/INST] Hi. I have gone through your child's report (attachment removed to protect patient identity). It is an atrial septal defect. Have a follow up till the age of one and a half to two years. There is 80 to 90 % chance for the defect to get closed by itself. If not, when the child attains a weight of 11 kilograms, a decision can be made to close it either by a device or by open surgery (rarely required). There is no specific cause for this to occur and in some cases, it may be genetic. |
Q. Does having one I-pill after sex help to prevent unwanted pregnancy? | Hi doctor, My partner had sex with me before ten days. During that time, my condom was out and went inside of her without our knowledge. I did an ejaculation, and so she took one I-Pill on the evening. Now, we are worried about unwanted pregnancy. She says that her breasts have become big and her nipples are giving pain. Is this a symptom of pregnancy? Will that one I-Pill works? Can she take one more I-Pill now? Please advise us. | Hi. If she has taken I-pill (Levonorgestrel) in a proper dose within 48 to 72 hours of unprotected sex, without any vomiting, then it will work, and she will have bleeding within one to two weeks. Please mention about the menstrual history. It would be better, and I can guide you further. If it was not a fertile period of her cycle, then the chance to have pregnancy is less. You can check serum beta hCG (blood pregnancy test) if she does not get withdrawal bleed in three to four days. Due to externally induced hormones, she can have engorged breast. Externally induced hormone interferes with the periods to prevent conception by stopping fertilization, ovulation or implantation. I-pill is beneficial in the first 48 to 72 hours of post unprotected penetrative sex. It is already a week. She will have bleeding in the coming days if the I-pill is taken in a proper dose. |
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Hi doctor, My partner had sex with me before ten days. During that time, my condom was out and went inside of her without our knowledge. I did an ejaculation, and so she took one I-Pill on the evening. Now, we are worried about unwanted pregnancy. She says that her breasts have become big and her nipples are giving pain. Is this a symptom of pregnancy? Will that one I-Pill works? Can she take one more I-Pill now? Please advise us. [/INST] Hi. If she has taken I-pill (Levonorgestrel) in a proper dose within 48 to 72 hours of unprotected sex, without any vomiting, then it will work, and she will have bleeding within one to two weeks. Please mention about the menstrual history. It would be better, and I can guide you further. If it was not a fertile period of her cycle, then the chance to have pregnancy is less. You can check serum beta hCG (blood pregnancy test) if she does not get withdrawal bleed in three to four days. Due to externally induced hormones, she can have engorged breast. Externally induced hormone interferes with the periods to prevent conception by stopping fertilization, ovulation or implantation. I-pill is beneficial in the first 48 to 72 hours of post unprotected penetrative sex. It is already a week. She will have bleeding in the coming days if the I-pill is taken in a proper dose. |
Q. Can second-hand smoking cause any lung or heart problem? | Hello doctor,I am a male, 23 years old, 5'7". In a recent incident due to work purpose, I had to be present at an open sky place where 5 to 6 persons were smoking cigarette and hookah around me and I was present there for one hour. The place was spacious but when I felt smoke was coming at me I left the place. I do not use cigarette, alcohol, etc. So has it damaged my lung, heart or other body parts because I felt a headache (mild)? | Hi. Second-hand smoking is problematic sometimes but the amount of time you inhaled will probably not have any effect on the lungs. But it can affect if you have to stay with them every day for a couple of hours. Even then a significantly longer period of time is needed like months or years actually to damage in long-term. But yes, short-term side effects like a cough and a headache can happen, temporarily and goes away once you are off the site. |
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Hello doctor,I am a male, 23 years old, 5'7". In a recent incident due to work purpose, I had to be present at an open sky place where 5 to 6 persons were smoking cigarette and hookah around me and I was present there for one hour. The place was spacious but when I felt smoke was coming at me I left the place. I do not use cigarette, alcohol, etc. So has it damaged my lung, heart or other body parts because I felt a headache (mild)? [/INST] Hi. Second-hand smoking is problematic sometimes but the amount of time you inhaled will probably not have any effect on the lungs. But it can affect if you have to stay with them every day for a couple of hours. Even then a significantly longer period of time is needed like months or years actually to damage in long-term. But yes, short-term side effects like a cough and a headache can happen, temporarily and goes away once you are off the site. |
Q. Can I have Metformin 1000 mg to reach my Hba1c target? | Hi doctor, I am 46 years old male. I have a weight of 60 kilograms and a height of 164 cm. I am diabetic for the past ten years. I have an Hba1c of 8.3 %, with no other health issues. I do exercise regularly, and I am taking a healthy diet every day. I am using Gemer 2 mg twice a day, and I am unable to bring Hba1c below 7.5 %. I have an FBS of 130 mg/dL and PBS of 220 mg/dL. Sometimes, I sweat in the morning. When I check my sugar levels, I have an FBS of 120 mg/dL. I am not interested in increasing the dose of Metformin to 1000 mg twice as a concern of weight loss. Would a change in medicine help me to reach my Hba1c target? Please advice. | Hi. You are taking Gemer 2 mg (Glimipride with Metformin) twice daily. Please say whether you take Metformin alone and tell about the dose. If you are on Gemer 2 mg only, then you can take Glycomet 500 mg (Metformin). You do not need to begin with Metformin 1000 mg directly. Diet and exercise help you a lot. Loss of weight will help to control sugar levels better. Your FBS (fasting blood sugar) is fine. Your PBS (postprandial blood sugar) level is high. So, I suggest controlling diet. If there is no improvement, you can consider taking Metformin. |
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Hi doctor, I am 46 years old male. I have a weight of 60 kilograms and a height of 164 cm. I am diabetic for the past ten years. I have an Hba1c of 8.3 %, with no other health issues. I do exercise regularly, and I am taking a healthy diet every day. I am using Gemer 2 mg twice a day, and I am unable to bring Hba1c below 7.5 %. I have an FBS of 130 mg/dL and PBS of 220 mg/dL. Sometimes, I sweat in the morning. When I check my sugar levels, I have an FBS of 120 mg/dL. I am not interested in increasing the dose of Metformin to 1000 mg twice as a concern of weight loss. Would a change in medicine help me to reach my Hba1c target? Please advice. [/INST] Hi. You are taking Gemer 2 mg (Glimipride with Metformin) twice daily. Please say whether you take Metformin alone and tell about the dose. If you are on Gemer 2 mg only, then you can take Glycomet 500 mg (Metformin). You do not need to begin with Metformin 1000 mg directly. Diet and exercise help you a lot. Loss of weight will help to control sugar levels better. Your FBS (fasting blood sugar) is fine. Your PBS (postprandial blood sugar) level is high. So, I suggest controlling diet. If there is no improvement, you can consider taking Metformin. |
Q. There was no withdrawal bleeding after I-pill and I miss my period now. Can I be pregnant? | Hi doctor, I have a regular cycle of 28 to 30 days cycle. I got my last period last month, and I had bleeding for five days. But I had unprotected sex on the third day of my periods, and I took I-pill within 10 hours. I have not got a withdrawal bleed, and also, I have not got my periods this month. Can I be pregnant? When can I get my periods? Is there anything to worry? Please suggest. | Hi. I have seen many ladies taking I-pill post unprotected sex are unable to get withdrawal bleed. But they can have heavy bleeding in the same menses during which they had sex, or they can have prolonged bleeding during the periods when the I-pill was taken in the proper dose, timings and without vomiting. You can also do a blood pregnancy test if you feel anxious. The result would be less likely positive as the sex was not under a fertile period. You can have a menstrual induction. Take tablet Primolut 10 mg (Norethisterone) twice daily for five days and wait for bleeding for one to weeks. |
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Hi doctor, I have a regular cycle of 28 to 30 days cycle. I got my last period last month, and I had bleeding for five days. But I had unprotected sex on the third day of my periods, and I took I-pill within 10 hours. I have not got a withdrawal bleed, and also, I have not got my periods this month. Can I be pregnant? When can I get my periods? Is there anything to worry? Please suggest. [/INST] Hi. I have seen many ladies taking I-pill post unprotected sex are unable to get withdrawal bleed. But they can have heavy bleeding in the same menses during which they had sex, or they can have prolonged bleeding during the periods when the I-pill was taken in the proper dose, timings and without vomiting. You can also do a blood pregnancy test if you feel anxious. The result would be less likely positive as the sex was not under a fertile period. You can have a menstrual induction. Take tablet Primolut 10 mg (Norethisterone) twice daily for five days and wait for bleeding for one to weeks. |
Q. Will Nano-Leo give permanent solution for erection problem? | Hello doctor, I am 48 years old. I am experiencing weak erection and difficulty in sustaining the same. This condition was observed 10 years back. Also, there is premature ejaculation. Other physical ailments that I have are, I am suffering from hypertension and taking Amlopres-L (Amlodipine and Lisinopril) for the last 10 years, high cholesterol and triglycerides. My cholesterol level is 225 and triglyceride is 200 for the last 12 years. I used to do frequent masturbation in early age. I do have erection during morning hours many times, particularly after sound sleep or if I had long walk previous day. I am having Sildenafil 25 mg or 5 mg Cialis, which is effective enough. But, I wish to get rid of tablet support and live natural way. I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days. I wish to have your second opinion on this. Please guide. | Hi. For further doubts consult a sexologist online --> |
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Hello doctor, I am 48 years old. I am experiencing weak erection and difficulty in sustaining the same. This condition was observed 10 years back. Also, there is premature ejaculation. Other physical ailments that I have are, I am suffering from hypertension and taking Amlopres-L (Amlodipine and Lisinopril) for the last 10 years, high cholesterol and triglycerides. My cholesterol level is 225 and triglyceride is 200 for the last 12 years. I used to do frequent masturbation in early age. I do have erection during morning hours many times, particularly after sound sleep or if I had long walk previous day. I am having Sildenafil 25 mg or 5 mg Cialis, which is effective enough. But, I wish to get rid of tablet support and live natural way. I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days. I wish to have your second opinion on this. Please guide. [/INST] Hi. For further doubts consult a sexologist online --> |
Q. I have a phobia of vomiting. What can be done to prevent vomiting due to general anesthesia? | Hello, I am a 50 year old female who would like to have a breast reduction. However, I am high risk for vomiting from the anesthesia. I have a phobia of vomiting. I am a non smoker. I've had general anesthesia once before and I vomited several times. I am so scared that I have rescefuled the surger 3 times. Is there anything else that can be used instead of general anesthesia? What can be done to prevent the vomiting? Thank you | Hi, General anaesthesia has known post aesthesia effects of nausea ,retching, vomiting etc. Also these may be due to direct effect of surgery and pain. You seem to be very sensitive and anxious to it. But usually it is seen that with each subsequent episode of administration of general anaesthesia these effects tend to decrease in severity. So if last time you had vomiting postanaesthesia this time it will be less severe in terms of no. Of episodes etc. This will reduce your discomfort. Also if you may have prexisting GERD or gastroduodenal ulcer , gastritis. These may also cause nausea vomiting postoperative. So I would advice discuss issues with your anaesthesiologist and surgeon. Nausea, vomiting can be taken care of by medicines like proton pump inhibitors, H2antihistaminics, antiemetics which will be give by your physician in recommended doses. Some pre-op anxiolytic medicines on night before surgery will help you reduce anxiety. Take a light non oily meal on day before surgery so that stomach stays relatively acid free. |
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Hello, I am a 50 year old female who would like to have a breast reduction. However, I am high risk for vomiting from the anesthesia. I have a phobia of vomiting. I am a non smoker. I've had general anesthesia once before and I vomited several times. I am so scared that I have rescefuled the surger 3 times. Is there anything else that can be used instead of general anesthesia? What can be done to prevent the vomiting? Thank you [/INST] Hi, General anaesthesia has known post aesthesia effects of nausea ,retching, vomiting etc. Also these may be due to direct effect of surgery and pain. You seem to be very sensitive and anxious to it. But usually it is seen that with each subsequent episode of administration of general anaesthesia these effects tend to decrease in severity. So if last time you had vomiting postanaesthesia this time it will be less severe in terms of no. Of episodes etc. This will reduce your discomfort. Also if you may have prexisting GERD or gastroduodenal ulcer , gastritis. These may also cause nausea vomiting postoperative. So I would advice discuss issues with your anaesthesiologist and surgeon. Nausea, vomiting can be taken care of by medicines like proton pump inhibitors, H2antihistaminics, antiemetics which will be give by your physician in recommended doses. Some pre-op anxiolytic medicines on night before surgery will help you reduce anxiety. Take a light non oily meal on day before surgery so that stomach stays relatively acid free. |
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 itchy and pus filled bumps on my head. What are they? | Hi doctor, I have itchy and painful pus-filled bumps on my head. I think, it as folliculitis. I consulted two doctors. The first doctor told me to take Levocetirizine tablet 5 mg once a day and also suggested to use Nadoxin gel on the affected spots. I did this for a month. But my problem remained the same. I had flare-ups once in four days. The second doctor told me to use Betadine on the spots and suggested me to use Azithromycin 250 mg for four days. It got reduced, and then, it restarted again after four days. My condition got worsened for the past one week, and my scalp is hurting a lot. For shampooing, I use Biotique bio neem and Ketoconazole Keraglo on alternate days. Please help. | Hi. I have gone through the attachment (attachment removed to protect patient identity). Yes, it is folliculitis. I suggest you take tablet Augmentin 625 mg (Amoxycillin with Clavulanic acid) thrice daily, for a week. Also, I recommend you apply a topical antibacterial such as Mupirocin 2 % ointment, T Bact 2 % ointment (Mupirocin) twice daily. |
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Hi doctor, I have itchy and painful pus-filled bumps on my head. I think, it as folliculitis. I consulted two doctors. The first doctor told me to take Levocetirizine tablet 5 mg once a day and also suggested to use Nadoxin gel on the affected spots. I did this for a month. But my problem remained the same. I had flare-ups once in four days. The second doctor told me to use Betadine on the spots and suggested me to use Azithromycin 250 mg for four days. It got reduced, and then, it restarted again after four days. My condition got worsened for the past one week, and my scalp is hurting a lot. For shampooing, I use Biotique bio neem and Ketoconazole Keraglo on alternate days. Please help. [/INST] Hi. I have gone through the attachment (attachment removed to protect patient identity). Yes, it is folliculitis. I suggest you take tablet Augmentin 625 mg (Amoxycillin with Clavulanic acid) thrice daily, for a week. Also, I recommend you apply a topical antibacterial such as Mupirocin 2 % ointment, T Bact 2 % ointment (Mupirocin) twice daily. |
Q. Suddenly, I am losing hair in patches. What can I do? | Hi doctor, Suddenly, I have hair loss with a small circle at the upper side of the right ear. What can I do? Please help. | Hi. There is sudden hair loss in patches, and it is known as alopecia or spot baldness. It can occur due to autoimmune issues, psychological stress or fungal infection. It can revert. According to Ayurveda, leech therapy may help you to have regrowth of hair. Also, after rubbing, some irritant like Danti seeds or its preparations helps to reopen the hair pores, and it stimulates the hair follicles to have regrowth of hair. Take Ichhabhedi tablet. It contains Danti as an ingredient. Apply this powder, and it helps you to have regrowth of hair again. |
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Hi doctor, Suddenly, I have hair loss with a small circle at the upper side of the right ear. What can I do? Please help. [/INST] Hi. There is sudden hair loss in patches, and it is known as alopecia or spot baldness. It can occur due to autoimmune issues, psychological stress or fungal infection. It can revert. According to Ayurveda, leech therapy may help you to have regrowth of hair. Also, after rubbing, some irritant like Danti seeds or its preparations helps to reopen the hair pores, and it stimulates the hair follicles to have regrowth of hair. Take Ichhabhedi tablet. It contains Danti as an ingredient. Apply this powder, and it helps you to have regrowth of hair again. |
Q. I have constipation since childhood. Please suggest me a good homeopathy medicine. | Hi doctor, I am 30 years old female. I have constipation problem from my birth. Sometimes, I have stomach pain, and I have pain in the left half of the head. Please suggest me a good homeopathy medicine for constipation. | Hi. Your complaint is widespread nowadays. It will become cured nicely with homeopathy along with proper intake of medicines and follow-ups. You can start taking Cascara sagrada mother tincture 10 to 15 drops in a half cup of water at bedtime. You can take Nux vomica 1M five pills at bedtime every day. Take Alumina 30 five pills in the morning, noon, evening and night. Along with these medicines, have a fiber-rich food. Have a banana, raisins, apple, and fig. You can use one to two teaspoons of castor oil when you make dough for roti. You should have a proper intake of water. Less water intake can also cause constipation. Have a proper sleep because sound sleep helps to detoxify the body and it helps in having a regular motion in the morning. Changes in sleeping time affect your body and tummy. Have plenty of fluids. Load your food plate with vegetables as vegetables are rich in fiber. Have a follow up after a week to decide the duration of treatment and further medication. |
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Hi doctor, I am 30 years old female. I have constipation problem from my birth. Sometimes, I have stomach pain, and I have pain in the left half of the head. Please suggest me a good homeopathy medicine for constipation. [/INST] Hi. Your complaint is widespread nowadays. It will become cured nicely with homeopathy along with proper intake of medicines and follow-ups. You can start taking Cascara sagrada mother tincture 10 to 15 drops in a half cup of water at bedtime. You can take Nux vomica 1M five pills at bedtime every day. Take Alumina 30 five pills in the morning, noon, evening and night. Along with these medicines, have a fiber-rich food. Have a banana, raisins, apple, and fig. You can use one to two teaspoons of castor oil when you make dough for roti. You should have a proper intake of water. Less water intake can also cause constipation. Have a proper sleep because sound sleep helps to detoxify the body and it helps in having a regular motion in the morning. Changes in sleeping time affect your body and tummy. Have plenty of fluids. Load your food plate with vegetables as vegetables are rich in fiber. Have a follow up after a week to decide the duration of treatment and further medication. |
Q. Feeling depressed and getting suicidal thoughts due to poor erection. Please help. | Hi doctor, I am 28 years old, and I got married before two years. From the day of my marriage, I started to have an erection problem. After two days of marriage, I went to a doctor, and he gave me an injection. I had a good sex power with satisfaction. Now, I am not getting a proper erection for about two months, and my penis size has got reduced. Even the thickness has also got reduced. I have depression, and I am taking Nexito 10 and Amisant 100. I am planning to do suicide. My partner is not satisfied with me. When I start to have intercourse, I have a low erection, and within two minutes, I finish it. Before marriage, I usually do masturbation daily for twice a day. I made a huge mistake in my life by doing this act. My penis size has got reduced, and it makes me cry. I think about suicide, and I have low concentration power. I also have a tummy. I feel weak, and I have acidity. Even after taking good healthy food and a healthy drink, I feel tired. Please help me and give me a good medicine without side effects. | Hi. Do not worry much about this problem. It happens to many people due to lack of self-confidence. It is not a significant issue, so do not think for suicide. You can start taking these medicines which will surely help you. Take these medicines punctually and have faith in yourself. You can take Conium Maculatum 200 five pills in the morning, noon and night. Take Argentum nitricum 1M five pills at bedtime (one dose on alternate days). Take Ginkgo biloba mother tincture ten drops in a half cup of water in the morning and at night. Have a follow up after a week. Do not think of suicide. God has given you a beautiful life and birth as a human being. So do not have negative thoughts. Everything has solutions. Do not be frustrated. You will become fine by taking these medicines. Have a proper follow up to decide the duration of treatment and further medication. |
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Hi doctor, I am 28 years old, and I got married before two years. From the day of my marriage, I started to have an erection problem. After two days of marriage, I went to a doctor, and he gave me an injection. I had a good sex power with satisfaction. Now, I am not getting a proper erection for about two months, and my penis size has got reduced. Even the thickness has also got reduced. I have depression, and I am taking Nexito 10 and Amisant 100. I am planning to do suicide. My partner is not satisfied with me. When I start to have intercourse, I have a low erection, and within two minutes, I finish it. Before marriage, I usually do masturbation daily for twice a day. I made a huge mistake in my life by doing this act. My penis size has got reduced, and it makes me cry. I think about suicide, and I have low concentration power. I also have a tummy. I feel weak, and I have acidity. Even after taking good healthy food and a healthy drink, I feel tired. Please help me and give me a good medicine without side effects. [/INST] Hi. Do not worry much about this problem. It happens to many people due to lack of self-confidence. It is not a significant issue, so do not think for suicide. You can start taking these medicines which will surely help you. Take these medicines punctually and have faith in yourself. You can take Conium Maculatum 200 five pills in the morning, noon and night. Take Argentum nitricum 1M five pills at bedtime (one dose on alternate days). Take Ginkgo biloba mother tincture ten drops in a half cup of water in the morning and at night. Have a follow up after a week. Do not think of suicide. God has given you a beautiful life and birth as a human being. So do not have negative thoughts. Everything has solutions. Do not be frustrated. You will become fine by taking these medicines. Have a proper follow up to decide the duration of treatment and further medication. |
Q. I am unable to pull my penis foreskin back. Why and how to correct it? | Hi doctor, I am 22 years old. I have a problem with my penis foreskin. My penis foreskin is attached with glans. So, I am unable to pull my foreskin back. Please help. | Hi. Your problem is known as phimosis. In this, the penis foreskin cannot be retracted back. For that, a topical steroid can be taken. But mostly, most of the patients need an operation called circumcision. In that operation, the foreskin is removed, and a tight frenulum is released. It is a minor daycare surgery. I suggest you consult a urologist for circumcision. |
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Hi doctor, I am 22 years old. I have a problem with my penis foreskin. My penis foreskin is attached with glans. So, I am unable to pull my foreskin back. Please help. [/INST] Hi. Your problem is known as phimosis. In this, the penis foreskin cannot be retracted back. For that, a topical steroid can be taken. But mostly, most of the patients need an operation called circumcision. In that operation, the foreskin is removed, and a tight frenulum is released. It is a minor daycare surgery. I suggest you consult a urologist for circumcision. |
Q. What does abutment of the nerve root mean? | Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for annular bulging and tear? | Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online --> |
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Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for annular bulging and tear? [/INST] Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online --> |
Q. Is it right to have chemotherapy for stage IV invasive lobular carcinoma? | Hi doctor, The first case of cancer was on stage 3 ER+ invasive cancer of the left breast. Now, it is in stage IV invasive lobular carcinoma, with results of ER positive, PR positive, and HER2 with equivocal recurrent cancer. The site of disease is present on the abdominal lymph nodes and omentum with ascites and pleural effusions. Is the current treatment right? Are there any other tests recommended that helps to find more information? Any further recommendations required? Should we need to try clinical trials or immunotherapy? Please help. | Hi. I have gone through the attachment (attachment removed to protect patient identity). Yes, it is appropriate to use chemotherapy at this juncture. The HER2 (human epidermal growth factor receptor 2) result is mentioned as equivocal. So please do a FISH test (fluorescence in-situ hybridization) to find out whether it is positive or negative. After chemotherapy, consider doing a maintenance hormonal therapy. Immunotherapy in breast cancer is still in infancy, and promising results are seen in triple negative breast cancer women. I will not suggest a clinical trial at this juncture. |
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Hi doctor, The first case of cancer was on stage 3 ER+ invasive cancer of the left breast. Now, it is in stage IV invasive lobular carcinoma, with results of ER positive, PR positive, and HER2 with equivocal recurrent cancer. The site of disease is present on the abdominal lymph nodes and omentum with ascites and pleural effusions. Is the current treatment right? Are there any other tests recommended that helps to find more information? Any further recommendations required? Should we need to try clinical trials or immunotherapy? Please help. [/INST] Hi. I have gone through the attachment (attachment removed to protect patient identity). Yes, it is appropriate to use chemotherapy at this juncture. The HER2 (human epidermal growth factor receptor 2) result is mentioned as equivocal. So please do a FISH test (fluorescence in-situ hybridization) to find out whether it is positive or negative. After chemotherapy, consider doing a maintenance hormonal therapy. Immunotherapy in breast cancer is still in infancy, and promising results are seen in triple negative breast cancer women. I will not suggest a clinical trial at this juncture. |
Q. I have a low grade burning sensation in the right thigh near groin. Why? | Hi doctor, I have a low grade burning sensation in the upper thigh on the right side, near the groin. I have the same burning sensation in the left arm, below the shoulder to forearm. I have heaviness in my legs with a sharp pain in the feet. It got started after taking Ativan. This burning is pretty new to me, and I have this problem for a week now. I also have loss of circulation in my left arm at night during sleep. What can I do now? | Hi. Your symptoms are related to anxiety or peripheral neuropathy. I have reviewed all your tests, (attachment removed to protect patient identity) and they are perfectly normal. You have vitamin B12 level in a higher range, and it is not a problem. Coming to this point, I would recommend performing nerve conduction studies to investigate for neuropathy. I would also recommend checking magnesium plasma levels. If all these test results are normal, you can consider anxiety as a possible cause of your symptoms. In such a case, I would recommend adding Pregabalin or Gabapentin to your current therapy. You should discuss with your doctor on the above issues. |
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Hi doctor, I have a low grade burning sensation in the upper thigh on the right side, near the groin. I have the same burning sensation in the left arm, below the shoulder to forearm. I have heaviness in my legs with a sharp pain in the feet. It got started after taking Ativan. This burning is pretty new to me, and I have this problem for a week now. I also have loss of circulation in my left arm at night during sleep. What can I do now? [/INST] Hi. Your symptoms are related to anxiety or peripheral neuropathy. I have reviewed all your tests, (attachment removed to protect patient identity) and they are perfectly normal. You have vitamin B12 level in a higher range, and it is not a problem. Coming to this point, I would recommend performing nerve conduction studies to investigate for neuropathy. I would also recommend checking magnesium plasma levels. If all these test results are normal, you can consider anxiety as a possible cause of your symptoms. In such a case, I would recommend adding Pregabalin or Gabapentin to your current therapy. You should discuss with your doctor on the above issues. |
Q. How to overcome the habit of tongue thrusting? | Hi doctor, I have a habit of tongue thrusting. Now, I am using permanent retainers for the past four months. How to overcome it? | Hi. Please say your age. Usually, tongue thrusting is done unconsciously. So initially, you should be aware of it. Habit breaking appliance can also be used, and it takes time. It can also be stopped by a process called cognitive behavioral therapy. |
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Hi doctor, I have a habit of tongue thrusting. Now, I am using permanent retainers for the past four months. How to overcome it? [/INST] Hi. Please say your age. Usually, tongue thrusting is done unconsciously. So initially, you should be aware of it. Habit breaking appliance can also be used, and it takes time. It can also be stopped by a process called cognitive behavioral therapy. |
Q. Took Misoprostol to induce periods, but I am pregnant now. Will it result in healthy pregnancy? | Hi doctor, I had a miscarriage before three months, and it caused me great psychological distress. It was my first pregnancy after trying to conceive for ten years. As a part of my miscarriage treatment, I was supplied with Misoprostol pills (200 mg each). I never ingested it as my miscarriage passed naturally. Last week, my period was late for a couple of days. Pregnancy symptoms were not seen and thought that I just had delayed menses. Before two days, I took a full dose of Misoprostol to induce menstruation. I bled for eight hours with a medium to heavy flow with some minor clots. After this, the bleeding got stopped, and I thought about pregnancy. I checked it, and the test result came positive. I read that Misoprostol can cause congenital disabilities and I am extremely distressed. Can I have damage to the fetus? It is five weeks and one day from my last period. Please help. | Hi. First of all, for delayed periods, you should not take Misoprostol. If you have delayed menses, you should confirm pregnancy first and then you can choose other Progesterone-like tablets to induce menses. Secondly, it is true that Misoprostol can cause congenital disabilities if taken in early pregnancy. But not in all case. Now, do sonography to see whether the pregnancy is good or not. If there is no pregnancy, it can be expelled out. As you had a lot of clots, it can be expelled out. There are more chances for you to have an abortion. In case, if the pregnancy is safe, a decision should be made for continuing pregnancy. It depends on you and your husband. But if there is any genetic damage present in the baby, it can cause irreversible damage to the baby. It may be or may not be there. There is no other practical way available to declare that the child is 100 % healthy. If you both plan to continue, you have to be prepared for a healthy as well as for an unhealthy baby. Chances are 50 to 50. As you do not have a child, and as your age is increasing, it is a tough situation to decide to have a child. It is in your hands to decide the future and the preparation to handle anything. You do not know whether you will become pregnant or not next time. So think all the possibilities. Consider your situation, financial status, mental preparation, and eagerness for a child. Think and decide. |
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Hi doctor, I had a miscarriage before three months, and it caused me great psychological distress. It was my first pregnancy after trying to conceive for ten years. As a part of my miscarriage treatment, I was supplied with Misoprostol pills (200 mg each). I never ingested it as my miscarriage passed naturally. Last week, my period was late for a couple of days. Pregnancy symptoms were not seen and thought that I just had delayed menses. Before two days, I took a full dose of Misoprostol to induce menstruation. I bled for eight hours with a medium to heavy flow with some minor clots. After this, the bleeding got stopped, and I thought about pregnancy. I checked it, and the test result came positive. I read that Misoprostol can cause congenital disabilities and I am extremely distressed. Can I have damage to the fetus? It is five weeks and one day from my last period. Please help. [/INST] Hi. First of all, for delayed periods, you should not take Misoprostol. If you have delayed menses, you should confirm pregnancy first and then you can choose other Progesterone-like tablets to induce menses. Secondly, it is true that Misoprostol can cause congenital disabilities if taken in early pregnancy. But not in all case. Now, do sonography to see whether the pregnancy is good or not. If there is no pregnancy, it can be expelled out. As you had a lot of clots, it can be expelled out. There are more chances for you to have an abortion. In case, if the pregnancy is safe, a decision should be made for continuing pregnancy. It depends on you and your husband. But if there is any genetic damage present in the baby, it can cause irreversible damage to the baby. It may be or may not be there. There is no other practical way available to declare that the child is 100 % healthy. If you both plan to continue, you have to be prepared for a healthy as well as for an unhealthy baby. Chances are 50 to 50. As you do not have a child, and as your age is increasing, it is a tough situation to decide to have a child. It is in your hands to decide the future and the preparation to handle anything. You do not know whether you will become pregnant or not next time. So think all the possibilities. Consider your situation, financial status, mental preparation, and eagerness for a child. Think and decide. |
Q. What treatment is advised for post-ejaculation muscle spasms and nerve irritation? | Hi doctor, I have been struggling with chronic prostatitis or CPPS for the past five months. A big issue I have been having is the post-ejaculation muscle spasms or nerve irritation. I am currently in physical therapy to work out the muscle tension or spasms and hoping that helps with the nerve irritation. Unfortunately, a new and frightening issue has emerged, which is what my question to you here is related to. A month back, I masturbated to ejaculation. The ejaculation was very painful, specifically in the perineum area. After that, from the next day to the month end, I had no erection whatsoever at any point. The whole pelvic or penis area felt kind of just dead or numb. It is very unusual for me to go that long without ejaculating and especially without so much as an erection. When I woke up the next day, I had an extremely weak erection and it was a little bit painful. It was at this time I noticed a bend curve to the left near the top. This was extremely alarming and scary for me to see. I decided to masturbate that night. The whole time the penis was very numb and had very little sensation. It was erect, but there was no pleasurable sensation, and the curve to the left was still very alarming (pictures are attached). When I ejaculated (first time in two weeks), the ejaculate fluid had some trouble coming out. It made it out, but it kind of just leaked out (as opposed to shooting out) and there was absolutely no pleasure or sensation with it. It was less sensational than urinating. I still had a feeling. I could feel something was happening but it was very dead or numb feeling. Another piece just to throw in here, whenever I get aroused, but do not get an erection (so pretty much always), I have a very uncomfortable tingling in what feels like my perineum (although it is a radiating type of tingling, so it is possible it is coming from somewhere else in the same area). This tingling is relieved if or when an erection occurs. So my point is that I am very concerned about this leftward bend near the top of the penis. I have never had this before. I have read about Peyronie's disease. It looks to me from a visual standpoint that that could be it. However, I have to say that I am having a difficult time feeling or identifying any plaques or bumps or anything of that nature. The only thing of interest, which I believe you can see in the pictures, is that there is a big visible vein in pretty much the exact spot where the curve occurs. So my question is that, based on everything I have told you, what could this be? Could it be Peyronie's disease? Could it not be that, but rather a blood flow issue (vein in the exact spot of the curve). A nerve irritation issue? A muscle dysfunction issue? Again I am certainly not a doctor, but my intuition is telling me it is a blood flow issue. At the same time, the curve looks significant to me, so I do not know if poor blood flow could cause a curve of this nature? One more thing I almost forgot. I have been on Alfuzosin ER 10 mg tablets once per day every day for the past three months. I have also been taking Methocarbamol 500 mg post masturbation to help with muscle spasms and nerve pain. Could any of those have caused this? I did some research and came across an alpha-blocker called Flomax that can cause symptoms that mimic Peyronie'sdisease but could not find any specific evidence on Alfuzosin. If Alfuzosin could have caused this, what would the outlook be? If this is Peyronie's disease, what is the outlook on that? What should I feel to confirm Peyronie's? What can I do to help this? Of course, I will be seeing a urologist as soon as possible, but with my insurance and urologist availability, it could be up to a week before my next appointment. | Hi. I have gone through your query and the images that you have sent (attachment removed to protect patient identity). There is definitely a curvature that is appreciated on the images, but I cannot confirm whether it is Peyronie's disease without actually examining you myself. It is however among the few possibilities that can cause your present condition. I would like to know a few more details about the last time you masturbated. Did you find any sudden loss of erection or swelling of the penis after ejaculation? Did you feel a popping sensation in your penis at that time? Immediately after did you have any partial erections, and were these erections painful? The usual cause of this type of problem is a tiny injury to the layers covering the penis which give it stiffness. This could also explain why you did not have erections for sometime immediately after. The important thing is to rule out Peyronie's disease which can be progressive, the others are not. If it is just a curvature, without Peyronie's, it is necessary to check whether you are able to have normal erections, from the images it does appear that your erections are normal (needs to be confirmed during an examination). If it does not interfere with penetration, then usually we do not intervene unless the patient specifically requests for cosmetic purposes. So, to summarize, it is not likely to be Peyronie's, but I would definitely want to rule out with an examination and maybe an ultrasound if necessary. Such a slight curvature would usually not require any further treatment unless it interferes with penetrative intercourse. |
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Hi doctor, I have been struggling with chronic prostatitis or CPPS for the past five months. A big issue I have been having is the post-ejaculation muscle spasms or nerve irritation. I am currently in physical therapy to work out the muscle tension or spasms and hoping that helps with the nerve irritation. Unfortunately, a new and frightening issue has emerged, which is what my question to you here is related to. A month back, I masturbated to ejaculation. The ejaculation was very painful, specifically in the perineum area. After that, from the next day to the month end, I had no erection whatsoever at any point. The whole pelvic or penis area felt kind of just dead or numb. It is very unusual for me to go that long without ejaculating and especially without so much as an erection. When I woke up the next day, I had an extremely weak erection and it was a little bit painful. It was at this time I noticed a bend curve to the left near the top. This was extremely alarming and scary for me to see. I decided to masturbate that night. The whole time the penis was very numb and had very little sensation. It was erect, but there was no pleasurable sensation, and the curve to the left was still very alarming (pictures are attached). When I ejaculated (first time in two weeks), the ejaculate fluid had some trouble coming out. It made it out, but it kind of just leaked out (as opposed to shooting out) and there was absolutely no pleasure or sensation with it. It was less sensational than urinating. I still had a feeling. I could feel something was happening but it was very dead or numb feeling. Another piece just to throw in here, whenever I get aroused, but do not get an erection (so pretty much always), I have a very uncomfortable tingling in what feels like my perineum (although it is a radiating type of tingling, so it is possible it is coming from somewhere else in the same area). This tingling is relieved if or when an erection occurs. So my point is that I am very concerned about this leftward bend near the top of the penis. I have never had this before. I have read about Peyronie's disease. It looks to me from a visual standpoint that that could be it. However, I have to say that I am having a difficult time feeling or identifying any plaques or bumps or anything of that nature. The only thing of interest, which I believe you can see in the pictures, is that there is a big visible vein in pretty much the exact spot where the curve occurs. So my question is that, based on everything I have told you, what could this be? Could it be Peyronie's disease? Could it not be that, but rather a blood flow issue (vein in the exact spot of the curve). A nerve irritation issue? A muscle dysfunction issue? Again I am certainly not a doctor, but my intuition is telling me it is a blood flow issue. At the same time, the curve looks significant to me, so I do not know if poor blood flow could cause a curve of this nature? One more thing I almost forgot. I have been on Alfuzosin ER 10 mg tablets once per day every day for the past three months. I have also been taking Methocarbamol 500 mg post masturbation to help with muscle spasms and nerve pain. Could any of those have caused this? I did some research and came across an alpha-blocker called Flomax that can cause symptoms that mimic Peyronie'sdisease but could not find any specific evidence on Alfuzosin. If Alfuzosin could have caused this, what would the outlook be? If this is Peyronie's disease, what is the outlook on that? What should I feel to confirm Peyronie's? What can I do to help this? Of course, I will be seeing a urologist as soon as possible, but with my insurance and urologist availability, it could be up to a week before my next appointment. [/INST] Hi. I have gone through your query and the images that you have sent (attachment removed to protect patient identity). There is definitely a curvature that is appreciated on the images, but I cannot confirm whether it is Peyronie's disease without actually examining you myself. It is however among the few possibilities that can cause your present condition. I would like to know a few more details about the last time you masturbated. Did you find any sudden loss of erection or swelling of the penis after ejaculation? Did you feel a popping sensation in your penis at that time? Immediately after did you have any partial erections, and were these erections painful? The usual cause of this type of problem is a tiny injury to the layers covering the penis which give it stiffness. This could also explain why you did not have erections for sometime immediately after. The important thing is to rule out Peyronie's disease which can be progressive, the others are not. If it is just a curvature, without Peyronie's, it is necessary to check whether you are able to have normal erections, from the images it does appear that your erections are normal (needs to be confirmed during an examination). If it does not interfere with penetration, then usually we do not intervene unless the patient specifically requests for cosmetic purposes. So, to summarize, it is not likely to be Peyronie's, but I would definitely want to rule out with an examination and maybe an ultrasound if necessary. Such a slight curvature would usually not require any further treatment unless it interferes with penetrative intercourse. |
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.---> |
<s>[INST]
Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. [/INST] Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> |
Q. For how long should I take Kalachikai powder to overcome PCOD problem? | Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? | Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> |
<s>[INST]
Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? [/INST] Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> |
Q. Why do periods get delayed after first time sex? | Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? | Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> |
<s>[INST]
Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? [/INST] Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> |
Q. Will Nano-Leo give permanent solution for erection problem? | Hello doctor, I am 48 years old. I am experiencing weak erection and difficulty in sustaining the same. This condition was observed 10 years back. Also, there is premature ejaculation. Other physical ailments that I have are, I am suffering from hypertension and taking Amlopres-L (Amlodipine and Lisinopril) for the last 10 years, high cholesterol and triglycerides. My cholesterol level is 225 and triglyceride is 200 for the last 12 years. I used to do frequent masturbation in early age. I do have erection during morning hours many times, particularly after sound sleep or if I had long walk previous day. I am having Sildenafil 25 mg or 5 mg Cialis, which is effective enough. But, I wish to get rid of tablet support and live natural way. I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days. I wish to have your second opinion on this. Please guide. | Hi. For further doubts consult a sexologist online --> |
<s>[INST]
Hello doctor, I am 48 years old. I am experiencing weak erection and difficulty in sustaining the same. This condition was observed 10 years back. Also, there is premature ejaculation. Other physical ailments that I have are, I am suffering from hypertension and taking Amlopres-L (Amlodipine and Lisinopril) for the last 10 years, high cholesterol and triglycerides. My cholesterol level is 225 and triglyceride is 200 for the last 12 years. I used to do frequent masturbation in early age. I do have erection during morning hours many times, particularly after sound sleep or if I had long walk previous day. I am having Sildenafil 25 mg or 5 mg Cialis, which is effective enough. But, I wish to get rid of tablet support and live natural way. I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days. I wish to have your second opinion on this. Please guide. [/INST] Hi. For further doubts consult a sexologist online --> |
Q. Is it necessary to have LEEP surgery in CIN1? | Hi doctor, Is it necessary to have a LEEP surgery in CIN1? | Hi. I have gone through the attached reports (attachment removed to protect patient identity). Your results showed cervicitis with metaplasia and suspected CIN1 (cervical intraepithelial neoplasia). In a colposcopy, it should be discussed in detail. It needs treatment soon. Mostly, cervical cancer occurs due to infection with human papillomavirus. CIN1 is a precancerous lesion, and if left untreated, it results in cancer in coming years. Usually, CIN1 is treated with a loop or large loop excision of the transformation zone (LLETZ). So, it is better to have it to prevent its maturity to high-grade cervical cancer in the coming years. |
<s>[INST]
Hi doctor, Is it necessary to have a LEEP surgery in CIN1? [/INST] Hi. I have gone through the attached reports (attachment removed to protect patient identity). Your results showed cervicitis with metaplasia and suspected CIN1 (cervical intraepithelial neoplasia). In a colposcopy, it should be discussed in detail. It needs treatment soon. Mostly, cervical cancer occurs due to infection with human papillomavirus. CIN1 is a precancerous lesion, and if left untreated, it results in cancer in coming years. Usually, CIN1 is treated with a loop or large loop excision of the transformation zone (LLETZ). So, it is better to have it to prevent its maturity to high-grade cervical cancer in the coming years. |
Q. Had an allergy blood test. Are the numbers ranging between 0 and 0. 75 kU/L normal? | Hello doctor, I just got results back from an allergy blood test. My specific allergy numbers ranged from 0 to 0.75 kU/L. My total IgE is 241 IU/mL. Does this total number indicate anything? Is the number high or low? | Hello. Let me help you. The IgE value is within normal limits. Moreover, the total serum IgE values are not very indicative, rather specific IgE levels are important. Specific IgE levels should be inferred in relation to the particular allergen. Each allergen level may be different. Currently, the most accepted form of testing allergy is the skin prick testing which is the gold standard. We do specific IgE blood tests only on those patients in whose skin prick test is contraindicated like pregnant ladies, etc. Your specific IgE levels need to be assessed in relation to the allergen. Can you share with us the whole report? Can you describe your symptoms to us? Have you had this problem since long? What medicines are you currently on? Are your problems seasonal or perennial? Is there breathing trouble or skin problems also? |
<s>[INST]
Hello doctor, I just got results back from an allergy blood test. My specific allergy numbers ranged from 0 to 0.75 kU/L. My total IgE is 241 IU/mL. Does this total number indicate anything? Is the number high or low? [/INST] Hello. Let me help you. The IgE value is within normal limits. Moreover, the total serum IgE values are not very indicative, rather specific IgE levels are important. Specific IgE levels should be inferred in relation to the particular allergen. Each allergen level may be different. Currently, the most accepted form of testing allergy is the skin prick testing which is the gold standard. We do specific IgE blood tests only on those patients in whose skin prick test is contraindicated like pregnant ladies, etc. Your specific IgE levels need to be assessed in relation to the allergen. Can you share with us the whole report? Can you describe your symptoms to us? Have you had this problem since long? What medicines are you currently on? Are your problems seasonal or perennial? Is there breathing trouble or skin problems also? |
Q. What is the reason for three recurrent miscarriages? | Hello doctor, I have had three recurrent miscarriages and I only had some testing done. I am not really sure what to make of it. Could anyone explain why this is happening based on my results? I was on Progesterone during third pregnancy. | Hello. The presence of ANA positivity (attachment removed to protect patient identity) indicates that you have thrombophilias and this could be acquired or inherited and hence you would have to get a complete thrombophilia screening done, like ACLA, APLA, LAC, protein C, and S deficiency, antithrombin 3 deficiency, factor 5 Leiden mutation, serum homocysteine levels. Pregnancy is possible but once heart rate arrives, then you would have to be on LMWH (low molecular weight Heparin) or Enoxaparin injections daily till your delivery to sustain and maintain pregnancy. You can discuss further if in doubt. |
<s>[INST]
Hello doctor, I have had three recurrent miscarriages and I only had some testing done. I am not really sure what to make of it. Could anyone explain why this is happening based on my results? I was on Progesterone during third pregnancy. [/INST] Hello. The presence of ANA positivity (attachment removed to protect patient identity) indicates that you have thrombophilias and this could be acquired or inherited and hence you would have to get a complete thrombophilia screening done, like ACLA, APLA, LAC, protein C, and S deficiency, antithrombin 3 deficiency, factor 5 Leiden mutation, serum homocysteine levels. Pregnancy is possible but once heart rate arrives, then you would have to be on LMWH (low molecular weight Heparin) or Enoxaparin injections daily till your delivery to sustain and maintain pregnancy. You can discuss further if in doubt. |
Q. What can be done for hamstrings spasm caused due to exercise? | Hello doctor, Today, I was lifting light weights on squats. As I went down into a parallel position, my back locked up and immediately began to hurt. I tried other lifts (hyperextentions) to loosen my hamstrings. It felt better at the time, but now I am at home and can barely stand and walk. How can I treat this issue? I have taken Aleve, but my lower back is still spasming and very tight. | Hi. I went through your case, what I found is that you must follow some basic stretching exercises with warm up and cool down phase to avoid tightening of muscles. Do warm-up exercise like static jogging, jumping with hands wide apart. Along with warm-up, 10 minutes of stretching exercises like twisting and turning exercises, with standing and long sitting also. Lie down flat on the mat, bend your knees and bring your bend knees towards your body. Follow the same position with legs extended. Put a towel behind the legs and holding the towel with hands pull the towel towards your body. This will stretch both spine and hams also. Do cat and camel exercises. Come to your quadruped position, inhale and try to put your spine down and head up, then exhale and try to pull up the spineaking a curve with head down. Repeat this 10 to 15 times. It can be done before and after workout sessions. Apply hot pack if possible to decrease the soreness twice daily. Go for a physiotherapy session which should include mobilization of spine and manipulation with TENS (transcutaneous electrical nerve stimulation), 15 minutes 80 hertz. |
<s>[INST]
Hello doctor, Today, I was lifting light weights on squats. As I went down into a parallel position, my back locked up and immediately began to hurt. I tried other lifts (hyperextentions) to loosen my hamstrings. It felt better at the time, but now I am at home and can barely stand and walk. How can I treat this issue? I have taken Aleve, but my lower back is still spasming and very tight. [/INST] Hi. I went through your case, what I found is that you must follow some basic stretching exercises with warm up and cool down phase to avoid tightening of muscles. Do warm-up exercise like static jogging, jumping with hands wide apart. Along with warm-up, 10 minutes of stretching exercises like twisting and turning exercises, with standing and long sitting also. Lie down flat on the mat, bend your knees and bring your bend knees towards your body. Follow the same position with legs extended. Put a towel behind the legs and holding the towel with hands pull the towel towards your body. This will stretch both spine and hams also. Do cat and camel exercises. Come to your quadruped position, inhale and try to put your spine down and head up, then exhale and try to pull up the spineaking a curve with head down. Repeat this 10 to 15 times. It can be done before and after workout sessions. Apply hot pack if possible to decrease the soreness twice daily. Go for a physiotherapy session which should include mobilization of spine and manipulation with TENS (transcutaneous electrical nerve stimulation), 15 minutes 80 hertz. |
Q. What is the timeline followed for development of syphilis? | Hi doctor, I am 36 years old, and my partner is 55 years old. We have been in an exclusive relationship for over three years. Throughout the entire relationship, I never had sexual contact with anyone other than him. He got a rash before two months. The GP diagnosed it as shingles. But after seeing the blood reports, he was diagnosed with syphilis. After reading about this condition, I have understood that the stage two symptoms appear after 10 to 90 days of contracting. My partner is persistent that he has not slept with anyone except me. I also understand that syphilis can remain dominant for some time. If he has stage two symptoms, does it mean that he would have contracted it before three months of diagnosis? Is it possible for him to have it before we were together? | Hi. The median incubation period (interval between contracting infection and clinical manifestations) of primary syphilis is 21 days (ranges from 10 to 90 days), and it rarely exceeds six weeks. Once the primary sore appears, it persists for four to six weeks, and then it heals. Usually, six to eight weeks after healing of primary sore, secondary syphilis becomes clinically apparent. Patient experiences skin rash at this stage. The timeline for the development of rash follows this way. When contracting an infection from a sexual partner, it takes 10 to 90 days for development. In median 21 days, primary sores appear on the genital parts. It persists for four to six weeks, and then it heals. After having healing of primary sore after six to eight weeks, a rash of secondary syphilis appears. Usually, it takes two to eight weeks to heal. So generally, it is unlikely to have the rash appearing after many years of contracting the disease from a sexual partner. |
<s>[INST]
Hi doctor, I am 36 years old, and my partner is 55 years old. We have been in an exclusive relationship for over three years. Throughout the entire relationship, I never had sexual contact with anyone other than him. He got a rash before two months. The GP diagnosed it as shingles. But after seeing the blood reports, he was diagnosed with syphilis. After reading about this condition, I have understood that the stage two symptoms appear after 10 to 90 days of contracting. My partner is persistent that he has not slept with anyone except me. I also understand that syphilis can remain dominant for some time. If he has stage two symptoms, does it mean that he would have contracted it before three months of diagnosis? Is it possible for him to have it before we were together? [/INST] Hi. The median incubation period (interval between contracting infection and clinical manifestations) of primary syphilis is 21 days (ranges from 10 to 90 days), and it rarely exceeds six weeks. Once the primary sore appears, it persists for four to six weeks, and then it heals. Usually, six to eight weeks after healing of primary sore, secondary syphilis becomes clinically apparent. Patient experiences skin rash at this stage. The timeline for the development of rash follows this way. When contracting an infection from a sexual partner, it takes 10 to 90 days for development. In median 21 days, primary sores appear on the genital parts. It persists for four to six weeks, and then it heals. After having healing of primary sore after six to eight weeks, a rash of secondary syphilis appears. Usually, it takes two to eight weeks to heal. So generally, it is unlikely to have the rash appearing after many years of contracting the disease from a sexual partner. |
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