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Q. My nasal passages are swollen and I cannot breathe well. What has to be done? | Hi doctor, I went to the allergist a week back and he said my nasal passages were swollen up. He prescribed QNASL. I am going to meet an ENT doctor in a day or so. I cannot breathe well or smell. What can an ENT doctor do for me? | Hi. The steroid nasal spray you are using has local steroid which helps in reducing the swelling. This spray you will have to use for around six weeks. Secondly, to treat nose block you may use local decongestant nose drops for five days. If you have excessive sneezing you should use antihistamines also. If your problem is chronic that is from a long time I would advise you to get CT scan of paranasal sinuses done to rule out sinusitis. |
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Hi doctor, I went to the allergist a week back and he said my nasal passages were swollen up. He prescribed QNASL. I am going to meet an ENT doctor in a day or so. I cannot breathe well or smell. What can an ENT doctor do for me? [/INST] Hi. The steroid nasal spray you are using has local steroid which helps in reducing the swelling. This spray you will have to use for around six weeks. Secondly, to treat nose block you may use local decongestant nose drops for five days. If you have excessive sneezing you should use antihistamines also. If your problem is chronic that is from a long time I would advise you to get CT scan of paranasal sinuses done to rule out sinusitis. |
Q. What is the reason for abnormal sugar levels even after taking medicines? | Hello doctor, My fasting sugar is 180 and postprandial is 165. I am diabetic and take one tablet Janumet before breakfast and another after dinner. Why is this abnormal? Kindly suggest. | Hello. The blood sugar levels are still raised as your dosage must be insufficient. I would like to advise you to tell me the dosage of tablet Janumet that you are taking along with tablet Gluconorm. According to your fasting and postprandial blood sugar, I would then be able to adjust a proper medication and dosage for you. If you have any issues following up with me, you can meet your nearest physician or your family doctor, who can do it for you. Also, you should know that exercising and diet restrictions have an important role in maintaining your blood sugars and you should follow them religiously. There are two reasons to develop diabetes. One, because of pancreas not secreting enough insulin and two, our body tissues becoming non-responsive to the circulating insulin, because of a sedentary exercise less high-calorie diet that we follow for years together. That is why exercise is seen to improve insulin action in many patients and has helped us to keep the dosage to a bare minimum. Since you are overweight, I feel you should concentrate on losing weight by doing regular exercise and following a strict diabetic diet. It may help you to get off the medications or at least not let your present situation progress. Take care. |
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Hello doctor, My fasting sugar is 180 and postprandial is 165. I am diabetic and take one tablet Janumet before breakfast and another after dinner. Why is this abnormal? Kindly suggest. [/INST] Hello. The blood sugar levels are still raised as your dosage must be insufficient. I would like to advise you to tell me the dosage of tablet Janumet that you are taking along with tablet Gluconorm. According to your fasting and postprandial blood sugar, I would then be able to adjust a proper medication and dosage for you. If you have any issues following up with me, you can meet your nearest physician or your family doctor, who can do it for you. Also, you should know that exercising and diet restrictions have an important role in maintaining your blood sugars and you should follow them religiously. There are two reasons to develop diabetes. One, because of pancreas not secreting enough insulin and two, our body tissues becoming non-responsive to the circulating insulin, because of a sedentary exercise less high-calorie diet that we follow for years together. That is why exercise is seen to improve insulin action in many patients and has helped us to keep the dosage to a bare minimum. Since you are overweight, I feel you should concentrate on losing weight by doing regular exercise and following a strict diabetic diet. It may help you to get off the medications or at least not let your present situation progress. Take care. |
Q. My penis could have touched vaginal fluid in the condom. Is there any chance for HIV? | Hello doctor, After I had sex with sex-worker, I put my penis inside underwear before removing the condom. Her vaginal fluids would have spread in my underwear. After one minute, I removed the condom and put it back in the underwear. The penis could have touched vaginal fluids in the underwear. Is there any chance to transmit HIV by this? | Hi. The answer to your question is simple. How long do you live in water? The same is applicable to HIV virus too. How long HIV virus survive in outside environment? Here the answer is a minimum of eight seconds and a maximum of 30 seconds owing to environmental temperature. So, in your condition, even if she is infected, having a virus in vaginal fluid and then on your underwear, the virus is not able to survive in the outside environment and again virus has no capabilities to breach skin and pass into the body. So, the chance of acquiring HIV in the context you explained are not valid for transmission in any way. So, nothing to worry. |
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Hello doctor, After I had sex with sex-worker, I put my penis inside underwear before removing the condom. Her vaginal fluids would have spread in my underwear. After one minute, I removed the condom and put it back in the underwear. The penis could have touched vaginal fluids in the underwear. Is there any chance to transmit HIV by this? [/INST] Hi. The answer to your question is simple. How long do you live in water? The same is applicable to HIV virus too. How long HIV virus survive in outside environment? Here the answer is a minimum of eight seconds and a maximum of 30 seconds owing to environmental temperature. So, in your condition, even if she is infected, having a virus in vaginal fluid and then on your underwear, the virus is not able to survive in the outside environment and again virus has no capabilities to breach skin and pass into the body. So, the chance of acquiring HIV in the context you explained are not valid for transmission in any way. So, nothing to worry. |
Q. I have high blood pressure and pulse along with chest pain. What to do? | Hello doctor, Please advise me. I have blood pressure 157/77 and pulse 97, blood sugar 88. My age is 44 years, sex is male and very light pain in the heart at the same time. | Hello. Your systolic blood pressure is elevated. Do you smoke? Do you have diabetes? Are you overweight? Some advice to lower BP is as follows. Stop smoking and paan, etc. Reduce weight, adopt an active lifestyle, do a brisk walk, reduce salt intake in the diet, reduce saturated and trans fat in the diet. Check BP regularly. If after adopting all these, still, BP remains elevated, you may take medication after one month or so. Tablet Lisinopril 10 mg at bed time daily. Make sure your kidney function is normal before starting this medicine. This medicine may cause reduced BP in initial days. So, take it at bed time only. After 15 to 20 days you may switch it to day time. Check BP regularly. I recommend first to make lifestyle modifications. If BP normalizes, then there is no need to take medicine. |
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Hello doctor, Please advise me. I have blood pressure 157/77 and pulse 97, blood sugar 88. My age is 44 years, sex is male and very light pain in the heart at the same time. [/INST] Hello. Your systolic blood pressure is elevated. Do you smoke? Do you have diabetes? Are you overweight? Some advice to lower BP is as follows. Stop smoking and paan, etc. Reduce weight, adopt an active lifestyle, do a brisk walk, reduce salt intake in the diet, reduce saturated and trans fat in the diet. Check BP regularly. If after adopting all these, still, BP remains elevated, you may take medication after one month or so. Tablet Lisinopril 10 mg at bed time daily. Make sure your kidney function is normal before starting this medicine. This medicine may cause reduced BP in initial days. So, take it at bed time only. After 15 to 20 days you may switch it to day time. Check BP regularly. I recommend first to make lifestyle modifications. If BP normalizes, then there is no need to take medicine. |
Q. Is it normal to feel needle-like pain in the rib by an asthmatic? | Hello doctor, I have a needle-like pain on the left side of the rib. I am an asthmatic. I had bronchitis a month ago and was treated with antibiotics. The chest is wheezy and I have a dry cough. | Hi. You seem to have developed pleurisy or pleuritic chest pain following an acute asthma attack. I would recommend first of all a chest X-ray to rule out any pleural effusion as well as any pneumonia. If your chest X-ray remains clear then you would need treatment with a short course steroid like Prednisone along with a bronchodilator like Levosalbutamol and Budesonide. This should resolve within a few days of treatment. |
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Hello doctor, I have a needle-like pain on the left side of the rib. I am an asthmatic. I had bronchitis a month ago and was treated with antibiotics. The chest is wheezy and I have a dry cough. [/INST] Hi. You seem to have developed pleurisy or pleuritic chest pain following an acute asthma attack. I would recommend first of all a chest X-ray to rule out any pleural effusion as well as any pneumonia. If your chest X-ray remains clear then you would need treatment with a short course steroid like Prednisone along with a bronchodilator like Levosalbutamol and Budesonide. This should resolve within a few days of treatment. |
Q. Every time I eat spicy food, I poop blood. Why? | Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I do not have a family history of colon cancer. I got blood tests done last night. Please find my reports attached. | Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online --> |
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Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I do not have a family history of colon cancer. I got blood tests done last night. Please find my reports attached. [/INST] Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online --> |
Q. How long should my husband and I wait to try for a baby if we did cocaine? | Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. | Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> |
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Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. [/INST] Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> |
Q. Can Yasmin birth control pill be used as an emergency contraceptive pill? | Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? | Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> |
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Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? [/INST] Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> |
Q. Please explain the poisonous effect of phenol ingestion. | Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. | Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> |
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Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. [/INST] Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> |
Q. For how long should I take Kalachikai powder to overcome PCOD problem? | Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? | Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> |
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Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? [/INST] Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> |
Q. Why do periods get delayed after first time sex? | Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? | Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> |
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Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? [/INST] Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> |
Q. My ear is unblocked and hurts less than before after I noticed some drainage. What is happening? | Hello doctor, I have been very sick with a cold for the past five days and just yesterday I got an ear infection. It did not hurt that much but my ear was so blocked that it was highly uncomfortable. Today I noticed some drainage, which I immediately looked up and saw that it meant a broken eardrum and I should contact a doctor immediately, but after about an hour or two of drainage, my ear is unblocked and hurts less than it did before. What is happening and what should I do? | Hi. Because of cold, you must be having some ear infection as well. Due to recurrent cold, your eustachian tube is blocked and caused reduce ventilation of ear and hence there was pus formation in the ear. This continues pus formation has broken the tympanic membrane and came outside yesterday. You may consult an ENT specialist who can examine your ear and you need a course of antibiotics and anti-inflammatories for seven days. Also you should take decongestants for five days. |
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Hello doctor, I have been very sick with a cold for the past five days and just yesterday I got an ear infection. It did not hurt that much but my ear was so blocked that it was highly uncomfortable. Today I noticed some drainage, which I immediately looked up and saw that it meant a broken eardrum and I should contact a doctor immediately, but after about an hour or two of drainage, my ear is unblocked and hurts less than it did before. What is happening and what should I do? [/INST] Hi. Because of cold, you must be having some ear infection as well. Due to recurrent cold, your eustachian tube is blocked and caused reduce ventilation of ear and hence there was pus formation in the ear. This continues pus formation has broken the tympanic membrane and came outside yesterday. You may consult an ENT specialist who can examine your ear and you need a course of antibiotics and anti-inflammatories for seven days. Also you should take decongestants for five days. |
Q. Vobit M3 is not controlling diabetes. Kindly advise. | Hello doctor, I am suffering from diabetes for five years and taking Metformin M2 Glimepiride 1 mg three times a day. Diabetes was under control for one month. Fasting was 180/200 and PP is 360/400. After taking Vobit M3 daily one tablet before lunch, there is no control of diabetes. Please advise. My age is 57 years. | Hello. Firstly, I would like to ask you if these readings are after stopping the medications or while you were on them. Also, are you following a strict diabetic diet and doing regular exercise? I would like to stress on the fact that even if you are taking medications, your main savior would be a good diet and regular exercise. It helps decrease your medicine dosages and also helps making your body more sensitive to the actions of the medicines. If these are your blood sugar values with medications, they are of very high values. Mainly, you would have to meet a local doctor as soon as possible. And also, you should never stop your medications without a doctor's advice, as it will lead to more rise in your sugar levels. That can be a threat to your life. If oral medicines are no longer effective for you, you might require to be shifted to Insulin. This would be analysed best by a doctor. |
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Hello doctor, I am suffering from diabetes for five years and taking Metformin M2 Glimepiride 1 mg three times a day. Diabetes was under control for one month. Fasting was 180/200 and PP is 360/400. After taking Vobit M3 daily one tablet before lunch, there is no control of diabetes. Please advise. My age is 57 years. [/INST] Hello. Firstly, I would like to ask you if these readings are after stopping the medications or while you were on them. Also, are you following a strict diabetic diet and doing regular exercise? I would like to stress on the fact that even if you are taking medications, your main savior would be a good diet and regular exercise. It helps decrease your medicine dosages and also helps making your body more sensitive to the actions of the medicines. If these are your blood sugar values with medications, they are of very high values. Mainly, you would have to meet a local doctor as soon as possible. And also, you should never stop your medications without a doctor's advice, as it will lead to more rise in your sugar levels. That can be a threat to your life. If oral medicines are no longer effective for you, you might require to be shifted to Insulin. This would be analysed best by a doctor. |
Q. Why is there tightness and pain below my ribs on the right side? | Hello doctor, There is a tight feeling below my ribs on my right side. Sometimes, a little painful but other than that I am feeling very well. | Hi. I have gone through your query and can understand your health concern. The tightness could be due to gaseous problem or disease of the organs present in that area like liver, gallbladder or ascending colon. Sometimes, liver pathology can cause such symptoms. In my opinion, you should consult a physician and get your check up done. You may need an ultrasound of the abdomen and liver function test. Avoid oily, spicy food. Drink a lot of water. Avoid tea and coffee. Include more fibers in your diet like salads, green leafy vegetables, whole grains. |
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Hello doctor, There is a tight feeling below my ribs on my right side. Sometimes, a little painful but other than that I am feeling very well. [/INST] Hi. I have gone through your query and can understand your health concern. The tightness could be due to gaseous problem or disease of the organs present in that area like liver, gallbladder or ascending colon. Sometimes, liver pathology can cause such symptoms. In my opinion, you should consult a physician and get your check up done. You may need an ultrasound of the abdomen and liver function test. Avoid oily, spicy food. Drink a lot of water. Avoid tea and coffee. Include more fibers in your diet like salads, green leafy vegetables, whole grains. |
Q. Is it possible for a 3 mm hole in baby's heart to close by itself? | Hi doctor, I had twins, a baby boy and girl. They were born at 34th week. The baby girl is doing fine. The baby boy has lung surfactant and he is fine now, but after echo test, the echo doctor said that 3 mm hole is there in his heart, but he says it is normal and will close naturally. Please suggest me. I am worried. | Hi. Yes, your doctor has said right (attachment removed to protect patient identity). Usually ventricular septal defects, especially if small and muscular, close on itself over time. If there are no symptoms like turning blue or black, difficulty in breathing, recurrent chest infections, there is nothing to worry. Just wait and watch. Do echo every year to see the progress. You can consult me with echocardiography report to guide you further. |
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Hi doctor, I had twins, a baby boy and girl. They were born at 34th week. The baby girl is doing fine. The baby boy has lung surfactant and he is fine now, but after echo test, the echo doctor said that 3 mm hole is there in his heart, but he says it is normal and will close naturally. Please suggest me. I am worried. [/INST] Hi. Yes, your doctor has said right (attachment removed to protect patient identity). Usually ventricular septal defects, especially if small and muscular, close on itself over time. If there are no symptoms like turning blue or black, difficulty in breathing, recurrent chest infections, there is nothing to worry. Just wait and watch. Do echo every year to see the progress. You can consult me with echocardiography report to guide you further. |
Q. Exercises to do when one has ankylosing spondylitis with an Andersson lesion. | Dear doctor, Can you tell me which exercises are the best to do when one is having ankylosing spondylitis with an Andersson lesion apart from any outdoor exercises? | Hi. You have to inform us of your age, duration of symptoms, whether you are on any medical management, the extent of your body joints and spine involvement, etc. Considering all these have been done, I would suggest you concentrate on deep breathing exercises and pranayama. Also, we advise you to avoid the use of high pillows or a soft bed. Now as you know, the chest expansion is limited when one is having ankylosing spondylitis, swimming is a good exercise that helps most joints in addition to the back. You may also need to check your vitamin D status and the calcium, phosphorous and alkaline phosphatase levels. Yoga can be tried but will have to be individually tailored. All the best for a sporty day. Consult a physiotherapist online --> |
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Dear doctor, Can you tell me which exercises are the best to do when one is having ankylosing spondylitis with an Andersson lesion apart from any outdoor exercises? [/INST] Hi. You have to inform us of your age, duration of symptoms, whether you are on any medical management, the extent of your body joints and spine involvement, etc. Considering all these have been done, I would suggest you concentrate on deep breathing exercises and pranayama. Also, we advise you to avoid the use of high pillows or a soft bed. Now as you know, the chest expansion is limited when one is having ankylosing spondylitis, swimming is a good exercise that helps most joints in addition to the back. You may also need to check your vitamin D status and the calcium, phosphorous and alkaline phosphatase levels. Yoga can be tried but will have to be individually tailored. All the best for a sporty day. Consult a physiotherapist online --> |
Q. Will Kalarchikai cure multiple ovarian cysts in PCOD? | Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well. | Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help. |
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Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well. [/INST] Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help. |
Q. My mouth stinks very badly. What shall I do? | Hello doctor, My mouth stinks very badly. What shall I do? | Hi. You must get the cause identified. Treating the root cause will give a permanent solution for bad breath. If the halitosis remains even after the use of mouthwash for two weeks, consult a dentist online for further treatment. |
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Hello doctor, My mouth stinks very badly. What shall I do? [/INST] Hi. You must get the cause identified. Treating the root cause will give a permanent solution for bad breath. If the halitosis remains even after the use of mouthwash for two weeks, consult a dentist online for further treatment. |
Q. I underwent sigmoidoscopy. Is intestinal abscess a possibility? | Dear doctor, Is intestinal abscess a possibility? I need a second opinion. Medical history: On April 1st, I underwent sigmoidoscopy, and since then, a pain started on my left side. They also diagnosed C.difficile. We started Vancomycin. Then the pain stopped. At week-3 of treatment with Vancomycin, we went from four times daily to twice daily and three days later, the pain came back. My doctor restarted over the Vancomycin treatment to four times daily and, three days later, the pain went away. I am on twice daily dose now since the last two days and the pain came back again. My Question: I suspect an abscess caused by the sigmoidoscopy (considering that this examination produced extreme pain 15/10 on me). Is it possible that abscess treated with Vancomycin temporarily is the reason that my pain comes and goes the way that I explained? | Hi. It could be one possibility that sigmoidoscopy has caused an abscess, but again to prove that a repeat sigmoidoscopy has to be done. But also, there might be other causes like inflammatory bowel disease (IBD), irritable bowel syndrome (IBS), or other infections as well. Also, I wanted to know what was your first sigmoidoscopy finding. I advise you to get one stool culture sensitivity and one stool calprotectin test done and revert back to a general practitioner online --> Also, if you are unwilling for sigmoidoscopy, you can get capsule endoscopy or MRI abdomen. |
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Dear doctor, Is intestinal abscess a possibility? I need a second opinion. Medical history: On April 1st, I underwent sigmoidoscopy, and since then, a pain started on my left side. They also diagnosed C.difficile. We started Vancomycin. Then the pain stopped. At week-3 of treatment with Vancomycin, we went from four times daily to twice daily and three days later, the pain came back. My doctor restarted over the Vancomycin treatment to four times daily and, three days later, the pain went away. I am on twice daily dose now since the last two days and the pain came back again. My Question: I suspect an abscess caused by the sigmoidoscopy (considering that this examination produced extreme pain 15/10 on me). Is it possible that abscess treated with Vancomycin temporarily is the reason that my pain comes and goes the way that I explained? [/INST] Hi. It could be one possibility that sigmoidoscopy has caused an abscess, but again to prove that a repeat sigmoidoscopy has to be done. But also, there might be other causes like inflammatory bowel disease (IBD), irritable bowel syndrome (IBS), or other infections as well. Also, I wanted to know what was your first sigmoidoscopy finding. I advise you to get one stool culture sensitivity and one stool calprotectin test done and revert back to a general practitioner online --> Also, if you are unwilling for sigmoidoscopy, you can get capsule endoscopy or MRI abdomen. |
Q. Which type of surgery is better for hysterectomy for a patient with menorrhagia, open surgery or laparoscopy? | Hello doctor, Which type of surgery is better for hysterectomy for a 45 year old patient with menorrhagia, open surgery or laparoscopy? | Hi. Laparoscopic hysterectomy is better due to: Consult an obstetrician and gynaecologist online for a detailed discussion --> |
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Hello doctor, Which type of surgery is better for hysterectomy for a 45 year old patient with menorrhagia, open surgery or laparoscopy? [/INST] Hi. Laparoscopic hysterectomy is better due to: Consult an obstetrician and gynaecologist online for a detailed discussion --> |
Q. I have tachycardia and dyspnea at night. Why? | Hi doctor, I have tachycardia, and dyspnea at night. It causes sleep disturbance. Please help. | Hi. High tachycardia and dyspnea at night are also called paroxysmal nocturnal dyspnea. These are indicators of cardiac disease. Few basic tests of cardiology should be done to rule out coronary artery disease or congestive cardiac failure or arrhythmia. 2 D echocardiogram and treadmill test can be done to rule out ischemia and left ventricle ejection fraction. 24-hour Holter monitoring can be done to rule out the nature of faulty beats or arrhythmia. Follow me with the reports. |
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Hi doctor, I have tachycardia, and dyspnea at night. It causes sleep disturbance. Please help. [/INST] Hi. High tachycardia and dyspnea at night are also called paroxysmal nocturnal dyspnea. These are indicators of cardiac disease. Few basic tests of cardiology should be done to rule out coronary artery disease or congestive cardiac failure or arrhythmia. 2 D echocardiogram and treadmill test can be done to rule out ischemia and left ventricle ejection fraction. 24-hour Holter monitoring can be done to rule out the nature of faulty beats or arrhythmia. Follow me with the reports. |
Q. Can I have a successful IVF even after having multiple fibroids? | Hi doctor, I am 36 years old, and I have a 2-year old daughter. I have been trying for another baby for more than a year. So I was told to go for IVF. I had an ultrasound recently, and there are multiple fibroids present. I am more worried regarding the submucosal fibroid measuring 1.8 × 1.7 × 1.0 cm. Is there any chance for me to have successful IVF? | Hi. Please send me your gynecology and obstetrics report, drug history, and your recent scan report. Women's having small multiple seedling fibroids, which is not distorting the cavity, can bear pregnancy with precautions. Women's having big fibroids distorting the cavity at the cervix needs removal (myomectomy) and then they are advised for conception. The size of fibroid you have mentioned is not significant. Fibroids undergo degeneration during pregnancy. As you have a family history of fibroids, and you have been investigated and advised for IVF, then it is better to go for IVF (in-vitro fertilization) soon after 35 years. Complications gradually increase with age, and so it is better to do it soon. Please send your recent scan report to guide you further. You can have pain during pregnancy due to degeneration of fibroids and plan for cesarean to avoid complications during delivery. Do not disturb fibroids during cesarean as it can lead to severe postpartum hemorrhage. So try to do cesarean under experienced hands. |
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Hi doctor, I am 36 years old, and I have a 2-year old daughter. I have been trying for another baby for more than a year. So I was told to go for IVF. I had an ultrasound recently, and there are multiple fibroids present. I am more worried regarding the submucosal fibroid measuring 1.8 × 1.7 × 1.0 cm. Is there any chance for me to have successful IVF? [/INST] Hi. Please send me your gynecology and obstetrics report, drug history, and your recent scan report. Women's having small multiple seedling fibroids, which is not distorting the cavity, can bear pregnancy with precautions. Women's having big fibroids distorting the cavity at the cervix needs removal (myomectomy) and then they are advised for conception. The size of fibroid you have mentioned is not significant. Fibroids undergo degeneration during pregnancy. As you have a family history of fibroids, and you have been investigated and advised for IVF, then it is better to go for IVF (in-vitro fertilization) soon after 35 years. Complications gradually increase with age, and so it is better to do it soon. Please send your recent scan report to guide you further. You can have pain during pregnancy due to degeneration of fibroids and plan for cesarean to avoid complications during delivery. Do not disturb fibroids during cesarean as it can lead to severe postpartum hemorrhage. So try to do cesarean under experienced hands. |
Q. How long should my husband and I wait to try for a baby if we did cocaine? | Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. | Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> |
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Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. [/INST] Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> |
Q. Can Yasmin birth control pill be used as an emergency contraceptive pill? | Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? | Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> |
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Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? [/INST] Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> |
Q. Please explain the poisonous effect of phenol ingestion. | Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. | Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> |
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Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. [/INST] Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> |
Q. For how long should I take Kalachikai powder to overcome PCOD problem? | Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? | Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> |
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Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? [/INST] Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> |
Q. Why do periods get delayed after first time sex? | Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? | Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> |
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Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? [/INST] Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> |
Q. I masturbate only by rubbing the tip of the penis. Is it a wrong way? | Hi doctor, During masturbation I just rub the tip of the penis and not the entire penis. Is it a wrong way of doing? I do not get excited during sex and unable to ejaculate. Only, rubbing the tip of the penis gives me excitement. Also, two weeks ago, I have undergone circumcision as my foreskin did not retract. Before circumcision too, I have the same problem. Please help. | Hi. For further doubts consult a sexologist online --> |
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Hi doctor, During masturbation I just rub the tip of the penis and not the entire penis. Is it a wrong way of doing? I do not get excited during sex and unable to ejaculate. Only, rubbing the tip of the penis gives me excitement. Also, two weeks ago, I have undergone circumcision as my foreskin did not retract. Before circumcision too, I have the same problem. Please help. [/INST] Hi. For further doubts consult a sexologist online --> |
Q. My anxiety disorder disturbs my daily life. How to overcome it? | Hi doctor, I am 14 years old. I usually experience these symptoms in my daily life. I have a habit of worrying more about things that ordinary people will not worry about it. I easily get traumatized. There was a minor earthquake in the midnight a couple of weeks ago. Now, whenever I sit, my mind starts to think about the shaking. I also find some loud rumbling noise always triggering me. I usually get a panic attack when I am doing something and when everyone does their work and leaving me. It gives me massive anxiety. I feel uncomfortable to express my feelings, even to my parents. I am feeling down constantly for no reason. I have an uncontrollable temper. I also have a feeling that I am a hypocrite person. I have mood swings, and I am oversensitive. I get criticized, and I think of the person who criticizes me will hate me forever. When I feel depressed, I start to cry. Please help. | Hi. You seem to be suffering from anxiety disorder (may be a generalized anxiety disorder or panic disorder or both, a specific diagnosis can be made after detailed discussion). Some anxious personality traits are developing in you. The people with this type of problems are oversensitive, and they are unable to handle criticism. They are afraid to express their emotions due to their insecurities, and they always have apprehensive expectations regarding the future. Try to do deep breathing exercise for 10 minutes daily in the morning and evening. Do a regular physical activity for 20 to 30 minutes. Always follow sleep hygiene. Eat a healthy nutritious diet. You have to consult a psychiatrist soon. |
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Hi doctor, I am 14 years old. I usually experience these symptoms in my daily life. I have a habit of worrying more about things that ordinary people will not worry about it. I easily get traumatized. There was a minor earthquake in the midnight a couple of weeks ago. Now, whenever I sit, my mind starts to think about the shaking. I also find some loud rumbling noise always triggering me. I usually get a panic attack when I am doing something and when everyone does their work and leaving me. It gives me massive anxiety. I feel uncomfortable to express my feelings, even to my parents. I am feeling down constantly for no reason. I have an uncontrollable temper. I also have a feeling that I am a hypocrite person. I have mood swings, and I am oversensitive. I get criticized, and I think of the person who criticizes me will hate me forever. When I feel depressed, I start to cry. Please help. [/INST] Hi. You seem to be suffering from anxiety disorder (may be a generalized anxiety disorder or panic disorder or both, a specific diagnosis can be made after detailed discussion). Some anxious personality traits are developing in you. The people with this type of problems are oversensitive, and they are unable to handle criticism. They are afraid to express their emotions due to their insecurities, and they always have apprehensive expectations regarding the future. Try to do deep breathing exercise for 10 minutes daily in the morning and evening. Do a regular physical activity for 20 to 30 minutes. Always follow sleep hygiene. Eat a healthy nutritious diet. You have to consult a psychiatrist soon. |
Q. Can I have proper erection after taking ayurvedic medicines? | Hi doctor, I am 32 years old. I have the habit of masturbation for about ten years. I masturbate three to four times a day. Now, I am not getting a proper erection while doing sex, and my penis size has got reduced. Please suggest me an ayurvedic medicine without side effects. | Hi. Erectile dysfunction occurs as a psychogenic issue when you do not have medical conditions like diabetes, high blood pressure, and injuries. Excessive masturbation also causes erectile dysfunction and premature ejaculation. It also leads to a curved penis. It can be managed naturally through ayurvedic medicines. Take Ashwagandha powder three grams with Shiva Gutika (Shilajatu with Triphala kashaya) one tablet and Dhatupaushtik Vati (Shatavari with Gokhru) one tablet twice a day with warm milk after meals for two months regularly. Quit the habit of masturbation as soon as possible. Having it three to four times a month is enough. Having it three to four times a day is harmful to you. 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, Nadi shodan, and bhramari. Do these things and provide your valuable feedback after fifteen days. |
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Hi doctor, I am 32 years old. I have the habit of masturbation for about ten years. I masturbate three to four times a day. Now, I am not getting a proper erection while doing sex, and my penis size has got reduced. Please suggest me an ayurvedic medicine without side effects. [/INST] Hi. Erectile dysfunction occurs as a psychogenic issue when you do not have medical conditions like diabetes, high blood pressure, and injuries. Excessive masturbation also causes erectile dysfunction and premature ejaculation. It also leads to a curved penis. It can be managed naturally through ayurvedic medicines. Take Ashwagandha powder three grams with Shiva Gutika (Shilajatu with Triphala kashaya) one tablet and Dhatupaushtik Vati (Shatavari with Gokhru) one tablet twice a day with warm milk after meals for two months regularly. Quit the habit of masturbation as soon as possible. Having it three to four times a month is enough. Having it three to four times a day is harmful to you. 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, Nadi shodan, and bhramari. Do these things and provide your valuable feedback after fifteen days. |
Q. Is it possible to restore teeth in an individual with poor oral hygiene? | Hi doctor, I am a concerned individual with a history of poor oral hygiene. It got significantly improved during these few years. I have a broken tooth in the back left bottom. My front tooth appears green, and they are deeply separated. Is there any way available to save my tooth? | Hi. The permanent solution for you is to put braces to correct the malocclusion of the teeth. So that proper cleaning can be done to have less plaque and calculus. If you cannot start braces presently, at least get your teeth cleaned by a dentist to remove all the calculus that is sticking to your front and back teeth. The decayed teeth present at the back has to be removed or appropriately filled to save it from further decay. Use warm salt water gargle to have healthy gums. |
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Hi doctor, I am a concerned individual with a history of poor oral hygiene. It got significantly improved during these few years. I have a broken tooth in the back left bottom. My front tooth appears green, and they are deeply separated. Is there any way available to save my tooth? [/INST] Hi. The permanent solution for you is to put braces to correct the malocclusion of the teeth. So that proper cleaning can be done to have less plaque and calculus. If you cannot start braces presently, at least get your teeth cleaned by a dentist to remove all the calculus that is sticking to your front and back teeth. The decayed teeth present at the back has to be removed or appropriately filled to save it from further decay. Use warm salt water gargle to have healthy gums. |
Q. Should I worry about the swelling seen after 15 days of aneurysmal bone cyst? | Hi doctor, I have a 6-year-old daughter diagnosed with an aneurysmal bone cyst at the medial end of the left clavicle. Histology report confirms the aneurysmal bone cyst. Curettage was done, and it was filled with Chronos granules. Can my child become well? Even after 15 days after surgery, it remains swollen, and there is no pain. The movements are free. Will it stay as a cosmetic defect? I have sent the pictures. Please help. | Hi. I have gone through the attachment (attachment removed to protect patient identity). She should do well after the surgery. Curettage is done thoroughly and filled with grafts. There are chances of recurrence, which are pretty high. Recurrence usually occurs between six months and two years. So, this time needs close observation. X-ray has to be taken every three months after surgery. The swelling usually reduces in size but, never comes back to normal and there remains a slight bulging. The reduction in the swelling will take for about two to three years and do not expect anything immediately. I had operated one case about two years ago, and the patient is doing fine now. There is no recurrence, and the swelling has got reduced by 50 to 60 %. The upper limb is back to normal with no pain, and the patient is happy. These are difficult and rare cases. A lot depends upon the disease, the surgeon and the type of surgery offered and skill. The cosmetic defect is the last thing that should be worried. You should be concerned about recurrence. |
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Hi doctor, I have a 6-year-old daughter diagnosed with an aneurysmal bone cyst at the medial end of the left clavicle. Histology report confirms the aneurysmal bone cyst. Curettage was done, and it was filled with Chronos granules. Can my child become well? Even after 15 days after surgery, it remains swollen, and there is no pain. The movements are free. Will it stay as a cosmetic defect? I have sent the pictures. Please help. [/INST] Hi. I have gone through the attachment (attachment removed to protect patient identity). She should do well after the surgery. Curettage is done thoroughly and filled with grafts. There are chances of recurrence, which are pretty high. Recurrence usually occurs between six months and two years. So, this time needs close observation. X-ray has to be taken every three months after surgery. The swelling usually reduces in size but, never comes back to normal and there remains a slight bulging. The reduction in the swelling will take for about two to three years and do not expect anything immediately. I had operated one case about two years ago, and the patient is doing fine now. There is no recurrence, and the swelling has got reduced by 50 to 60 %. The upper limb is back to normal with no pain, and the patient is happy. These are difficult and rare cases. A lot depends upon the disease, the surgeon and the type of surgery offered and skill. The cosmetic defect is the last thing that should be worried. You should be concerned about recurrence. |
Q. Can I increase my height by dancing everyday? | Hi doctor, What can I do to increase my height? Does dancing help in increasing height? | Hi. To increase your height, you should eat a healthy diet and more fruits. It is advisable to do regular exercise like cycling, walking and running. Dancing does not help much in increasing height. You have a young age, and your height will increase gradually. If there is no improvement in height, then you can consult a nearby doctor and check your thyroid hormone profile. |
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Hi doctor, What can I do to increase my height? Does dancing help in increasing height? [/INST] Hi. To increase your height, you should eat a healthy diet and more fruits. It is advisable to do regular exercise like cycling, walking and running. Dancing does not help much in increasing height. You have a young age, and your height will increase gradually. If there is no improvement in height, then you can consult a nearby doctor and check your thyroid hormone profile. |
Q. Do my symptoms and HIV tests show any correlation to ARS? | Hello doctor,I am a male, 26 years old. My HIV tests were negative and I have attached them. There is a mild rash on face and upper arms (non-itchy red spots), little fatigue (all from three weeks and still there even after eight weeks). Are all the above tests conclusive? Further testing required? If it was ARS symptoms, results should have been negative right? Does antibody production get delayed due to various reasons and the same applies to p24 antigen? WBC count and Lymph % that was 4400 and 29 % during 2 to 3 weeks are not 5500 to 6500 and 39 % during the eighth week. | Hello. You go for the required test every time. All times all the test are negative. No more tests are available. When all the above-mentioned tests are negative, there is no meaning of the p24 test. Sometimes the virus remains in a dormant stage, but if you take good diet regularly, you do not have to worry. Citrus fruits like lemon, orange, kiwi, gooseberry in any form are very good. A balanced diet with protein, carbohydrates, etc., in balanced proportion, must be taken. Walking briskly for three km is the best exercise, five days in a week. Treatment for rashes is tablet Ketasma (Ketotifen) 1 mg one at night for ten to fifteen days or more or whenever required. Seven sea cod liver oil pearls are advisable and give fantastic result one per night or two times a day for fatigue part, I hope this is enough to settle down your problem. |
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Hello doctor,I am a male, 26 years old. My HIV tests were negative and I have attached them. There is a mild rash on face and upper arms (non-itchy red spots), little fatigue (all from three weeks and still there even after eight weeks). Are all the above tests conclusive? Further testing required? If it was ARS symptoms, results should have been negative right? Does antibody production get delayed due to various reasons and the same applies to p24 antigen? WBC count and Lymph % that was 4400 and 29 % during 2 to 3 weeks are not 5500 to 6500 and 39 % during the eighth week. [/INST] Hello. You go for the required test every time. All times all the test are negative. No more tests are available. When all the above-mentioned tests are negative, there is no meaning of the p24 test. Sometimes the virus remains in a dormant stage, but if you take good diet regularly, you do not have to worry. Citrus fruits like lemon, orange, kiwi, gooseberry in any form are very good. A balanced diet with protein, carbohydrates, etc., in balanced proportion, must be taken. Walking briskly for three km is the best exercise, five days in a week. Treatment for rashes is tablet Ketasma (Ketotifen) 1 mg one at night for ten to fifteen days or more or whenever required. Seven sea cod liver oil pearls are advisable and give fantastic result one per night or two times a day for fatigue part, I hope this is enough to settle down your problem. |
Q. My plan is to have unprotected sex on every weekend to get pregnant. Is that fine? | Hello doctor, If I try to have unprotected sex every weekend, would this increase the chances of me getting pregnant? I am taking my prenatal Vitamins. I am trying my best to get pregnant. What should I do? My period goes 28 to 40 days. | Hi. If your periods are regular, then there is more chance of pregnancy when you have sex in the middle of the cycle. But when your periods are irregular then it is very difficult to predict ovulation time. But it is in the middle of the cycle only if ovulation is happening. Because you may have menses without ovulation, so you may have to take treatment for conceiving if you have irregular periods. But as your age is just 19 years, so try for at least a year. And if no pregnancy, then go for treatment. Every weekend is not the proper plan if you are planning for pregnancy. There is less chance of pregnancy than a normal couple. Keep that in mind and do not panic early that pregnancy is not happening. |
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Hello doctor, If I try to have unprotected sex every weekend, would this increase the chances of me getting pregnant? I am taking my prenatal Vitamins. I am trying my best to get pregnant. What should I do? My period goes 28 to 40 days. [/INST] Hi. If your periods are regular, then there is more chance of pregnancy when you have sex in the middle of the cycle. But when your periods are irregular then it is very difficult to predict ovulation time. But it is in the middle of the cycle only if ovulation is happening. Because you may have menses without ovulation, so you may have to take treatment for conceiving if you have irregular periods. But as your age is just 19 years, so try for at least a year. And if no pregnancy, then go for treatment. Every weekend is not the proper plan if you are planning for pregnancy. There is less chance of pregnancy than a normal couple. Keep that in mind and do not panic early that pregnancy is not happening. |
Q. What could be the reason for my frequent small amount of urination? | Hello doctor, I literally have to go to the bathroom all the time (pee urine). Everything else with my body is in excellent shape. Like every 15 to 30 minutes, I am going to pee and a lot does not come out compared to others of my age I have noticed. I usually have to get up in middle of night to go too. I am 21 years old, 5'7" and 140 lb. Is it just because I am not that big so I have a smaller bladder or if I do not drink water for a while I will last hours without having to go. My urine is never dark or smells nasty either. | Hello. From the symptoms detailed it seems you have polyuria that is frequent peeing, and nocturia that is the need to urinate twice or more during the night. How long have you been facing the aforementioned symptoms? Increased volume each time you pee? Do you have any urgency? Bladder discomfort? Pain in the abdomen in the suprapubic area? Inability to postpone urine? Leakage of urine? Anxiety? Increased thirst? Increased appetite? Frequent consumption of caffeine, tea, nicotine? If yes, it may be an overactive bladder. It also happens in urinary tract Infection and needs to be ruled out by CUE (clinical urine test) that is by giving a urine sample for microscopy. Rule out diabetes by checking blood sugars. Only after ruling out other causes, you can be assured it is due to overactive bladder. You can do the following. Bladder training exercise, capping down the consumption of fluids particularly before you go to bed, complete evacuation of the bladder, decrease tea, coffee, and boozing. |
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Hello doctor, I literally have to go to the bathroom all the time (pee urine). Everything else with my body is in excellent shape. Like every 15 to 30 minutes, I am going to pee and a lot does not come out compared to others of my age I have noticed. I usually have to get up in middle of night to go too. I am 21 years old, 5'7" and 140 lb. Is it just because I am not that big so I have a smaller bladder or if I do not drink water for a while I will last hours without having to go. My urine is never dark or smells nasty either. [/INST] Hello. From the symptoms detailed it seems you have polyuria that is frequent peeing, and nocturia that is the need to urinate twice or more during the night. How long have you been facing the aforementioned symptoms? Increased volume each time you pee? Do you have any urgency? Bladder discomfort? Pain in the abdomen in the suprapubic area? Inability to postpone urine? Leakage of urine? Anxiety? Increased thirst? Increased appetite? Frequent consumption of caffeine, tea, nicotine? If yes, it may be an overactive bladder. It also happens in urinary tract Infection and needs to be ruled out by CUE (clinical urine test) that is by giving a urine sample for microscopy. Rule out diabetes by checking blood sugars. Only after ruling out other causes, you can be assured it is due to overactive bladder. You can do the following. Bladder training exercise, capping down the consumption of fluids particularly before you go to bed, complete evacuation of the bladder, decrease tea, coffee, and boozing. |
Q. Will I get pregnant with pre-semen entering vagina through fingering? | Hello doctor, Please help me out. I am 25 years old, weigh 85 kg, and height is 5'4". I have PCOD and every time I have irregular periods. Last month for religious festival took Regestrone for five days. I got my period within two days after that. Might be withdrawal bleeding. I do not know but it was very heavy. I missed my period this month may be due to PCOD. My ovulation time was between 27th to 1st. My problem now is for my uncertainty. I got intimate with my partner on ovulation day. It was not intercourse. He did not cum as well. But his pre-semen just contacted my clitoris and opening of my vagina, later, he masturbated me. I am worried if the pre-semen which touched at opening entered my vagina due to masturbation. He did not insert or cum. It was just the pre-semen which contacted my clitoris and vaginal opening. Now I am literally tensed. Does it cause conception? Will this situation of mine lead to conception? Please help me. Do I need to take contraceptive Ipill? Can I take Regestrone for five days starting yesterday? I have already taken one. Does Regestrone act as a contraceptive? If I take Ipill will I get my period? Do I need to get a pregnancy test after a week or so? By using Regestrone can I get periods by eliminating conception? | Hello. Firstly relax. Your next menses naturally should have been expected only by the same date as the previous one after taking Regesterone, as your dates have changed now). So now you are 14 days late for your scheduled menses. Also, ideally you should get an ultrasound pelvis done to check for state of ovulation in the ovaries, as to whether you have already ovulated or ovulation is still pending secondary to PCOD (USG would be gold standard), but if we still consider that you may have ovulated late and hence no menses, considering that pre-cum got rubbed inside vagina during fingering in your case, this can logically lead to pregnancy. But chances of conception are minimal but still exists. The best would be to opt for an emergency contraceptive pill like an Ipill within 72 hours of intercourse to avoid unplanned pregnancy if at all chances occur considering even pre-cum contains live sperms. Post Ipill intake, you can expect a withdrawal bleed in next 3 to 5 days and once the bleeding occurs, endometrium shall be shed and you would be pregnancy safe. If no bleeding, then the next best step shall be to get a serum beta hCG test done after seven days post last intercourse to rule out any pregnancy. (This is a blood test and most sensitive for pregnancy). If the hCG levels are less than 3 mIU, then you can rest assured that you are not pregnant and then can wait for the withdrawal bleed naturally. |
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Hello doctor, Please help me out. I am 25 years old, weigh 85 kg, and height is 5'4". I have PCOD and every time I have irregular periods. Last month for religious festival took Regestrone for five days. I got my period within two days after that. Might be withdrawal bleeding. I do not know but it was very heavy. I missed my period this month may be due to PCOD. My ovulation time was between 27th to 1st. My problem now is for my uncertainty. I got intimate with my partner on ovulation day. It was not intercourse. He did not cum as well. But his pre-semen just contacted my clitoris and opening of my vagina, later, he masturbated me. I am worried if the pre-semen which touched at opening entered my vagina due to masturbation. He did not insert or cum. It was just the pre-semen which contacted my clitoris and vaginal opening. Now I am literally tensed. Does it cause conception? Will this situation of mine lead to conception? Please help me. Do I need to take contraceptive Ipill? Can I take Regestrone for five days starting yesterday? I have already taken one. Does Regestrone act as a contraceptive? If I take Ipill will I get my period? Do I need to get a pregnancy test after a week or so? By using Regestrone can I get periods by eliminating conception? [/INST] Hello. Firstly relax. Your next menses naturally should have been expected only by the same date as the previous one after taking Regesterone, as your dates have changed now). So now you are 14 days late for your scheduled menses. Also, ideally you should get an ultrasound pelvis done to check for state of ovulation in the ovaries, as to whether you have already ovulated or ovulation is still pending secondary to PCOD (USG would be gold standard), but if we still consider that you may have ovulated late and hence no menses, considering that pre-cum got rubbed inside vagina during fingering in your case, this can logically lead to pregnancy. But chances of conception are minimal but still exists. The best would be to opt for an emergency contraceptive pill like an Ipill within 72 hours of intercourse to avoid unplanned pregnancy if at all chances occur considering even pre-cum contains live sperms. Post Ipill intake, you can expect a withdrawal bleed in next 3 to 5 days and once the bleeding occurs, endometrium shall be shed and you would be pregnancy safe. If no bleeding, then the next best step shall be to get a serum beta hCG test done after seven days post last intercourse to rule out any pregnancy. (This is a blood test and most sensitive for pregnancy). If the hCG levels are less than 3 mIU, then you can rest assured that you are not pregnant and then can wait for the withdrawal bleed naturally. |
Q. I am not able to pass stool entirely. Please help. | Hello doctor, I am 32 years old, overweight (105 kg, height 5'7"). For the past week or so, I feel like I am not able to pass stool entirely. I always feel pressure like I want to pass stool, but when I sit on the pot, I cannot. It is not like I cannot pass stool. Usually, I feel there could be more. Additionally, when I burp I feel a little uncomfortable in the stomach and there was a very very slight pain on the left side of the stomach. Not everytime that I burped, but sometimes. There is a lot of gas and I keep burping. I took Zantac and Unienzyme, as well as a liquid laxative Cremaffin. Also took Digene for 3 to 4 days. Things are better and now when I burp I do not feel pain, most of the times, maybe once or twice a day. Also, the constant pressure that I have felt has decreased. I have looked after each stool and I never noticed any blood or anything like that in the shit. I have also not lost any weight off late and if anything, perhaps have gained a kilo in the last 2 to 3 weeks. However, even though things have slowly improved, I am not fully normal. Additionally, I am one big hypochondriac and this digestive issue is now starting to drive me nuts. Please advice. | Hi. Worrying about your GI tract will create stress which increases your cortisol levels and create further problems with your sugars, sleep, bowel movements in the future, so try not to worry. I advise you do not take any over the counter laxatives, especially if your bowels are returning to normal. You can also create further problems by taking all those things. I want you to increase your water intake to 6 to 8 glasses a day and do some type of exercising at least 3 to 4 times a week. This is the best way to make your bowels regular. This is why after surgery, doctors make sure patients are passing gas and getting up and walking. Lack of physical activity, diet, lack of water intake. If not improved with lifestyle changes, H.pylori, TSH, CMP, CBC can be done. Constipation. Increase physical activity 3 to 4 times a week, increase water intake 6 to 8 glasses a day. Increase fiber intake, salads, green leafy vegetables, fruits. Avoid mint, caffeine, over the counter laxatives and stool softeners. |
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Hello doctor, I am 32 years old, overweight (105 kg, height 5'7"). For the past week or so, I feel like I am not able to pass stool entirely. I always feel pressure like I want to pass stool, but when I sit on the pot, I cannot. It is not like I cannot pass stool. Usually, I feel there could be more. Additionally, when I burp I feel a little uncomfortable in the stomach and there was a very very slight pain on the left side of the stomach. Not everytime that I burped, but sometimes. There is a lot of gas and I keep burping. I took Zantac and Unienzyme, as well as a liquid laxative Cremaffin. Also took Digene for 3 to 4 days. Things are better and now when I burp I do not feel pain, most of the times, maybe once or twice a day. Also, the constant pressure that I have felt has decreased. I have looked after each stool and I never noticed any blood or anything like that in the shit. I have also not lost any weight off late and if anything, perhaps have gained a kilo in the last 2 to 3 weeks. However, even though things have slowly improved, I am not fully normal. Additionally, I am one big hypochondriac and this digestive issue is now starting to drive me nuts. Please advice. [/INST] Hi. Worrying about your GI tract will create stress which increases your cortisol levels and create further problems with your sugars, sleep, bowel movements in the future, so try not to worry. I advise you do not take any over the counter laxatives, especially if your bowels are returning to normal. You can also create further problems by taking all those things. I want you to increase your water intake to 6 to 8 glasses a day and do some type of exercising at least 3 to 4 times a week. This is the best way to make your bowels regular. This is why after surgery, doctors make sure patients are passing gas and getting up and walking. Lack of physical activity, diet, lack of water intake. If not improved with lifestyle changes, H.pylori, TSH, CMP, CBC can be done. Constipation. Increase physical activity 3 to 4 times a week, increase water intake 6 to 8 glasses a day. Increase fiber intake, salads, green leafy vegetables, fruits. Avoid mint, caffeine, over the counter laxatives and stool softeners. |
Q. What is the possibility of cleaning ears with q-tip cause ear perforation? | Hi doctor, I have stuck a q tip in my ear because it was itching and I think I may have burst my eardrum. I have some pictures. | Hello. The pictures are not completely clear but I cannot see any perforation. (attachment removed to protect patient identity). When did the cotton piece stuck inside your ear? Did you notice any blood drops on the cotton piece after getting it out from your ear? Do you have any other symptoms as tinnitus or ear pain? |
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Hi doctor, I have stuck a q tip in my ear because it was itching and I think I may have burst my eardrum. I have some pictures. [/INST] Hello. The pictures are not completely clear but I cannot see any perforation. (attachment removed to protect patient identity). When did the cotton piece stuck inside your ear? Did you notice any blood drops on the cotton piece after getting it out from your ear? Do you have any other symptoms as tinnitus or ear pain? |
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 am getting wheezing and cough on sleeping in AC room. Please help. | Hello doctor, I am experiencing this for the past four months. I have installed an AC at home and started wheezing in the middle of the night, chest tightness, etc. It is still there with wheezing at random times especially while sleeping with or without AC. A cough sometimes with minimal phlegm. The doctor gave me a cough and cold medicine for tonsils but did not work. I am afraid to sleep in the AC now. Please help. Symptoms include wheezing while lying down, clearing throat, coughing but the doctor said no presence phlegm in the lungs. Is it something serious like cancer or edema? | Hello. The symptoms you are experiencing can occur in a myriad of conditions. But we have to exclude two systems respiratory and cardiac. Is your breathlessness precipitated or worsened by exposure to cold or any dust, any foodstuff or during emotional stress? Does it worsen on walking or climbing upstairs? Do you have to sit up and go to a window during the night and open windows? Is there any sputum production and chest pain or any palpitations? Did you have any fever? Have you done an ECG and a chest X-ray? |
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Hello doctor, I am experiencing this for the past four months. I have installed an AC at home and started wheezing in the middle of the night, chest tightness, etc. It is still there with wheezing at random times especially while sleeping with or without AC. A cough sometimes with minimal phlegm. The doctor gave me a cough and cold medicine for tonsils but did not work. I am afraid to sleep in the AC now. Please help. Symptoms include wheezing while lying down, clearing throat, coughing but the doctor said no presence phlegm in the lungs. Is it something serious like cancer or edema? [/INST] Hello. The symptoms you are experiencing can occur in a myriad of conditions. But we have to exclude two systems respiratory and cardiac. Is your breathlessness precipitated or worsened by exposure to cold or any dust, any foodstuff or during emotional stress? Does it worsen on walking or climbing upstairs? Do you have to sit up and go to a window during the night and open windows? Is there any sputum production and chest pain or any palpitations? Did you have any fever? Have you done an ECG and a chest X-ray? |
Q. What is the white mass seen above my teeth in MRI? | Hello doctor, I had a brain MRI nine months ago. The report came back completely normal. I decided to look at the images last night and I noticed this bright white mass above my teeth. Either the mass is near my teeth or in my sinuses. I am worried that I have a tumor growing and it was looked over by the radiologist. The report does not mention this white mass and in the report my sinuses are normal. So I am wondering if this is a normal finding on an MRI and that is why it is not mentioned? I have no pain or symptoms. Also, if this was an abnormal mass, I should have symptoms nine months later, right? I also have a temporary acrylic crown on my bottom molar. I cannot tell if it is near the bottom or top of my teeth. If this is the bottom of my teeth then could this be my temporary crown? | Hi. The MRI brain looks normal (attachment removed to protect patient identity). The bright spot on the right side is a small right maxillary sinus polyp which is completely benign. Take care. |
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Hello doctor, I had a brain MRI nine months ago. The report came back completely normal. I decided to look at the images last night and I noticed this bright white mass above my teeth. Either the mass is near my teeth or in my sinuses. I am worried that I have a tumor growing and it was looked over by the radiologist. The report does not mention this white mass and in the report my sinuses are normal. So I am wondering if this is a normal finding on an MRI and that is why it is not mentioned? I have no pain or symptoms. Also, if this was an abnormal mass, I should have symptoms nine months later, right? I also have a temporary acrylic crown on my bottom molar. I cannot tell if it is near the bottom or top of my teeth. If this is the bottom of my teeth then could this be my temporary crown? [/INST] Hi. The MRI brain looks normal (attachment removed to protect patient identity). The bright spot on the right side is a small right maxillary sinus polyp which is completely benign. Take care. |
Q. Does miscarriage affect fertility? | Hi doctor, I am a 36 year old male and my wife is 31 years old. We got married before two years and had not planned for pregnancy. My wife's medical history is as follows. Two years before her thyroid level was near 18 and she took regular medicine. Now her thyroid level came down between 2 and 3 after taking thyroid medicine of 75 mcg. Before a year, she had severe body pain. So, we consulted an orthopedician and he recommended some test to rule out vitamin D deficiency. By taking three doses of vitamin D injections we managed the vitamin D level. At the same time, she had severe knee pain and the doctor confirmed her CMP. For this she took knee pain injections and some physiotherapy exercises. We had planned for pregnancy before one year. Then, unfortunately she got a miscarriage and started taking Folic acid after consulting her gynecologist. As per doctor's advice we planned for conception before two months. But, the problem is after miscarriage she is getting abdomen pain at the time of ovulation. Before four to five months, she got the pain during ovulation for around three to four days. Since we had planned for conception, she is getting severe pain in her abdomen and back pain until her cycle around 14 to 15 days. Every time when we consult gynecologist, she used to take transvaginal ultrasound and reported no problem in her ovaries, fallopian tubes and uterus. But, the doctor mentioned that she has polycystic ovary. As her cycles are regular there is no need to worry about it. She has severe pain from 15 days of her ovulation, but could not find out the reason. Please help us. | Hi. Detailed information given by yourself is very useful to give you further direction in the planning of the baby. For further information consult an obstetrician and gynaecologist online --> |
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Hi doctor, I am a 36 year old male and my wife is 31 years old. We got married before two years and had not planned for pregnancy. My wife's medical history is as follows. Two years before her thyroid level was near 18 and she took regular medicine. Now her thyroid level came down between 2 and 3 after taking thyroid medicine of 75 mcg. Before a year, she had severe body pain. So, we consulted an orthopedician and he recommended some test to rule out vitamin D deficiency. By taking three doses of vitamin D injections we managed the vitamin D level. At the same time, she had severe knee pain and the doctor confirmed her CMP. For this she took knee pain injections and some physiotherapy exercises. We had planned for pregnancy before one year. Then, unfortunately she got a miscarriage and started taking Folic acid after consulting her gynecologist. As per doctor's advice we planned for conception before two months. But, the problem is after miscarriage she is getting abdomen pain at the time of ovulation. Before four to five months, she got the pain during ovulation for around three to four days. Since we had planned for conception, she is getting severe pain in her abdomen and back pain until her cycle around 14 to 15 days. Every time when we consult gynecologist, she used to take transvaginal ultrasound and reported no problem in her ovaries, fallopian tubes and uterus. But, the doctor mentioned that she has polycystic ovary. As her cycles are regular there is no need to worry about it. She has severe pain from 15 days of her ovulation, but could not find out the reason. Please help us. [/INST] Hi. Detailed information given by yourself is very useful to give you further direction in the planning of the baby. For further information consult an obstetrician and gynaecologist online --> |
Q. Can miscarriage happen after seeing heartbeat of fetus in earlier scans? | Hi doctor,My fiancee had a private scan at the end of the fifth week two weeks ago. There was a heartbeat, I saw it, and the fetus was normal. Three days back, I was away for work, she had cramps and bleeding so she had a scan with the same doctor. He said it was a miscarriage, in the picture one can clearly see both foetus and sac. The morning after we went for a scan with NHS booked weeks ago. In the picture from scan at 11:30 AM there are no foetus nor sack, as confirmed in their paper. The gynecologist asked three times if we were sure that there was a heartbeat in the first scan, clearly puzzled by the evolution of the pregnancy. It looks weird to me, so quick? I fear my fiancee took abortion pills right at the end of the seventh week. Please tell me what you think. | Hello. If you have seen scan and fetus, it would be there. Heartbeat if clearly seen then it would be more then five weeks actually. Anything could be possible as it was early pregnancy. If severe cramps and fetus had a tendency for miscarriage (like a fetus with congenital abnormalities aborts easily in very early pregnancy) could have had a miscarriage. It is possible that with cramps she had experienced was the product of conception coming out but it would be with spotting before along with cramps. With abortion medications also, she could abort and two doses with an interval of eight hours could give results. But in both the cases her mental, emotional, and physical condition are the main guidance for the event actually. If she has diabetes with high sugar levels, positive thrombophilia screen, thyroid abnormalities, and/or antithyroid drugs and few other medical issues with or without treatment continuation could lead to miscarriage naturally as well. You can check serum beta hCG (blood pregnancy test level) to check and confirm the first scan you saw if you want. Beta hCG will give you a positive pregnancy test and if you follow or repeat it, it should show a gradual decrease in case of miscarriage. |
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Hi doctor,My fiancee had a private scan at the end of the fifth week two weeks ago. There was a heartbeat, I saw it, and the fetus was normal. Three days back, I was away for work, she had cramps and bleeding so she had a scan with the same doctor. He said it was a miscarriage, in the picture one can clearly see both foetus and sac. The morning after we went for a scan with NHS booked weeks ago. In the picture from scan at 11:30 AM there are no foetus nor sack, as confirmed in their paper. The gynecologist asked three times if we were sure that there was a heartbeat in the first scan, clearly puzzled by the evolution of the pregnancy. It looks weird to me, so quick? I fear my fiancee took abortion pills right at the end of the seventh week. Please tell me what you think. [/INST] Hello. If you have seen scan and fetus, it would be there. Heartbeat if clearly seen then it would be more then five weeks actually. Anything could be possible as it was early pregnancy. If severe cramps and fetus had a tendency for miscarriage (like a fetus with congenital abnormalities aborts easily in very early pregnancy) could have had a miscarriage. It is possible that with cramps she had experienced was the product of conception coming out but it would be with spotting before along with cramps. With abortion medications also, she could abort and two doses with an interval of eight hours could give results. But in both the cases her mental, emotional, and physical condition are the main guidance for the event actually. If she has diabetes with high sugar levels, positive thrombophilia screen, thyroid abnormalities, and/or antithyroid drugs and few other medical issues with or without treatment continuation could lead to miscarriage naturally as well. You can check serum beta hCG (blood pregnancy test level) to check and confirm the first scan you saw if you want. Beta hCG will give you a positive pregnancy test and if you follow or repeat it, it should show a gradual decrease in case of miscarriage. |
Q. As I faced two miscarriages, I had thrombophilia panel test. Is there anything suspicious? | Hi doctor, I am a 36-year-old female. I had two chemical pregnancies this year, and I am childless. Due to my age, I decided to investigate more. The thrombophilia panel test results recommended me to see a hematologist. I have positive results (heterozygous) for MTHFR C677T, PAI 4G by 5G, AGT M235T, factor XIII Val34Leu, and fibrinogen 455 G by A. Will I need special treatment for a future pregnancy? Please help me. | Hi. I have reviewed your case. It seems that you had two miscarriages. So, you have to know a little detail about your condition and to understand thrombophilia. The risk of abortion is none to minimal in normal pregnancy whereas intermediate and high in heterozygous and homozygous mutation respectively. In your case, as you have twice pregnancy failure, I have two recommendations. Try to do APLA test (antiphospholipid antibody workup) which is just the extension of thrombophilia work up. During future pregnancy, usually in your case, we need to give some medications which can maintain your blood flow, and it can prevent the micro clot formation in the placental blood vessels, and hence the chances of abortion will get decreased. These drugs are needed to be prescribed by your hematologist (low molecular weight Heparin and Warfarin). You can discuss with your hematologist regarding the test suggested and about the drugs that may help you in future pregnancies. |
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Hi doctor, I am a 36-year-old female. I had two chemical pregnancies this year, and I am childless. Due to my age, I decided to investigate more. The thrombophilia panel test results recommended me to see a hematologist. I have positive results (heterozygous) for MTHFR C677T, PAI 4G by 5G, AGT M235T, factor XIII Val34Leu, and fibrinogen 455 G by A. Will I need special treatment for a future pregnancy? Please help me. [/INST] Hi. I have reviewed your case. It seems that you had two miscarriages. So, you have to know a little detail about your condition and to understand thrombophilia. The risk of abortion is none to minimal in normal pregnancy whereas intermediate and high in heterozygous and homozygous mutation respectively. In your case, as you have twice pregnancy failure, I have two recommendations. Try to do APLA test (antiphospholipid antibody workup) which is just the extension of thrombophilia work up. During future pregnancy, usually in your case, we need to give some medications which can maintain your blood flow, and it can prevent the micro clot formation in the placental blood vessels, and hence the chances of abortion will get decreased. These drugs are needed to be prescribed by your hematologist (low molecular weight Heparin and Warfarin). You can discuss with your hematologist regarding the test suggested and about the drugs that may help you in future pregnancies. |
Q. Ever since I got the Nexplanon implant, I have two periods every month. What to do? | I’ve been on nexplanon for a year after my first baby. Every since the implant I have 2 periods every month. Before I started birth control I was regular. I knew exactly when I was starting my period. Recently my doctor told me to take birth control pills while on nexaplanon to see if it would decrease my periods. I’ve been taking the pills for a week straight and my period has been on for 8 days which isn’t normal. My period is heavy, light, it’ll stop, then start again. I don’t know what I should do. I just want my period to go back to normal | dear welcome to iclinq. com Implanon is associated with altered bleeding patterns. generally it settels by a year time... 15 to 17 percent may continue to have very heavy n long cycle after implanon( this is becos of the progestronic effect on endometrium) ... do take hematinics as heavy bleeding may result in anemia.. 1) continue the pills as advised by your gynec for a month and see for changes in pattern 2) If it does not reduce even after pills support you need to meet your gynec for alternative methods of contraception after removing it.. Regards due to the hormonal( progestronic) effect of nexplanon on the endometrium 1) reassurance,2) hematinics, 3) To continue pills plus nexplanon ,x 1 month... 4).. Think about removal if it's too cumbersome.. |
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I’ve been on nexplanon for a year after my first baby. Every since the implant I have 2 periods every month. Before I started birth control I was regular. I knew exactly when I was starting my period. Recently my doctor told me to take birth control pills while on nexaplanon to see if it would decrease my periods. I’ve been taking the pills for a week straight and my period has been on for 8 days which isn’t normal. My period is heavy, light, it’ll stop, then start again. I don’t know what I should do. I just want my period to go back to normal [/INST] dear welcome to iclinq. com Implanon is associated with altered bleeding patterns. generally it settels by a year time... 15 to 17 percent may continue to have very heavy n long cycle after implanon( this is becos of the progestronic effect on endometrium) ... do take hematinics as heavy bleeding may result in anemia.. 1) continue the pills as advised by your gynec for a month and see for changes in pattern 2) If it does not reduce even after pills support you need to meet your gynec for alternative methods of contraception after removing it.. Regards due to the hormonal( progestronic) effect of nexplanon on the endometrium 1) reassurance,2) hematinics, 3) To continue pills plus nexplanon ,x 1 month... 4).. Think about removal if it's too cumbersome.. |
Q. I have 2. 9 cm of cervix length at 16 weeks. Do I need cerclage or bed rest now? | Hi doctor, I am 28 years old. I am 16 weeks pregnant now. My cervix is closed measuring 2.9 cm. I have heard that the length is short for me. What should be the average length of the cervix at 16 weeks? My doctor prescribed me Progesterone suppository. She has not advised me for bed rest or cerclage. But I know people who have done cerclage at 24 weeks with 3.2 cm of cervix length. I have a history of preterm delivery and a miscarriage before eight months back. Please advice. | Hi. Cervical length should be around 3.5 cm to 4 cm at 16 weeks. But some women do not have problems in pregnancy throughout the weeks even at 2.5 cm length. On ultrasound, we need to have a full bladder (means control of urination) to measure the exact length of the cervix. I presume that you were on a full bladder during the scan and also in the light of your preterm history, you must be having a shorter cervix. But there are other USG findings such as ballooning of lower segment of a uterus and open OS to take an emergency procedure of cerclage. Now cerclage is not practiced widely, and it is a thing of past. You need a bed rest till about seven months of gestation. Progesterone is a perfect one to be taken now and follow your gynecologist advice. |
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Hi doctor, I am 28 years old. I am 16 weeks pregnant now. My cervix is closed measuring 2.9 cm. I have heard that the length is short for me. What should be the average length of the cervix at 16 weeks? My doctor prescribed me Progesterone suppository. She has not advised me for bed rest or cerclage. But I know people who have done cerclage at 24 weeks with 3.2 cm of cervix length. I have a history of preterm delivery and a miscarriage before eight months back. Please advice. [/INST] Hi. Cervical length should be around 3.5 cm to 4 cm at 16 weeks. But some women do not have problems in pregnancy throughout the weeks even at 2.5 cm length. On ultrasound, we need to have a full bladder (means control of urination) to measure the exact length of the cervix. I presume that you were on a full bladder during the scan and also in the light of your preterm history, you must be having a shorter cervix. But there are other USG findings such as ballooning of lower segment of a uterus and open OS to take an emergency procedure of cerclage. Now cerclage is not practiced widely, and it is a thing of past. You need a bed rest till about seven months of gestation. Progesterone is a perfect one to be taken now and follow your gynecologist advice. |
Q. I have pain on right side of my jaw, clogging of right ear. Please help. | Hello doctor, I am a 24 year old male. I have pain on the right side of my jaw, associated with clogging of the right ear. Sometimes the pain radiates to the right side of the head. Audiometry reports are normal. What might be the problem? | Hi. The ear, nose, throat, head, and jaw are all closely related. Any problem in one will affect the others as well. So, there are various possibilities that might cause jaw pain. They could be: Get a temporomandibular joint x-ray done and ask a doctor online --> |
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Hello doctor, I am a 24 year old male. I have pain on the right side of my jaw, associated with clogging of the right ear. Sometimes the pain radiates to the right side of the head. Audiometry reports are normal. What might be the problem? [/INST] Hi. The ear, nose, throat, head, and jaw are all closely related. Any problem in one will affect the others as well. So, there are various possibilities that might cause jaw pain. They could be: Get a temporomandibular joint x-ray done and ask a doctor online --> |
Q. How to reduce belly fat? Skipping meals causes acidity. Help me. | Hello doctor, I am a 22 year old girl. My height is 165 cm and I weigh 54 kg. How could I reduce my belly fat? I try skipping meals, but it causes acidity and constipation. Please help. | Hi. Consult a fitness expert online for regular follow up with weight reduction --> |
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Hello doctor, I am a 22 year old girl. My height is 165 cm and I weigh 54 kg. How could I reduce my belly fat? I try skipping meals, but it causes acidity and constipation. Please help. [/INST] Hi. Consult a fitness expert online for regular follow up with weight reduction --> |
Q. I hurt my fingernail, it has turned black and paining very badly. Please help. | Hello doctor, I recently (a few hours ago), had my finger hurt by a pan really hard. A part of my nail has turned black and the remaining part is a healthy pink. I have a throbbing pain. Will it heal on its own (growing the fingernail out) or will the nail turn dead and fall off? | Hi. If your fingernail is totally black, it will fall off automatically within one or two months. Since it is half black and is paining severely, it is advisable to visit a surgeon. A surgeon will assess the condition and will do the needful. The blackness is due to necrosis and can lead to infection if not treated on time. There are chances of bone involvement which can lead to complications. Meanwhile, you can start taking Amoxycillin-Clavulanic acid 625 mg twice daily for 10 days to prevent the spread of infection. |
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Hello doctor, I recently (a few hours ago), had my finger hurt by a pan really hard. A part of my nail has turned black and the remaining part is a healthy pink. I have a throbbing pain. Will it heal on its own (growing the fingernail out) or will the nail turn dead and fall off? [/INST] Hi. If your fingernail is totally black, it will fall off automatically within one or two months. Since it is half black and is paining severely, it is advisable to visit a surgeon. A surgeon will assess the condition and will do the needful. The blackness is due to necrosis and can lead to infection if not treated on time. There are chances of bone involvement which can lead to complications. Meanwhile, you can start taking Amoxycillin-Clavulanic acid 625 mg twice daily for 10 days to prevent the spread of infection. |
Q. What are the symptoms of having a blood clot in the lung? | Hello doctor, What are the symptoms of having a blood clot in the lung? | Hi.The common signs and symptoms of having a blood clot in the lung (pulmonary embolism) include: In case of any of these symptoms, consult a cardiologist online --> |
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Hello doctor, What are the symptoms of having a blood clot in the lung? [/INST] Hi.The common signs and symptoms of having a blood clot in the lung (pulmonary embolism) include: In case of any of these symptoms, consult a cardiologist online --> |
Q. How long should my husband and I wait to try for a baby if we did cocaine? | Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. | Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> |
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Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. [/INST] Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> |
Q. Can Yasmin birth control pill be used as an emergency contraceptive pill? | Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? | Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> |
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Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? [/INST] Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> |
Q. Please explain the poisonous effect of phenol ingestion. | Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. | Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> |
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Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. [/INST] Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> |
Q. For how long should I take Kalachikai powder to overcome PCOD problem? | Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? | Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> |
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Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? [/INST] Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> |
Q. Why do periods get delayed after first time sex? | Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? | Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> |
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Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? [/INST] Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> |
Q. Can Z-pack increase your heart rate and cause anxiety? | I had a doctor prescribe Zpack for me yesterday. I have shortness of breath and chest tightness, I was also wheezing, but when he listened to me breathing he didn’t hear it. I’m really worried about taking this antibiotic because even though I’m not allergic to any medicines that I know of, he didn’t really ask me many other medical questions to see if this was a safe option for me. I read this medication can increase heart rate and people have went into cardiac arrest? I already have a resting rate of about 105, and pretty bad anxiety. I just would like some reassurance that this is safe drug and I don’t have to worry about deadly side effects..I’m also a smoker/34 year old female. | Hello, Greetings from icliniq. I understand that you are worried about the side effect of the prescribed drug. In my opinion, Azithromycin is one of safe drugs, so do take the medicine without any doubt. Secondly, I would like to know your history in detail. And last but not least, according to me its a good time to give a thought about quitting smoking. And I can help you. Do let me know. Take care. Spirometry testing with bronchodilator reversibility testing allergic bronchitis, bronchial asthma worsening due to smoking Smoking cessation. When investigations are available and then as required. |
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I had a doctor prescribe Zpack for me yesterday. I have shortness of breath and chest tightness, I was also wheezing, but when he listened to me breathing he didn’t hear it. I’m really worried about taking this antibiotic because even though I’m not allergic to any medicines that I know of, he didn’t really ask me many other medical questions to see if this was a safe option for me. I read this medication can increase heart rate and people have went into cardiac arrest? I already have a resting rate of about 105, and pretty bad anxiety. I just would like some reassurance that this is safe drug and I don’t have to worry about deadly side effects..I’m also a smoker/34 year old female. [/INST] Hello, Greetings from icliniq. I understand that you are worried about the side effect of the prescribed drug. In my opinion, Azithromycin is one of safe drugs, so do take the medicine without any doubt. Secondly, I would like to know your history in detail. And last but not least, according to me its a good time to give a thought about quitting smoking. And I can help you. Do let me know. Take care. Spirometry testing with bronchodilator reversibility testing allergic bronchitis, bronchial asthma worsening due to smoking Smoking cessation. When investigations are available and then as required. |
Q. Please suggest ways to wean child from breastfeeding to bottle feeding. | Hello doctor, My 7-month-old baby does not want to feed on the bottle. I am currently breastfeeding and I want to feed her Enfamil. What can I do about it? She is not gaining weight. Her weight is consistent at 7.5 kg since she was 4 months old. But she is good. No illness. But my main complaint is that she does not want to drink from her bottle and I do not want to breastfeed anymore. | Hi. I understand your concern. Bottle feeding is not recommended to any child for long term. You can try spoon feeding. Yes, it will not be easy to shift from breastfeeding to top feed. Should try gradually. As per WHO, the baby should be continued on breastfeeding for a minimum of 1 year of age. It is good for overall long-term growth of the baby. |
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Hello doctor, My 7-month-old baby does not want to feed on the bottle. I am currently breastfeeding and I want to feed her Enfamil. What can I do about it? She is not gaining weight. Her weight is consistent at 7.5 kg since she was 4 months old. But she is good. No illness. But my main complaint is that she does not want to drink from her bottle and I do not want to breastfeed anymore. [/INST] Hi. I understand your concern. Bottle feeding is not recommended to any child for long term. You can try spoon feeding. Yes, it will not be easy to shift from breastfeeding to top feed. Should try gradually. As per WHO, the baby should be continued on breastfeeding for a minimum of 1 year of age. It is good for overall long-term growth of the baby. |
Q. I can see new moles on my face, chest, back and neck. What to do? | Hi doctor, I am 30 years old. I can see a lot of new moles on my face, chest, back, and neck. Two to three of them are slightly asymmetrical too. All the moles are less than 5 mm. Please suggest. | Hi. I have read the query and seen the pictures attached (attachment removed to protect patient identity). These moles look normal. If there is any sudden change in size, shape, pigmentation, or any bleeding, then a dermoscopic examination or biopsy can be done by your local dermatologist. Avoid going out in sunlight, as it reduces the occurrence of moles over the covered areas. Apply sunscreen over the exposed areas twice daily and regularly. |
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Hi doctor, I am 30 years old. I can see a lot of new moles on my face, chest, back, and neck. Two to three of them are slightly asymmetrical too. All the moles are less than 5 mm. Please suggest. [/INST] Hi. I have read the query and seen the pictures attached (attachment removed to protect patient identity). These moles look normal. If there is any sudden change in size, shape, pigmentation, or any bleeding, then a dermoscopic examination or biopsy can be done by your local dermatologist. Avoid going out in sunlight, as it reduces the occurrence of moles over the covered areas. Apply sunscreen over the exposed areas twice daily and regularly. |
Q. My ECG report shows a mild blockage in my heart. What to do? | Hi doctor, Recently, I did an ECG. The doctor examined me and told me that I have a mild blockage. Please suggest. | Hi. I have gone through the attachment (attachment removed to protect patient identity). There is sinus bradycardia with a heart rate of 55 to 60 beats per minute, with a right bundle branch block along with left axis deviation. There are no significant ST-T abnormalities seen. It can also due to age or hypertension-related change. It needs evaluation and echo (echocardiogram) to rule out the possibility of coronary artery disease. So, you should undergo echo, and if it is normal, then stress test like stress thallium or CT coronary angiography can be done to rule out the possibility of structural heart disease. Also, do a thyroid profile. |
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Hi doctor, Recently, I did an ECG. The doctor examined me and told me that I have a mild blockage. Please suggest. [/INST] Hi. I have gone through the attachment (attachment removed to protect patient identity). There is sinus bradycardia with a heart rate of 55 to 60 beats per minute, with a right bundle branch block along with left axis deviation. There are no significant ST-T abnormalities seen. It can also due to age or hypertension-related change. It needs evaluation and echo (echocardiogram) to rule out the possibility of coronary artery disease. So, you should undergo echo, and if it is normal, then stress test like stress thallium or CT coronary angiography can be done to rule out the possibility of structural heart disease. Also, do a thyroid profile. |
Q. Can I have a fast recovery in MS if I use steroids? | Hi doctor, I was diagnosed with MS last month. I had severe dizziness before three months, and I got bed bound. The next day, my head became heavy, and I was unable to move it off from the pillow. I had an unsteady feeling on my foot. I was able to sit, and I got pulled back with a sensation on my head. I have enclosed my latest MRI report. Please help me. | Hi. I have gone through your MRI report (attachment removed to protect patient identity). It indicates a new exacerbation of MS (also called relapse). As there are new plaques on your MRI which are enhanced by Gadolinium, I would recommend hospitalization and short-term treatment with a high dose of intravenous steroids. It is also essential to have a modifying therapy (Interferon, Copaxone, Fingolimod) to stop the progression of the disease and to prevent further relapse. Regarding your actual clinical condition, you should be patient, and this is a temporary condition. I am sure that your situation will improve in the next few weeks (this is the normal evolution of the disease). There is no reason to get panic for the moment. You should be optimistic, as your humor has a strong implication on your clinical situation too. In the meantime, I would also recommend trying Dimenhydrinate or Meclizine to improve vertigo and the dizziness. Physiotherapy performed by a specialist also helps. |
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Hi doctor, I was diagnosed with MS last month. I had severe dizziness before three months, and I got bed bound. The next day, my head became heavy, and I was unable to move it off from the pillow. I had an unsteady feeling on my foot. I was able to sit, and I got pulled back with a sensation on my head. I have enclosed my latest MRI report. Please help me. [/INST] Hi. I have gone through your MRI report (attachment removed to protect patient identity). It indicates a new exacerbation of MS (also called relapse). As there are new plaques on your MRI which are enhanced by Gadolinium, I would recommend hospitalization and short-term treatment with a high dose of intravenous steroids. It is also essential to have a modifying therapy (Interferon, Copaxone, Fingolimod) to stop the progression of the disease and to prevent further relapse. Regarding your actual clinical condition, you should be patient, and this is a temporary condition. I am sure that your situation will improve in the next few weeks (this is the normal evolution of the disease). There is no reason to get panic for the moment. You should be optimistic, as your humor has a strong implication on your clinical situation too. In the meantime, I would also recommend trying Dimenhydrinate or Meclizine to improve vertigo and the dizziness. Physiotherapy performed by a specialist also helps. |
Q. Can I take Isotretinoin along with Tetracycline without any drug interaction? | Hi doctor, I am a 27-year-old female, and I have mild, cystic acne for the past five years. Yesterday, I got prescribed with Accutane 20 mg per day, and my weight is 50 kilograms. If everything is fine, I will be taking it for the next ten months. I know that taking Isotretinoin can cause idiopathic intracranial hypertension and I also take Tetracycline. I have heard that both should not be taken at the same time. I have been taking 100 mg Tetracycline for the past one week (seven days). I took my last pill yesterday evening. How long is the wash-out period of Tetracycline is? If I take 100 mg Tetracycline per day for seven days, when can I start taking Isotretinoin? Taking after 24-hour is enough? | Hi. There should be a time gap of seven days between stopping tetracycline and starting Isotretinoin. Monitor your fasting lipid profile and liver function test. While on Isotretinoin, you should not conceive. There should be a gap of six months after stopping Isotretinoin. |
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Hi doctor, I am a 27-year-old female, and I have mild, cystic acne for the past five years. Yesterday, I got prescribed with Accutane 20 mg per day, and my weight is 50 kilograms. If everything is fine, I will be taking it for the next ten months. I know that taking Isotretinoin can cause idiopathic intracranial hypertension and I also take Tetracycline. I have heard that both should not be taken at the same time. I have been taking 100 mg Tetracycline for the past one week (seven days). I took my last pill yesterday evening. How long is the wash-out period of Tetracycline is? If I take 100 mg Tetracycline per day for seven days, when can I start taking Isotretinoin? Taking after 24-hour is enough? [/INST] Hi. There should be a time gap of seven days between stopping tetracycline and starting Isotretinoin. Monitor your fasting lipid profile and liver function test. While on Isotretinoin, you should not conceive. There should be a gap of six months after stopping Isotretinoin. |
Q. My amylase and lipase levels are above normal. How to correct those levels? | Hi doctor, My lipase and amylase are above normal with a level of 100 U/L and 192 U/L. Can you suggest some supplements to restore them? | Hi. Increased lipase and amylase level indicates a sign of other complication, and it needs to be diagnosed. Your BMI (body mass index) is 27.8 (attachment removed to protect patient identity). You need to reduce your weight through exercise and by following a healthy diet. However, your symptoms can also be caused due to pancreatitis, kidney dysfunction, gallbladder infection, or gallbladder stone. You have to do some test to rule out these complications. You have to do CMP (comprehensive metabolic panel), CBC, and CT scan of the abdomen or ultrasound of pancreas and gallbladder. Also, drinking alcohol can cause hyperlipasemia. You have not mentioned about other symptoms. But if you have nausea, that stops you from eating, diarrhea, pain, fever or abnormal sweating, then you need to see a doctor soon. |
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Hi doctor, My lipase and amylase are above normal with a level of 100 U/L and 192 U/L. Can you suggest some supplements to restore them? [/INST] Hi. Increased lipase and amylase level indicates a sign of other complication, and it needs to be diagnosed. Your BMI (body mass index) is 27.8 (attachment removed to protect patient identity). You need to reduce your weight through exercise and by following a healthy diet. However, your symptoms can also be caused due to pancreatitis, kidney dysfunction, gallbladder infection, or gallbladder stone. You have to do some test to rule out these complications. You have to do CMP (comprehensive metabolic panel), CBC, and CT scan of the abdomen or ultrasound of pancreas and gallbladder. Also, drinking alcohol can cause hyperlipasemia. You have not mentioned about other symptoms. But if you have nausea, that stops you from eating, diarrhea, pain, fever or abnormal sweating, then you need to see a doctor soon. |
Q. Experiencing involuntary urination after two days of femur bone surgery. Why? | Hi doctor, My mother is 88 years old. She had undergone a surgery for the fractured femur thigh bone. Now, she is experiencing high involuntary urination for the past two days. She is on bed rest now, and any movement in the body or legs results in urine discharge. Currently, she is taking Thyronorm 75 mcg, Glycomet SR 500, Atorfit 10 mg, Ecospirin, and Calcirol. Her sugar levels are normal, and her BP is 140 by 70 mmHg. Please suggest. | Hi. I have gone through your query and reports (attachment removed to protect patient identity). She has temporary urinary problems which are reasonably common at her age following any major surgery with immobilization. I would like to know whether she passes urine usually and whether she has any burning sensation during urination. It is essential to make sure that whether she has a urinary tract infection or any retention of urine in the bladder. If these are absent, then she will get better soon with time, when she starts to ambulate and when she gets back to her routine activities. In the meantime, she can be managed with diapers or a urinary catheter if the problem is very severe. |
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Hi doctor, My mother is 88 years old. She had undergone a surgery for the fractured femur thigh bone. Now, she is experiencing high involuntary urination for the past two days. She is on bed rest now, and any movement in the body or legs results in urine discharge. Currently, she is taking Thyronorm 75 mcg, Glycomet SR 500, Atorfit 10 mg, Ecospirin, and Calcirol. Her sugar levels are normal, and her BP is 140 by 70 mmHg. Please suggest. [/INST] Hi. I have gone through your query and reports (attachment removed to protect patient identity). She has temporary urinary problems which are reasonably common at her age following any major surgery with immobilization. I would like to know whether she passes urine usually and whether she has any burning sensation during urination. It is essential to make sure that whether she has a urinary tract infection or any retention of urine in the bladder. If these are absent, then she will get better soon with time, when she starts to ambulate and when she gets back to her routine activities. In the meantime, she can be managed with diapers or a urinary catheter if the problem is very severe. |
Q. My triglyceride level is quite high. How to manage it? | Hi doctor, I am 28 years old male. I tested my blood triglyceride and cholesterol. I have a triglyceride of 3.07 mmol/L and cholesterol of 4.33 mmol/L. I am worried about my high triglyceride level. Currently, I am taking Atenolol 25 mg in the morning. Please help. | Hi. I understand your concern. Your triglyceride level is at a higher level than the upper normal value. Several causes increase the blood triglyceride levels. Foods rich in fats such as dairy products, and meat can increase triglyceride. Other exogenous substances may also affect the level. Beta blockers such as Atenolol can also raise the blood lipid profile (triglycerides). An increase in blood triglyceride level is approached appropriately by modifying the diet profile by reducing fatty-rich components and increasing the intake of plenty of fibers, such as vegetables, and fruits. Having a physically active lifestyle every day and avoiding risk factors like close smoking contacts and excessive alcohol consumption are very helpful. If there is no improvement, then medications can help. Take Ciprofibrate 100 mg in capsules, one capsule daily. You should consult your doctor soon. |
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Hi doctor, I am 28 years old male. I tested my blood triglyceride and cholesterol. I have a triglyceride of 3.07 mmol/L and cholesterol of 4.33 mmol/L. I am worried about my high triglyceride level. Currently, I am taking Atenolol 25 mg in the morning. Please help. [/INST] Hi. I understand your concern. Your triglyceride level is at a higher level than the upper normal value. Several causes increase the blood triglyceride levels. Foods rich in fats such as dairy products, and meat can increase triglyceride. Other exogenous substances may also affect the level. Beta blockers such as Atenolol can also raise the blood lipid profile (triglycerides). An increase in blood triglyceride level is approached appropriately by modifying the diet profile by reducing fatty-rich components and increasing the intake of plenty of fibers, such as vegetables, and fruits. Having a physically active lifestyle every day and avoiding risk factors like close smoking contacts and excessive alcohol consumption are very helpful. If there is no improvement, then medications can help. Take Ciprofibrate 100 mg in capsules, one capsule daily. You should consult your doctor soon. |
Q. Should I worry about low platelet count with fever if dengue test is negative? | Hi doctor, My son is five years old, and he was suffering from fever, headache and body pain. He also had some rashes on his face and in some parts of the hands and legs. His fever was ranging from 101 to 102.5 degrees. After a couple of days, on medication, his temperature became normal between 97.5 to 99.5, degrees and he is fresh now. His platelet count went down to 160000 from 280000 in two days. His lymphocyte count is high, and neutrophils counts are low. He did not have stools for the past two days, but he passed out stools three times in normal consistency and one time with a loose stool this morning. He is feeling fresh now. We have done NS1 test for Dengue before two days, and it came out negative. Does he require any particular attention to control platelet count or is it normal? Please suggest. | Hi. The report suggests some form of viral infection (attachment removed to protect patient identity). You have ruled out dengue. He has platelets of 160000 platelets per microliter of blood, and it is in a normal range. There is no medicine available to increase platelet count. I advise you repeat CBC (complete blood count) after two to three days to see the platelet count. I am pretty sure that the platelet count will get increased. |
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Hi doctor, My son is five years old, and he was suffering from fever, headache and body pain. He also had some rashes on his face and in some parts of the hands and legs. His fever was ranging from 101 to 102.5 degrees. After a couple of days, on medication, his temperature became normal between 97.5 to 99.5, degrees and he is fresh now. His platelet count went down to 160000 from 280000 in two days. His lymphocyte count is high, and neutrophils counts are low. He did not have stools for the past two days, but he passed out stools three times in normal consistency and one time with a loose stool this morning. He is feeling fresh now. We have done NS1 test for Dengue before two days, and it came out negative. Does he require any particular attention to control platelet count or is it normal? Please suggest. [/INST] Hi. The report suggests some form of viral infection (attachment removed to protect patient identity). You have ruled out dengue. He has platelets of 160000 platelets per microliter of blood, and it is in a normal range. There is no medicine available to increase platelet count. I advise you repeat CBC (complete blood count) after two to three days to see the platelet count. I am pretty sure that the platelet count will get increased. |
Q. My concern is dry foreskin and painful retraction. Please help. | Hi doctor, I had a little bit of itching on the foreskin. I had sex with my partner, and I used a condom. After the first ejaculation, I used the second condom. I started to have pain in the penis after the first ejaculation. But still, I went for the second one. After several strokes, when I was not able to ejaculate, I ended up. After removing the condom, I saw red dots on my urethral opening and glans. It was paining a lot. The next day, the dots were no more. But my foreskin had pain. Now, after three days, after sex, my foreskin is dry, and some part of the skin is peeling off. I am unable to take the foreskin back. While retaking it, it pains a lot. My urethral opening is always dry. There is no problem on my penis shaft, and my foreskin is dry. My partner is not having a problem. What can I do? Is this a serious problem? Please suggest me a solution. | Hi. You have developed an allergy to latex. You have developed redness and pain while using a condom. This is probably a hypersensitive reaction to the condom. As you have dryness, and if there is a pain, I advise you visit a dermatologist for an opinion. The problem is not severe, and this will become fine within a few days. |
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Hi doctor, I had a little bit of itching on the foreskin. I had sex with my partner, and I used a condom. After the first ejaculation, I used the second condom. I started to have pain in the penis after the first ejaculation. But still, I went for the second one. After several strokes, when I was not able to ejaculate, I ended up. After removing the condom, I saw red dots on my urethral opening and glans. It was paining a lot. The next day, the dots were no more. But my foreskin had pain. Now, after three days, after sex, my foreskin is dry, and some part of the skin is peeling off. I am unable to take the foreskin back. While retaking it, it pains a lot. My urethral opening is always dry. There is no problem on my penis shaft, and my foreskin is dry. My partner is not having a problem. What can I do? Is this a serious problem? Please suggest me a solution. [/INST] Hi. You have developed an allergy to latex. You have developed redness and pain while using a condom. This is probably a hypersensitive reaction to the condom. As you have dryness, and if there is a pain, I advise you visit a dermatologist for an opinion. The problem is not severe, and this will become fine within a few days. |
Q. I have dysuria with previous history of UTI. How to treat this? | Hello doctor, I am a 25-year-old female. My main concern is dysuria that started the previous night. I also had a history of kidney infection when I was young so I am extra cautious about UTIs. I have had a relatively little intake of water this week. How can I treat this without going to the hospital for a urinalysis? Can you prescribe me something? | Hello, Welcome to icliniq.com. I can understand your concern. According to your statement, you have been suffering from dysuria. Dysuria is painful or difficulty in micturition. It can be resulted from urinary tract infection (UTI), STD (sexually transmitted disease), Kidney stone, ovarian cyst, interstitial cystitis, vaginal infection, bladder cystitis, pyelonephritis, urethritis, etc. Treatment depends on causes.so we should undergo some investigations like urine routine, urine R/M/E, USG (ultrasound) of W/A, serum creatinine, urine for C/S to find out exact causes for your dysuria, and then treat them accordingly. As an example, if causes are cystitis, pyelonephritis, or urethritis then they have resulted from bacterial indecision. So anti-bacterial medication should be needed. Take plenty of water and do not hold urine. Take cranberry juice and citrus foods. You can take Cefixime 400 mg (twice daily for 14 days) and abstinence from sexual intercourse during antibiotics. |
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Hello doctor, I am a 25-year-old female. My main concern is dysuria that started the previous night. I also had a history of kidney infection when I was young so I am extra cautious about UTIs. I have had a relatively little intake of water this week. How can I treat this without going to the hospital for a urinalysis? Can you prescribe me something? [/INST] Hello, Welcome to icliniq.com. I can understand your concern. According to your statement, you have been suffering from dysuria. Dysuria is painful or difficulty in micturition. It can be resulted from urinary tract infection (UTI), STD (sexually transmitted disease), Kidney stone, ovarian cyst, interstitial cystitis, vaginal infection, bladder cystitis, pyelonephritis, urethritis, etc. Treatment depends on causes.so we should undergo some investigations like urine routine, urine R/M/E, USG (ultrasound) of W/A, serum creatinine, urine for C/S to find out exact causes for your dysuria, and then treat them accordingly. As an example, if causes are cystitis, pyelonephritis, or urethritis then they have resulted from bacterial indecision. So anti-bacterial medication should be needed. Take plenty of water and do not hold urine. Take cranberry juice and citrus foods. You can take Cefixime 400 mg (twice daily for 14 days) and abstinence from sexual intercourse during antibiotics. |
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. Had arthroscopy for ACL injury. How long it will take to recover? | Hi doctor, My sister met an accident before four months. Now, she is suffering from ACL injury. According to the doctor's suggestion, she did POP for a month followed by arthroscopy. She is following the exercise under the supervision of a physiotherapist post arthroscopy. She can find recovery, but it is very little and slow. A slight improvement is seen while bending the legs. But it is not complete. Straight legs are not recognized while walking. How long it takes to have a complete recovery? Please suggest. | Hi. Usually, it takes three months to have complete recovery after arthroscopy with good physiotherapy done regularly. Physiotherapy includes quadriceps strengthening, hamstring stretching, and strengthening, full weight-bearing walking with a hinged knee brace, and knee bending for three weeks. The treating surgeon decides the frequency of doing exercise. Ideally, you should be able to bend the knee for about 90 to 100 degrees in three weeks post surgery. |
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Hi doctor, My sister met an accident before four months. Now, she is suffering from ACL injury. According to the doctor's suggestion, she did POP for a month followed by arthroscopy. She is following the exercise under the supervision of a physiotherapist post arthroscopy. She can find recovery, but it is very little and slow. A slight improvement is seen while bending the legs. But it is not complete. Straight legs are not recognized while walking. How long it takes to have a complete recovery? Please suggest. [/INST] Hi. Usually, it takes three months to have complete recovery after arthroscopy with good physiotherapy done regularly. Physiotherapy includes quadriceps strengthening, hamstring stretching, and strengthening, full weight-bearing walking with a hinged knee brace, and knee bending for three weeks. The treating surgeon decides the frequency of doing exercise. Ideally, you should be able to bend the knee for about 90 to 100 degrees in three weeks post surgery. |
Q. I want to stop or reduce the frequency of masturbation. How to achieve it? | Hi doctor, I am 24 years old male. I have a habit of masturbation for about nine years. Now, it became a habit in me. I have started doing it compulsively for about five to six years. I masturbate as frequently as thrice a day every day. Now, my head is programmed to wank at any time when I am alone. I feel exhausted, and I want to stop the habit or to minimize the frequency of doing it. How can I do it? Please advice. | Hi. I can understand your concern and masturbation is a safe habit. It does not result in weakness or physical fatigue. But excessive masturbation results in significant loss of time that is spent on sports or in studies. This progressively results in poor health and poor performance in academics. There is no need to stop it completely, but you should reduce the frequency. There is no medicine available to help you. You have to reduce the frequency gradually. First of all, stop watching or reading porn materials. Try to masturbate by fantasies, and it helps to reduce the severity. When you stop watching porn entirely, you can reduce the frequency to two and then to one. Try to keep yourself busy and take part in outdoor sports. Keeping yourself busy will help to reduce your habit. |
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Hi doctor, I am 24 years old male. I have a habit of masturbation for about nine years. Now, it became a habit in me. I have started doing it compulsively for about five to six years. I masturbate as frequently as thrice a day every day. Now, my head is programmed to wank at any time when I am alone. I feel exhausted, and I want to stop the habit or to minimize the frequency of doing it. How can I do it? Please advice. [/INST] Hi. I can understand your concern and masturbation is a safe habit. It does not result in weakness or physical fatigue. But excessive masturbation results in significant loss of time that is spent on sports or in studies. This progressively results in poor health and poor performance in academics. There is no need to stop it completely, but you should reduce the frequency. There is no medicine available to help you. You have to reduce the frequency gradually. First of all, stop watching or reading porn materials. Try to masturbate by fantasies, and it helps to reduce the severity. When you stop watching porn entirely, you can reduce the frequency to two and then to one. Try to keep yourself busy and take part in outdoor sports. Keeping yourself busy will help to reduce your habit. |
Q. How to improve the function of left hand and leg after a stroke attack? | Hi doctor, I am 60 years old male. Before a year, I got a stroke. After recovering from it, my left side ear, hand, and leg are not functioning well. Please suggest. | Hi. After a stroke, usually, recovery is maximum in initial three to six months. After that, you can have a slight improvement up to one to one and a half years. Some residual weakness usually persists. You need to do regular physiotherapy. Few patients develop spasticity, and it needs to be taken care by proper medicines or physiotherapy. I suggest you consult a neurologist in person for appropriate examination with all your previous reports. |
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Hi doctor, I am 60 years old male. Before a year, I got a stroke. After recovering from it, my left side ear, hand, and leg are not functioning well. Please suggest. [/INST] Hi. After a stroke, usually, recovery is maximum in initial three to six months. After that, you can have a slight improvement up to one to one and a half years. Some residual weakness usually persists. You need to do regular physiotherapy. Few patients develop spasticity, and it needs to be taken care by proper medicines or physiotherapy. I suggest you consult a neurologist in person for appropriate examination with all your previous reports. |
Q. If I take Loperamide for diarrhea, will it interact with Tenohep and Entehep? | Hi doctor, I have been diagnosed with acute hepatitis B, and I was taking Tenohep and Entehep medicines for the past two months. Last week, I ate chicken prepared with feni (traditional wine) and got diarrhea. I have loose stools and gastritis for three days now. I used to get this often because of my food habits, and so I took an Eldoper to reduce the problem. Can I use this along with the drugs mentioned above? Please suggest. | Hi. First of all, both of the above drugs are not used simultaneously for hepatitis. It is wrong, and only one of them is used at a time. Secondly, acute hepatitis B infection goes away by itself by 80 %, and there is no need for treatment. If it is symptomatic, then treatment is required. If it does not gets cured, and if the viral load is high in chronic hepatitis B, then one of these medications can be used. Loperamide can be taken for diarrhea. If you have diarrhea along with an infection, then Loperamide will not be helpful. I would advice taking more water. Do CBC (complete blood count), creatinine, and liver function test if diarrhea does not stop in two days. You might need an antibiotic also. |
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Hi doctor, I have been diagnosed with acute hepatitis B, and I was taking Tenohep and Entehep medicines for the past two months. Last week, I ate chicken prepared with feni (traditional wine) and got diarrhea. I have loose stools and gastritis for three days now. I used to get this often because of my food habits, and so I took an Eldoper to reduce the problem. Can I use this along with the drugs mentioned above? Please suggest. [/INST] Hi. First of all, both of the above drugs are not used simultaneously for hepatitis. It is wrong, and only one of them is used at a time. Secondly, acute hepatitis B infection goes away by itself by 80 %, and there is no need for treatment. If it is symptomatic, then treatment is required. If it does not gets cured, and if the viral load is high in chronic hepatitis B, then one of these medications can be used. Loperamide can be taken for diarrhea. If you have diarrhea along with an infection, then Loperamide will not be helpful. I would advice taking more water. Do CBC (complete blood count), creatinine, and liver function test if diarrhea does not stop in two days. You might need an antibiotic also. |
Q. My vaginal opening is white with tiny lifted or pointy spots around it. What is the problem? | Hi doctor, I am 19 years old and a virgin. My opening of the vagina is completely white with some tiny lifted or pointy spots around it. I am noticing it for the past couple of years. I do not have any other problem like itching, bleeding or smell. So I have never consulted a doctor for this problem, and now, I start to have a feeling that it is abnormal or severe. It is found with white skin and looks like dry skin. Please suggest. | Hi. Please send a picture of it. As you are still virgin, you can have an intact hymen (small skin tag at the entrance of the vagina). White dry appearance occurs due to candidiasis with vaginal secretions. It gives you the presentation as you explained. Check your hemoglobin. Even low hemoglobin level along with candidiasis also gives the appearance you told. You can also have a local infectious lesion, skin tag, and wart. A local examination can confirm it. In the case of candidiasis, you can use Canesten (antifungal cream) with the help of an applicator. You can use it at bedtime. If you have any other lesion or pelvic infection, you should do a swab or skin scraping and check it in the laboratory. Do CBC (complete blood count) to exclude anemia. Collect the results and discuss it with your local gynecologist or here. In case of a wart, it has to be removed with care. Due to the absence of sex, you do not know the secretions observed in sexually active lady during, before and after sex. So vaginal dryness could be obvious. Wart or skin tag like lesion occurs when there is an infection with human papillomavirus. Differentiating them on examination is necessary. I hope you have understood the suspected causes of this issue. It will become better after a local physical examination and treatment. Use lubricants when you become active. Have strict hygiene. Use soft, cotton and comfortable undergarments. |
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Hi doctor, I am 19 years old and a virgin. My opening of the vagina is completely white with some tiny lifted or pointy spots around it. I am noticing it for the past couple of years. I do not have any other problem like itching, bleeding or smell. So I have never consulted a doctor for this problem, and now, I start to have a feeling that it is abnormal or severe. It is found with white skin and looks like dry skin. Please suggest. [/INST] Hi. Please send a picture of it. As you are still virgin, you can have an intact hymen (small skin tag at the entrance of the vagina). White dry appearance occurs due to candidiasis with vaginal secretions. It gives you the presentation as you explained. Check your hemoglobin. Even low hemoglobin level along with candidiasis also gives the appearance you told. You can also have a local infectious lesion, skin tag, and wart. A local examination can confirm it. In the case of candidiasis, you can use Canesten (antifungal cream) with the help of an applicator. You can use it at bedtime. If you have any other lesion or pelvic infection, you should do a swab or skin scraping and check it in the laboratory. Do CBC (complete blood count) to exclude anemia. Collect the results and discuss it with your local gynecologist or here. In case of a wart, it has to be removed with care. Due to the absence of sex, you do not know the secretions observed in sexually active lady during, before and after sex. So vaginal dryness could be obvious. Wart or skin tag like lesion occurs when there is an infection with human papillomavirus. Differentiating them on examination is necessary. I hope you have understood the suspected causes of this issue. It will become better after a local physical examination and treatment. Use lubricants when you become active. Have strict hygiene. Use soft, cotton and comfortable undergarments. |
Q. Will Kalarchikai cure multiple ovarian cysts in PCOD? | Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well. | Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help. |
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Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well. [/INST] Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help. |
Q. My granny has eye pain and light sensitivity for the past one week. Please suggest solution. | Hello doctor, My grandmother is 83 years old and has been suffering from a mild form of glaucoma for three years now. When we consulted doctors earlier they suggested using eye drops than surgery. So we have been using Travo Z and Tear Drops daily and she is also able to see properly. Since one week she is experiencing pain in her eyes and has trouble looking at the light directly. Her eyes have also turned reddish. Please help. | Hello. Has she got operated for cataract? Any previous record of vision please share the latest one. Also, share the glaucoma test reports in which she was diagnosed as glaucoma and share the photo of eyes. |
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Hello doctor, My grandmother is 83 years old and has been suffering from a mild form of glaucoma for three years now. When we consulted doctors earlier they suggested using eye drops than surgery. So we have been using Travo Z and Tear Drops daily and she is also able to see properly. Since one week she is experiencing pain in her eyes and has trouble looking at the light directly. Her eyes have also turned reddish. Please help. [/INST] Hello. Has she got operated for cataract? Any previous record of vision please share the latest one. Also, share the glaucoma test reports in which she was diagnosed as glaucoma and share the photo of eyes. |
Q. I am getting hallucinations after taking Mirtazapine. Is it normal? | Hello doctor, I am on Mirtazapine for the past four months, treating episodical depression and panic attacks. Overall it was going good but yesterday I have experienced visual hallucinations for the first time. I will see my doctor in half a month only. Should I be worried? | Hi. Thank you for taking help from a psychiatrist. Visual hallucinations are due to organic brain lesion (epilepsy) or any substance abuse (alcohol or recreational drug). If it is just once in while then it is not problematic but if it is an increase in the frequency and disturbing your functional life than it needs to be addressed. It is not due to Mirtazapine. Sometimes, it may happen when you are going to sleep or when you wake up from sleep. It is due to mental illness. Just keep a record of your hallucinations details like duration, time of the episode, frequency, etc. All those details will help your psychiatrist during follow up visit for evaluation. At present, you do not need to worry. |
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Hello doctor, I am on Mirtazapine for the past four months, treating episodical depression and panic attacks. Overall it was going good but yesterday I have experienced visual hallucinations for the first time. I will see my doctor in half a month only. Should I be worried? [/INST] Hi. Thank you for taking help from a psychiatrist. Visual hallucinations are due to organic brain lesion (epilepsy) or any substance abuse (alcohol or recreational drug). If it is just once in while then it is not problematic but if it is an increase in the frequency and disturbing your functional life than it needs to be addressed. It is not due to Mirtazapine. Sometimes, it may happen when you are going to sleep or when you wake up from sleep. It is due to mental illness. Just keep a record of your hallucinations details like duration, time of the episode, frequency, etc. All those details will help your psychiatrist during follow up visit for evaluation. At present, you do not need to worry. |
Q. What is the reason for cold feet three weeks after hip arthroscopy? | Hello doctor, I had a hip arthroscopy three weeks ago and today, my feet are very cold with no other symptoms. No symptoms prior to today. Could this be a result of the surgery or something else? | Hello. I understand your concern and would explain that your symptoms are not related to the arthroscopy. A possible deep vein thrombosis could cause these symptoms. Do you see any change in the color (pale or bluish) in your legs? Can you feel the pulse on the dorsal part of your foot whenever touching? I recommend trying to move your legs, and wear warm socks. If your situation worsens, and you experience pain, inability to walk, swelling or changes in the color of your legs skin, I recommend going to the ER for a physical exam and a Doppler ultrasound of the leg vessels. I remain at your disposal for any further questions. |
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Hello doctor, I had a hip arthroscopy three weeks ago and today, my feet are very cold with no other symptoms. No symptoms prior to today. Could this be a result of the surgery or something else? [/INST] Hello. I understand your concern and would explain that your symptoms are not related to the arthroscopy. A possible deep vein thrombosis could cause these symptoms. Do you see any change in the color (pale or bluish) in your legs? Can you feel the pulse on the dorsal part of your foot whenever touching? I recommend trying to move your legs, and wear warm socks. If your situation worsens, and you experience pain, inability to walk, swelling or changes in the color of your legs skin, I recommend going to the ER for a physical exam and a Doppler ultrasound of the leg vessels. I remain at your disposal for any further questions. |
Q. Can marrying own cousin cause any genetic problem in pregnancy? | Hello doctor, I am planning to marry my own cousin (my mother's own brother's child). Is there any precautions to avoid genetic problems for my baby or do we need to take any medication or treatment for a child. Please suggest with a better solution. | Hi. It would be better if you would send me the background of your question. Any specific family history like thyroid, diabetes or any congenital anomalies, thalassemia, sickle cell disease or any other family history, then it needs precautions and even investigations. The severity of diseases also matters. Either it is dominant or recessive in both sides blood relations as dominant will give dangerous effects as compared to recessive. Check blood group as well as if you are Rhesus negative and he is positive, then there could be a risk of development of autoantibodies and hemolysis. So check the above family history that matches his and yours can affect your offspring strongly if any. |
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Hello doctor, I am planning to marry my own cousin (my mother's own brother's child). Is there any precautions to avoid genetic problems for my baby or do we need to take any medication or treatment for a child. Please suggest with a better solution. [/INST] Hi. It would be better if you would send me the background of your question. Any specific family history like thyroid, diabetes or any congenital anomalies, thalassemia, sickle cell disease or any other family history, then it needs precautions and even investigations. The severity of diseases also matters. Either it is dominant or recessive in both sides blood relations as dominant will give dangerous effects as compared to recessive. Check blood group as well as if you are Rhesus negative and he is positive, then there could be a risk of development of autoantibodies and hemolysis. So check the above family history that matches his and yours can affect your offspring strongly if any. |
Q. Kindly advise a diet plan that can be followed by an athlete as an everyday routine. | Hello doctor, I am an athlete (sprinter). I do not exactly know what diet plans should be followed basically as an everyday routine. So please suggest me a perfect diet plan of the day. | Hi. As an athlete, you should be having a very light body and flexible enough for playing games. Jogging is a must every day, morning and evening (static and dynamic). Have milk, banana and brown bread in the morning before working out. Always have a water bottle with you so that you do not dehydrate yourself while working out. You should never workout empty stomach. Post workout, have a nice breakfast with fruits, toast, banana again, sandwich. Lunch should be more carbohydrate, more protein, and less fat. Three chapattis with half plate rice with green vegetable curry and salads like a carrot, cucumber, onion, and tomato. You can have daal like green gram, yellow daal. Evening snacks should be walnuts or almonds (3 to 4) in number. You can have milk and cornflakes, baked cookies, tea if you like. Dinner should be protein rich with pulses and cereals of any kind, with two chapattis. You should have your dinner two hours before sleeping. Drink lots of water. Never skip meals but should be very light. |
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Hello doctor, I am an athlete (sprinter). I do not exactly know what diet plans should be followed basically as an everyday routine. So please suggest me a perfect diet plan of the day. [/INST] Hi. As an athlete, you should be having a very light body and flexible enough for playing games. Jogging is a must every day, morning and evening (static and dynamic). Have milk, banana and brown bread in the morning before working out. Always have a water bottle with you so that you do not dehydrate yourself while working out. You should never workout empty stomach. Post workout, have a nice breakfast with fruits, toast, banana again, sandwich. Lunch should be more carbohydrate, more protein, and less fat. Three chapattis with half plate rice with green vegetable curry and salads like a carrot, cucumber, onion, and tomato. You can have daal like green gram, yellow daal. Evening snacks should be walnuts or almonds (3 to 4) in number. You can have milk and cornflakes, baked cookies, tea if you like. Dinner should be protein rich with pulses and cereals of any kind, with two chapattis. You should have your dinner two hours before sleeping. Drink lots of water. Never skip meals but should be very light. |
Q. Please advise treatment for high fever, nausea and gas due to food poisoning. | Hello doctor, I am traveling and got hit by food poisoning this afternoon. I have high fever, nausea and gas trouble. Kindly help me with the right medication. | Hi. I have gone through your query and can understand your health concern. There are many causes of high fever and nausea which needs to be ruled out. I suggest you check your complete blood count, liver function test, malarial parasite. If any of the tests come abnormal, please consult a physician. You can take tablet Pantocid DSR (Pantoprazole and Domperidone) twice daily for five days about thirty minutes before meals. You can also take syrup Sucrafil 10 ml thrice daily. Take tablet Dolo (Paracetamol) 650 mg three times daily for three days after food. Consult a physician if no relief or symptoms worsen. Drink a lot of water. Avoid tea and coffee, soft drinks. Avoid oily, spicy food. Food poisoning, viral fever, hepatitis. Complete blood count, liver function test, malarial parasite. |
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Hello doctor, I am traveling and got hit by food poisoning this afternoon. I have high fever, nausea and gas trouble. Kindly help me with the right medication. [/INST] Hi. I have gone through your query and can understand your health concern. There are many causes of high fever and nausea which needs to be ruled out. I suggest you check your complete blood count, liver function test, malarial parasite. If any of the tests come abnormal, please consult a physician. You can take tablet Pantocid DSR (Pantoprazole and Domperidone) twice daily for five days about thirty minutes before meals. You can also take syrup Sucrafil 10 ml thrice daily. Take tablet Dolo (Paracetamol) 650 mg three times daily for three days after food. Consult a physician if no relief or symptoms worsen. Drink a lot of water. Avoid tea and coffee, soft drinks. Avoid oily, spicy food. Food poisoning, viral fever, hepatitis. Complete blood count, liver function test, malarial parasite. |
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 feel pain in my left ribs with breathing difficulty after improper sleeping posture. Why? | Hi doctor, As of now, I am suffering pain in my left rib which results in difficulty in breathing. I suspect this happens when I fall asleep on the sofa in an awkward position and when I woke up, my throat has a little pain but it did not persist but but it started to ache on the left rib part. I feel the pain towards my shoulder. It is almost about two days since I am suffering from this ache. I got breathing difficulty especially when I am lying in bed. But while standing or sitting, I just felt mild difficulty in breathing. Maybe there is an artery that has been damaged or had been under the bone. I am 24 years old. | Hi. I can understand your concern. According to your statement, you have been suffering from difficulty in breathing due to aching of the left rib part that radiates toward shoulder which may occur when you fall asleep on sofa in an awkward position. You think your ribs may hurt from sleeping wrong and aching of the rib may radiate towards its intercostal muscle. You may feel a sharp pain after intercostal muscle strain or sprain due to sleeping in the wrong position. The pain will become worse when you stretch, breathe in deeply, cough, or sneeze. The area of the strain between your ribs may be painful to touch. Again this pain can radiate to shoulders or sometimes side sleeping can cause damage to the rotator cuff and create a lot of pressure in this group of tendons and eventually produce pain. You can take Tramadol as a painkiller, Domperidone, Lansoprazole, and Diazepam as a muscle relaxant with a sleeping pill. |
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Hi doctor, As of now, I am suffering pain in my left rib which results in difficulty in breathing. I suspect this happens when I fall asleep on the sofa in an awkward position and when I woke up, my throat has a little pain but it did not persist but but it started to ache on the left rib part. I feel the pain towards my shoulder. It is almost about two days since I am suffering from this ache. I got breathing difficulty especially when I am lying in bed. But while standing or sitting, I just felt mild difficulty in breathing. Maybe there is an artery that has been damaged or had been under the bone. I am 24 years old. [/INST] Hi. I can understand your concern. According to your statement, you have been suffering from difficulty in breathing due to aching of the left rib part that radiates toward shoulder which may occur when you fall asleep on sofa in an awkward position. You think your ribs may hurt from sleeping wrong and aching of the rib may radiate towards its intercostal muscle. You may feel a sharp pain after intercostal muscle strain or sprain due to sleeping in the wrong position. The pain will become worse when you stretch, breathe in deeply, cough, or sneeze. The area of the strain between your ribs may be painful to touch. Again this pain can radiate to shoulders or sometimes side sleeping can cause damage to the rotator cuff and create a lot of pressure in this group of tendons and eventually produce pain. You can take Tramadol as a painkiller, Domperidone, Lansoprazole, and Diazepam as a muscle relaxant with a sleeping pill. |
Q. I do not wish to take injections for vitamin B12 deficiency. Can you suggest some tablet? | Hi doctor, I am 21 years old male. My weight is 105 kilograms, and my height is 6'3". I have done a blood test recently, and I have a B12 of 156 pg/mL. My nail (light black with dark longitudinal lines) looks darker than usual. My doctor suggests me an injection therapy. But I am willing to have some tablets. Please say your kind opinion. | Hi. I have gone through the attachment (attachment removed to protect patient identity). As per the laboratory report, you have a deficiency of vitamin B12. Vitamin B12 is an essential vitamin required for the normal functioning of the body organs especially the nervous system. You have a hemoglobin of 16 g/dL. In B12 deficiency, you can usually see anemia (low hemoglobin). Vitamin B12 is replaced either by oral supplements or through B12 injection. Injections will help you to replenish quickly, and oral supplements take a long time. If you have any symptoms due to B12 deficiency, it is better to have an injection or oral supplements. You should take oral supplements regularly and for a long time for at least a year. Finding the reasons for B12 deficiency is essential. Your doctor can tell you the reason through proper history and examination. |
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Hi doctor, I am 21 years old male. My weight is 105 kilograms, and my height is 6'3". I have done a blood test recently, and I have a B12 of 156 pg/mL. My nail (light black with dark longitudinal lines) looks darker than usual. My doctor suggests me an injection therapy. But I am willing to have some tablets. Please say your kind opinion. [/INST] Hi. I have gone through the attachment (attachment removed to protect patient identity). As per the laboratory report, you have a deficiency of vitamin B12. Vitamin B12 is an essential vitamin required for the normal functioning of the body organs especially the nervous system. You have a hemoglobin of 16 g/dL. In B12 deficiency, you can usually see anemia (low hemoglobin). Vitamin B12 is replaced either by oral supplements or through B12 injection. Injections will help you to replenish quickly, and oral supplements take a long time. If you have any symptoms due to B12 deficiency, it is better to have an injection or oral supplements. You should take oral supplements regularly and for a long time for at least a year. Finding the reasons for B12 deficiency is essential. Your doctor can tell you the reason through proper history and examination. |
Q. I was advised to take Nano Leo to improve my sexual desire. Will it help? | Hi doctor, I am 52 years old. I have a less desire for having sexual intercourse. I consulted a psychiatrist friend and talked to him about this problem. I felt too shy to speak in detail. He told me to take Nano Leo Total. I found some improvement. I got my blood tested for testosterone which was 313 ng/dL before taking medicine. Now, I have already taken it for about 60 days, and I was told to take it for 90 days. Sometimes, when I talk hot with my partner, I have a feel to go into action. Sometimes, the erection occurs, but it does not last for a long time. On repeating, it picks up again. But the frequency of the desire is very less. Sometimes, I do not like to have sex for months together. Please suggest. | Hi. Your testosterone levels are in normal range, but still, they are at low normal levels. You are a hypertensive too and also taking antidepressants. Both these, along with age are contributing to reduced libido in your case. First of all, there is no need to feel ashamed to talk about sex. You can speak to the psychiatrist and consult him properly. If there is no improvement on taking Nano Leo (Elemental zinc with Tribulus Terrestris), then you can think of taking PDE5 inhibitors (Phosphodiesterase) like Sildenafil or Tadalafil. Both are good drugs, and they are safe to use. Tadalafil has a long duration of action, and it will provide a good erection. |
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Hi doctor, I am 52 years old. I have a less desire for having sexual intercourse. I consulted a psychiatrist friend and talked to him about this problem. I felt too shy to speak in detail. He told me to take Nano Leo Total. I found some improvement. I got my blood tested for testosterone which was 313 ng/dL before taking medicine. Now, I have already taken it for about 60 days, and I was told to take it for 90 days. Sometimes, when I talk hot with my partner, I have a feel to go into action. Sometimes, the erection occurs, but it does not last for a long time. On repeating, it picks up again. But the frequency of the desire is very less. Sometimes, I do not like to have sex for months together. Please suggest. [/INST] Hi. Your testosterone levels are in normal range, but still, they are at low normal levels. You are a hypertensive too and also taking antidepressants. Both these, along with age are contributing to reduced libido in your case. First of all, there is no need to feel ashamed to talk about sex. You can speak to the psychiatrist and consult him properly. If there is no improvement on taking Nano Leo (Elemental zinc with Tribulus Terrestris), then you can think of taking PDE5 inhibitors (Phosphodiesterase) like Sildenafil or Tadalafil. Both are good drugs, and they are safe to use. Tadalafil has a long duration of action, and it will provide a good erection. |
Q. Can severe anxiety be cured completely without any medication? | Hello doctor, I have been experiencing severe pain in the back of my head and neck region with dizziness since six months now. I went to physiotherapy and took some muscle relaxants but with no effective relief. With anxiety tablets like Amitriptyline, it felt better for a few days but again it came back when I quit taking that medication. At nights, I feel burning and tingling sensation in the legs. I am suffering from an anxiety disorder since a long time around 10 years now and took several medicines in different times like Amitriptyline, Duloxetine, Pregabalin, etc. for different time lengths whenever I feel very anxious but never in medication more than a month. I did a blood test and an X-ray and MRI (magnetic resonance imaging) of the cervical spine and all are normal as per the doctor. But in the MRI, there seems to be a minor left-sided disc bulge with nerve root compression at C5-C6 with no radiculopathy symptoms and the orthopedic doctor suggested to take a muscle relaxant and simple exercises to cure it. He ruled out that my back and head pain can be created due to this. I also recently consulted a neurologist because I started feeling nausea and blurred vision and loss of focus. He prescribed me Nuhenz and Symbal tablets. With two days of medications, I felt better with the head pain but I still have dizziness and nausea. My questions are: Are my health symptoms pointing to severe anxiety and is there a way to test the anxiety level? Are the problem of burning legs and back and head pain related to severe anxiety? Can severe anxiety be cured completely without any medication? Should I see a psychiatrist and be on a long-term medication given the fact that I am extremely worried about my health issues and all this started to hamper my daily life now? I can provide all the test reports if required. | Hello. I have gone through the clinical description and attached reports (attachment removed to protect patient identity). My answer to your questions is that we do not have anything to gauge your anxiety with some instrument but it can be detected with a complete history and physical examination. At this level, there is indirect evidence to suggest that your symptoms are largely due to anxiety than anything else. This is evidenced by a good response to almost all anxiety medications in short duration. It is often stated that any symptom related to any system of the body can be explained on the basis of anxiety. The criteria in favor of anxiety are the absence of anything else to explain the system and same is true in regard to your back pain and other symptoms as MRI (magnetic resonance imaging) is quite clear and it cannot be the cause of your symptoms. Yes, it can be treated without medication with the use of cognitive behavior therapy provided you have access to the clinical psychologist in your city. However, I like to make it clear that CBT (cognitive behavioral therapy) is not for everybody and psychological mindedness is a pre-requisite to have a useful CBT. I think you need proper assessment for evaluation of the severity of your anxiety disorder. Then, it will be worth to discuss the need for medication. In fact, your psychiatrist will be glad to discuss these important details which will be useful for long-term care. For more information consult a psychiatrist online --> |
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Hello doctor, I have been experiencing severe pain in the back of my head and neck region with dizziness since six months now. I went to physiotherapy and took some muscle relaxants but with no effective relief. With anxiety tablets like Amitriptyline, it felt better for a few days but again it came back when I quit taking that medication. At nights, I feel burning and tingling sensation in the legs. I am suffering from an anxiety disorder since a long time around 10 years now and took several medicines in different times like Amitriptyline, Duloxetine, Pregabalin, etc. for different time lengths whenever I feel very anxious but never in medication more than a month. I did a blood test and an X-ray and MRI (magnetic resonance imaging) of the cervical spine and all are normal as per the doctor. But in the MRI, there seems to be a minor left-sided disc bulge with nerve root compression at C5-C6 with no radiculopathy symptoms and the orthopedic doctor suggested to take a muscle relaxant and simple exercises to cure it. He ruled out that my back and head pain can be created due to this. I also recently consulted a neurologist because I started feeling nausea and blurred vision and loss of focus. He prescribed me Nuhenz and Symbal tablets. With two days of medications, I felt better with the head pain but I still have dizziness and nausea. My questions are: Are my health symptoms pointing to severe anxiety and is there a way to test the anxiety level? Are the problem of burning legs and back and head pain related to severe anxiety? Can severe anxiety be cured completely without any medication? Should I see a psychiatrist and be on a long-term medication given the fact that I am extremely worried about my health issues and all this started to hamper my daily life now? I can provide all the test reports if required. [/INST] Hello. I have gone through the clinical description and attached reports (attachment removed to protect patient identity). My answer to your questions is that we do not have anything to gauge your anxiety with some instrument but it can be detected with a complete history and physical examination. At this level, there is indirect evidence to suggest that your symptoms are largely due to anxiety than anything else. This is evidenced by a good response to almost all anxiety medications in short duration. It is often stated that any symptom related to any system of the body can be explained on the basis of anxiety. The criteria in favor of anxiety are the absence of anything else to explain the system and same is true in regard to your back pain and other symptoms as MRI (magnetic resonance imaging) is quite clear and it cannot be the cause of your symptoms. Yes, it can be treated without medication with the use of cognitive behavior therapy provided you have access to the clinical psychologist in your city. However, I like to make it clear that CBT (cognitive behavioral therapy) is not for everybody and psychological mindedness is a pre-requisite to have a useful CBT. I think you need proper assessment for evaluation of the severity of your anxiety disorder. Then, it will be worth to discuss the need for medication. In fact, your psychiatrist will be glad to discuss these important details which will be useful for long-term care. For more information consult a psychiatrist online --> |
Q. I had a BP reading of 167/105. Was it so high due to anxiety or a heart problem? | Hello doctor, I have a generalized anxiety disorder and panic disorder. It is mostly under control, but I get very nervous at the doctor. I have had a BP reading as high as 167/105. My doctor says its just because I was nervous. Is this true? I am not overweight, I exercise regularly, I am not hypertensive, I eat healthily, I am only 18 and neither of my parents has high BP. So, was it that high because of anxiety? Could a heart problem cause it to be that high? | Hello. You may have high BP just for once. It may be due to anxiety. Persons with anxiety and depression may have high BP. You should do BP monitoring for one week. Check your BP twice a day for one week and note it down. Or at least once a month for four to six months. If you still have persistent high BP then go for hypertension management. And if you have an anxiety disorder, then treat it as early as you can. It will surely help lower your BP. You are too young to have high BP. You must monitor your BP. The long-term high BP can lead to various organ damage. For more information consult a psychiatrist online --> |
<s>[INST]
Hello doctor, I have a generalized anxiety disorder and panic disorder. It is mostly under control, but I get very nervous at the doctor. I have had a BP reading as high as 167/105. My doctor says its just because I was nervous. Is this true? I am not overweight, I exercise regularly, I am not hypertensive, I eat healthily, I am only 18 and neither of my parents has high BP. So, was it that high because of anxiety? Could a heart problem cause it to be that high? [/INST] Hello. You may have high BP just for once. It may be due to anxiety. Persons with anxiety and depression may have high BP. You should do BP monitoring for one week. Check your BP twice a day for one week and note it down. Or at least once a month for four to six months. If you still have persistent high BP then go for hypertension management. And if you have an anxiety disorder, then treat it as early as you can. It will surely help lower your BP. You are too young to have high BP. You must monitor your BP. The long-term high BP can lead to various organ damage. For more information consult a psychiatrist online --> |
Q. How to maintain erection and overcome anxiety during sexual intercourse? | Hello doctor, I am engaging in vaginal intercourse for the first time. I have tried a couple of times, but I get a bit too anxious and failed. I could not get a completely erect penis. One time I did not get any erection at all. I am sure I do not have an erectile disorder because I get a completely erect penis during masturbation. Any suggestions on how to overcome this anxiety? I am 30 years old and weigh 69 kilograms, and my height is five feet 6 inches. | Hello. I read your query and understand your concerns. First of all, I like to inform you that one can handle performance anxiety with the use of the right psychotherapeutic approach. In my own experience, around 70-80 % of individuals report dramatic improvement in erections once the psychotherapy is started leading to decrease in performance anxiety. Below here I am delineating few of the strategies which will help you in the problem. Firstly get rid of thoughts that you may be sexually inadequate or your doubts that you may not be able to perform properly. This is because performance anxiety, feelings of sexual inadequacy, self-doubts, guilt, past negative sexual experiences, poor communication/understanding with the partner, etc., can all affect sexual functioning and performance. Removing such ideas will eliminate the majority of causes for your poor sexual performance. Removing the person's doubts and fears, and improving his self-confidence levels will help in improving sexual performance. Remember that sex is not just a physical act but also a psychological process involving the expression of emotions, intimacy, and love. So, just involve yourself in those feelings and stop focusing on your "performance" alone. Once you do that, then I assure you that your sexual performance will automatically improve. Most importantly, performance anxiety soon becomes a "vicious cycle" that is, anxiety leads to poor performance, and poor performance then leads to further anxiety, and this keeps on increasing. One more problem responsible for performance anxiety is inadequate sexual arousal. When the person is not properly aroused, the blood flow to the penis is not maximal, and so, after a few strokes, the erection weakens, and ejaculation occurs. The way to tackle this is not to rush into intercourse quickly but wait till you get fully aroused. So, increase and spice-up your foreplay. Make sure that you initiate penetration only after both of you are fully turned on. Good foreplay not only arouses you but also sparks off the mood in your partner. So, when she is also aroused and involved, then things keep flowing smoothly and effortlessly, and you do not have to be constantly anxious if you satisfy your partner or not. Distract yourself stop "monitoring" your sexual performance. Try putting on some romantic music or mild lighting while you make love. Think about the things that turn you on. Taking your mind off of your sexual performance can remove the worries that are stopping you from getting fully aroused. Wish you all the best for your sexual health. I hope this helps you. If you have any further query, I would be glad to help you. For more information consult an andrologist online --> |
<s>[INST]
Hello doctor, I am engaging in vaginal intercourse for the first time. I have tried a couple of times, but I get a bit too anxious and failed. I could not get a completely erect penis. One time I did not get any erection at all. I am sure I do not have an erectile disorder because I get a completely erect penis during masturbation. Any suggestions on how to overcome this anxiety? I am 30 years old and weigh 69 kilograms, and my height is five feet 6 inches. [/INST] Hello. I read your query and understand your concerns. First of all, I like to inform you that one can handle performance anxiety with the use of the right psychotherapeutic approach. In my own experience, around 70-80 % of individuals report dramatic improvement in erections once the psychotherapy is started leading to decrease in performance anxiety. Below here I am delineating few of the strategies which will help you in the problem. Firstly get rid of thoughts that you may be sexually inadequate or your doubts that you may not be able to perform properly. This is because performance anxiety, feelings of sexual inadequacy, self-doubts, guilt, past negative sexual experiences, poor communication/understanding with the partner, etc., can all affect sexual functioning and performance. Removing such ideas will eliminate the majority of causes for your poor sexual performance. Removing the person's doubts and fears, and improving his self-confidence levels will help in improving sexual performance. Remember that sex is not just a physical act but also a psychological process involving the expression of emotions, intimacy, and love. So, just involve yourself in those feelings and stop focusing on your "performance" alone. Once you do that, then I assure you that your sexual performance will automatically improve. Most importantly, performance anxiety soon becomes a "vicious cycle" that is, anxiety leads to poor performance, and poor performance then leads to further anxiety, and this keeps on increasing. One more problem responsible for performance anxiety is inadequate sexual arousal. When the person is not properly aroused, the blood flow to the penis is not maximal, and so, after a few strokes, the erection weakens, and ejaculation occurs. The way to tackle this is not to rush into intercourse quickly but wait till you get fully aroused. So, increase and spice-up your foreplay. Make sure that you initiate penetration only after both of you are fully turned on. Good foreplay not only arouses you but also sparks off the mood in your partner. So, when she is also aroused and involved, then things keep flowing smoothly and effortlessly, and you do not have to be constantly anxious if you satisfy your partner or not. Distract yourself stop "monitoring" your sexual performance. Try putting on some romantic music or mild lighting while you make love. Think about the things that turn you on. Taking your mind off of your sexual performance can remove the worries that are stopping you from getting fully aroused. Wish you all the best for your sexual health. I hope this helps you. If you have any further query, I would be glad to help you. For more information consult an andrologist online --> |
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