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Q. Why is my blood pressure very high although tests are normal? | Hello doctor,I am 19, exercise regularly and eat healthy, yet my blood pressure is always very high at the doctor. He says this is only because of my anxiety disorder. It has been as high as 168/110 before. He did a physical and CBC, thyroid, glucose, and kidney function test and they all came back normal. Does this rule out secondary hypertension? | Hi. Hypertension at your age is not usual and if it is present, a few things need to be evaluated thoroughly, especially your kidneys and your adrenal glands. A renal function test will not be helpful in this case. An MRI or ultrasound of the kidneys would be required to rule out a possibility of adult polycystic kidney disease. Also, I would like to know if either of your parents has hypertension or autosomal dominant adult polycystic kidneys. I suggest 24 hour urinary free catecholamines and metanephrines for a probable tumor of the adrenal gland. Please note that I am not saying that you have either of these but at your age hypertension with anxiety disorder may present with these conditions. So, it is important to rule them out. Also, do you have headaches? That could help identify the problem. Let me know so I can help. 1. MRI or ultrasound of kidneys. 2. 24-hour urinary catecholamines and metanephrines. Pheochromocytoma Polycystic kidney disease. For more information consult a family physician online.---> |
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Hello doctor,I am 19, exercise regularly and eat healthy, yet my blood pressure is always very high at the doctor. He says this is only because of my anxiety disorder. It has been as high as 168/110 before. He did a physical and CBC, thyroid, glucose, and kidney function test and they all came back normal. Does this rule out secondary hypertension? [/INST] Hi. Hypertension at your age is not usual and if it is present, a few things need to be evaluated thoroughly, especially your kidneys and your adrenal glands. A renal function test will not be helpful in this case. An MRI or ultrasound of the kidneys would be required to rule out a possibility of adult polycystic kidney disease. Also, I would like to know if either of your parents has hypertension or autosomal dominant adult polycystic kidneys. I suggest 24 hour urinary free catecholamines and metanephrines for a probable tumor of the adrenal gland. Please note that I am not saying that you have either of these but at your age hypertension with anxiety disorder may present with these conditions. So, it is important to rule them out. Also, do you have headaches? That could help identify the problem. Let me know so I can help. 1. MRI or ultrasound of kidneys. 2. 24-hour urinary catecholamines and metanephrines. Pheochromocytoma Polycystic kidney disease. For more information consult a family physician online.---> |
Q. Is Effexor safe for chronic anxiety? | Hello doctor, I am a 34-year-old woman, and I have chronic anxiety that is getting worse and worse as years go by. Yesterday was the first day I went to a psychiatrist. He told me that I have a generalized anxiety disorder, and he prescribed me Effexor, and he said that it is a beta-blocker. He said that there are no side effects or addiction to this drug, and I should take it for about a year. But from what I read online afterward, I read severe side effects, such as constipation, liver damage, etc. and also severe problems when you try to stop it, like brain zaps, losing conscience, etc. Can you give me a second opinion on this drug? I am going to call the doctor that prescribed as well, but I would like to have another opinion. I have a lot of anxiety to the point where my hands-feet-armpits are almost throughout the day sweating. When I am calm, I am not sweating and I do not have hyperthyroidism problems. Six months ago I had a panic attack where I thought I was going to die and it lasted for about three to four minutes. I have tried Minitran. | Hi. Effexor (Venlafaxine) is SNRI (serotonin-norepinephrine reuptake inhibitor) class of drug that is used to treat depression, anxiety disorder, and panic attacks. This drug is helpful in managing your problem but as you mentioned it has few side effects but usually go away with time and when you try to stop it, you need to slowly taper its dose and then stop. If you stop it suddenly without tapering the doses it causes the discontinuation symptoms as mentioned by you. A similar drug called Desvenlafaxine or drug from SSRI (selective serotonin reuptake inhibitor) class like Paroxetine or Escitalopram are also good alternatives for you. So discuss side effects of these and then decide which drug suits you better, as the efficacy of these drugs is almost equal but side effects are different, so based on side effects profile you need to choose your drug. Hope this clarifies your concern. For more information consult a psychiatrist online --> |
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Hello doctor, I am a 34-year-old woman, and I have chronic anxiety that is getting worse and worse as years go by. Yesterday was the first day I went to a psychiatrist. He told me that I have a generalized anxiety disorder, and he prescribed me Effexor, and he said that it is a beta-blocker. He said that there are no side effects or addiction to this drug, and I should take it for about a year. But from what I read online afterward, I read severe side effects, such as constipation, liver damage, etc. and also severe problems when you try to stop it, like brain zaps, losing conscience, etc. Can you give me a second opinion on this drug? I am going to call the doctor that prescribed as well, but I would like to have another opinion. I have a lot of anxiety to the point where my hands-feet-armpits are almost throughout the day sweating. When I am calm, I am not sweating and I do not have hyperthyroidism problems. Six months ago I had a panic attack where I thought I was going to die and it lasted for about three to four minutes. I have tried Minitran. [/INST] Hi. Effexor (Venlafaxine) is SNRI (serotonin-norepinephrine reuptake inhibitor) class of drug that is used to treat depression, anxiety disorder, and panic attacks. This drug is helpful in managing your problem but as you mentioned it has few side effects but usually go away with time and when you try to stop it, you need to slowly taper its dose and then stop. If you stop it suddenly without tapering the doses it causes the discontinuation symptoms as mentioned by you. A similar drug called Desvenlafaxine or drug from SSRI (selective serotonin reuptake inhibitor) class like Paroxetine or Escitalopram are also good alternatives for you. So discuss side effects of these and then decide which drug suits you better, as the efficacy of these drugs is almost equal but side effects are different, so based on side effects profile you need to choose your drug. Hope this clarifies your concern. For more information consult a psychiatrist online --> |
Q. How can I get rid of social phobia and performance anxiety? | Hi doctor, I am 17 years old female. I have persistent depression and social anxiety disorder. I have not ever taken medication for this issue. My social anxiety usually springs me into full-blown panic attacks like shaking, feeling unsteady, trouble catching breathes, extreme twitchiness and my throat close up. I wanted to go for an audition for a singing competition, but I have social anxiety, and it is a severe debilitating symptom. I have been wondering if there is any medicine to take as a temporary sedate as it is enough for me to perform, and to stop taking them when it is not needed. | Hi. Your symptoms are suggestive of social phobia and performance anxiety. Do not worry as there are lots of good medicines which will help you to perform without anxiety. Medicines like Beta blockers like Propranolol will help to reduce your anxiety symptoms. You can also attend few psychotherapy sessions to learn relaxation therapies with exposure and response prevention techniques. For more information consult a psychiatrist online --> |
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Hi doctor, I am 17 years old female. I have persistent depression and social anxiety disorder. I have not ever taken medication for this issue. My social anxiety usually springs me into full-blown panic attacks like shaking, feeling unsteady, trouble catching breathes, extreme twitchiness and my throat close up. I wanted to go for an audition for a singing competition, but I have social anxiety, and it is a severe debilitating symptom. I have been wondering if there is any medicine to take as a temporary sedate as it is enough for me to perform, and to stop taking them when it is not needed. [/INST] Hi. Your symptoms are suggestive of social phobia and performance anxiety. Do not worry as there are lots of good medicines which will help you to perform without anxiety. Medicines like Beta blockers like Propranolol will help to reduce your anxiety symptoms. You can also attend few psychotherapy sessions to learn relaxation therapies with exposure and response prevention techniques. For more information consult a psychiatrist online --> |
Q. Can I take Zoloft for anxiety without any worry about the side effects? | Hi doctor, I suffer from anxiety, and I was never diagnosed with any other mental health problems before. I am not taking medication for anxiety due to fear of drugs. My family members present on my maternal side have a generalized anxiety disorder. Recently, my anxiety became high due to some personal events. A few weeks ago, something triggered my mind, and I was harming one of my child in my mind. After that, my thoughts got escalated, and it became like a daily thing. I am unable to forget these thoughts. My doctor prescribed me Zoloft 25 mg for anxiety, and I started taking it. Will Zoloft help me to come out from these thoughts? | Hi. I can understand your situation. Anxiety disorders are common psychiatric disorders with significant prevalence in the general population. Yes, Zoloft (Sertraline) will help you to beat anxiety, and the thoughts of killing your son come under an obsessive fear, which is again a sort of anxiety disorder. This medicine will help you, and the dosage should be adjusted by your psychiatrist, based on the improvement and the side effects of the drug. Do not worry and you will get better. |
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Hi doctor, I suffer from anxiety, and I was never diagnosed with any other mental health problems before. I am not taking medication for anxiety due to fear of drugs. My family members present on my maternal side have a generalized anxiety disorder. Recently, my anxiety became high due to some personal events. A few weeks ago, something triggered my mind, and I was harming one of my child in my mind. After that, my thoughts got escalated, and it became like a daily thing. I am unable to forget these thoughts. My doctor prescribed me Zoloft 25 mg for anxiety, and I started taking it. Will Zoloft help me to come out from these thoughts? [/INST] Hi. I can understand your situation. Anxiety disorders are common psychiatric disorders with significant prevalence in the general population. Yes, Zoloft (Sertraline) will help you to beat anxiety, and the thoughts of killing your son come under an obsessive fear, which is again a sort of anxiety disorder. This medicine will help you, and the dosage should be adjusted by your psychiatrist, based on the improvement and the side effects of the drug. Do not worry and you will get better. |
Q. What can I do to clear my skin without blackheads? | Hi doctor, I have trouble with acne. I wash my face every night, and I use a toner to balance my pH levels. I use moisturizer and face masks once in a while. When I wear makeup, I use the healthiest makeup with removing wipes, and nothing seems to be working. After using a toner, I am not getting many whiteheads, and I am not popping them. But now, the problem is blackheads. I get them mainly on my nose, around my mouth and chin. I used a charcoal mask that is highly famous and also used special blackhead face washes. Nothing helped me. What can I do to clear my skin? When I try to extract the blackheads, my face becomes dry and flaky. Sometimes, they are deep, and they start to bleed. Then a scab forms over it and my skin start to peel around the scabs. Please suggest. | Hi. Blackheads are needed to be extracted. There is a specific method available to remove them. If it is not performed correctly, it can lead to more inflammatory acne and post-inflammatory hyperpigmentation. I would suggest you visit a dermatologist because comedones do not resolve with topical medications and face masks. Start using Clindamycin and Adapalene combination gel over the comedones and acne at bedtime. It helps to extract them easily. I am not giving you Benzoyl peroxide gel as it leads to irritation and dryness. |
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Hi doctor, I have trouble with acne. I wash my face every night, and I use a toner to balance my pH levels. I use moisturizer and face masks once in a while. When I wear makeup, I use the healthiest makeup with removing wipes, and nothing seems to be working. After using a toner, I am not getting many whiteheads, and I am not popping them. But now, the problem is blackheads. I get them mainly on my nose, around my mouth and chin. I used a charcoal mask that is highly famous and also used special blackhead face washes. Nothing helped me. What can I do to clear my skin? When I try to extract the blackheads, my face becomes dry and flaky. Sometimes, they are deep, and they start to bleed. Then a scab forms over it and my skin start to peel around the scabs. Please suggest. [/INST] Hi. Blackheads are needed to be extracted. There is a specific method available to remove them. If it is not performed correctly, it can lead to more inflammatory acne and post-inflammatory hyperpigmentation. I would suggest you visit a dermatologist because comedones do not resolve with topical medications and face masks. Start using Clindamycin and Adapalene combination gel over the comedones and acne at bedtime. It helps to extract them easily. I am not giving you Benzoyl peroxide gel as it leads to irritation and dryness. |
Q. I am having blood tinted crust in nose while sneezing. Please advise. | Hello doctor, I have had post nasal drip since last three months. It causes me to cough up mucus from my throat. It is very thick - sometimes bloody or sometimes cloudy. I am also having bloody, crusty issues in my nose with sneezing. I am not sick - no fever, no aches, do not feel bad. I just want to stop the mucus (it sometimes chokes me) and want to stop the bloody, crusty nose with sneezing. I tried Zyrtec. That did not help. I also tried Flonase - no help. I am afraid to take Benadryl because of other medicines I take for sleep and anxiety. What other suggestions do you have? | Hello. Are the pictures you shared nasal snort or phlegm from throat (attachment remoed to protect patient identity)? Do you have any difficulty in swallowing or breathing? Is there any cough? Any chest pain? Do you have wheezing? Is there any recurrent bleeding in your nasal cavities? Do you smoke or drink? Our approach would differ if the bleeding is from upper airways and if it is from the lower. In the first scenario, we shall give you some nasal lubricant creams with the sprays and see if the bleeding stops. In the second we will have to rule out cough and chest problems. In either case a nasal endoscopy with a laryngoscopy is essential. Do you have such blood stained mucus from nose/throat every single day? Do revert back to us with all details so that we can help you. |
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Hello doctor, I have had post nasal drip since last three months. It causes me to cough up mucus from my throat. It is very thick - sometimes bloody or sometimes cloudy. I am also having bloody, crusty issues in my nose with sneezing. I am not sick - no fever, no aches, do not feel bad. I just want to stop the mucus (it sometimes chokes me) and want to stop the bloody, crusty nose with sneezing. I tried Zyrtec. That did not help. I also tried Flonase - no help. I am afraid to take Benadryl because of other medicines I take for sleep and anxiety. What other suggestions do you have? [/INST] Hello. Are the pictures you shared nasal snort or phlegm from throat (attachment remoed to protect patient identity)? Do you have any difficulty in swallowing or breathing? Is there any cough? Any chest pain? Do you have wheezing? Is there any recurrent bleeding in your nasal cavities? Do you smoke or drink? Our approach would differ if the bleeding is from upper airways and if it is from the lower. In the first scenario, we shall give you some nasal lubricant creams with the sprays and see if the bleeding stops. In the second we will have to rule out cough and chest problems. In either case a nasal endoscopy with a laryngoscopy is essential. Do you have such blood stained mucus from nose/throat every single day? Do revert back to us with all details so that we can help you. |
Q. How long should my husband and I wait to try for a baby if we did cocaine? | Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. | Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> |
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Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. [/INST] Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> |
Q. Can Yasmin birth control pill be used as an emergency contraceptive pill? | Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? | Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> |
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Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? [/INST] Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> |
Q. Please explain the poisonous effect of phenol ingestion. | Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. | Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> |
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Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. [/INST] Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> |
Q. For how long should I take Kalachikai powder to overcome PCOD problem? | Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? | Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> |
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Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? [/INST] Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> |
Q. Why do periods get delayed after first time sex? | Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? | Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> |
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Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? [/INST] Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> |
Q. Will antipsychotics bring down the levels of T3 and T4? | Hello doctor, A 44 year old male relative of mine takes the following antipsychotics: Sertraline, Lamotrigine, and Quetiapine. He has been feeling anxious for a few weeks. His recent blood tests show low levels of total T4 and T3 (TSH and free T4 within normal range). Is this condition associated with the medication he takes? Should he take Levothyroxine to supplement this deficiency? | Hi. None of the medications used by your relative is directly related to low levels of total T3 and T4. His current thyroid status is known as a euthyroid sick syndrome. Thyroid supplement should be prescribed only after repeated assessments of thyroid levels. This is because errors are very common even in reputed laboratories. Even after second thyroid assessment, if the reports are similar, it is advisable to supplement with Levothyroxine. Other than correcting the suboptimal thyroid status, Levothyroxine helps in managing residual symptoms of depression and anxiety for which he is taking the current medications. Consult a psychiatrist online for further queries --> |
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Hello doctor, A 44 year old male relative of mine takes the following antipsychotics: Sertraline, Lamotrigine, and Quetiapine. He has been feeling anxious for a few weeks. His recent blood tests show low levels of total T4 and T3 (TSH and free T4 within normal range). Is this condition associated with the medication he takes? Should he take Levothyroxine to supplement this deficiency? [/INST] Hi. None of the medications used by your relative is directly related to low levels of total T3 and T4. His current thyroid status is known as a euthyroid sick syndrome. Thyroid supplement should be prescribed only after repeated assessments of thyroid levels. This is because errors are very common even in reputed laboratories. Even after second thyroid assessment, if the reports are similar, it is advisable to supplement with Levothyroxine. Other than correcting the suboptimal thyroid status, Levothyroxine helps in managing residual symptoms of depression and anxiety for which he is taking the current medications. Consult a psychiatrist online for further queries --> |
Q. I feel shortness of breath and chest heaviness on climbing few stairs. Please advise. | Hi doctor, I am a 19 year old female. After sneezing, I observed something round and grey in color. Sometimes, I feel short of breath and heaviness around the heart. I begin to feel body pain and tiredness after climbing like 20 stairs. | Hi. Get your heart checked with an echo. Do an X-ray to see what is in the lungs. You might be anemic. So, check your hemoglobin too. For further information consult a cardiologist online --> |
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Hi doctor, I am a 19 year old female. After sneezing, I observed something round and grey in color. Sometimes, I feel short of breath and heaviness around the heart. I begin to feel body pain and tiredness after climbing like 20 stairs. [/INST] Hi. Get your heart checked with an echo. Do an X-ray to see what is in the lungs. You might be anemic. So, check your hemoglobin too. For further information consult a cardiologist online --> |
Q. I have PCOS. Can I take pills for weight reduction? | Hello doctor, I am a 23 year old female. I weigh 49 kg. My height is 140 cm and my BMI is 25. I am getting married in a few months and need to shed a few pounds. I took Orlistat 60 mg capsules after breakfast and lunch. I bought it over the counter without a prescription. The same evening, I had constipation. I drank a lot of water and was fine at night. The next morning I passed an oily stool. I also noticed small spots of bleeding from my vagina. I had my previous periods 15 days back which lasted for four days. I also have a problem ofPCOS (Polycystic Ovary Syndrome). I am scared if this tablet will affect my health. Please suggest if I should continue with Orlistat. Or can you recommend any other diet pills for weight loss? | Hello. You need not take this drug to reduce weight. I would recommend you to stop this drug. An oily stool is normal with the medication you had taken. If you are already a diagnosed case of PCOS, consult a gynaecologist online and get it treated. PCOS is a cause for overweight. This might also cause unwanted facial hair, infertility etc., later in life. Since you are getting married, it is very important that you get this disease treated at the earliest. The vaginal bleeding needs clinical examination. An ultrasound scan has to be done and treated accordingly. Modify your diet if you are very particular about reducing weight. Cut down fats, sugars, oil, alcohol if any, non-vegetarian food, etc. Take a lot of fresh fruits, fresh juices, salads, soups, and green vegetables. Drink plenty of water. Gradually start brisk walking, exercise, yoga, pranayama, dance etc. For further information consult an obstetrician and gynaecologist online --> |
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Hello doctor, I am a 23 year old female. I weigh 49 kg. My height is 140 cm and my BMI is 25. I am getting married in a few months and need to shed a few pounds. I took Orlistat 60 mg capsules after breakfast and lunch. I bought it over the counter without a prescription. The same evening, I had constipation. I drank a lot of water and was fine at night. The next morning I passed an oily stool. I also noticed small spots of bleeding from my vagina. I had my previous periods 15 days back which lasted for four days. I also have a problem ofPCOS (Polycystic Ovary Syndrome). I am scared if this tablet will affect my health. Please suggest if I should continue with Orlistat. Or can you recommend any other diet pills for weight loss? [/INST] Hello. You need not take this drug to reduce weight. I would recommend you to stop this drug. An oily stool is normal with the medication you had taken. If you are already a diagnosed case of PCOS, consult a gynaecologist online and get it treated. PCOS is a cause for overweight. This might also cause unwanted facial hair, infertility etc., later in life. Since you are getting married, it is very important that you get this disease treated at the earliest. The vaginal bleeding needs clinical examination. An ultrasound scan has to be done and treated accordingly. Modify your diet if you are very particular about reducing weight. Cut down fats, sugars, oil, alcohol if any, non-vegetarian food, etc. Take a lot of fresh fruits, fresh juices, salads, soups, and green vegetables. Drink plenty of water. Gradually start brisk walking, exercise, yoga, pranayama, dance etc. For further information consult an obstetrician and gynaecologist online --> |
Q. I am a workaholic. Will it give a negative impact on my sex life? | Hi doctor, I am using Nano Leo Total. I want to improve my sexual activity a lot. How can I do it? I am happy, and I am not in a depression. I feel very normal. But I am workaholic, and I work very hard for a long time. Does it have an impact on my sexual activity? Please suggest me. | Hi. A busy life will not have an impact on sexual life, though it adds to fatigue, at the same time, workaholic maturity increases with confidence. Consider taking either Sildenafil or Tadalafil. Tadalafil is long-acting, and it is best suited. You can keep taking the drug on SOS (save our soul) basis about one hour before sex. This will make erection harder, and it will increase the time too. Take 10 mg on alternate days and also take another tablet on the day of sexual intercourse. It helps to maintain an erection. Apart from medicines, you can think of taking supplements. Nano Leo has L-arginine. But I advise you take L-arginine in a dose of 1500 mg. Tantex Forte and Confido are herbal drugs. You can start taking these drugs one tablet each twice a day for two months. These are safe to use, and it does not cause serious side effects. Keep your blood pressure and blood sugar levels in normal range. Altered blood sugar levels and hypertension are the two main culprits for having a poor erection. With regular use of drugs, your sex life gets improved, and there is no need to worry. |
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Hi doctor, I am using Nano Leo Total. I want to improve my sexual activity a lot. How can I do it? I am happy, and I am not in a depression. I feel very normal. But I am workaholic, and I work very hard for a long time. Does it have an impact on my sexual activity? Please suggest me. [/INST] Hi. A busy life will not have an impact on sexual life, though it adds to fatigue, at the same time, workaholic maturity increases with confidence. Consider taking either Sildenafil or Tadalafil. Tadalafil is long-acting, and it is best suited. You can keep taking the drug on SOS (save our soul) basis about one hour before sex. This will make erection harder, and it will increase the time too. Take 10 mg on alternate days and also take another tablet on the day of sexual intercourse. It helps to maintain an erection. Apart from medicines, you can think of taking supplements. Nano Leo has L-arginine. But I advise you take L-arginine in a dose of 1500 mg. Tantex Forte and Confido are herbal drugs. You can start taking these drugs one tablet each twice a day for two months. These are safe to use, and it does not cause serious side effects. Keep your blood pressure and blood sugar levels in normal range. Altered blood sugar levels and hypertension are the two main culprits for having a poor erection. With regular use of drugs, your sex life gets improved, and there is no need to worry. |
Q. Can ORS help in CKD patient present with loose motion and vomiting? | Hi doctor, My father is suffering from CKD, and he has a creatinine of 2.7 mg/dL. He also has a CAD and got a heart attack last year. Sometimes, he also has loose motion and vomiting. What can I do now? Should I have to give him ORS or not? Please help. | Hi. You have mentioned the age of your father. If your father has an age of 65 years with a weight of 60 kilograms, the creatinine clearance will be around 23 mg/dL, and it puts your father in stage 4 CKD. I do not know the exact age and the nature of treatment used for him. Please mention about the treatment taken. Please say whether he takes renal replacement therapy (hemodialysis or peritoneal dialysis) or not. If he is not taking it, ORS (oral rehydration solution) can cause harm. In a patient with CKD (chronic kidney disease), who is not under renal replacement therapy, should not take ORS or any other fluid intake as it can lead to volume overload. As he has a history of CAD, it will also cause harm to his health. The symptoms of loose motion and vomiting occur due to many causes. One of them can be infections. Also, certain medications can also be responsible for these symptoms. In general, ORS is safe for patients of any age. It is not right to use ORS for your father because of his poor kidney function and due to reduced urine production. In this condition, his body will retain excess fluid, and it causes more harm than benefit. |
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Hi doctor, My father is suffering from CKD, and he has a creatinine of 2.7 mg/dL. He also has a CAD and got a heart attack last year. Sometimes, he also has loose motion and vomiting. What can I do now? Should I have to give him ORS or not? Please help. [/INST] Hi. You have mentioned the age of your father. If your father has an age of 65 years with a weight of 60 kilograms, the creatinine clearance will be around 23 mg/dL, and it puts your father in stage 4 CKD. I do not know the exact age and the nature of treatment used for him. Please mention about the treatment taken. Please say whether he takes renal replacement therapy (hemodialysis or peritoneal dialysis) or not. If he is not taking it, ORS (oral rehydration solution) can cause harm. In a patient with CKD (chronic kidney disease), who is not under renal replacement therapy, should not take ORS or any other fluid intake as it can lead to volume overload. As he has a history of CAD, it will also cause harm to his health. The symptoms of loose motion and vomiting occur due to many causes. One of them can be infections. Also, certain medications can also be responsible for these symptoms. In general, ORS is safe for patients of any age. It is not right to use ORS for your father because of his poor kidney function and due to reduced urine production. In this condition, his body will retain excess fluid, and it causes more harm than benefit. |
Q. How can stiff neck be managed? | Hello doctor, I have noticed some worrying symptoms lately. I am a 24-year-old male with no other known condition. I have noticed that the back of my neck feels very stiff and rigid when I sit at my desk with my head bent forward to read or look at the monitor, to the point that I feel the need have to stand or lie down to alleviate the feeling of discomfort. I have noticed that the rigidity disappears when I stand, walk or lie down. I have been feeling stiff since I have started studying again some days ago. I have spent the last two months without doing much (no physical activity or studying/working) due to the lockdown. I also have widespread twitching in my thighs, calves and feet (both legs), on my back, on my chest, on my shoulders, in my arms, in my hands and in my tongue. I have felt twitching almost everywhere for a couple of years now. I also noticed that I am unable to put the heel of my left foot down when I stand or walk. I have had this issue for years and I was told it was due to tight calf muscles, although it feels more accentuated now. I would greatly appreciate any input you can give. | Hi. Neck pain seems to be due to strain in the neck muscles when you remained in one position for long duration, I would suggest you to take simple steps to avoid this, take rest for 2 minutes in every 15 to 20 minutes and move your neck side wise and rotate it to right and left. In that way strain in neck muscles can be avoided. additionally in between isometric neck excercise can be done. Avoid Using thick pillows. If this does not work we can start some remedies. Now regarding twitching. Do you have weakness anywhere in the body? Did you lose your muscles mass anywhere in the body? Do you have any sensory issues? Do you take any stimulants such as excessive coffee or something else, if yes how much? Do you feel often cramping of muscles? Regarding foot problem. Is it always or sometimes? Can you walk on forefoot? Can you walk on heels? (just try walking) Is it like foot drop? lastly why antihistaminic medicines? Please tell in more and elaborated detail. |
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Hello doctor, I have noticed some worrying symptoms lately. I am a 24-year-old male with no other known condition. I have noticed that the back of my neck feels very stiff and rigid when I sit at my desk with my head bent forward to read or look at the monitor, to the point that I feel the need have to stand or lie down to alleviate the feeling of discomfort. I have noticed that the rigidity disappears when I stand, walk or lie down. I have been feeling stiff since I have started studying again some days ago. I have spent the last two months without doing much (no physical activity or studying/working) due to the lockdown. I also have widespread twitching in my thighs, calves and feet (both legs), on my back, on my chest, on my shoulders, in my arms, in my hands and in my tongue. I have felt twitching almost everywhere for a couple of years now. I also noticed that I am unable to put the heel of my left foot down when I stand or walk. I have had this issue for years and I was told it was due to tight calf muscles, although it feels more accentuated now. I would greatly appreciate any input you can give. [/INST] Hi. Neck pain seems to be due to strain in the neck muscles when you remained in one position for long duration, I would suggest you to take simple steps to avoid this, take rest for 2 minutes in every 15 to 20 minutes and move your neck side wise and rotate it to right and left. In that way strain in neck muscles can be avoided. additionally in between isometric neck excercise can be done. Avoid Using thick pillows. If this does not work we can start some remedies. Now regarding twitching. Do you have weakness anywhere in the body? Did you lose your muscles mass anywhere in the body? Do you have any sensory issues? Do you take any stimulants such as excessive coffee or something else, if yes how much? Do you feel often cramping of muscles? Regarding foot problem. Is it always or sometimes? Can you walk on forefoot? Can you walk on heels? (just try walking) Is it like foot drop? lastly why antihistaminic medicines? Please tell in more and elaborated detail. |
Q. Is it normal to have painful heavy periods in the first few years? | Hello doctor,I am 18 years old and have always suffered from awful period pains and I am having extreme heavy flow (changing a super tampon every hour, otherwise I leak through). I get cramp so bad that if I do not sort of move around I feel as if I am going to throw up or pass out. I am honestly sick of having to live with this, especially at my age. It is preventing me from doing so much every month and I cannot deal anymore. | Hi. How are you doing? I understand what you are going through. Till the age of 19 to 21, the hormonal balance between the brain and ovaries is not proper. So, the bleeding will be altered, not on a proper date and maybe more than normal. When the blood more than normal has to pass out through the narrow cervical canal, it is very painful, almost like the pain of delivering a baby. Those cramps are due to the blood clot or the fleshy masses at the cervix and your uterus is trying to push it out. Once the mass is out, the pain immediately relieves. Do not worry, we can solve this. To improve your health, have lots of fruits, vegetables, water, juices, high protein food. Have Iron supplements tablets and multivitamins. This will help you to tide over the loss of blood so far. Have blood tested Hb % (rule out anemia), bleeding time, clotting time, platelet count (rule out any bleeding tendency). I hope you do not have any bleeding gums or too much blood from small wounds or nose. If all this is normal, just have cyclically hormone pills or birth control pills or contraceptive pills (chemical name: Ethinyl estradiol + Levonorgestrel or Desogestrel or Gestodene or Drospirenone) like Novelon or Ovral-G, etc. This is not for contraception, it will prevent the hormone imbalance, so the inner lining of the uterus will never be too thick. So, bleeding will never be heavy. So, no pain. Once bleeding is controlled, your pain will disappear and your daily routine will not be disturbed. Do not get stressed out or lose hope, every problem has a solution, you will do absolutely fine. |
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Hello doctor,I am 18 years old and have always suffered from awful period pains and I am having extreme heavy flow (changing a super tampon every hour, otherwise I leak through). I get cramp so bad that if I do not sort of move around I feel as if I am going to throw up or pass out. I am honestly sick of having to live with this, especially at my age. It is preventing me from doing so much every month and I cannot deal anymore. [/INST] Hi. How are you doing? I understand what you are going through. Till the age of 19 to 21, the hormonal balance between the brain and ovaries is not proper. So, the bleeding will be altered, not on a proper date and maybe more than normal. When the blood more than normal has to pass out through the narrow cervical canal, it is very painful, almost like the pain of delivering a baby. Those cramps are due to the blood clot or the fleshy masses at the cervix and your uterus is trying to push it out. Once the mass is out, the pain immediately relieves. Do not worry, we can solve this. To improve your health, have lots of fruits, vegetables, water, juices, high protein food. Have Iron supplements tablets and multivitamins. This will help you to tide over the loss of blood so far. Have blood tested Hb % (rule out anemia), bleeding time, clotting time, platelet count (rule out any bleeding tendency). I hope you do not have any bleeding gums or too much blood from small wounds or nose. If all this is normal, just have cyclically hormone pills or birth control pills or contraceptive pills (chemical name: Ethinyl estradiol + Levonorgestrel or Desogestrel or Gestodene or Drospirenone) like Novelon or Ovral-G, etc. This is not for contraception, it will prevent the hormone imbalance, so the inner lining of the uterus will never be too thick. So, bleeding will never be heavy. So, no pain. Once bleeding is controlled, your pain will disappear and your daily routine will not be disturbed. Do not get stressed out or lose hope, every problem has a solution, you will do absolutely fine. |
Q. Why is there a big hole at the site of tooth extraction? Do I need to worry? | Hello doctor, I got my tooth pulled six days ago and it still hurts really bad. There was something in my gums that is no longer there and now it is a big hole. What to do? Do I need to worry or it is just the process of healing? | Hi. Your extraction socket has lost the blood clot that is responding for healing and it has led to dry socket formation. Due to this, there is a pain. You should consult your dentist and get evaluated. He can clean the extraction socket with antiseptic solution and place medicated dressing like Zinc oxide eugenol that has pain relieving and healing action. The dressing should be changed every alternate day till healing is considerable. Along with it a course of antibiotics and painkillers will help. For now, take painkillers like Ibuprofen to relieve pain. Loss of blood clot. Dry socket. |
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Hello doctor, I got my tooth pulled six days ago and it still hurts really bad. There was something in my gums that is no longer there and now it is a big hole. What to do? Do I need to worry or it is just the process of healing? [/INST] Hi. Your extraction socket has lost the blood clot that is responding for healing and it has led to dry socket formation. Due to this, there is a pain. You should consult your dentist and get evaluated. He can clean the extraction socket with antiseptic solution and place medicated dressing like Zinc oxide eugenol that has pain relieving and healing action. The dressing should be changed every alternate day till healing is considerable. Along with it a course of antibiotics and painkillers will help. For now, take painkillers like Ibuprofen to relieve pain. Loss of blood clot. Dry socket. |
Q. Other than injection, what are the suggested supplements to improve vitamin B12 and D levels? | Hello doctor, My vitamin B12 is borderline at 188 and vitamin D is low at 14. Please suggest suitable non-injection supplements to increase these quickly. | Hello. For vitamin D, you should have tablet Uprise D3 60,000 units once a week for eight weeks with water or milk and after eight weeks once a month for the next six months. Also, sit in morning sunlight for some time. For B12, you should have tablet ME 12 (Methylcobalamin) once a day for eight weeks in between the meals. Also, increase milk consumption. |
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Hello doctor, My vitamin B12 is borderline at 188 and vitamin D is low at 14. Please suggest suitable non-injection supplements to increase these quickly. [/INST] Hello. For vitamin D, you should have tablet Uprise D3 60,000 units once a week for eight weeks with water or milk and after eight weeks once a month for the next six months. Also, sit in morning sunlight for some time. For B12, you should have tablet ME 12 (Methylcobalamin) once a day for eight weeks in between the meals. Also, increase milk consumption. |
Q. Why do I have hair fall and anxiety at the age of 19? | Hi doctor, I am 19 years old male. I have hair fall for the past five years, and I have developed an M-shaped pattern on my frontline. I have anxiety, and my head feels very burdened. Sometimes, I feel dizzy, and sometimes, I have white spots coming from my eyes. I have anxiety even for simple tasks. When someone shouts at me, my head bursts out. I started to have anxiety from my puberty. I took Minoxidil topical solution before two years and discontinued it. Why do I have this problem of hair fall and anxiety? How can I check my levels of anxiety? Please help me. | Hi. M-shaped baldness occurs due to hormone dihydrotestosterone which is a metabolite of testosterone. In some people, there is a peripheral conversion of testosterone to dihydrotestosterone. It is more common in some persons, and it is usually genetically determined. This particular hormone is responsible for baldness. Regarding anxiety, it can be due to some hormonal imbalance like thyroid, or it can be due to genetics and heredity. To manage it, you can do yoga, meditation, deep breathing exercise and you can follow sleep hygiene. There is a need to assess the level of anxiety in detail. I would advise you consult a psychiatrist soon. |
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Hi doctor, I am 19 years old male. I have hair fall for the past five years, and I have developed an M-shaped pattern on my frontline. I have anxiety, and my head feels very burdened. Sometimes, I feel dizzy, and sometimes, I have white spots coming from my eyes. I have anxiety even for simple tasks. When someone shouts at me, my head bursts out. I started to have anxiety from my puberty. I took Minoxidil topical solution before two years and discontinued it. Why do I have this problem of hair fall and anxiety? How can I check my levels of anxiety? Please help me. [/INST] Hi. M-shaped baldness occurs due to hormone dihydrotestosterone which is a metabolite of testosterone. In some people, there is a peripheral conversion of testosterone to dihydrotestosterone. It is more common in some persons, and it is usually genetically determined. This particular hormone is responsible for baldness. Regarding anxiety, it can be due to some hormonal imbalance like thyroid, or it can be due to genetics and heredity. To manage it, you can do yoga, meditation, deep breathing exercise and you can follow sleep hygiene. There is a need to assess the level of anxiety in detail. I would advise you consult a psychiatrist soon. |
Q. I feel sleepy and slow during night work. How to keep myself energetic? | Hi doctor, I work in night shift. What can I take to be alive and energetic at night during work? I feel sleepy, and I am slow during my work. Please suggest. | Hi. Since you are working in the night, you might be losing out the necessary sleep. So you are unable to focus entirely during work. It is essential for an adult human being to get seven to eight hours of quality sleep every day. Once you finish your job in the morning, try to have a hearty breakfast and then close the windows of your room with a dark curtain that blocks the entry of light. Request your family to keep the house quiet and try to sleep at a stretch for at least six to seven hours. It will help you unwind and relax. During the weekends, try to avoid staying out for long periods. Try to catch up the lost sleep. Some foods that help in inducing sleep are dairy products, bananas, and almonds. To keep you awake and energetic during work, avoid eating heavy meals before and during work. Eat small meals at frequent intervals. Green tea, dark chocolate, and fruits may help you to stay awake when you feel drowsy. Please remember that the best time to sleep is the night time. Keep looking for better work opportunities, and sometime in future, you can move on to a job that lets you sleep well at night. |
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Hi doctor, I work in night shift. What can I take to be alive and energetic at night during work? I feel sleepy, and I am slow during my work. Please suggest. [/INST] Hi. Since you are working in the night, you might be losing out the necessary sleep. So you are unable to focus entirely during work. It is essential for an adult human being to get seven to eight hours of quality sleep every day. Once you finish your job in the morning, try to have a hearty breakfast and then close the windows of your room with a dark curtain that blocks the entry of light. Request your family to keep the house quiet and try to sleep at a stretch for at least six to seven hours. It will help you unwind and relax. During the weekends, try to avoid staying out for long periods. Try to catch up the lost sleep. Some foods that help in inducing sleep are dairy products, bananas, and almonds. To keep you awake and energetic during work, avoid eating heavy meals before and during work. Eat small meals at frequent intervals. Green tea, dark chocolate, and fruits may help you to stay awake when you feel drowsy. Please remember that the best time to sleep is the night time. Keep looking for better work opportunities, and sometime in future, you can move on to a job that lets you sleep well at night. |
Q. How long should my husband and I wait to try for a baby if we did cocaine? | Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. | Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> |
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Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. [/INST] Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> |
Q. Can Yasmin birth control pill be used as an emergency contraceptive pill? | Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? | Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> |
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Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? [/INST] Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> |
Q. Please explain the poisonous effect of phenol ingestion. | Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. | Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> |
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Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. [/INST] Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> |
Q. For how long should I take Kalachikai powder to overcome PCOD problem? | Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? | Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> |
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Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? [/INST] Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> |
Q. Why do periods get delayed after first time sex? | Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? | Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> |
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Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? [/INST] Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> |
Q. Why is there delayed menstruation? | Hi doctor, I am 30 years old. I am facing delayed menstruation cycles. It has been 15 years. At the beginning I consulted gynecologists. They did ultrasound and there was no cyst. Doctors said it was because of hormones. They prescribed Progesterone tablets for 5 days. My periods are not regular. It varies from 30-45 days. Sometimes 55 days. In last 15 years, around 4-5 times, it occurs after 60 days. This time it skipped two cycles. Sometimes I feel pain in legs or back, vaginal secretion without any odor. It has been 20 days or so that my face is full of pimples (even my face is not oily). There is no extra hair growth on my face. I am sexually inactive. | Hello, Welcome to icliniq.com. The irregular bleeding is also associated with acne and hair growth. There are symtomps of hyperandrogenism. Have you performed a hormonal examination? |
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Hi doctor, I am 30 years old. I am facing delayed menstruation cycles. It has been 15 years. At the beginning I consulted gynecologists. They did ultrasound and there was no cyst. Doctors said it was because of hormones. They prescribed Progesterone tablets for 5 days. My periods are not regular. It varies from 30-45 days. Sometimes 55 days. In last 15 years, around 4-5 times, it occurs after 60 days. This time it skipped two cycles. Sometimes I feel pain in legs or back, vaginal secretion without any odor. It has been 20 days or so that my face is full of pimples (even my face is not oily). There is no extra hair growth on my face. I am sexually inactive. [/INST] Hello, Welcome to icliniq.com. The irregular bleeding is also associated with acne and hair growth. There are symtomps of hyperandrogenism. Have you performed a hormonal examination? |
Q. What can be done to reduce chest and abdominal pain due to stomach ulcer? | Hi doctor, I am 29 years old male. I have chest pain, abdominal pain from the last two months. Recently, I visited a gastroenterologist. He tested endoscopy, RUT and vitamin D. I have a small ulcer in the stomach, RUT test is also positive because of H.Pylori bacterial infection and vitamin D is below 10. I am using antibiotics from 10 days but chest pain was not controlled. I have taken ECG also, it is normal. Please suggest me how to reduce pain in my chest. | Hello. An elaborate description of your chest pain would have helped much, but as you reported your ECG is fine. I do not think it is related to any cardiac cause. If the chest pain develops after some physical activity you must get yourself a TMT (treadmill test) done to rule out angina. As you told that you have got an upper GI endoscopy with rapid urease test done and an ulcer was found on UGIE. You must be on triple drug H.Pylori eradication therapy the duration of which is about 10 to 14 days. So do not worry, first finish off your HP kit. Your gastroenterologist will call you for a review endoscopy after four weeks to look out for ulcer healing. before that stop PPI (proton pump inhibitor) for at least seven days. and get a stool antigen for H.Pylori done or any other test to confirm eradication of H.Pylori. You can try the following lifestyle modifications. (Although they are of benefit in GERD only). Keep a few pillows while sleeping, to elevate your head end. Sleep on left-lateral position. Try reducing weight if you are overweight. Do regular exercise for about 30 to 45 minutes per day for at least five days a week. The following are of unproven benefit: Eat small evening meals, and avoid sleeping just after a heavy meal. Do not eat heavy late night. Reduce your tea or coffee intake. If it is pain due to GERD it will be reduced by the above measures. An ulcer pain, usually responds to the PPI therapy. Give some time for treatment to respond. |
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Hi doctor, I am 29 years old male. I have chest pain, abdominal pain from the last two months. Recently, I visited a gastroenterologist. He tested endoscopy, RUT and vitamin D. I have a small ulcer in the stomach, RUT test is also positive because of H.Pylori bacterial infection and vitamin D is below 10. I am using antibiotics from 10 days but chest pain was not controlled. I have taken ECG also, it is normal. Please suggest me how to reduce pain in my chest. [/INST] Hello. An elaborate description of your chest pain would have helped much, but as you reported your ECG is fine. I do not think it is related to any cardiac cause. If the chest pain develops after some physical activity you must get yourself a TMT (treadmill test) done to rule out angina. As you told that you have got an upper GI endoscopy with rapid urease test done and an ulcer was found on UGIE. You must be on triple drug H.Pylori eradication therapy the duration of which is about 10 to 14 days. So do not worry, first finish off your HP kit. Your gastroenterologist will call you for a review endoscopy after four weeks to look out for ulcer healing. before that stop PPI (proton pump inhibitor) for at least seven days. and get a stool antigen for H.Pylori done or any other test to confirm eradication of H.Pylori. You can try the following lifestyle modifications. (Although they are of benefit in GERD only). Keep a few pillows while sleeping, to elevate your head end. Sleep on left-lateral position. Try reducing weight if you are overweight. Do regular exercise for about 30 to 45 minutes per day for at least five days a week. The following are of unproven benefit: Eat small evening meals, and avoid sleeping just after a heavy meal. Do not eat heavy late night. Reduce your tea or coffee intake. If it is pain due to GERD it will be reduced by the above measures. An ulcer pain, usually responds to the PPI therapy. Give some time for treatment to respond. |
Q. I recently had a breakup and moved to a new city for job. How to cope the situation? | Hello doctor, I am 22 years old, female. I moved to a new city, for my job purpose, and I do not have any interest in this city. I do not like and recently my boyfriend broke up with me. After four years of long relationship. Now I cannot get over him. I cannot erase memories. I feel devastated and I am totally alone in this new city. I cannot sleep. I cannot eat properly. I am crying every night. I do not have anyone to share my feeling. I am too much emotional. Also, I have anger issues. I just cannot handle all of this. Please help me. | Hi. You seem to be facing a number of things at one time. It is indeed a lot at once, but you get through this phase a stronger and wiser self after this life experience. Firstly, you need to talk to someone face to face to vent out, a friend or someone close to you. Try keeping yourself busy, organizing your new room, make a friend or a walking partner. Join some activity or thing you like when you are free, like Zumba, dance class, or gym and ways of looking after yourself. Doing deep breathing exercises, at least three times a day will help you calm, also going for a jog or walk in the mornings preferably. Keeping a diary helps to vent your feelings on day to day basis and help think straight. Meeting up face to face with a psychiatrist will help you deal with your emotions currently and will give you medication if need be after proper evaluation face to face. |
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Hello doctor, I am 22 years old, female. I moved to a new city, for my job purpose, and I do not have any interest in this city. I do not like and recently my boyfriend broke up with me. After four years of long relationship. Now I cannot get over him. I cannot erase memories. I feel devastated and I am totally alone in this new city. I cannot sleep. I cannot eat properly. I am crying every night. I do not have anyone to share my feeling. I am too much emotional. Also, I have anger issues. I just cannot handle all of this. Please help me. [/INST] Hi. You seem to be facing a number of things at one time. It is indeed a lot at once, but you get through this phase a stronger and wiser self after this life experience. Firstly, you need to talk to someone face to face to vent out, a friend or someone close to you. Try keeping yourself busy, organizing your new room, make a friend or a walking partner. Join some activity or thing you like when you are free, like Zumba, dance class, or gym and ways of looking after yourself. Doing deep breathing exercises, at least three times a day will help you calm, also going for a jog or walk in the mornings preferably. Keeping a diary helps to vent your feelings on day to day basis and help think straight. Meeting up face to face with a psychiatrist will help you deal with your emotions currently and will give you medication if need be after proper evaluation face to face. |
Q. What can be done for low blood pressure and heart rate with palpitations? | Hello doctor, I am having heart palpitations. I have low blood pressure and low heart rate. | Hello. I understand your concern. You should know that some palpitations are quite normal in every healthy individual, especially during physical activity and anxiety. Anyway, as you are feeling them more frequently lately, I would recommend consulting with your attending physician and performing some tests like a resting ECG, complete blood count for anemia, blood electrolytes for possible imbalance, thyroid hormone levels, an ambulatory 24 to 48 hours, ECG monitoring in order to examine your heart rhythm trends for a prolonged time and investigate for possible arrhythmia. You should discuss with your doctor on the above tests. Anxiety or cardiac arrhythmia. Holter monitoring, blood electrolytes, thyroid hormones level. |
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Hello doctor, I am having heart palpitations. I have low blood pressure and low heart rate. [/INST] Hello. I understand your concern. You should know that some palpitations are quite normal in every healthy individual, especially during physical activity and anxiety. Anyway, as you are feeling them more frequently lately, I would recommend consulting with your attending physician and performing some tests like a resting ECG, complete blood count for anemia, blood electrolytes for possible imbalance, thyroid hormone levels, an ambulatory 24 to 48 hours, ECG monitoring in order to examine your heart rhythm trends for a prolonged time and investigate for possible arrhythmia. You should discuss with your doctor on the above tests. Anxiety or cardiac arrhythmia. Holter monitoring, blood electrolytes, thyroid hormones level. |
Q. What is the reason for neck pain on turning to side? | Hello doctor, I have pain in my neck whenever I turn it to the left, occurring in the back left-hand side of my neck, and this has been happening for the last six months. I am currently on no medication. I am a female, age 15, 5'5". | Hello. I have read your concern. I feel that there could be some facet irritation that can lead to this restriction and pain on your left side of the neck. Do not worry. I suggest you to kindly use a neck pillow or support your neck properly while sleeping. At least make sure you support the neck curvature with a rolled towel. Keep icing frequently over the painful area. Drink water adequately. Hydration will help relax muscles. Have proper sleep. Avoid stress. Gentle massage over your neck help reduce stiffness and pain. Mild gentle stretching of the neck help maintains range. Revert back to me once pain comes down to suggest you strengthening program. |
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Hello doctor, I have pain in my neck whenever I turn it to the left, occurring in the back left-hand side of my neck, and this has been happening for the last six months. I am currently on no medication. I am a female, age 15, 5'5". [/INST] Hello. I have read your concern. I feel that there could be some facet irritation that can lead to this restriction and pain on your left side of the neck. Do not worry. I suggest you to kindly use a neck pillow or support your neck properly while sleeping. At least make sure you support the neck curvature with a rolled towel. Keep icing frequently over the painful area. Drink water adequately. Hydration will help relax muscles. Have proper sleep. Avoid stress. Gentle massage over your neck help reduce stiffness and pain. Mild gentle stretching of the neck help maintains range. Revert back to me once pain comes down to suggest you strengthening program. |
Q. What is the cause for having blood in stool with stomach pain? | Hi doctor, My son is 11 years old. His sonography impression shows the presence of sub-centric, nonnecrotic, pre and para-aortic mesenteric lymph nodes. He suffers from stomach pain and also has blood in stools. Currently, he is taking Mebex and Monocef. His WBC level is above the normal. Please advice. | Hi. Mesenteric lymph node enlargement can be seen in children without a cause, and it is called as primary mesenteric lymphadenitis. In secondary causes, infections like tuberculosis or enteric fever or viral fever can also cause it. Blood in the stool can also occur due to infectious colitis or ileitis or intussusception. Do stool examination, endoscopy, montaux test, and chest X-ray. Consult a pediatrician soon after doing these tests. The doctor will examine the condition and will treat it accordingly. |
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Hi doctor, My son is 11 years old. His sonography impression shows the presence of sub-centric, nonnecrotic, pre and para-aortic mesenteric lymph nodes. He suffers from stomach pain and also has blood in stools. Currently, he is taking Mebex and Monocef. His WBC level is above the normal. Please advice. [/INST] Hi. Mesenteric lymph node enlargement can be seen in children without a cause, and it is called as primary mesenteric lymphadenitis. In secondary causes, infections like tuberculosis or enteric fever or viral fever can also cause it. Blood in the stool can also occur due to infectious colitis or ileitis or intussusception. Do stool examination, endoscopy, montaux test, and chest X-ray. Consult a pediatrician soon after doing these tests. The doctor will examine the condition and will treat it accordingly. |
Q. I have not involved in sexual activity, but my period is late. Why? | Hi doctor, I have not involved in any sexual activity, but my period is late for ten days. What is the reason? Please help me. | Hi. Please send your gynecology, and obstetrics report, drug history and medical history. Strict diet, strenuous exercise, anxiety, stress, illness, contraceptives, medications, and hormonal imbalance can cause delayed periods. If you are not involved in sexual activity and if the blood pregnancy test is negative, then you can have a menstrual induction. Take tablet Primolut N 10 mg (Norethisterone) twice daily for six days and then wait for bleeding for one to two weeks. If you have any abnormal hair growth, with weight gain and irregular periods, then do a blood test on the second day of the periods. Test your testosterone levels, progesterone, insulin, prolactin, thyroid function test, FSH (follicle stimulating hormone) and LH (luteinizing hormone). Have a transvaginal scan. Collect the results and discuss here. Have a healthy diet, daily walk, and try to have normal BMI (body mass index). Do recreational activities and avoid having recreational drugs. You can have combined oral contraceptive pills for three months to regulate the menstrual cycle. |
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Hi doctor, I have not involved in any sexual activity, but my period is late for ten days. What is the reason? Please help me. [/INST] Hi. Please send your gynecology, and obstetrics report, drug history and medical history. Strict diet, strenuous exercise, anxiety, stress, illness, contraceptives, medications, and hormonal imbalance can cause delayed periods. If you are not involved in sexual activity and if the blood pregnancy test is negative, then you can have a menstrual induction. Take tablet Primolut N 10 mg (Norethisterone) twice daily for six days and then wait for bleeding for one to two weeks. If you have any abnormal hair growth, with weight gain and irregular periods, then do a blood test on the second day of the periods. Test your testosterone levels, progesterone, insulin, prolactin, thyroid function test, FSH (follicle stimulating hormone) and LH (luteinizing hormone). Have a transvaginal scan. Collect the results and discuss here. Have a healthy diet, daily walk, and try to have normal BMI (body mass index). Do recreational activities and avoid having recreational drugs. You can have combined oral contraceptive pills for three months to regulate the menstrual cycle. |
Q. Why is there stomach pain and vomiting sensation with missed periods? | Hello doctor, I am suffering from stomach pain for 15 days. I have missed my periods. I feel like having vomiting sensation and nervousness. Blood test and urine test for pregnancy was negative. What is the problem? I am 22 years old, married. | Hi. How are you doing? Hope you had the tests for pregnancy recently, as you have missed periods for two months. If they are recent and surely negative, then this pain is the tendency for impending periods. For a young lady of your age, BMI of 17 is very low. For your height of 158 cms, expected weight is 58 to 62 kg. A minimum weight is required for regular periods. When you have weight, fat in the body, it is a store for a time of possible emergency or fasting, etc. Now your body is running short of energy source, so it is not spending it on periods, which is like a drain out of energy. To have periods now, have any of the oral birth control pills or contraceptive pills or 21 pills packet of tablet Novelon or Ovral-G or Dear 21 or Intimacy plus 3 or Duoluton-L one tablet twice a day for 10 days (throw away the 21st pill), no matter what the cause is (except pregnancy) you will have periods within 7 to 10 days. You can keep having the same pills cyclically for 3 to 6 months to have regular cycles and take that time to improve your health. I do not advise you to have binge eating and put on weight. Have lots of fruits, vegetables, high protein diet like egg white, milk, meat (not red meat), sprouts, protein drinks, so on. Your improving health will help you in the future to have a healthy pregnancy too, poor health can affect pregnancy in future causing abortions, growth restrictions in baby, preterm labor pains. |
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Hello doctor, I am suffering from stomach pain for 15 days. I have missed my periods. I feel like having vomiting sensation and nervousness. Blood test and urine test for pregnancy was negative. What is the problem? I am 22 years old, married. [/INST] Hi. How are you doing? Hope you had the tests for pregnancy recently, as you have missed periods for two months. If they are recent and surely negative, then this pain is the tendency for impending periods. For a young lady of your age, BMI of 17 is very low. For your height of 158 cms, expected weight is 58 to 62 kg. A minimum weight is required for regular periods. When you have weight, fat in the body, it is a store for a time of possible emergency or fasting, etc. Now your body is running short of energy source, so it is not spending it on periods, which is like a drain out of energy. To have periods now, have any of the oral birth control pills or contraceptive pills or 21 pills packet of tablet Novelon or Ovral-G or Dear 21 or Intimacy plus 3 or Duoluton-L one tablet twice a day for 10 days (throw away the 21st pill), no matter what the cause is (except pregnancy) you will have periods within 7 to 10 days. You can keep having the same pills cyclically for 3 to 6 months to have regular cycles and take that time to improve your health. I do not advise you to have binge eating and put on weight. Have lots of fruits, vegetables, high protein diet like egg white, milk, meat (not red meat), sprouts, protein drinks, so on. Your improving health will help you in the future to have a healthy pregnancy too, poor health can affect pregnancy in future causing abortions, growth restrictions in baby, preterm labor pains. |
Q. How to prevent pregnancy if we have sex the day after period gets over? | Hi doctor, My partner's menstrual cycle ends today, and she is willing to do intercourse tomorrow. Does this day come under a fertile period? What can I do to have protected sex? Do condoms provide safe protection? | Hi. If she has regular periods of 28 days and if she has bled for four days, then it does not come under fertile period. In 28 days cycle, a fertile period comes from day 8 to day 13. She can start taking oral contraceptive pills cyclically, and it gives proper contraception without any stress. On a safer side along with a condom, I-pill (Levonorgestrel) can be used in an appropriate dose within 48 to 72 hours of unprotected penetrative sex without vomiting. |
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Hi doctor, My partner's menstrual cycle ends today, and she is willing to do intercourse tomorrow. Does this day come under a fertile period? What can I do to have protected sex? Do condoms provide safe protection? [/INST] Hi. If she has regular periods of 28 days and if she has bled for four days, then it does not come under fertile period. In 28 days cycle, a fertile period comes from day 8 to day 13. She can start taking oral contraceptive pills cyclically, and it gives proper contraception without any stress. On a safer side along with a condom, I-pill (Levonorgestrel) can be used in an appropriate dose within 48 to 72 hours of unprotected penetrative sex without vomiting. |
Q. How to give the next deworming dose after recurrence of worms? | Hi doctor, My daughter is three years old, and she was given a single Zentel liquid before two months and an antibiotic course of Taxim O for five days after having a vomit, stomach ache and worm-like symptoms. She was back to normal. Then again after 15 days, it got recurred. Last month, after a proper diagnosis of pinworms, Albendazole was given in two doses, 5 ml on the day night and 5 ml on the next day night. The doctor told me to stop repeating the dose after 14 days. On the 16th day, she started to have vomiting and bum scratching was back. I gave Albendazole again for two nights. Today, I can still see worms near her anus and vagina. She has nausea and lack of appetite. When and how can I give her the next dose of a deworming agent? Should we all in the family take a deworming agent? How to prevent new eggs from hatching in my daughter's digestive tract? She looks thin, less active, more tired and irritated. She is anemic, and we are giving her Vitcofol and Multivitamin. Please guide us. | Hi. The dose of Albendazole must be 10 ml as a single dose at night and not as 5 ml for the child weighing more than 10 kilograms. Clean your house thoroughly, and after that, all the members in the family are advised to take one dose of Albendazole as per weight at night once a week for six weeks. Giving Albendazole in the right dose can help to kill the organism even after having the eggs hatched in the abdomen. Please get an ultrasound abdomen done to rule out any harboring of the organism in the liver. |
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Hi doctor, My daughter is three years old, and she was given a single Zentel liquid before two months and an antibiotic course of Taxim O for five days after having a vomit, stomach ache and worm-like symptoms. She was back to normal. Then again after 15 days, it got recurred. Last month, after a proper diagnosis of pinworms, Albendazole was given in two doses, 5 ml on the day night and 5 ml on the next day night. The doctor told me to stop repeating the dose after 14 days. On the 16th day, she started to have vomiting and bum scratching was back. I gave Albendazole again for two nights. Today, I can still see worms near her anus and vagina. She has nausea and lack of appetite. When and how can I give her the next dose of a deworming agent? Should we all in the family take a deworming agent? How to prevent new eggs from hatching in my daughter's digestive tract? She looks thin, less active, more tired and irritated. She is anemic, and we are giving her Vitcofol and Multivitamin. Please guide us. [/INST] Hi. The dose of Albendazole must be 10 ml as a single dose at night and not as 5 ml for the child weighing more than 10 kilograms. Clean your house thoroughly, and after that, all the members in the family are advised to take one dose of Albendazole as per weight at night once a week for six weeks. Giving Albendazole in the right dose can help to kill the organism even after having the eggs hatched in the abdomen. Please get an ultrasound abdomen done to rule out any harboring of the organism in the liver. |
Q. What is the reason for right side chest pain with heaviness and burning sensation? | Hello doctor, I am experiencing right side chest pain for the past four weeks. The pain originates just below the right-hand side rib cage. The pain never occurs on both the areas simultaneously (right side below the last rib and the other area right upper chest). Pain, heaviness, burning sensation moves from one area to the other area (as mentioned above). USG upper abdomen reports say hyperechoic area 4.7 mm is seen in the right lobe of liver suggestive of calcified hepatic granuloma. Blood test, urine test, PFT test reports are normal. The same pain I had experienced two years back. Earlier reports also uploaded. It lasted for about 1 to 2 months. But this time the intensity of pain is more (just below the right rib). | Hello. From your clinical history and attached report, there is no obvious cause of your severe pain. Calcified granulomas usually do not cause pain. Although looking at your old CT chest and current USG (attachment removed to protect patient identity), I would want to investigate more for tuberculosis (as a separate issue, not as a current cause of pain). Coming back to pain, it sounds like it may be musculoskeletal in origin or acid peptic disease. Particularly if the pain is more on moving, it may point towards musculoskeletal in origin. I would also suggest an EKG to be sure we are not missing anything cardiac. With discussion with your doctors, you can discuss regarding acid suppression therapy along with some muscle relaxant for few days if it helps. |
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Hello doctor, I am experiencing right side chest pain for the past four weeks. The pain originates just below the right-hand side rib cage. The pain never occurs on both the areas simultaneously (right side below the last rib and the other area right upper chest). Pain, heaviness, burning sensation moves from one area to the other area (as mentioned above). USG upper abdomen reports say hyperechoic area 4.7 mm is seen in the right lobe of liver suggestive of calcified hepatic granuloma. Blood test, urine test, PFT test reports are normal. The same pain I had experienced two years back. Earlier reports also uploaded. It lasted for about 1 to 2 months. But this time the intensity of pain is more (just below the right rib). [/INST] Hello. From your clinical history and attached report, there is no obvious cause of your severe pain. Calcified granulomas usually do not cause pain. Although looking at your old CT chest and current USG (attachment removed to protect patient identity), I would want to investigate more for tuberculosis (as a separate issue, not as a current cause of pain). Coming back to pain, it sounds like it may be musculoskeletal in origin or acid peptic disease. Particularly if the pain is more on moving, it may point towards musculoskeletal in origin. I would also suggest an EKG to be sure we are not missing anything cardiac. With discussion with your doctors, you can discuss regarding acid suppression therapy along with some muscle relaxant for few days if it helps. |
Q. Gums in two of my lower front teeth has raised up. What caused this? | Hello doctor, On the my bottom my two front teeth the gums have came up over them but not covered. But the gum is higher up than it is in any other teeth in my mouth. What caused this? Can I fix this in home itself? | Hi. That condition of your gum is called localized gingivitis. It occurs because of the deposition of calculus and plaque on your teeth and inside the gums margins, which causes inflammation of gums that enlarged in size. The first treatment is ideally you should visit a dentist and get the scaling, cleaning, and polishing done. Once your teeth and gums get cleaned, after you will have to maintain your hygiene, then after a few days it will become totally fine. Right now at home you can do proper brushing and flossing and do warm saline i.e. warm water and salt rinses daily, it will heal slowly, but scaling is genuinely required. I hope this helps. |
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Hello doctor, On the my bottom my two front teeth the gums have came up over them but not covered. But the gum is higher up than it is in any other teeth in my mouth. What caused this? Can I fix this in home itself? [/INST] Hi. That condition of your gum is called localized gingivitis. It occurs because of the deposition of calculus and plaque on your teeth and inside the gums margins, which causes inflammation of gums that enlarged in size. The first treatment is ideally you should visit a dentist and get the scaling, cleaning, and polishing done. Once your teeth and gums get cleaned, after you will have to maintain your hygiene, then after a few days it will become totally fine. Right now at home you can do proper brushing and flossing and do warm saline i.e. warm water and salt rinses daily, it will heal slowly, but scaling is genuinely required. I hope this helps. |
Q. How long should my husband and I wait to try for a baby if we did cocaine? | Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. | Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> |
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Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. [/INST] Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> |
Q. Can Yasmin birth control pill be used as an emergency contraceptive pill? | Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? | Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> |
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Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? [/INST] Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> |
Q. Please explain the poisonous effect of phenol ingestion. | Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. | Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> |
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Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. [/INST] Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> |
Q. For how long should I take Kalachikai powder to overcome PCOD problem? | Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? | Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> |
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Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? [/INST] Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> |
Q. Why do periods get delayed after first time sex? | Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? | Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> |
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Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? [/INST] Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> |
Q. What are the problems faced after taking Mifegest during gestation period? | Hi doctor, My friend had a 45 days gestation. She took tablet Mifegest 400 mg, and there was bleeding for 20 hours. Some clotted and blackish blood came out. Now, the bleeding has stopped. Is the condition fine or not? | Hi. Please say more details about her. It is like induced abortion. In some patients, after taking medicine, it comes out in one go and then bleeding stops. In others, it comes gradually in episodes, and it might need further intervention. She can have a transvaginal scan to know whether the process is complete or whether there is any product remaining in the vagina. If the bleeding continues, the products will come out soon. If the bleeding is stopped, then the products can remain there. She might need a further medical and surgical intervention. The scan describes the need for the plan (attachment removed to protect the patient identity). In a case of retained products, she can have an infection or sepsis. So it is better to start taking oral antibiotics prophylactically to avoid having an infection. Take tablet Augmentin 625 mg (Amoxycillin with Clavulanic acid) for every 12 hours for five days, and she can have a transvaginal scan to check for any retained products. In case of severe bleeding or cramps, she needs to report emergency care soon. |
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Hi doctor, My friend had a 45 days gestation. She took tablet Mifegest 400 mg, and there was bleeding for 20 hours. Some clotted and blackish blood came out. Now, the bleeding has stopped. Is the condition fine or not? [/INST] Hi. Please say more details about her. It is like induced abortion. In some patients, after taking medicine, it comes out in one go and then bleeding stops. In others, it comes gradually in episodes, and it might need further intervention. She can have a transvaginal scan to know whether the process is complete or whether there is any product remaining in the vagina. If the bleeding continues, the products will come out soon. If the bleeding is stopped, then the products can remain there. She might need a further medical and surgical intervention. The scan describes the need for the plan (attachment removed to protect the patient identity). In a case of retained products, she can have an infection or sepsis. So it is better to start taking oral antibiotics prophylactically to avoid having an infection. Take tablet Augmentin 625 mg (Amoxycillin with Clavulanic acid) for every 12 hours for five days, and she can have a transvaginal scan to check for any retained products. In case of severe bleeding or cramps, she needs to report emergency care soon. |
Q. I am unable to control my ejaculation for more than two minutes. How to solve it? | Hi doctor, My penis is too sensitive. When I am going to do masturbation or sex, I am unable to control my ejaculation for more than two minutes. What can I do to solve the problem? | Hi. The problem, you are facing now, is called as premature ejaculation. Try to indulge more in foreplay with your partner rather than moving quickly towards the act. Please say whether you have erectile dysfunction along with this problem. Masters and Johnson start and stop technique can help you. You have to let your partner stimulate you and the minute when you feel you are going to ejaculate, ask her to put her hand over your penis and stop the ejaculation. Keep doing this every day, and gradually, you will notice an increase in ejaculation time. If these techniques do not help you, you can consider taking tablet Dapoxetine. |
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Hi doctor, My penis is too sensitive. When I am going to do masturbation or sex, I am unable to control my ejaculation for more than two minutes. What can I do to solve the problem? [/INST] Hi. The problem, you are facing now, is called as premature ejaculation. Try to indulge more in foreplay with your partner rather than moving quickly towards the act. Please say whether you have erectile dysfunction along with this problem. Masters and Johnson start and stop technique can help you. You have to let your partner stimulate you and the minute when you feel you are going to ejaculate, ask her to put her hand over your penis and stop the ejaculation. Keep doing this every day, and gradually, you will notice an increase in ejaculation time. If these techniques do not help you, you can consider taking tablet Dapoxetine. |
Q. Is it possible to feel poor erection and delayed ejaculation because of psychiatric medicines? | Hello doctor, I was on Escitalopram for the past 14 years till date and with Lorel also before five years back but later the psychiatrist stopped. Now, I am only on Nexito 0.5 mg daily for three days and once Nexito plus on the fourth day. I have an erectile dysfunction for which I am consuming homeopathic medicines and this has helped me a lot. But, now also I am not able to ejaculate inside her vagina. I feel like removing out the penis. Please help me out. | Hello. Taking Escitalopram or Lorazepam without a regular supervision of a psychiatrist for long periods of time is not advisable. This affects the health badly. Nexito is Escitalopram only and this could be the reason for your poor orgasm or delayed ejaculation. If your libido has reduced and you are not able to ejaculate then there is a need for re-evaluation. Drugs like Bupropion can be added to the prescription which will help in remission of symptoms and this will not affect the sexual life too. Instead of Lorazepam, drugs like Clonazepam or Etizolam can be used. Visit a doctor for evaluation. |
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Hello doctor, I was on Escitalopram for the past 14 years till date and with Lorel also before five years back but later the psychiatrist stopped. Now, I am only on Nexito 0.5 mg daily for three days and once Nexito plus on the fourth day. I have an erectile dysfunction for which I am consuming homeopathic medicines and this has helped me a lot. But, now also I am not able to ejaculate inside her vagina. I feel like removing out the penis. Please help me out. [/INST] Hello. Taking Escitalopram or Lorazepam without a regular supervision of a psychiatrist for long periods of time is not advisable. This affects the health badly. Nexito is Escitalopram only and this could be the reason for your poor orgasm or delayed ejaculation. If your libido has reduced and you are not able to ejaculate then there is a need for re-evaluation. Drugs like Bupropion can be added to the prescription which will help in remission of symptoms and this will not affect the sexual life too. Instead of Lorazepam, drugs like Clonazepam or Etizolam can be used. Visit a doctor for evaluation. |
Q. What is the reason for recurrent nocturnal high blood pressure in a patient on anti-hypertensives? | Hello doctor, I am writing on behalf of my mother and she is currently facing the severe recurrent nocturnal high blood pressure problem. She has been constantly relying on anti-hypertensive drugs from the past five years and the situation is aggravating day by day. Moreover, she claims of facing high pulse rate and is positively confirmed by ECG. Currently, she consumes a combination of Cilnidipine and Metoprolol and also other allied drugs in an emergency. | HelIo. Nocturnal nighttime hypertension is a complication of primary secondary hypertension. It can lead to some cardiovascular complications. I usually treat my patients in this situation with Potassium supplements and advice that they avoid any sodium diet. Drugs like Losartan that block angiotensin receptors are some of the medications I advise. I advise her to see a cardiologist for proper evaluation, to know the best management possible in her case. I wish her a quick recovery. |
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Hello doctor, I am writing on behalf of my mother and she is currently facing the severe recurrent nocturnal high blood pressure problem. She has been constantly relying on anti-hypertensive drugs from the past five years and the situation is aggravating day by day. Moreover, she claims of facing high pulse rate and is positively confirmed by ECG. Currently, she consumes a combination of Cilnidipine and Metoprolol and also other allied drugs in an emergency. [/INST] HelIo. Nocturnal nighttime hypertension is a complication of primary secondary hypertension. It can lead to some cardiovascular complications. I usually treat my patients in this situation with Potassium supplements and advice that they avoid any sodium diet. Drugs like Losartan that block angiotensin receptors are some of the medications I advise. I advise her to see a cardiologist for proper evaluation, to know the best management possible in her case. I wish her a quick recovery. |
Q. Am I at risk of getting HIV from vaginal sex with two condoms? | Hi doctor, I had vaginal sex with two condoms without a breakage before two weeks. I do not know the person whom I had sex and do not know whether she has HIV or not. Am I at risk of getting HIV infection from vaginal sex with two condoms? Does the partner's fluid that touches the shaft cause HIV transmission? | Hi. Never use two condoms, and there are higher chances of having a slippage. Protected sexual activity shows a reduced chance to have HIV. The rates of transmission stand at 1 in 10000 sexual activity. So, you have a less probability of acquiring the infection. It is always better to get tested for your contact which clears your most doubts. You have negligible chances of getting an infection. |
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Hi doctor, I had vaginal sex with two condoms without a breakage before two weeks. I do not know the person whom I had sex and do not know whether she has HIV or not. Am I at risk of getting HIV infection from vaginal sex with two condoms? Does the partner's fluid that touches the shaft cause HIV transmission? [/INST] Hi. Never use two condoms, and there are higher chances of having a slippage. Protected sexual activity shows a reduced chance to have HIV. The rates of transmission stand at 1 in 10000 sexual activity. So, you have a less probability of acquiring the infection. It is always better to get tested for your contact which clears your most doubts. You have negligible chances of getting an infection. |
Q. What does abutment of the nerve root mean? | Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for annular bulging and tear? | Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online --> |
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Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for annular bulging and tear? [/INST] Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online --> |
Q. I have severe acne in my face. Please suggest a better solution to get a clear face. | Hi doctor, I have severe acne in my face. I am using Erytop cream daily at night time for the past three years. Please suggest me a better solution. | Hi. Treatment of acne varies according to the severity of the problem. Topical medicines alone are helpful for mild acne. For moderate to severe grade acne, both oral medication and topical treatment are effective. Topical treatment of acne comprises topical antibacterials like Clindamycin, topical Benzoyl peroxide and topical Retinoids. Oral therapy includes oral antibiotics like Doxycycline, Minocycline, Azithromycin, and Oral Retinoids such as Isotretinoin. Acne scars improve a lot with chemical peeling. Other methods used to improve acne scarring are dermabrasion, micro needling, and fractional CO2 laser. I would be able to guide you better if you upload a picture of the acne affected area. So that, I would be able to judge the severity of your acne and acne scars, and I can guide you appropriately. |
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Hi doctor, I have severe acne in my face. I am using Erytop cream daily at night time for the past three years. Please suggest me a better solution. [/INST] Hi. Treatment of acne varies according to the severity of the problem. Topical medicines alone are helpful for mild acne. For moderate to severe grade acne, both oral medication and topical treatment are effective. Topical treatment of acne comprises topical antibacterials like Clindamycin, topical Benzoyl peroxide and topical Retinoids. Oral therapy includes oral antibiotics like Doxycycline, Minocycline, Azithromycin, and Oral Retinoids such as Isotretinoin. Acne scars improve a lot with chemical peeling. Other methods used to improve acne scarring are dermabrasion, micro needling, and fractional CO2 laser. I would be able to guide you better if you upload a picture of the acne affected area. So that, I would be able to judge the severity of your acne and acne scars, and I can guide you appropriately. |
Q. Why do I have pain in my left upper stomach? | Hi doctor, I have nausea. Why do I have pain in my left upper stomach? | Hi. It can be due to acidity and gastritis. Please mention whether you have upper abdominal pain, bloating, burping, or increase in pain while taking food, sour water feeling in throat or chest burning. You should avoid having a fatty, oily and spicy diet. Have some walk after having food. Have regular sleep habits and avoid stress. Take lots of green leafy vegetables, and fruits. Avoid smoking and alcohol if you have the habit. You can take tablet Pan DSR 40 mg (Pantoprazole with Domperidone) before breakfast once a day for two weeks. If there is no relief, then you can add syrup Sucral O (Oxetacaine with Sucralfate) or Gelusil (Aluminium hydroxide with Magnesium hydroxide) two teaspoon three times a day for a week. To have immediate relief, you can take antispasmodic like tablet Dicyclomine 20 or Hyoscine 10 mg whenever needed up to three times a day. |
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Hi doctor, I have nausea. Why do I have pain in my left upper stomach? [/INST] Hi. It can be due to acidity and gastritis. Please mention whether you have upper abdominal pain, bloating, burping, or increase in pain while taking food, sour water feeling in throat or chest burning. You should avoid having a fatty, oily and spicy diet. Have some walk after having food. Have regular sleep habits and avoid stress. Take lots of green leafy vegetables, and fruits. Avoid smoking and alcohol if you have the habit. You can take tablet Pan DSR 40 mg (Pantoprazole with Domperidone) before breakfast once a day for two weeks. If there is no relief, then you can add syrup Sucral O (Oxetacaine with Sucralfate) or Gelusil (Aluminium hydroxide with Magnesium hydroxide) two teaspoon three times a day for a week. To have immediate relief, you can take antispasmodic like tablet Dicyclomine 20 or Hyoscine 10 mg whenever needed up to three times a day. |
Q. My voice is like a girl. What is the remedy? | Hi doctor, I am a 21 year old male. My voice is like a girl. But hair growth pattern in my body is like a guy only. What is the remedy? | Hello. Beard, mustaches, pubic and axillary hair are named as the secondary sexual characters. If your secondary sexual characters are properly developed you need not have to worry. Your voice sounding like a girl can be corrected. This can be corrected throughspeech therapy and voice training. Consult a sexologist online for further help --> |
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Hi doctor, I am a 21 year old male. My voice is like a girl. But hair growth pattern in my body is like a guy only. What is the remedy? [/INST] Hello. Beard, mustaches, pubic and axillary hair are named as the secondary sexual characters. If your secondary sexual characters are properly developed you need not have to worry. Your voice sounding like a girl can be corrected. This can be corrected throughspeech therapy and voice training. Consult a sexologist online for further help --> |
Q. My daughter is breaking out with red dots all over her body. What could it be? | Hello doctor, I have a 2 year old daughter. She is breaking out with red dots all over her body. They do not look like measles or chicken pox. She weighs 30 pounds and has no other symptoms. I have tried giving her a child allergy medication because I thought she might have developed an allergy to dog hair. Please help. | Hi. I need more information for a quality answer. It could be ITP (Idiopathic Thrombocytopenic Purpura)/other hematological disorders/allergy/infection/HSP (Henoch-Schonlein Purpura) and many other disorders can present like this. We need to investigate these.Advice: Try to revert back with answers for the above-mentioned queries to a child health specialist online --> |
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Hello doctor, I have a 2 year old daughter. She is breaking out with red dots all over her body. They do not look like measles or chicken pox. She weighs 30 pounds and has no other symptoms. I have tried giving her a child allergy medication because I thought she might have developed an allergy to dog hair. Please help. [/INST] Hi. I need more information for a quality answer. It could be ITP (Idiopathic Thrombocytopenic Purpura)/other hematological disorders/allergy/infection/HSP (Henoch-Schonlein Purpura) and many other disorders can present like this. We need to investigate these.Advice: Try to revert back with answers for the above-mentioned queries to a child health specialist online --> |
Q. What can cause sore nipples in females? | Hello doctor, What can cause sore nipples in females? | Hi. Soreness of nipples might be due to the following reasons: For further queries, consult a gynaecologist online --> |
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Hello doctor, What can cause sore nipples in females? [/INST] Hi. Soreness of nipples might be due to the following reasons: For further queries, consult a gynaecologist 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. Will Nano-Leo give permanent solution for erection problem? | Hello doctor, I am 48 years old. I am experiencing weak erection and difficulty in sustaining the same. This condition was observed 10 years back. Also, there is premature ejaculation. Other physical ailments that I have are, I am suffering from hypertension and taking Amlopres-L (Amlodipine and Lisinopril) for the last 10 years, high cholesterol and triglycerides. My cholesterol level is 225 and triglyceride is 200 for the last 12 years. I used to do frequent masturbation in early age. I do have erection during morning hours many times, particularly after sound sleep or if I had long walk previous day. I am having Sildenafil 25 mg or 5 mg Cialis, which is effective enough. But, I wish to get rid of tablet support and live natural way. I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days. I wish to have your second opinion on this. Please guide. | Hi. For further doubts consult a sexologist online --> |
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Hello doctor, I am 48 years old. I am experiencing weak erection and difficulty in sustaining the same. This condition was observed 10 years back. Also, there is premature ejaculation. Other physical ailments that I have are, I am suffering from hypertension and taking Amlopres-L (Amlodipine and Lisinopril) for the last 10 years, high cholesterol and triglycerides. My cholesterol level is 225 and triglyceride is 200 for the last 12 years. I used to do frequent masturbation in early age. I do have erection during morning hours many times, particularly after sound sleep or if I had long walk previous day. I am having Sildenafil 25 mg or 5 mg Cialis, which is effective enough. But, I wish to get rid of tablet support and live natural way. I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days. I wish to have your second opinion on this. Please guide. [/INST] Hi. For further doubts consult a sexologist online --> |
Q. Why is there a hole at the top of wisdom tooth? | Hello doctor, On one of the molar bumps of a wisdom tooth, there is a fade to white with a hole at the top that is not discolored at all. It almost looks like an animated drawing of a volcano. What is this? Could it be a cavity and if so how can you tell whether it is or is not reversible? | Hi. I have gone through your question. I can understand your concern. It is mostly reversible (attachment removed to protect patient identity) and depends upon your oral higeine. We can arrest the carries at till this stage only on the smooth surface because the plaque does not get accumulated on it. For that fluoridated tooth paste is sufficient. In your case, we cannot arrest it only by using fluoride supplements because there is a shallow depression. So you have to get it filled. Make sure there must not be any high point after filling. So you need to visit a nearest dentist to get it filled, there is nothing to worry about. Your oral hygiene is good and I think this had happened because of the malocclusion of this cusp in relation with the upper one. It is getting too long and we have to manage time too. |
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Hello doctor, On one of the molar bumps of a wisdom tooth, there is a fade to white with a hole at the top that is not discolored at all. It almost looks like an animated drawing of a volcano. What is this? Could it be a cavity and if so how can you tell whether it is or is not reversible? [/INST] Hi. I have gone through your question. I can understand your concern. It is mostly reversible (attachment removed to protect patient identity) and depends upon your oral higeine. We can arrest the carries at till this stage only on the smooth surface because the plaque does not get accumulated on it. For that fluoridated tooth paste is sufficient. In your case, we cannot arrest it only by using fluoride supplements because there is a shallow depression. So you have to get it filled. Make sure there must not be any high point after filling. So you need to visit a nearest dentist to get it filled, there is nothing to worry about. Your oral hygiene is good and I think this had happened because of the malocclusion of this cusp in relation with the upper one. It is getting too long and we have to manage time too. |
Q. Is my hCG level indicating failing intrauterine or ectopic pregnancy? | Hello doctor, I am pregnant about five weeks. However, my Hb is 13.2 but beta hCG is 106.2 and after 48 hours it was 108.4. Is it failing intrauterine or ectopic? Or what should I do now? Currently, I am not taking any medicine. | Hello. You should get a serial beta hCG levels done after 48 hours each again and also an ultrasound pelvis to check if fetal pole has arrived. The rise in beta hCG levels is less than 63 % of course and indicates a possible chemical pregnancy. Do not be in a hurry to abort. You can safely wait for two weeks and observe and follow up with ultrasound and beta hCG levels. |
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Hello doctor, I am pregnant about five weeks. However, my Hb is 13.2 but beta hCG is 106.2 and after 48 hours it was 108.4. Is it failing intrauterine or ectopic? Or what should I do now? Currently, I am not taking any medicine. [/INST] Hello. You should get a serial beta hCG levels done after 48 hours each again and also an ultrasound pelvis to check if fetal pole has arrived. The rise in beta hCG levels is less than 63 % of course and indicates a possible chemical pregnancy. Do not be in a hurry to abort. You can safely wait for two weeks and observe and follow up with ultrasound and beta hCG levels. |
Q. Kindly tell me the treatment for neck pain due to working on computer. | Hello doctor, I work on computers for the past three years. I have constant pain in the neck. I consulted with a neurologist, he suggested for MRI scan. He gave treatment and said within 10 days I will get normal. I asked the doctor for any big issue he said there is no critical condition. 16 months later, I got pain in legs, lower back, upper back, hands, arms and weakness in hands and legs. I got consulted with a general doctor for this issue, he suggested for pelvic X-ray for me. It was normal and blood test was also normal and suggested some medicines for pain. So, please tell me what is this. | Hi. It is likely a spondylosis both cervical and lumbar. It is a spine problem where you get pain and other symptoms due to compression of nerves between spine. So it will cause symptoms along the course of nerves. It is probably due to prolonged sitting. Do you have any history of trauma to your spine, does this pain increase on neck movement, is it associated with tingling, numbness, needles and pins sensation, if yes then it further supports the diagnosis. You will need MRI of the whole spine as X-rays are not informative. Repeat X-ray will not be helpful. The X-ray will show only if the problem is severe. The treatment for this is physiotherapy to release the nerve compression, traction, cervical collar. Till the time you can have tablet Neurobion forte once a day which is a nerve vitamin and diclofenac gel for local application. Also, you should get nerve stabilizer prescribed like tablet Pregabalin 75 mg which will stabilize the nerve and reduce pain, etc. You need to visit nearby orthopedician or neurologist for all these investigations. |
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Hello doctor, I work on computers for the past three years. I have constant pain in the neck. I consulted with a neurologist, he suggested for MRI scan. He gave treatment and said within 10 days I will get normal. I asked the doctor for any big issue he said there is no critical condition. 16 months later, I got pain in legs, lower back, upper back, hands, arms and weakness in hands and legs. I got consulted with a general doctor for this issue, he suggested for pelvic X-ray for me. It was normal and blood test was also normal and suggested some medicines for pain. So, please tell me what is this. [/INST] Hi. It is likely a spondylosis both cervical and lumbar. It is a spine problem where you get pain and other symptoms due to compression of nerves between spine. So it will cause symptoms along the course of nerves. It is probably due to prolonged sitting. Do you have any history of trauma to your spine, does this pain increase on neck movement, is it associated with tingling, numbness, needles and pins sensation, if yes then it further supports the diagnosis. You will need MRI of the whole spine as X-rays are not informative. Repeat X-ray will not be helpful. The X-ray will show only if the problem is severe. The treatment for this is physiotherapy to release the nerve compression, traction, cervical collar. Till the time you can have tablet Neurobion forte once a day which is a nerve vitamin and diclofenac gel for local application. Also, you should get nerve stabilizer prescribed like tablet Pregabalin 75 mg which will stabilize the nerve and reduce pain, etc. You need to visit nearby orthopedician or neurologist for all these investigations. |
Q. Baby tooth was removed to expose impacted tooth. Is there a chance for cyst if we delay braces? | Hi doctor, I am a 30-year-old male. I had a baby tooth in the left lower jaw. Beneath it, there is an impacted first permanent premolar tooth. OPG and CBCT were taken. The baby tooth was extracted before a month, and the impacted tooth was exposed. As I had some misalignment in both the jaws, I consulted an orthodontist, and I was advised to wait for two months for braces treatment. Now the exposed area of the impacted tooth has got healed and covered completely. Should I need to wait for an eruption? Can I have a cyst formation under the impacted tooth? Can I start my braces treatment now? I am attaching my OPG, CBCT reports and photos. | Hi. I have gone through the attachment (attachment removed to protect patient identity). You do not have a cyst formation associated with the impacted tooth according to the images. In some cases, by orthodontic treatment, the tooth can be exposed, and they are brought to a normal position. In some cases, after extraction of the retained baby tooth, the impacted tooth can come into favorable position. So the orthodontist can place braces on it to bring it into position. So the doctor advises you to wait for two months. A mucosal layer always covers the tooth, and it can be exposed. After two months, if it is not coming to a favorable position, it can also be extracted. |
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Hi doctor, I am a 30-year-old male. I had a baby tooth in the left lower jaw. Beneath it, there is an impacted first permanent premolar tooth. OPG and CBCT were taken. The baby tooth was extracted before a month, and the impacted tooth was exposed. As I had some misalignment in both the jaws, I consulted an orthodontist, and I was advised to wait for two months for braces treatment. Now the exposed area of the impacted tooth has got healed and covered completely. Should I need to wait for an eruption? Can I have a cyst formation under the impacted tooth? Can I start my braces treatment now? I am attaching my OPG, CBCT reports and photos. [/INST] Hi. I have gone through the attachment (attachment removed to protect patient identity). You do not have a cyst formation associated with the impacted tooth according to the images. In some cases, by orthodontic treatment, the tooth can be exposed, and they are brought to a normal position. In some cases, after extraction of the retained baby tooth, the impacted tooth can come into favorable position. So the orthodontist can place braces on it to bring it into position. So the doctor advises you to wait for two months. A mucosal layer always covers the tooth, and it can be exposed. After two months, if it is not coming to a favorable position, it can also be extracted. |
Q. Does change in color of motion have any impact on babies health? | Hi doctor, I have twin babies with one boy and one girl. They are four months old now. Breast milk is very low for them. So we are using formula. During the first two months, we used Simyl LBW and Lactodex LBW. Then the doctor told us to use Dexolac 1 powder. Now, my babies motion is in dark green for the past ten days and sometimes it is yellowish green. The doctor told us to have Simyl MCT powder. Does this powder clear the problem? My babies motion is sometimes watery, and sometimes it is normal. But it is always in green color. They are going motion once or thrice a day. Please give me a solution. | Hi. The color of the stools that you have mentioned is normal. Any color of the stool is normal, except when the color is red or white. All the children up to the age of six months pass stools either 10 to 12 times a day or once in two to three days. It is normal. So as per your history, the children are healthy. You can take Dexolac 1 (Zinc with Sodium) now as the age is four months now. You can stop Simyl and Lactodex. There might be a mild change in the stool habits once you change the feeds and it is normal. If there are lethargy and refusal of feeds in the child, then there can be something wrong. These are the main signs that indicate that there is something wrong. |
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Hi doctor, I have twin babies with one boy and one girl. They are four months old now. Breast milk is very low for them. So we are using formula. During the first two months, we used Simyl LBW and Lactodex LBW. Then the doctor told us to use Dexolac 1 powder. Now, my babies motion is in dark green for the past ten days and sometimes it is yellowish green. The doctor told us to have Simyl MCT powder. Does this powder clear the problem? My babies motion is sometimes watery, and sometimes it is normal. But it is always in green color. They are going motion once or thrice a day. Please give me a solution. [/INST] Hi. The color of the stools that you have mentioned is normal. Any color of the stool is normal, except when the color is red or white. All the children up to the age of six months pass stools either 10 to 12 times a day or once in two to three days. It is normal. So as per your history, the children are healthy. You can take Dexolac 1 (Zinc with Sodium) now as the age is four months now. You can stop Simyl and Lactodex. There might be a mild change in the stool habits once you change the feeds and it is normal. If there are lethargy and refusal of feeds in the child, then there can be something wrong. These are the main signs that indicate that there is something wrong. |
Q. Can heart block be cured with medicines alone? | Hi doctor, I was told that there is a 10 percent mild blockage in my heart that can be made to zero by medicine. Is it possible? How long I have to use medicine? And to clear any blockage is there any fruit juices or any remedy that can help? Doing daily exercise will be helpful to reduce blockage. | Hi. I have reviewed your health query and want to add that it is all relative situation meaning that every patient has a different scenario. Some patients have no issues with cholesterol but some have a family history of raised cholesterol levels. Patients may also have a family history of heart and blood vessel disease. If we control the physical factors, it reduces the risk of heart diseases and blockage issues. Yes, exercise, as you mentioned, is very helpful in keeping the things in balance. Your query about medicines to control the disease depends on what medications are we talking about. There may be a bunch of classes of medications in heart disease. Taking medications is mandatory in your case. If it does not lower the percentage of blockage, it will definitely be helpful in blocking any further derangement. Your cardiologist can discuss the issue better as he is having detailed medical history upfront. Cholesterol can be maintained in normal limits and your cardiac health can be kept in check. Blood pressure medications also help in some patients who have the basic issue of high blood pressure. If someone has the blood vessel disease we can give medications to relieve the spasm of vessels and dilate the blood vessels. Sometimes we raise the blood flow to heart muscles and in this way the blockage to heart vessels is relieved. |
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Hi doctor, I was told that there is a 10 percent mild blockage in my heart that can be made to zero by medicine. Is it possible? How long I have to use medicine? And to clear any blockage is there any fruit juices or any remedy that can help? Doing daily exercise will be helpful to reduce blockage. [/INST] Hi. I have reviewed your health query and want to add that it is all relative situation meaning that every patient has a different scenario. Some patients have no issues with cholesterol but some have a family history of raised cholesterol levels. Patients may also have a family history of heart and blood vessel disease. If we control the physical factors, it reduces the risk of heart diseases and blockage issues. Yes, exercise, as you mentioned, is very helpful in keeping the things in balance. Your query about medicines to control the disease depends on what medications are we talking about. There may be a bunch of classes of medications in heart disease. Taking medications is mandatory in your case. If it does not lower the percentage of blockage, it will definitely be helpful in blocking any further derangement. Your cardiologist can discuss the issue better as he is having detailed medical history upfront. Cholesterol can be maintained in normal limits and your cardiac health can be kept in check. Blood pressure medications also help in some patients who have the basic issue of high blood pressure. If someone has the blood vessel disease we can give medications to relieve the spasm of vessels and dilate the blood vessels. Sometimes we raise the blood flow to heart muscles and in this way the blockage to heart vessels is relieved. |
Q. Is it necessary to get a tetanus vaccine for a cut on the finger? | Hi doctor, I have cut my finger open on a bottle cap two days ago. I have tried keeping it covered with band-aids but they keep falling off when out for hours and a time. Today I am feeling very hot in the face and hands, would you advise getting a tetanus shot? I am a very anxious person and had a tetanus vaccine 11 years ago. | Hello. Yes, certainly you should have tetanus booster shot as early as possible. Also, does wound appears infected, is there a large wound, any pus or redness, etc.? If yes, then needs antibiotics like capsule Augmentin (Amoxicillin and Clavulanic acid) 625 mg three times a day for five days along with some antacids like tablet Pan DSR (Pantoprazole and Domperidone) before breakfast once a day. If not then you can simply apply some Mupirocin ointment twice daily for 3 to 4 days. |
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Hi doctor, I have cut my finger open on a bottle cap two days ago. I have tried keeping it covered with band-aids but they keep falling off when out for hours and a time. Today I am feeling very hot in the face and hands, would you advise getting a tetanus shot? I am a very anxious person and had a tetanus vaccine 11 years ago. [/INST] Hello. Yes, certainly you should have tetanus booster shot as early as possible. Also, does wound appears infected, is there a large wound, any pus or redness, etc.? If yes, then needs antibiotics like capsule Augmentin (Amoxicillin and Clavulanic acid) 625 mg three times a day for five days along with some antacids like tablet Pan DSR (Pantoprazole and Domperidone) before breakfast once a day. If not then you can simply apply some Mupirocin ointment twice daily for 3 to 4 days. |
Q. Please tell me about the risk in recurrent stoma closure operation. | Hello doctor, I am 49 years old and suffering from adenocarcinoma in the rectum for the past five years. The doctor performed ileostomy, after that, I took radiotherapy and chemotherapy Pholfox 6. After that, I was declared free from cancer on the basis of PET scan report. Next year, I was admitted for stoma closure, but again opened it. A year later, again faced operation of stoma closure by same doctor's team, but was not successful and it is still open. I am facing so many trouble in my daily routine and now body weight is 48 to 49 kg. I had all treatment from renowned hospitals and doctors. My GI surgeon again advised me for closure operation since 18 months and assured me to operate in a different way to get success, but some other medical expert asked me to wait for 2 to 3 years for recovery and maintain stamina. Kindly advice me about risk in stoma closure operation. The problem that would be faced after operation (due to a narrow route of the rectum). Are my all procedures were in the right direction? and reasons behind continuos failure of closure operation. Is there any abnormality that would occur after the operation if a large part of the intestine is unused since a long time. Any further advice please. | Hi. Your treatment started and went on as per the standard guidelines. Your complications arose because of the stricture (narrowing) at the site of joining your intestine after removing cancer. (There can be many reasons for that, follow up if you are interested). Due to this blockage (most likely) your stoma closure failed repeatedly. Now also first of all sigmoidoscopy and/or fresh distal cologram (your last one was done last year) should be done (attachment removed to protect patient identity). Undergoing repeated surgeries does increase the risk of failure of surgery and other complications greatly. If a large part of the intestine is unused for a long time, it is not a problem and the intestine usually adapts well in around nine months to a year's time. 18 months is more than sufficient time to re-operate safely. Waiting for three years is not going to do any significant benefit over 1.5 years. |
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Hello doctor, I am 49 years old and suffering from adenocarcinoma in the rectum for the past five years. The doctor performed ileostomy, after that, I took radiotherapy and chemotherapy Pholfox 6. After that, I was declared free from cancer on the basis of PET scan report. Next year, I was admitted for stoma closure, but again opened it. A year later, again faced operation of stoma closure by same doctor's team, but was not successful and it is still open. I am facing so many trouble in my daily routine and now body weight is 48 to 49 kg. I had all treatment from renowned hospitals and doctors. My GI surgeon again advised me for closure operation since 18 months and assured me to operate in a different way to get success, but some other medical expert asked me to wait for 2 to 3 years for recovery and maintain stamina. Kindly advice me about risk in stoma closure operation. The problem that would be faced after operation (due to a narrow route of the rectum). Are my all procedures were in the right direction? and reasons behind continuos failure of closure operation. Is there any abnormality that would occur after the operation if a large part of the intestine is unused since a long time. Any further advice please. [/INST] Hi. Your treatment started and went on as per the standard guidelines. Your complications arose because of the stricture (narrowing) at the site of joining your intestine after removing cancer. (There can be many reasons for that, follow up if you are interested). Due to this blockage (most likely) your stoma closure failed repeatedly. Now also first of all sigmoidoscopy and/or fresh distal cologram (your last one was done last year) should be done (attachment removed to protect patient identity). Undergoing repeated surgeries does increase the risk of failure of surgery and other complications greatly. If a large part of the intestine is unused for a long time, it is not a problem and the intestine usually adapts well in around nine months to a year's time. 18 months is more than sufficient time to re-operate safely. Waiting for three years is not going to do any significant benefit over 1.5 years. |
Q. Please advice regarding management of tooth pain in a child. | Hi doctor, My 5-year-old is complaining of tooth pain. It appears where the pain is, there is a missing part between two teeth and food gets stuck all the time. I need some advice. I can provide a picture if needed. About three weeks back, he complained about the same thing. We went to a dentist. He said four of his teeth have gone bad and need attention. I gave him Amoxicillin for five days and asked us to visit the main hospital for kids. But he was fine from day two after a good brush and saltwater solution until now. | Hi. The first molar of the lower jaw of both the left and right side are having cavities. Go for X-ray for both the tooth. In the X-ray, the dentist can see where infection (caries) has reached (to the pulp or not). If caries has reached the pulp, you have to go for pedodontic root canal treatment (pulpectomy). If not, then you have to go for a tooth filling. This will solve your problem. |
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Hi doctor, My 5-year-old is complaining of tooth pain. It appears where the pain is, there is a missing part between two teeth and food gets stuck all the time. I need some advice. I can provide a picture if needed. About three weeks back, he complained about the same thing. We went to a dentist. He said four of his teeth have gone bad and need attention. I gave him Amoxicillin for five days and asked us to visit the main hospital for kids. But he was fine from day two after a good brush and saltwater solution until now. [/INST] Hi. The first molar of the lower jaw of both the left and right side are having cavities. Go for X-ray for both the tooth. In the X-ray, the dentist can see where infection (caries) has reached (to the pulp or not). If caries has reached the pulp, you have to go for pedodontic root canal treatment (pulpectomy). If not, then you have to go for a tooth filling. This will solve your problem. |
Q. What is the reason for cough after vaccination in a newborn? | Hello doctor, My 2 months old got her shots a week back, and that night she got a cough. It has almost been a week and she still has it and it has gotten worse. Should I wait it out? Or take her to urgent care? | Hi. I believe this is your first child that is why the query. Coughing has got nothing to do with vaccination. It is normal in children below the age of 6 months to cough or sneeze occasionally. Frankly speaking, it does not require treatment as long as the child is able to feed without any difficulty. However, you can give drops Kofarest (Codeine and Chlorpheniramine) and drops Maxtra (Oxymetazoline) for relief. What you should watch for is lethargy and refusal to feed, breathlessness and cyanosis. These are the warning signs requiring attention. If these warning signs are present then you need to visit the nearest hospital. |
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Hello doctor, My 2 months old got her shots a week back, and that night she got a cough. It has almost been a week and she still has it and it has gotten worse. Should I wait it out? Or take her to urgent care? [/INST] Hi. I believe this is your first child that is why the query. Coughing has got nothing to do with vaccination. It is normal in children below the age of 6 months to cough or sneeze occasionally. Frankly speaking, it does not require treatment as long as the child is able to feed without any difficulty. However, you can give drops Kofarest (Codeine and Chlorpheniramine) and drops Maxtra (Oxymetazoline) for relief. What you should watch for is lethargy and refusal to feed, breathlessness and cyanosis. These are the warning signs requiring attention. If these warning signs are present then you need to visit the nearest hospital. |
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. Can Mensovit Plus tablet affect the success rate of pregnancy? | Hello doctor, What is the side effect of Mensovit Plus tablet? Does it effect seriously on getting pregnant in future? | Hi. These pills have side effects for sure as every medicine has. It may cause nausea, diarrhea, vomiting, breast tenderness, headache. Taking them after meals can help reduce the intensity of these side effects and use of antiemetic drugs (for example Domperidone) to prevent nausea and vomiting. Your gynecologist may help you with that. They may also cause a delay in the regular next periods or cause an early next period or spotting. You were asking about pregnancy and side effects of these pills and so menstrual irregularities are more likely in the next cycles following these pills. So someone trying to conceive may have difficulty but this issue may go away with the passage of time. |
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Hello doctor, What is the side effect of Mensovit Plus tablet? Does it effect seriously on getting pregnant in future? [/INST] Hi. These pills have side effects for sure as every medicine has. It may cause nausea, diarrhea, vomiting, breast tenderness, headache. Taking them after meals can help reduce the intensity of these side effects and use of antiemetic drugs (for example Domperidone) to prevent nausea and vomiting. Your gynecologist may help you with that. They may also cause a delay in the regular next periods or cause an early next period or spotting. You were asking about pregnancy and side effects of these pills and so menstrual irregularities are more likely in the next cycles following these pills. So someone trying to conceive may have difficulty but this issue may go away with the passage of time. |
Q. On Ortho-Cyclen pills for 5 months. Stomach cramps after eating, brown discharge, cloudy urine & fatigue | Dear doctor, I am on Ortho-Cyclen pills for five months. I skipped my placebo pills and went on to the next pack. Now, I am having stomach cramps after eating, brown discharge, cloudy urine, and fatigue. Kindly advise me. | Hi. Placebo pills are just vitamin tablets. So, skipping those pills will not cause any problem. Stomach cramps might be due to gastritis. For this, you can take some antacid. For "brownish discharge, cloudy urine and fatigue" please take urine pregnancy test. If it is negative and there is only minimal discharge, you can continue the pill which you are using. Please let me know your age and the date of the last period for me to guide you better. If you have further questions, feel free to consult an obstetrician and gynaecologist online--> |
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Dear doctor, I am on Ortho-Cyclen pills for five months. I skipped my placebo pills and went on to the next pack. Now, I am having stomach cramps after eating, brown discharge, cloudy urine, and fatigue. Kindly advise me. [/INST] Hi. Placebo pills are just vitamin tablets. So, skipping those pills will not cause any problem. Stomach cramps might be due to gastritis. For this, you can take some antacid. For "brownish discharge, cloudy urine and fatigue" please take urine pregnancy test. If it is negative and there is only minimal discharge, you can continue the pill which you are using. Please let me know your age and the date of the last period for me to guide you better. If you have further questions, feel free to consult an obstetrician and gynaecologist online--> |
Q. I want to test myself for HGH deficiency. Can you tell me how I should proceed? | Dear doctor, I want to test myself for HGH deficiency. Can you tell me a complete guide on how should I proceed? What tests should I do? After I have done them, can I post it here for a thorough examination from your doctors, so that they can tell me whether I am HGH deficient? I want to test that because I have hypothyroidism and I am taking Levothyroxine and my levels are now normal. They were not normal two years ago and I had severe symptoms of hypothyroidism (severe fatigue, severe muscle cramps, lethargy, brain focus problems, pretty much all of the symptoms of hypothyroidism). Moreover, I made tests back then and I saw that my somatoprin levels were a lot below the normal. My reasons for this testing is that I think that this hypothyroidism really has stunted my growth, and pretty much everything in my development. From 16 to 19 years, I have not treated my hypothyroidism and I just lagged behind in development compared to my peers. Now I just want to see if I can do anything. Maybe if I have HGH deficiency, I still could manage to grow a little with HGH replacement or something. My age is 21, I also have beta thalassemia minor. I do not have any other medical issues. | Hi. You need to check IGF1 level (insulin-like growth factor 1), liver function and kidney function tests and hemoglobin level. Also please take an x-ray of your left elbow and left knee joint AP view (anteroposterior view) to assess the bone age, and to check whether ends of the bones still have room enough to allow growth or they have fused. Kindly mention your height and your parents' height. You may also send your latest thyroid reports. |
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Dear doctor, I want to test myself for HGH deficiency. Can you tell me a complete guide on how should I proceed? What tests should I do? After I have done them, can I post it here for a thorough examination from your doctors, so that they can tell me whether I am HGH deficient? I want to test that because I have hypothyroidism and I am taking Levothyroxine and my levels are now normal. They were not normal two years ago and I had severe symptoms of hypothyroidism (severe fatigue, severe muscle cramps, lethargy, brain focus problems, pretty much all of the symptoms of hypothyroidism). Moreover, I made tests back then and I saw that my somatoprin levels were a lot below the normal. My reasons for this testing is that I think that this hypothyroidism really has stunted my growth, and pretty much everything in my development. From 16 to 19 years, I have not treated my hypothyroidism and I just lagged behind in development compared to my peers. Now I just want to see if I can do anything. Maybe if I have HGH deficiency, I still could manage to grow a little with HGH replacement or something. My age is 21, I also have beta thalassemia minor. I do not have any other medical issues. [/INST] Hi. You need to check IGF1 level (insulin-like growth factor 1), liver function and kidney function tests and hemoglobin level. Also please take an x-ray of your left elbow and left knee joint AP view (anteroposterior view) to assess the bone age, and to check whether ends of the bones still have room enough to allow growth or they have fused. Kindly mention your height and your parents' height. You may also send your latest thyroid reports. |
Q. My 6 year old son is reluctant to eat. Please advise. | Hello doctor, This is regarding my 6 year old son. He is reluctant to eat and normally we have to change his focus from meal to feed him (by showing him television or something else). He smells things as well and does not eat if he does not like the smell of it. He likes cold drinks, chips, candies etc. We met a doctor and he said that we have to reduce or even stop giving him cold drinks, chips and any other outside food. Instead he asked us to give him home made food. But the problem is that he rarely likes to eat home made stuff. We tried many options but he rarely sits and eats. He is very active or I may say hyperactive, good in studies but we have to force him to focus on studies while teaching at home. Doctor recommended to have some tests of his blood and urine. Please advise us regarding this issue. | Hi. From the details you have provided, your kid seems to be a fussy eater. This is a common problem with kids of this age. Reasons for this problem are: Does he fall ill often? What is his weight? This is to ensure that he does not have major health concerns and is thriving well. Weight between 17 to 27 kg are approximately the lower and upper limits for this age. If the reason is 1 or 2, you can try the following measures: These are few ways which can be tried to avoid junk food and outside food. If the reason is 3 and if his tests are all fine, then he does not have major health issues and is well grown. Overactive - extremity of it is called ADHD (Attention Deficit Hyperactivity Disorder). But it is difficult to diagnose without seeing the child and examining in detail. You can consult a paediatrician online for further queries regarding his hyperactivity --> |
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Hello doctor, This is regarding my 6 year old son. He is reluctant to eat and normally we have to change his focus from meal to feed him (by showing him television or something else). He smells things as well and does not eat if he does not like the smell of it. He likes cold drinks, chips, candies etc. We met a doctor and he said that we have to reduce or even stop giving him cold drinks, chips and any other outside food. Instead he asked us to give him home made food. But the problem is that he rarely likes to eat home made stuff. We tried many options but he rarely sits and eats. He is very active or I may say hyperactive, good in studies but we have to force him to focus on studies while teaching at home. Doctor recommended to have some tests of his blood and urine. Please advise us regarding this issue. [/INST] Hi. From the details you have provided, your kid seems to be a fussy eater. This is a common problem with kids of this age. Reasons for this problem are: Does he fall ill often? What is his weight? This is to ensure that he does not have major health concerns and is thriving well. Weight between 17 to 27 kg are approximately the lower and upper limits for this age. If the reason is 1 or 2, you can try the following measures: These are few ways which can be tried to avoid junk food and outside food. If the reason is 3 and if his tests are all fine, then he does not have major health issues and is well grown. Overactive - extremity of it is called ADHD (Attention Deficit Hyperactivity Disorder). But it is difficult to diagnose without seeing the child and examining in detail. You can consult a paediatrician online for further queries regarding his hyperactivity --> |
Q. Is there any possibility of full recovery after detachment of severed right hand thumb? | Hello doctor, Is there any possibility of full recovery after detachment of severed right-hand thumb, if the detached part is found and not fully damaged? | Hi. The recovery depends on multiple factors: Whatever we do, the normal functions are never achieved. But cosmetically patient has a digit that is scarred usually. Sometimes, the reattached part is useless and patients demand amputation for better function. These days, cosmetic implantable prosthesis is a better option and is natural-looking.Consult an orthopaedician and traumatologist online for further help --> |
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Hello doctor, Is there any possibility of full recovery after detachment of severed right-hand thumb, if the detached part is found and not fully damaged? [/INST] Hi. The recovery depends on multiple factors: Whatever we do, the normal functions are never achieved. But cosmetically patient has a digit that is scarred usually. Sometimes, the reattached part is useless and patients demand amputation for better function. These days, cosmetic implantable prosthesis is a better option and is natural-looking.Consult an orthopaedician and traumatologist online for further help --> |
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. What is the treatment for passing urine while sleeping in a child? | Hello doctor,My boy baby is 9 years old and is still passing urine on the bed while sleeping. While I discussed with him, he said he is not feeling. As per doctor suggestion I used to wake up him by night for passing the urine but it did not work. Day time he gets it urgent and runs towards the bathroom. Study time in one-hour minimum three to four times he goes to urinate. He is maximum time watching TV, and want to play game in cell or laptop. Her mom was also under psychiatric care for the last eight years after his birth. During that period while taking medicine she fed him also. I am not getting a solution. I have explained everything. I request you to suggest proper solution and steps need to be taken. | Hi. First, you have to rule out the organic or structural cause of enuresis, like urinary tract infections, obstruction, polyuria, diabetes, and any medicine. Second, if the organic cause is ruled out then you have to review the toilet training of your child, and medicine such as Desmopressin or Reboxetine are alternative. Also, behavioral therapy has a significant role like bell and pad system is effective in 50 percent cases. Also, limit the time spent on the screen like mobile or television, and it should be noted more than two hours per day. |
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Hello doctor,My boy baby is 9 years old and is still passing urine on the bed while sleeping. While I discussed with him, he said he is not feeling. As per doctor suggestion I used to wake up him by night for passing the urine but it did not work. Day time he gets it urgent and runs towards the bathroom. Study time in one-hour minimum three to four times he goes to urinate. He is maximum time watching TV, and want to play game in cell or laptop. Her mom was also under psychiatric care for the last eight years after his birth. During that period while taking medicine she fed him also. I am not getting a solution. I have explained everything. I request you to suggest proper solution and steps need to be taken. [/INST] Hi. First, you have to rule out the organic or structural cause of enuresis, like urinary tract infections, obstruction, polyuria, diabetes, and any medicine. Second, if the organic cause is ruled out then you have to review the toilet training of your child, and medicine such as Desmopressin or Reboxetine are alternative. Also, behavioral therapy has a significant role like bell and pad system is effective in 50 percent cases. Also, limit the time spent on the screen like mobile or television, and it should be noted more than two hours per day. |
Q. My right vision is getting blurred while using new glasses. How to correct it? | Hi doctor, I wear glasses with a minimal prescription of - .25 with slight astigmatism and + 2 reading. Recently, I got a new pair of progressive lenses. I am finding that my right eye cannot focus properly and it is always blurry. First, I thought that the prescription was wrong. But after making many attempts with my new lens, I was able to notice that my old progressive lens had an incorrect pupillary distance by 2 mm on my right eye. I wore that glasses for three years, and I was unaware. I am worried whether wearing glasses with PD by 2 mm so long have caused any adjustments in my right eye? Why is my eye blurry? I was wondering why my new lenses were not focussing correctly as they were present with a correct PD. Is it possible to retrain my eye to focus accurately? Can I start wearing a single vision lens which can help me for a while? | Hi. By going through your query, I can understand that you are suffering from intolerance to progressive lenses. It can be due to an increase in near vision with age. It is not due to incorrect PD (pupillary distance). If you work on a computer, intermediate vision glasses can provide you more comfort rather than progressive. Intermediate vision glasses gives the support of vision when they are used for indoor work and reading. For distant vision, you may choose to remove your glasses. In case, if both of your eyes are not working together (binocular vision defects), a change in IPD (interpupillary distance) may develop. In that case, few tests for binocular vision can help. Also, some types of cataract or glaucoma in early stage produces glass intolerance, and it leads to a frequent change of glasses in an older age group. A slit lamp examination and dilated fundus examination are advised to rule out the causes of glass intolerance. |
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Hi doctor, I wear glasses with a minimal prescription of - .25 with slight astigmatism and + 2 reading. Recently, I got a new pair of progressive lenses. I am finding that my right eye cannot focus properly and it is always blurry. First, I thought that the prescription was wrong. But after making many attempts with my new lens, I was able to notice that my old progressive lens had an incorrect pupillary distance by 2 mm on my right eye. I wore that glasses for three years, and I was unaware. I am worried whether wearing glasses with PD by 2 mm so long have caused any adjustments in my right eye? Why is my eye blurry? I was wondering why my new lenses were not focussing correctly as they were present with a correct PD. Is it possible to retrain my eye to focus accurately? Can I start wearing a single vision lens which can help me for a while? [/INST] Hi. By going through your query, I can understand that you are suffering from intolerance to progressive lenses. It can be due to an increase in near vision with age. It is not due to incorrect PD (pupillary distance). If you work on a computer, intermediate vision glasses can provide you more comfort rather than progressive. Intermediate vision glasses gives the support of vision when they are used for indoor work and reading. For distant vision, you may choose to remove your glasses. In case, if both of your eyes are not working together (binocular vision defects), a change in IPD (interpupillary distance) may develop. In that case, few tests for binocular vision can help. Also, some types of cataract or glaucoma in early stage produces glass intolerance, and it leads to a frequent change of glasses in an older age group. A slit lamp examination and dilated fundus examination are advised to rule out the causes of glass intolerance. |
Q. Does edging help to maintain sexual excitement for an extended period? | Hi doctor, I have heard that edging helps to maintain sexual excitement for an extended period. Is it true? | Hi. Yes, edging helps to maintain sexual excitement for an extended period. If you are hyper-excited and anxious, then there may be an early discharge, and you will have an incomplete orgasm. Try to distract yourself during sex, and this will surely help you to extend the time. For some time, you can use condoms, and this will also increase the time. Dapoxetine is a drug that helps to raise the ejaculation time. |
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Hi doctor, I have heard that edging helps to maintain sexual excitement for an extended period. Is it true? [/INST] Hi. Yes, edging helps to maintain sexual excitement for an extended period. If you are hyper-excited and anxious, then there may be an early discharge, and you will have an incomplete orgasm. Try to distract yourself during sex, and this will surely help you to extend the time. For some time, you can use condoms, and this will also increase the time. Dapoxetine is a drug that helps to raise the ejaculation time. |
Q. Why is there a yellow spot on the gums? | Hi doctor, I have a yellow spot on the right side of the gums. I also have a pain in the back tooth. I am taking Ibuprofen and applied Bonjela. But still, I have pain in the tooth. What could it be? | Hi. I have gone through the attachment (attachment removed to protect patient identity). It looks like a traumatic ulcer or chemical burn. The reason can be due to the tissue present between the last two teeth. It is chewed during grinding causing a traumatic ulcer. The other reason can be a chemical burn. As the image is not clear, I am unable to differentiate them. Please mention about the age of the ulcer. The above information is necessary as the lesion itself can present as a nonhealing ulcer in the mouth. For the pain, you can take the following medications. Take Ofloxacin 200 mg twice daily. Take Metronidazole 400 mg thrice daily for five days. Take Ibuprofen if there is a pain. |
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Hi doctor, I have a yellow spot on the right side of the gums. I also have a pain in the back tooth. I am taking Ibuprofen and applied Bonjela. But still, I have pain in the tooth. What could it be? [/INST] Hi. I have gone through the attachment (attachment removed to protect patient identity). It looks like a traumatic ulcer or chemical burn. The reason can be due to the tissue present between the last two teeth. It is chewed during grinding causing a traumatic ulcer. The other reason can be a chemical burn. As the image is not clear, I am unable to differentiate them. Please mention about the age of the ulcer. The above information is necessary as the lesion itself can present as a nonhealing ulcer in the mouth. For the pain, you can take the following medications. Take Ofloxacin 200 mg twice daily. Take Metronidazole 400 mg thrice daily for five days. Take Ibuprofen if there is a pain. |
Q. Is it fine to wear a cracked Invisalign retainer or should I get it replaced? | Hi doctor, My Invisalign retainer cracked pretty substantially on the seventh day after wearing it. Is it best to keep wearing it or can I switch to next weeks tray now? | Hi. You should always clean off the last set of aligners and keep them somewhere safe when you move on to your next set. These can be used to maintain your progress if you break or lose your current set. If the crack has not split the tray, and if the tray is holding together pretty well, then you can continue wearing the tray. Be careful while putting the aligner on and off, as the crack can get worse when removing your aligners. Use a flat edge stick to pop off the aligners and reduce bending while taking them off. When putting them back, press evenly and firmly to avoid adding additional stress to the aligners. If the split is bad, and if the aligner cannot hold its shape, stop wearing the aligner. You will not get any benefits from wearing the tray. Go back to the previous tray to maintain your progress until you have a replacement aligner. |
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Hi doctor, My Invisalign retainer cracked pretty substantially on the seventh day after wearing it. Is it best to keep wearing it or can I switch to next weeks tray now? [/INST] Hi. You should always clean off the last set of aligners and keep them somewhere safe when you move on to your next set. These can be used to maintain your progress if you break or lose your current set. If the crack has not split the tray, and if the tray is holding together pretty well, then you can continue wearing the tray. Be careful while putting the aligner on and off, as the crack can get worse when removing your aligners. Use a flat edge stick to pop off the aligners and reduce bending while taking them off. When putting them back, press evenly and firmly to avoid adding additional stress to the aligners. If the split is bad, and if the aligner cannot hold its shape, stop wearing the aligner. You will not get any benefits from wearing the tray. Go back to the previous tray to maintain your progress until you have a replacement aligner. |
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. 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. Why is there a fall in platelet count after dengue fever? | Hi doctor, I am 32 years old, and my weight is 53 kilograms. I am affected by C type of dengue. Last week, my platelet count was 204,000 platelets per microliter of blood. Now, I have a mild fever at night and mild abdominal pain in the right side. I am feeling weak, and I am taking good food and drink. Please help me. | Hi. In dengue, platelet count usually falls after having a fever. So keep on monitoring the platelet count, and if it goes below 1 lakh, then it requires an admission. Never take any painkillers other than Paracetamol. Take antacid like Pantoprazole to avoid having a gastrointestinal bleed. Avoid doing heavy activities, and do not strain during passing stools and micturition. If the platelet count becomes low, then avoid doing brushing as well as using mouthwash. Drink plenty of water up to three to four liters. Go to the hospital immediately if there is shortness of breath, and bleeding because even normal platelet count causes a bleed due to platelet dysfunction. |
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Hi doctor, I am 32 years old, and my weight is 53 kilograms. I am affected by C type of dengue. Last week, my platelet count was 204,000 platelets per microliter of blood. Now, I have a mild fever at night and mild abdominal pain in the right side. I am feeling weak, and I am taking good food and drink. Please help me. [/INST] Hi. In dengue, platelet count usually falls after having a fever. So keep on monitoring the platelet count, and if it goes below 1 lakh, then it requires an admission. Never take any painkillers other than Paracetamol. Take antacid like Pantoprazole to avoid having a gastrointestinal bleed. Avoid doing heavy activities, and do not strain during passing stools and micturition. If the platelet count becomes low, then avoid doing brushing as well as using mouthwash. Drink plenty of water up to three to four liters. Go to the hospital immediately if there is shortness of breath, and bleeding because even normal platelet count causes a bleed due to platelet dysfunction. |
Q. I have loose stools with stomach pain and discomfort. What can I take to resolve it? | Hi doctor, I am a 43-year-old female. I ate something unusual yesterday, and I have a loose, watery stool. I also have stomach pain and discomfort. I lack a good appetite. What can I take to resolve this? | Hi. Have ORS (oral rehydration solution) 100 to 200 ml with each stool and keep yourself rehydrated. Drink as much as possible. You should visit a hospital to assess the hydration status, and you can also have IV fluids if needed. You can take capsule Vizylac (Lactobacillus 120 spores) or Sporlac sachet (Lactic acid Bacillus) three times a day for five days. Take tablet Norflox TZ (Norfloxacin with Tinidazole) two times a day along with an antacid tablet Pantoprazole before breakfast once a day for five days. You should also take Racecadotril 100 mg three times a day to reduce the stool frequency and quantity up to a maximum of seven days. Also, take antispasmodic like Buscopan 20 mg (Hyoscine) half tablet whenever needed up to two to three times a day for the pain. |
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Hi doctor, I am a 43-year-old female. I ate something unusual yesterday, and I have a loose, watery stool. I also have stomach pain and discomfort. I lack a good appetite. What can I take to resolve this? [/INST] Hi. Have ORS (oral rehydration solution) 100 to 200 ml with each stool and keep yourself rehydrated. Drink as much as possible. You should visit a hospital to assess the hydration status, and you can also have IV fluids if needed. You can take capsule Vizylac (Lactobacillus 120 spores) or Sporlac sachet (Lactic acid Bacillus) three times a day for five days. Take tablet Norflox TZ (Norfloxacin with Tinidazole) two times a day along with an antacid tablet Pantoprazole before breakfast once a day for five days. You should also take Racecadotril 100 mg three times a day to reduce the stool frequency and quantity up to a maximum of seven days. Also, take antispasmodic like Buscopan 20 mg (Hyoscine) half tablet whenever needed up to two to three times a day for the pain. |
Q. I have some infection in my inner penis. What is it? | Hi doctor, I am having some sort of infection in my inner penis. The doctor suggested AF-KIT and SURFAZ-SN cream, but it is still there from last 20 days. Please suggest. | Hi. Firstly stop applying this cream. Secondly, send us some photos to come to any conclusion. Only with photos and additional information we can prescribe you medication. Take care. |
<s>[INST]
Hi doctor, I am having some sort of infection in my inner penis. The doctor suggested AF-KIT and SURFAZ-SN cream, but it is still there from last 20 days. Please suggest. [/INST] Hi. Firstly stop applying this cream. Secondly, send us some photos to come to any conclusion. Only with photos and additional information we can prescribe you medication. Take care. |
Q. Can tablet Jalra reduce blood sugar level within a short period? | Hello doctor, The fasting blood sugar of my mother, aged 55 is 204 mg/dL. She needs to make it low for an operation within a short period. She has started on tablet Jalra 50/1000 form yesterday. Is there any other medication with a quick result? | Hello. I understand your concern. I assume that the medication that your mother has started is based on a doctor's prescription. Jalra 50/1000 is a good combination and will help your mother's condition. She will have to take it for around two weeks at least to see a considerable difference. Insulin injections have a faster action on lowering blood sugar levels. There are several different types of Insulin. The correct type for your mother can be decided by her treating doctor based on various factors like age, weight, her daily routine, previous medical history, etc. Please talk to your doctor and see if Insulin is an option for her. If she prefers to take oral medication only, she might have to wait until the medicine shows its action. I hope that answers your question. |
<s>[INST]
Hello doctor, The fasting blood sugar of my mother, aged 55 is 204 mg/dL. She needs to make it low for an operation within a short period. She has started on tablet Jalra 50/1000 form yesterday. Is there any other medication with a quick result? [/INST] Hello. I understand your concern. I assume that the medication that your mother has started is based on a doctor's prescription. Jalra 50/1000 is a good combination and will help your mother's condition. She will have to take it for around two weeks at least to see a considerable difference. Insulin injections have a faster action on lowering blood sugar levels. There are several different types of Insulin. The correct type for your mother can be decided by her treating doctor based on various factors like age, weight, her daily routine, previous medical history, etc. Please talk to your doctor and see if Insulin is an option for her. If she prefers to take oral medication only, she might have to wait until the medicine shows its action. I hope that answers your question. |
Q. I had HIV test after eight weeks of exposure and it came negative. Is the result reliable? | Hi doctor, I did an HIV rapid screening after eight weeks of exposure, and the results came negative. I do not have any other symptoms of HIV. Is this result reliable? Do I need to do other tests? | Hi. The tests available for HIV diagnosis are highly sensitive and specific and gives accurate results. Majority of the people who are infected with HIV develop HIV antibodies by two to eight weeks. Approximately, up to 5 % develop seroconversion by 12 weeks. Your HIV negative result after eight weeks is reliable. You can repeat the test at the end of three months, and not before that. |
<s>[INST]
Hi doctor, I did an HIV rapid screening after eight weeks of exposure, and the results came negative. I do not have any other symptoms of HIV. Is this result reliable? Do I need to do other tests? [/INST] Hi. The tests available for HIV diagnosis are highly sensitive and specific and gives accurate results. Majority of the people who are infected with HIV develop HIV antibodies by two to eight weeks. Approximately, up to 5 % develop seroconversion by 12 weeks. Your HIV negative result after eight weeks is reliable. You can repeat the test at the end of three months, and not before that. |
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