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Description stringlengths 1 1.5k	Patient stringlengths 1 17.7k	Doctor stringlengths 2 11.4k	text stringlengths 77 18.8k
Q. Hemoglobin is very low, 5. 6 g/dL. How to raise the level?	Hi doctor, My father-in-law has a hemoglobin of 5.6 g/dL. What is the cause? Please suggest a treatment.	Hi. There are multiple reasons for having low hemoglobin. It can be due to nutritional deficiency or chronic blood loss. I recommend seeing a gastroenterologist. He needs fecal occult blood testing and colonoscopy to rule out occult bleeding. Also, give him two units of blood. HB (hemoglobin) less than 7 g/dL is dangerous. Give him iron and vitamin supplements. He can take Ferrous sulfate 325 mg one tablet three times daily and tablet Iberet-Folic-500 (Folic acid with Vitamin C) one tablet two times daily.	<s>[INST] Hi doctor, My father-in-law has a hemoglobin of 5.6 g/dL. What is the cause? Please suggest a treatment. [/INST] Hi. There are multiple reasons for having low hemoglobin. It can be due to nutritional deficiency or chronic blood loss. I recommend seeing a gastroenterologist. He needs fecal occult blood testing and colonoscopy to rule out occult bleeding. Also, give him two units of blood. HB (hemoglobin) less than 7 g/dL is dangerous. Give him iron and vitamin supplements. He can take Ferrous sulfate 325 mg one tablet three times daily and tablet Iberet-Folic-500 (Folic acid with Vitamin C) one tablet two times daily.
Q. Should we concern about the baby if the maternal serum is reactive for CMV?	Hi doctor, I delivered a baby ten weeks ago which weighed 2.0 kilograms at birth, and it was a pre-term cesarean delivery. The baby was healthy according to the attending pediatrician at the time of delivery, and the baby was not taken to the NICU. I got a maternal blood report which was taken during the baby’s umbilical cord blood banking at the time of baby's delivery. The report suggested me that my (maternal) serum is reactive for both CMV IgG and IgM. I am very scared. Is there any other test available which can be done after ten weeks on the baby for diagnosing CMV infection? Please suggest me. Is this a concern and what to do next? Currently, I am giving breastfeeding and also giving powder milk. Do I need to stop breastfeeding?	Hi. I have gone through the attachment (attachment removed to protect patient identity). I can understand your concern. CMV (cytomegalovirus) IgG and IgM suggests that you have cytomegalovirus infection and it can spread to the baby. 90 % of infections are asymptomatic. But 5 to 15 % may have hearing loss, mental retardation, and microcephaly. These are the tests which should be done in the baby. They are spin enhanced culture and virus isolation in tissue culture. It is the most sensitive and specific test for diagnosis. Other tests such as urine, saliva, CMV antigen test, CT (computed tomography), MRI (magnetic resonance imaging), hearing test, ophthalmological evaluation, CBC (complete blood count), and LFT (liver function test) should also be done. The child should be examined soon by the neonatologist. Infection can spread by breastfeeding. Breastfeeding should be stopped until you show the child to the neonatologist.	<s>[INST] Hi doctor, I delivered a baby ten weeks ago which weighed 2.0 kilograms at birth, and it was a pre-term cesarean delivery. The baby was healthy according to the attending pediatrician at the time of delivery, and the baby was not taken to the NICU. I got a maternal blood report which was taken during the baby’s umbilical cord blood banking at the time of baby's delivery. The report suggested me that my (maternal) serum is reactive for both CMV IgG and IgM. I am very scared. Is there any other test available which can be done after ten weeks on the baby for diagnosing CMV infection? Please suggest me. Is this a concern and what to do next? Currently, I am giving breastfeeding and also giving powder milk. Do I need to stop breastfeeding? [/INST] Hi. I have gone through the attachment (attachment removed to protect patient identity). I can understand your concern. CMV (cytomegalovirus) IgG and IgM suggests that you have cytomegalovirus infection and it can spread to the baby. 90 % of infections are asymptomatic. But 5 to 15 % may have hearing loss, mental retardation, and microcephaly. These are the tests which should be done in the baby. They are spin enhanced culture and virus isolation in tissue culture. It is the most sensitive and specific test for diagnosis. Other tests such as urine, saliva, CMV antigen test, CT (computed tomography), MRI (magnetic resonance imaging), hearing test, ophthalmological evaluation, CBC (complete blood count), and LFT (liver function test) should also be done. The child should be examined soon by the neonatologist. Infection can spread by breastfeeding. Breastfeeding should be stopped until you show the child to the neonatologist.
Q. Do I have intermittent feet and wrist pain due to nerve disorder or high uric acid?	Hi doctor, I have pain in my feet and wrist sometimes, and I take painkillers. It goes and comes back again after a few months or weeks. It is not due to external injury. I got a blood test, and my uric acid was high at 10 mg/dL. Now, I take Feburic 40 mg for some time. Today again, I had a pain on my feet, and I am sending the location of pain present on my feet. Is it due to high uric acid? I eat chicken more. Does eating chicken cause an increase in uric acid? I am overweight, and I am trying to reduce my weight. My weight is 99 kilograms, and my height is 177 cm. Do I have the pain due to a nerve disorder or fibromyalgia? My mother had fibromyalgia. What should I have to do? What diet should I need to take?	Hi. I have gone through the attachment (attachment removed to protect patient identity). As the uric acid is high at 10 mg/dL, it is likely a cause of arthritis. Febuxostat that you are using now should be used every day even when you are not having pain. This medication is used to treat acute gout, and it prevents recurrent attacks. Check your uric acid level if you are taking Feburic 40 mg. Increase the dose to 80 mg and recheck uric acid in four weeks. Uric acid should be less than 6 mg/dL. Avoid drinking alcohol, and you can add proteins to the diet such as chicken, beef, mutton, or fish. But not in excess and it should not be taken every day. Do these blood tests such as CBC (complete blood count), ANA (antinuclear antibodies), rheumatoid factor, anti-CCP (anti-cyclic citrullinated peptide) antibodies, and ESR (erythrocyte sedimentation rate) to rule out other possible diseases.	<s>[INST] Hi doctor, I have pain in my feet and wrist sometimes, and I take painkillers. It goes and comes back again after a few months or weeks. It is not due to external injury. I got a blood test, and my uric acid was high at 10 mg/dL. Now, I take Feburic 40 mg for some time. Today again, I had a pain on my feet, and I am sending the location of pain present on my feet. Is it due to high uric acid? I eat chicken more. Does eating chicken cause an increase in uric acid? I am overweight, and I am trying to reduce my weight. My weight is 99 kilograms, and my height is 177 cm. Do I have the pain due to a nerve disorder or fibromyalgia? My mother had fibromyalgia. What should I have to do? What diet should I need to take? [/INST] Hi. I have gone through the attachment (attachment removed to protect patient identity). As the uric acid is high at 10 mg/dL, it is likely a cause of arthritis. Febuxostat that you are using now should be used every day even when you are not having pain. This medication is used to treat acute gout, and it prevents recurrent attacks. Check your uric acid level if you are taking Feburic 40 mg. Increase the dose to 80 mg and recheck uric acid in four weeks. Uric acid should be less than 6 mg/dL. Avoid drinking alcohol, and you can add proteins to the diet such as chicken, beef, mutton, or fish. But not in excess and it should not be taken every day. Do these blood tests such as CBC (complete blood count), ANA (antinuclear antibodies), rheumatoid factor, anti-CCP (anti-cyclic citrullinated peptide) antibodies, and ESR (erythrocyte sedimentation rate) to rule out other possible diseases.
Q. What is the management for erectile dysfunction with grade 1 varicocele?	Hi doctor,My T hormone is 157 dl and prolactin is 22. My sperm is 28 million and normal morphology. The scan showed normal testis size but grade l varicocele both sides but I have erection dysfunction and no sensation in my penis.	Hi. Your serum testosterone levels are on the lower side. But the semen analysis is good. So do not take hormone replacement now. If you take testosterone supplementation, chances of decreased sperm count are there. Grade one varicocele does not require treatment unless it causes changes in semen analysis or scrotal pain. You need a workup for your erectile dysfunction. See your urologist.	<s>[INST] Hi doctor,My T hormone is 157 dl and prolactin is 22. My sperm is 28 million and normal morphology. The scan showed normal testis size but grade l varicocele both sides but I have erection dysfunction and no sensation in my penis. [/INST] Hi. Your serum testosterone levels are on the lower side. But the semen analysis is good. So do not take hormone replacement now. If you take testosterone supplementation, chances of decreased sperm count are there. Grade one varicocele does not require treatment unless it causes changes in semen analysis or scrotal pain. You need a workup for your erectile dysfunction. See your urologist.
Q. I am 15 weeks pregnant. Is it safe to go for a swim?	Hi doctor, I am 15 weeks pregnant. Is it right to go swimming in a pool now?	Hi. If you know swimming before pregnancy, then you can do it in pregnancy also. Have few precautionary steps. If you do not have a risk of threatened miscarriage, low lying placenta or other complications, then there is a need to avoid overexertion in pregnancy when you go swimming. Try to warm up and cool down yourself gradually. Do not do overexertion. If you feel tired, come out of the pool immediately. If you are not feeling well, then it is better to avoid swimming. Do not swim in deep waters. Try to have someone with you while going swimming. Try to avoid swimming in late pregnancy and if you have any abnormal symptoms like breathlessness, abdominal pain, nausea, and vomiting.	<s>[INST] Hi doctor, I am 15 weeks pregnant. Is it right to go swimming in a pool now? [/INST] Hi. If you know swimming before pregnancy, then you can do it in pregnancy also. Have few precautionary steps. If you do not have a risk of threatened miscarriage, low lying placenta or other complications, then there is a need to avoid overexertion in pregnancy when you go swimming. Try to warm up and cool down yourself gradually. Do not do overexertion. If you feel tired, come out of the pool immediately. If you are not feeling well, then it is better to avoid swimming. Do not swim in deep waters. Try to have someone with you while going swimming. Try to avoid swimming in late pregnancy and if you have any abnormal symptoms like breathlessness, abdominal pain, nausea, and vomiting.
Q. I have high testosterone level with muscle pain, anxiety, and abdominal pain. Please help.	Hello doctor, I am a 40-year-old male with abnormally high testosterone. All other lab tests came back negative. What should be my next step? I also have malaise, muscle aches, anxiety, and abdominal pain.	Hi. You sent me cortisol levels report (attachment removed to protect patient identity), but there is no report for testosterone. Your cortisol is normal. Please send the testosterone report.	<s>[INST] Hello doctor, I am a 40-year-old male with abnormally high testosterone. All other lab tests came back negative. What should be my next step? I also have malaise, muscle aches, anxiety, and abdominal pain. [/INST] Hi. You sent me cortisol levels report (attachment removed to protect patient identity), but there is no report for testosterone. Your cortisol is normal. Please send the testosterone report.
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 -->	<s>[INST] 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 -->	<s>[INST] Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? [/INST] Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->
Q. Please explain the poisonous effect of phenol ingestion.	Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect.	Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.--->	<s>[INST] Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. [/INST] Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.--->
Q. For how long should I take Kalachikai powder to overcome PCOD problem?	Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem?	Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online -->	<s>[INST] Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? [/INST] Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online -->
Q. Why do periods get delayed after first time sex?	Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods?	Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online -->	<s>[INST] Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? [/INST] Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online -->
Q. Can Glycopyrrolate cure excess salivation?	Hello doctor, I am 20 years old, male, 72 kg, 6 feet, suffering from excess salivation from a month. I took Glycopyrrolate 1 mg. Please give your advice on this drug or suggest a better drug.	Hi. Excessive salivation may be caused by certain conditions that need to be ruled out to solve it definitely. You may be suffering from acid reflux, sinusitis, or other upper respiratory tract infections which may give you hypersalivation. If you feel anything else except this concern, see your family doctor for an objective examination. If you have stomach pain or heartburn take Omeprazole to reduce acid producing. Continue Glycopyrrolate for some days if hypersalivation really disturbs you but if no improvement comes, see your doctor. Take care and best wishes.	<s>[INST] Hello doctor, I am 20 years old, male, 72 kg, 6 feet, suffering from excess salivation from a month. I took Glycopyrrolate 1 mg. Please give your advice on this drug or suggest a better drug. [/INST] Hi. Excessive salivation may be caused by certain conditions that need to be ruled out to solve it definitely. You may be suffering from acid reflux, sinusitis, or other upper respiratory tract infections which may give you hypersalivation. If you feel anything else except this concern, see your family doctor for an objective examination. If you have stomach pain or heartburn take Omeprazole to reduce acid producing. Continue Glycopyrrolate for some days if hypersalivation really disturbs you but if no improvement comes, see your doctor. Take care and best wishes.
Q. Does scarring of tympanum have any influence on hearing?	Hi doctor, I had a diagnosis of scarring of tympanum before 30 years. Recently, I was diagnosed with bilateral hearing loss and tinnitus. Could the residuals of this scarring have any influence on my hearing now?	Hi. Scarring of the tympanic membrane (myringosclerosis) rarely causes symptoms. Tympanosclerosis can extend to the middle ear and produce hearing loss. With your clinical history, it suggests presbycusis (an age-related degenerative disorder of inner ear). You need to visit an ENT specialist for proper examination and audiometry.	<s>[INST] Hi doctor, I had a diagnosis of scarring of tympanum before 30 years. Recently, I was diagnosed with bilateral hearing loss and tinnitus. Could the residuals of this scarring have any influence on my hearing now? [/INST] Hi. Scarring of the tympanic membrane (myringosclerosis) rarely causes symptoms. Tympanosclerosis can extend to the middle ear and produce hearing loss. With your clinical history, it suggests presbycusis (an age-related degenerative disorder of inner ear). You need to visit an ENT specialist for proper examination and audiometry.
Q. Why am I not able to conceive in spite of having regular periods?	Hello doctor,I am 24 years old. My husband is 48. He has two children from his last partner. 18 years old and 20 years old. We have been trying to get pregnant for nearly 12 months now. I was on the Depo injection which I only had twice and I never had it when it was due which was three years back. So do you think I need to seek advice or investigating from doctors? Or is there anything else I can do? I have been tracking ovulation for 10 months and I am ovulating every month. None of us are on any medication. I am taking folic acid regularly. He was a bit of a binge drinker around two times a week but has not done that for over 12 months.	Hi. You can safely try for another two months before going for investigations. Chance of pregnancy when you try for 12 months is around 85 %. For the information you gave, there does not appear any factor which can prevent pregnancy. There is no need to monitor ovulation, as it increases stress and reduces the chance of pregnancy. When your cycles are regular, ovulation is considered to happen regularly unless proved otherwise.	<s>[INST] Hello doctor,I am 24 years old. My husband is 48. He has two children from his last partner. 18 years old and 20 years old. We have been trying to get pregnant for nearly 12 months now. I was on the Depo injection which I only had twice and I never had it when it was due which was three years back. So do you think I need to seek advice or investigating from doctors? Or is there anything else I can do? I have been tracking ovulation for 10 months and I am ovulating every month. None of us are on any medication. I am taking folic acid regularly. He was a bit of a binge drinker around two times a week but has not done that for over 12 months. [/INST] Hi. You can safely try for another two months before going for investigations. Chance of pregnancy when you try for 12 months is around 85 %. For the information you gave, there does not appear any factor which can prevent pregnancy. There is no need to monitor ovulation, as it increases stress and reduces the chance of pregnancy. When your cycles are regular, ovulation is considered to happen regularly unless proved otherwise.
Q. Is it normal to get pain in back and chest after malaria treatment?	Hi doctor, I recently had malaria and the symptoms I first got was back pain. It stopped for a while. I was given Dynapar and Lonart to keep me stable. That was a few days ago and I have been getting this strong back pain that also hurt the chest. At times, it hurts when I breathe.	Hi. Every infective pathology after getting resolved creates a post-infectious syndrome. In your case, it is a post-malaria syndrome. You can take painkillers for it. Take tablet Combiflam once or twice a day. Secondly, if it persists long or it is still worrying you, you can have a USG (whole abdomen) done to look for spleen size that sometimes may cause dull-aching pain.	<s>[INST] Hi doctor, I recently had malaria and the symptoms I first got was back pain. It stopped for a while. I was given Dynapar and Lonart to keep me stable. That was a few days ago and I have been getting this strong back pain that also hurt the chest. At times, it hurts when I breathe. [/INST] Hi. Every infective pathology after getting resolved creates a post-infectious syndrome. In your case, it is a post-malaria syndrome. You can take painkillers for it. Take tablet Combiflam once or twice a day. Secondly, if it persists long or it is still worrying you, you can have a USG (whole abdomen) done to look for spleen size that sometimes may cause dull-aching pain.
Q. I have polymyosistis. Shall I follow my regular exercise plan?	Hello doctor, I have a health and exercise question. I am 24 years old and I weigh 293 lbs, 5'9". I have polymyositis. I started a new workout today. I did five pushups, five reps, five squats, eight reps, 20 standing stiff leg ups, seven reps, five flys, eight rep, 10 curls, 10 reps using two eight lbs gallons of water. Not all at once, alternating between arms and legs. I wanted to know if it was fine for a starting workout. I also had 151 grams of protein so far today and one gallon of water to drink. Is this fine for a starting plan?	Hi. Having polymyositis, you should start with a fewer resistance exercise and more of stretching exercises to improve flexibility. Yes, the exercise plan you made is fine for a good start. But maintain the muscle length through stretching exercises before initiation of the workout. Protein content increased by 250 gms per day and one gallon of water. Drink enough water before the workout. Take equal amount of rest in between the sessions. It helps the recovery of muscle soreness. It can include aerobic exercises. Count your heart beats to increase the time period.	<s>[INST] Hello doctor, I have a health and exercise question. I am 24 years old and I weigh 293 lbs, 5'9". I have polymyositis. I started a new workout today. I did five pushups, five reps, five squats, eight reps, 20 standing stiff leg ups, seven reps, five flys, eight rep, 10 curls, 10 reps using two eight lbs gallons of water. Not all at once, alternating between arms and legs. I wanted to know if it was fine for a starting workout. I also had 151 grams of protein so far today and one gallon of water to drink. Is this fine for a starting plan? [/INST] Hi. Having polymyositis, you should start with a fewer resistance exercise and more of stretching exercises to improve flexibility. Yes, the exercise plan you made is fine for a good start. But maintain the muscle length through stretching exercises before initiation of the workout. Protein content increased by 250 gms per day and one gallon of water. Drink enough water before the workout. Take equal amount of rest in between the sessions. It helps the recovery of muscle soreness. It can include aerobic exercises. Count your heart beats to increase the time period.
Q. My father has frequent breathlessness. Is daily usage of nebulizer advisable?	Hello doctor, My father is 76 years old. He often complains of breathlessness and uses nebulizer every day. He has chronic gastric and digestion issues as well. His other health issues include diabetes, BP, spondylitis, and back pain. I got an x-ray done recently. Please advice.	Hello. I can understand your concern. Can you send me the x-ray report? And also tell me which Nebulization he is using? I will be happy to help him further with medicines and investigations.	<s>[INST] Hello doctor, My father is 76 years old. He often complains of breathlessness and uses nebulizer every day. He has chronic gastric and digestion issues as well. His other health issues include diabetes, BP, spondylitis, and back pain. I got an x-ray done recently. Please advice. [/INST] Hello. I can understand your concern. Can you send me the x-ray report? And also tell me which Nebulization he is using? I will be happy to help him further with medicines and investigations.
Q. Is it possible for C-reactive protein level to raise from 6 to 15. 9 in 24 hours?	Hello doctor, Is it possible for C-reactive protein level to raise from 6 to 15.9 in 24 hours in my child, although there are no signs of sepsis?	Hi. C-reactive protein (CRP) is a marker of infection and inflammation anywhere in the body. It takes at least six hours for CRP to raise in the blood, once the infection starts and it continues to raise up to 24 hours at least. Though there are no signs of infection clinically, that is, the child is well symptomatically, it is still possible that CRP raises. Inference: Consult a paediatrician online for further help -->	<s>[INST] Hello doctor, Is it possible for C-reactive protein level to raise from 6 to 15.9 in 24 hours in my child, although there are no signs of sepsis? [/INST] Hi. C-reactive protein (CRP) is a marker of infection and inflammation anywhere in the body. It takes at least six hours for CRP to raise in the blood, once the infection starts and it continues to raise up to 24 hours at least. Though there are no signs of infection clinically, that is, the child is well symptomatically, it is still possible that CRP raises. Inference: Consult a paediatrician online for further help -->
Q. My eyes are red and warm. What could this be?	Hello doctor, My eyes are red and warm since the last four days. I wear spectacles. What could this be?	Hello. You may be suffering from conjunctivitis or some other eye infection or it might be some allergy which is common. You should wash your eyes with warm water mixed with a pinch of salt (similar to one prepared for gargling, but with lesser salt). Do this every two to three hours for three to four times in 12 hours. If redness is reduced, then most probably you have conjunctivitis. In any case, you should consult an ophthalmologist personally for a checkup, as redness and warmth may mean a lot of things and can be diagnosed better with a thorough examination. Follow up with an eye care ophthalmologist online for further help -->	<s>[INST] Hello doctor, My eyes are red and warm since the last four days. I wear spectacles. What could this be? [/INST] Hello. You may be suffering from conjunctivitis or some other eye infection or it might be some allergy which is common. You should wash your eyes with warm water mixed with a pinch of salt (similar to one prepared for gargling, but with lesser salt). Do this every two to three hours for three to four times in 12 hours. If redness is reduced, then most probably you have conjunctivitis. In any case, you should consult an ophthalmologist personally for a checkup, as redness and warmth may mean a lot of things and can be diagnosed better with a thorough examination. Follow up with an eye care ophthalmologist online for further help -->
Q. What is the reason for continuous bleeding with pain in cervix?	Hi doctor, I had recently started getting my periods. I have not had my period for two or three months now. Lately, my cervix started hurting nonstop and would occasionally bleed. This became the reason why I struggled to pee, and when I pee, blood also comes out of my vagina. Right now, I do not know what might have caused it. But I have done a bit of research, since this has been going on for a week now, and I am quite sure it does not have anything to do with my irregular period. Something is wrong. It keeps hurting and earlier today, I could not walk properly due to the intense pain. Also, I tried to stop myself from peeing all day, because the pain gets more intense as I pee. Please help me. I am scared of telling my mom about this. Also, I kind of tried masturbating before. Using various objects for pleasure. I think it may have caused this. I am also really scared of consulting a doctor in real life, for I am pretty embarrassed and I do not know what kind of person they will think I am. I regret everything. I regret not stopping. Please help me.	Hi. You are too small to have a regular cycle. In this early age you are at the beginning of the development of menstrual and reproductive developmental cycle, so can have very irregular and anovulatory cycles. Premenstrual or menstrual syndrome could be more severe. For that, you can have medications even hormonal support as well in the next step if unable to benefit from painkillers or Ibuprofen. Using various objects for pleasure has given you an infection and for that, you need precautions and treatment. Vaginal secretions cannot be sent now as you are menstruating. Have strict hygiene. Wear soft comfortable cotton undergarments. Sitz bath and sit in warm water. Have tablet Doxycycline 100 mg 12 hourly, tablet Metronidazole 400 mg eight hourly for seven days and tablet Postan 500 mg eight hourly as per needed for the pain. If in the coming periods, you feel pain, you can have tablet Postan 500 mg eight hourly for 3 to 5 days as per your need, if unable to get benefit from that, you can have oral combined contraceptive pills for three months.	<s>[INST] Hi doctor, I had recently started getting my periods. I have not had my period for two or three months now. Lately, my cervix started hurting nonstop and would occasionally bleed. This became the reason why I struggled to pee, and when I pee, blood also comes out of my vagina. Right now, I do not know what might have caused it. But I have done a bit of research, since this has been going on for a week now, and I am quite sure it does not have anything to do with my irregular period. Something is wrong. It keeps hurting and earlier today, I could not walk properly due to the intense pain. Also, I tried to stop myself from peeing all day, because the pain gets more intense as I pee. Please help me. I am scared of telling my mom about this. Also, I kind of tried masturbating before. Using various objects for pleasure. I think it may have caused this. I am also really scared of consulting a doctor in real life, for I am pretty embarrassed and I do not know what kind of person they will think I am. I regret everything. I regret not stopping. Please help me. [/INST] Hi. You are too small to have a regular cycle. In this early age you are at the beginning of the development of menstrual and reproductive developmental cycle, so can have very irregular and anovulatory cycles. Premenstrual or menstrual syndrome could be more severe. For that, you can have medications even hormonal support as well in the next step if unable to benefit from painkillers or Ibuprofen. Using various objects for pleasure has given you an infection and for that, you need precautions and treatment. Vaginal secretions cannot be sent now as you are menstruating. Have strict hygiene. Wear soft comfortable cotton undergarments. Sitz bath and sit in warm water. Have tablet Doxycycline 100 mg 12 hourly, tablet Metronidazole 400 mg eight hourly for seven days and tablet Postan 500 mg eight hourly as per needed for the pain. If in the coming periods, you feel pain, you can have tablet Postan 500 mg eight hourly for 3 to 5 days as per your need, if unable to get benefit from that, you can have oral combined contraceptive pills for three months.
Q. Will Nimesulide affect HIV post-exposure prophylaxis treatment?	Hello doctor, I am on a post-exposure prophylaxis. Today is the eighth day. Today I was diagnosed with tonsillitis. The doctor told me to take Nimesulide. Does it make HIV treatment fail? Please, help me.	Hi. It depends upon what drugs you have been given as post-exposure prophylaxis. Nimesulide does have a few drug interactions although not to the extent of causing drug failure. Kindly mention the drugs you are using for PEP.	<s>[INST] Hello doctor, I am on a post-exposure prophylaxis. Today is the eighth day. Today I was diagnosed with tonsillitis. The doctor told me to take Nimesulide. Does it make HIV treatment fail? Please, help me. [/INST] Hi. It depends upon what drugs you have been given as post-exposure prophylaxis. Nimesulide does have a few drug interactions although not to the extent of causing drug failure. Kindly mention the drugs you are using for PEP.
Q. Kindly suggest treatment for fever, severe cough, and running nose in a child.	Hello doctor, My 2 years 10 months old boy is suffering from fever, severe cough, and running nose from the last four days. Then from the last two days, he is having a high-grade temperature like 102, 103 and then started antibiotic from the last two days (Klacid). Fever has not reduced with Paracetamol syrup, so we treated with the help of Voltran suppository. When we give suppository, the temperature will reduce then it again raises after 6 or 7 hours. What can we do?	Hi. This mostly looks like a viral fever. Viral fever usually subsides in up to five days. Also, the X-ray picture is suggestive of mild bronchitis. For a cough and cold, you can give syrup Asthakind (Bromhexine, Menthol) and syrup Sinarest (Paracetamol, Chlorpheniramine maleate) instead of Tripofed (Triprolidine). Please note Cefpodoxime antibiotic should be used instead of Klacid. Also, I would advice please get a CBC and CRP done to find out the amount and type of infection. Please be watchful of lethargy, refusal to feed and respiratory distress.	<s>[INST] Hello doctor, My 2 years 10 months old boy is suffering from fever, severe cough, and running nose from the last four days. Then from the last two days, he is having a high-grade temperature like 102, 103 and then started antibiotic from the last two days (Klacid). Fever has not reduced with Paracetamol syrup, so we treated with the help of Voltran suppository. When we give suppository, the temperature will reduce then it again raises after 6 or 7 hours. What can we do? [/INST] Hi. This mostly looks like a viral fever. Viral fever usually subsides in up to five days. Also, the X-ray picture is suggestive of mild bronchitis. For a cough and cold, you can give syrup Asthakind (Bromhexine, Menthol) and syrup Sinarest (Paracetamol, Chlorpheniramine maleate) instead of Tripofed (Triprolidine). Please note Cefpodoxime antibiotic should be used instead of Klacid. Also, I would advice please get a CBC and CRP done to find out the amount and type of infection. Please be watchful of lethargy, refusal to feed and respiratory distress.
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 -->	<s>[INST] 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 -->	<s>[INST] Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? [/INST] Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->
Q. Please explain the poisonous effect of phenol ingestion.	Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect.	Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.--->	<s>[INST] Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. [/INST] Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.--->
Q. For how long should I take Kalachikai powder to overcome PCOD problem?	Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem?	Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online -->	<s>[INST] Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? [/INST] Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online -->
Q. Why do periods get delayed after first time sex?	Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods?	Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online -->	<s>[INST] Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? [/INST] Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online -->
Q. I did not get my periods with excessive hairfall, weight gain and facial hair growth. Why?	Hello doctor, I did not get my periods for the last one year. Now I got a lot of hair fall, increase in body weight, more hair growth in the face. I have thyroid and when checked before three months it was three times high than the normal. Now I am not able to go to any hospital. Please suggest.	Hi. I want to know your age, height, weight, and medications you are on for thyroid. Review with your reports.	<s>[INST] Hello doctor, I did not get my periods for the last one year. Now I got a lot of hair fall, increase in body weight, more hair growth in the face. I have thyroid and when checked before three months it was three times high than the normal. Now I am not able to go to any hospital. Please suggest. [/INST] Hi. I want to know your age, height, weight, and medications you are on for thyroid. Review with your reports.
Q. How to treat microcytic hypochromic anemia with thrombocytopenia?	Hi doctor, My partner was admitted to the hospital for low platelet count, and she was asymptomatic. They did a blood transfusion and gave corticosteroids. There was no improvement on her platelet level. The doctor suggested me to consult a hematologist. On her recent reports, her platelet count was 42000 platelets per microliter of blood on the automated count, and it was 82000 platelets per microliter of blood on manual. Her report shows the presence of severe microcytic hypochromic anemia with thrombocytopenia. Please help us.	Hi. I have gone through the attachment (attachment removed to protect patient identity). Her platelet count is low in the manual as well as in cell counter. So infective etiology has to be ruled out first. If there is no sign of any infection, then ultrasonography abdomen has to be done to check for liver and spleen enlargement. It is also advisable to investigate with platelet function analysis. If all the reports are regular and if the platelets remain low constantly along with anemia, then bone marrow aspiration study can be done.	<s>[INST] Hi doctor, My partner was admitted to the hospital for low platelet count, and she was asymptomatic. They did a blood transfusion and gave corticosteroids. There was no improvement on her platelet level. The doctor suggested me to consult a hematologist. On her recent reports, her platelet count was 42000 platelets per microliter of blood on the automated count, and it was 82000 platelets per microliter of blood on manual. Her report shows the presence of severe microcytic hypochromic anemia with thrombocytopenia. Please help us. [/INST] Hi. I have gone through the attachment (attachment removed to protect patient identity). Her platelet count is low in the manual as well as in cell counter. So infective etiology has to be ruled out first. If there is no sign of any infection, then ultrasonography abdomen has to be done to check for liver and spleen enlargement. It is also advisable to investigate with platelet function analysis. If all the reports are regular and if the platelets remain low constantly along with anemia, then bone marrow aspiration study can be done.
Q. I am not getting good sleep even after taking medicines. What can I do?	Hi doctor, I am not getting good sleep. I have stress, mental pain, irritation, agony, and bullshit thinking. I am diabetic, and I need a rest for a few days. I am taking Amixide, Mirtaz 30 mg, Lonazep MD 0.25 mg, Teneligliptin 1000, Zoryl MV 2, Rejuveron active, and Sunvit gold. After taking these tablets also, I am not getting strength and sleep. Please prescribe me some medicine and help me.	Hi. Along with medicines, you need to maintain sleep hygiene. Sleep hygiene includes fixing a time for going to bed and getting out of the bed at a set time after sleeping. Go for a regular morning walk for 35 minutes and follow it five times a week. Do some deep breathing exercise or Jacobson progressive muscle relaxation exercise. You can practice it, and if you feel some difficulty even after following these steps, then you can consult a doctor nearby. Also, you can ask your psychiatrist for changing the medicine or add Quetiapine 50 mg which can help you to get good sleep as well as for anxiety too.	<s>[INST] Hi doctor, I am not getting good sleep. I have stress, mental pain, irritation, agony, and bullshit thinking. I am diabetic, and I need a rest for a few days. I am taking Amixide, Mirtaz 30 mg, Lonazep MD 0.25 mg, Teneligliptin 1000, Zoryl MV 2, Rejuveron active, and Sunvit gold. After taking these tablets also, I am not getting strength and sleep. Please prescribe me some medicine and help me. [/INST] Hi. Along with medicines, you need to maintain sleep hygiene. Sleep hygiene includes fixing a time for going to bed and getting out of the bed at a set time after sleeping. Go for a regular morning walk for 35 minutes and follow it five times a week. Do some deep breathing exercise or Jacobson progressive muscle relaxation exercise. You can practice it, and if you feel some difficulty even after following these steps, then you can consult a doctor nearby. Also, you can ask your psychiatrist for changing the medicine or add Quetiapine 50 mg which can help you to get good sleep as well as for anxiety too.
Q. Will antifungal treatment cure dandruff and hair loss?	Hello doctor, I have attached a test report for fungal overgrowth. Can you please look at the report and let me know if you suggest an antifungal treatment? I also have a lot of dandruff in my head and hair loss.	Hi. I have seen your report and have found a fungal growth. Before going to suggest you the treatment, I would like to know some more things. Send me the following details. Your occupation, what specimen you submitted, what is your clinical complaint, how long you are suffering from the present complaint, treatment history, any additional complaint.	<s>[INST] Hello doctor, I have attached a test report for fungal overgrowth. Can you please look at the report and let me know if you suggest an antifungal treatment? I also have a lot of dandruff in my head and hair loss. [/INST] Hi. I have seen your report and have found a fungal growth. Before going to suggest you the treatment, I would like to know some more things. Send me the following details. Your occupation, what specimen you submitted, what is your clinical complaint, how long you are suffering from the present complaint, treatment history, any additional complaint.
Q. Is it possible to have a baby after hernia treatment?	Hello doctor, I had a hernia last time and now it is treated. I am fine now. My question is that can I still produce a baby?	Hello. A hernia is a term used to describe any abnormal protrusion of any organ (most commonly bowel) from the cavity that covers the organ. First of all, what do you mean by a hernia? A hernia can be inguinal or femoral or hiatal, obturator, etc. You have not described the site of the hernia. But you are worried regarding your sexual function, so I am guessing you had an inguinal hernia with extension into the scrotal sac. Rest assured, if the hernia has been repaired properly by an experienced surgeon, it can never affect your reproductive health.	<s>[INST] Hello doctor, I had a hernia last time and now it is treated. I am fine now. My question is that can I still produce a baby? [/INST] Hello. A hernia is a term used to describe any abnormal protrusion of any organ (most commonly bowel) from the cavity that covers the organ. First of all, what do you mean by a hernia? A hernia can be inguinal or femoral or hiatal, obturator, etc. You have not described the site of the hernia. But you are worried regarding your sexual function, so I am guessing you had an inguinal hernia with extension into the scrotal sac. Rest assured, if the hernia has been repaired properly by an experienced surgeon, it can never affect your reproductive health.
Q. Is it possible to cure receding jaw by changing eating habits?	Hello doctor, I am a young teenager who has a receding jaw and I am wondering if changing my eating habits might relocate my lower jaw. I used to have poor eating habits. I ate too fast and I did not chew much. My older brother's jaw is fine. Will changing my eating habits cure my jaw?	Hi. I have gone through your question. I can understand your concern. You need to check if you chew one side or use both sides equally. Second what you think is jaw receding, sometimes it is a malocclusion which is associated with jaw disorientation. If your lower jaw is looking small or your teeth are placed backwardly, it will be checked only if you upload a picture of your jaw. No, there is no relationship between the chewing or eating habits that will precipitate at this age. I think you are having skeletal malocclusion or maxillary prognathism.	<s>[INST] Hello doctor, I am a young teenager who has a receding jaw and I am wondering if changing my eating habits might relocate my lower jaw. I used to have poor eating habits. I ate too fast and I did not chew much. My older brother's jaw is fine. Will changing my eating habits cure my jaw? [/INST] Hi. I have gone through your question. I can understand your concern. You need to check if you chew one side or use both sides equally. Second what you think is jaw receding, sometimes it is a malocclusion which is associated with jaw disorientation. If your lower jaw is looking small or your teeth are placed backwardly, it will be checked only if you upload a picture of your jaw. No, there is no relationship between the chewing or eating habits that will precipitate at this age. I think you are having skeletal malocclusion or maxillary prognathism.
Q. I have oily face. What can I do to manage it?	Hi doctor, I am 32 years old. I have oily skin on my face. I need a treatment for oily skin. I want medicine or cream to reduce the problem.	Hi. You have not mentioned the duration of the problem. I am giving a simple step, but it is beneficial. Take 10 grams of besan atta and add 3 grams of turmeric powder. Mix it properly and prepare it as a paste with warm water. Now apply it on the face and keep it for one hour. Do this in the morning and evening. After cleaning the face, apply Boroline cream (Boric acid with Zinc oxide). Consume Triphala churna 5 grams at bedtime with warm water daily. Continue these steps for three weeks and revert me.	<s>[INST] Hi doctor, I am 32 years old. I have oily skin on my face. I need a treatment for oily skin. I want medicine or cream to reduce the problem. [/INST] Hi. You have not mentioned the duration of the problem. I am giving a simple step, but it is beneficial. Take 10 grams of besan atta and add 3 grams of turmeric powder. Mix it properly and prepare it as a paste with warm water. Now apply it on the face and keep it for one hour. Do this in the morning and evening. After cleaning the face, apply Boroline cream (Boric acid with Zinc oxide). Consume Triphala churna 5 grams at bedtime with warm water daily. Continue these steps for three weeks and revert me.
Q. What can be done for Eisenmenger syndrome and severe pulmonary hypertension?	Hello doctor,I have Eisenmenger syndrome and severe pulmonary hypertension. Please advise.	Hi. The lesions in Eisenmenger syndrome, such as large septal defects, are characterized by high pulmonary pressure and/or a high pulmonary flow state. Development of the syndrome represents a point at which pulmonary hypertension is irreversible and is an indication that the cardiac lesion is likely inoperable. The cardiac arrhythmias and sudden cardiac death are important late complications of this syndrome. Conservative management with medications and/or lung and cardiac transplantation are therapeutic approaches that can offer quality-of-life improvement.	<s>[INST] Hello doctor,I have Eisenmenger syndrome and severe pulmonary hypertension. Please advise. [/INST] Hi. The lesions in Eisenmenger syndrome, such as large septal defects, are characterized by high pulmonary pressure and/or a high pulmonary flow state. Development of the syndrome represents a point at which pulmonary hypertension is irreversible and is an indication that the cardiac lesion is likely inoperable. The cardiac arrhythmias and sudden cardiac death are important late complications of this syndrome. Conservative management with medications and/or lung and cardiac transplantation are therapeutic approaches that can offer quality-of-life improvement.
Q. What is the difference between IntraLasik and Contoura Lasik technology?	Hi doctor, What is the difference between IntraLasik and Contoura Lasik?	Hi. IntraLasik is a method in which the corneal flap is taken by laser. In regular Lasik, the corneal flap is taken by a mechanical device which has a metal blade. The rest of the procedures are the same. Contoura vision is a personalized Lasik in which the laser correction is done according to the size and specifications of the individual's eye. It is something like getting a shirt specially stitched to the individual's size, whereas regular Lasik is like buying a ready-made shirt.	<s>[INST] Hi doctor, What is the difference between IntraLasik and Contoura Lasik? [/INST] Hi. IntraLasik is a method in which the corneal flap is taken by laser. In regular Lasik, the corneal flap is taken by a mechanical device which has a metal blade. The rest of the procedures are the same. Contoura vision is a personalized Lasik in which the laser correction is done according to the size and specifications of the individual's eye. It is something like getting a shirt specially stitched to the individual's size, whereas regular Lasik is like buying a ready-made shirt.
Q. Why am I having tingling sensation in hand?	Hello doctor, Today, my hand is tingly off and on. It is my entire hand, but it especially seems to affect my pinky finger. My other hand does not have this issue, and it does not affect any other part of my body. The tingling feeling has come and gone for two hours. Is there any way for me to tell if it is serious or not?	Hello. I went through your post. Tingling sensation in any part is due to nerve irritation supplying the area. In case of hand, it can be due to cervical spondylosis or due to CTS (carpal tunnel syndrome). However, none is serious and can be managed easily. So, no need to worry. You should check your vitamin D level and B12 level. These deficiencies can also cause tingling.	<s>[INST] Hello doctor, Today, my hand is tingly off and on. It is my entire hand, but it especially seems to affect my pinky finger. My other hand does not have this issue, and it does not affect any other part of my body. The tingling feeling has come and gone for two hours. Is there any way for me to tell if it is serious or not? [/INST] Hello. I went through your post. Tingling sensation in any part is due to nerve irritation supplying the area. In case of hand, it can be due to cervical spondylosis or due to CTS (carpal tunnel syndrome). However, none is serious and can be managed easily. So, no need to worry. You should check your vitamin D level and B12 level. These deficiencies can also cause tingling.
Q. My daughter suffered from dengue. Is she fit to travel?	Hello doctor, My 9 year old daughter suffered from dengue. Her platelet count is 1,95,000. We are going for a family function away from our home town. The journey is about nine hours by train. She does not have a fever or any other symptoms. Is she fit to travel?	Hello. Please get her examined thoroughly from the treating doctor before proceeding with the journey. Make sure you carry all the important and necessary medications with you while traveling. Do not give her any outside food. Protect and prevent her from cross infections/dust etc. Keep her mouth and nose covered with a face mask. Make her wear full sleeved protective clothing. Use mosquito repellant repeatedly to avoid contact with mosquitoes.	<s>[INST] Hello doctor, My 9 year old daughter suffered from dengue. Her platelet count is 1,95,000. We are going for a family function away from our home town. The journey is about nine hours by train. She does not have a fever or any other symptoms. Is she fit to travel? [/INST] Hello. Please get her examined thoroughly from the treating doctor before proceeding with the journey. Make sure you carry all the important and necessary medications with you while traveling. Do not give her any outside food. Protect and prevent her from cross infections/dust etc. Keep her mouth and nose covered with a face mask. Make her wear full sleeved protective clothing. Use mosquito repellant repeatedly to avoid contact with mosquitoes.
Q. I am on medication after angioplasty with fluctuating BP. How to control it?	Hello doctor, I have had an angioplasty. Now I am taking Nebicard SM and Rosuvagold 20 one each daily. And I am also taking ginger, lemon, honey, and apple cider vineger solution two teaspoons daily and giloy daily. I am observing that my BP is fluctuating. What should I do?	Hello. BP (blood pressure) and pulse are not constant parameters and are ever-changing. So it is entirely normal for them to show variations. We just have to watch that they are not crossing their limits. For systolic BP, 110 to 140 and for diastolic BP 60 to 90 is fine. And the resting pulse rate between 50 to 90 is appropriate for you. So, readings anywhere in between are fine. Also, BP fluctuations nowadays are more commonly seen due to the use of electronic BP apparatus, which are over-sensitive and cause variations. If you are using an electronic BP apparatus, then you should take three readings at a time with arm resting on the table and completely relaxed. And two matching readings are approximate BP of yours. However, if most of the BP readings are above or below this range then needs dose change, so let me know the details of your readings. You should make a chart of it by taking readings frequently, say three times a day (and each time three readings to know the average) for a week period. I hope this helps you.	<s>[INST] Hello doctor, I have had an angioplasty. Now I am taking Nebicard SM and Rosuvagold 20 one each daily. And I am also taking ginger, lemon, honey, and apple cider vineger solution two teaspoons daily and giloy daily. I am observing that my BP is fluctuating. What should I do? [/INST] Hello. BP (blood pressure) and pulse are not constant parameters and are ever-changing. So it is entirely normal for them to show variations. We just have to watch that they are not crossing their limits. For systolic BP, 110 to 140 and for diastolic BP 60 to 90 is fine. And the resting pulse rate between 50 to 90 is appropriate for you. So, readings anywhere in between are fine. Also, BP fluctuations nowadays are more commonly seen due to the use of electronic BP apparatus, which are over-sensitive and cause variations. If you are using an electronic BP apparatus, then you should take three readings at a time with arm resting on the table and completely relaxed. And two matching readings are approximate BP of yours. However, if most of the BP readings are above or below this range then needs dose change, so let me know the details of your readings. You should make a chart of it by taking readings frequently, say three times a day (and each time three readings to know the average) for a week period. I hope this helps 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 -->	<s>[INST] 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 -->