Description
stringlengths 1
1.5k
| Patient
stringlengths 1
17.7k
| Doctor
stringlengths 2
11.4k
| text
stringlengths 77
18.8k
|
|---|---|---|---|
Q. What is the painless sore developed over a healed sore on my tongue? | Hi doctor, Before five weeks, I had a sore developed on my tongue. It was white and painless. I consulted an ENT specialist, and he gave me some medicines for cold sores. After that, it turned red and large with a slight crack on the tongue. Now, it has healed, and I have another sore developed over it. It is small and painless. It has white circles and a red center. What could it be? Please suggest. | Hi. Please send a picture of the lesion so that I can guide you further and I can provide you with a diagnosis. |
<s>[INST]
Hi doctor, Before five weeks, I had a sore developed on my tongue. It was white and painless. I consulted an ENT specialist, and he gave me some medicines for cold sores. After that, it turned red and large with a slight crack on the tongue. Now, it has healed, and I have another sore developed over it. It is small and painless. It has white circles and a red center. What could it be? Please suggest. [/INST] Hi. Please send a picture of the lesion so that I can guide you further and I can provide you with a diagnosis. |
Q. Kindly review my CBC test results and tell whether I have blood cancer. | Hello doctor, I am 22 years old female, weight 52 kg, height 5'4". I have randomly done my CBC, WBC is 11800 cells/cumm but my differential count is normal, hemoglobin is 13.8 g /dL. RBC is 4.64 mill/cumm (normocytic normochromic) platelets are 2.73 lakhs/cumm. Do I have blood cancer? I am in depression for two months, visited eight doctors regarding this and I feel I have symptoms of it after googling about leukemia. However, I used to do an excessive workout for one and a half hour and now, have stopped going to the gym. I feel I have knee pain and no health issues earlier. | Hello. No, it is not leukemia. Mild elevation of WBC is seen in infection, may be symptomatic or asymptomatic, or sometimes this is normal for some individuals. So, there is no indication of leukemia in this report (attachment removed to protect patient identity). In leukemia, the count is much higher say, 40 to 50 thousand. Also, other symptoms of leukemia should be present like fever, weight loss, lumps in axilla or groin (large). So, you should get it repeated once to look for normalization of the count. |
<s>[INST]
Hello doctor, I am 22 years old female, weight 52 kg, height 5'4". I have randomly done my CBC, WBC is 11800 cells/cumm but my differential count is normal, hemoglobin is 13.8 g /dL. RBC is 4.64 mill/cumm (normocytic normochromic) platelets are 2.73 lakhs/cumm. Do I have blood cancer? I am in depression for two months, visited eight doctors regarding this and I feel I have symptoms of it after googling about leukemia. However, I used to do an excessive workout for one and a half hour and now, have stopped going to the gym. I feel I have knee pain and no health issues earlier. [/INST] Hello. No, it is not leukemia. Mild elevation of WBC is seen in infection, may be symptomatic or asymptomatic, or sometimes this is normal for some individuals. So, there is no indication of leukemia in this report (attachment removed to protect patient identity). In leukemia, the count is much higher say, 40 to 50 thousand. Also, other symptoms of leukemia should be present like fever, weight loss, lumps in axilla or groin (large). So, you should get it repeated once to look for normalization of the count. |
Q. I have vomiting in the early morning. Why? | Hi doctor, I am having vomiting in the early morning. I consulted a doctor, and the doctor told that it is due to allergy. I want to know the reason for having vomiting. Please suggest. | Hi. Vomiting can occur due to allergy. Causes of vomiting are extensive. It can also happen due to gastritis. If you are having hyperacidity and indigestion, then you can have frequent vomiting. I suggest you take PPI (proton pump inhibitor) with Domperidone combination like Nexpro-RD capsule (Domperidone with Esomeprazole) in the morning in empty stomach. When your symptoms get reduced, you can do an upper gastrointestinal endoscopy to know the cause for vomiting. Avoid having an empty stomach for a prolonged period and avoid taking water immediately after taking food during lunch and dinner. |
<s>[INST]
Hi doctor, I am having vomiting in the early morning. I consulted a doctor, and the doctor told that it is due to allergy. I want to know the reason for having vomiting. Please suggest. [/INST] Hi. Vomiting can occur due to allergy. Causes of vomiting are extensive. It can also happen due to gastritis. If you are having hyperacidity and indigestion, then you can have frequent vomiting. I suggest you take PPI (proton pump inhibitor) with Domperidone combination like Nexpro-RD capsule (Domperidone with Esomeprazole) in the morning in empty stomach. When your symptoms get reduced, you can do an upper gastrointestinal endoscopy to know the cause for vomiting. Avoid having an empty stomach for a prolonged period and avoid taking water immediately after taking food during lunch and dinner. |
Q. Is Ovral G an emergency contraceptive pill? | Hello doctor, I am 35 years old. My period was a month back. It sustained for four days. I generally use 3 to 4 pads in my periods. I had sex 10 days later. On the very next day, I had two Ovral G at around 9 AM and there after 12 hours again two Ovral G tablets. I noticed my period 12 days later, though it lasted for four days, the period was less and usually, my period happens four days earlier. In this month, it was six days earlier. I did hCG beta blood test. I am sending you the report. Can I be pregnant or conceive? Please advise because I want to abort. I am an unmarried woman. Can the blood test be wrong? What laboratory test I should do to get to know whether the fetus is there beyond uterus (ectopic pregnancy) as I m 35+. When should I go for ultrasound vagina testing to get the true picture? After that I did not have any sex, so then again can I be pregnant and that could not be detected now and can be detected on later? | Hi. The test result is <0.10 (attachment removed to protect patient identity) which means it is negative and you are not pregnant and your period was six days early this time. nothing else. Do not worry much. And if you still have doubt then do urine pregnancy test weekly for two weeks and if negative then there is no chance of pregnancy. Negative means a single line and positive means double line. You have to see the result within five minutes. No need to go for an ultrasound now. Do drink more water and be happy. There is no pregnancy as Ovral G (Norgestrel and Ethinylestradiol) has worked this time. |
<s>[INST]
Hello doctor, I am 35 years old. My period was a month back. It sustained for four days. I generally use 3 to 4 pads in my periods. I had sex 10 days later. On the very next day, I had two Ovral G at around 9 AM and there after 12 hours again two Ovral G tablets. I noticed my period 12 days later, though it lasted for four days, the period was less and usually, my period happens four days earlier. In this month, it was six days earlier. I did hCG beta blood test. I am sending you the report. Can I be pregnant or conceive? Please advise because I want to abort. I am an unmarried woman. Can the blood test be wrong? What laboratory test I should do to get to know whether the fetus is there beyond uterus (ectopic pregnancy) as I m 35+. When should I go for ultrasound vagina testing to get the true picture? After that I did not have any sex, so then again can I be pregnant and that could not be detected now and can be detected on later? [/INST] Hi. The test result is <0.10 (attachment removed to protect patient identity) which means it is negative and you are not pregnant and your period was six days early this time. nothing else. Do not worry much. And if you still have doubt then do urine pregnancy test weekly for two weeks and if negative then there is no chance of pregnancy. Negative means a single line and positive means double line. You have to see the result within five minutes. No need to go for an ultrasound now. Do drink more water and be happy. There is no pregnancy as Ovral G (Norgestrel and Ethinylestradiol) has worked this time. |
Q. I have a small dark spot on my thigh with anxiety and OCD. Is it melanoma? | Hello doctor, I found a very small dark spot on my thigh today. To the best of my recollection, I have never seen it before. Now, of course, I am thinking the worse and believe I have melanoma. I am olive-skinned. I have never had an issue with moles or dark spots before. My mom had a pre-cancerous growth removed from her face years ago and she is fine. She goes to her check-ups and applies sunscreen all the time. When I was a kid, I never saw my mom applying sunscreen. It was the 70's and it was just something we did not do. She just turned 76. I attached a photo. I am sure you will think it is something that should be looked at and so do I. I am going to make an appointment with a dermatologist. But I also suffer from health anxiety, depression and OCD so I am convinced it is melanoma and I am feeling very depressed right now. | Hello. I have seen the pictures (attachment removed to protect patient identity). No, it is not melanoma. It is a normal nevus (benign). For your confirmation, you can go for an excisional biopsy of the lesion. Histopathology reports will confirm that the lesion is benign or malignant. Do not worry it is normal nevus due to melanosis (increase in melanin pigment). |
<s>[INST]
Hello doctor, I found a very small dark spot on my thigh today. To the best of my recollection, I have never seen it before. Now, of course, I am thinking the worse and believe I have melanoma. I am olive-skinned. I have never had an issue with moles or dark spots before. My mom had a pre-cancerous growth removed from her face years ago and she is fine. She goes to her check-ups and applies sunscreen all the time. When I was a kid, I never saw my mom applying sunscreen. It was the 70's and it was just something we did not do. She just turned 76. I attached a photo. I am sure you will think it is something that should be looked at and so do I. I am going to make an appointment with a dermatologist. But I also suffer from health anxiety, depression and OCD so I am convinced it is melanoma and I am feeling very depressed right now. [/INST] Hello. I have seen the pictures (attachment removed to protect patient identity). No, it is not melanoma. It is a normal nevus (benign). For your confirmation, you can go for an excisional biopsy of the lesion. Histopathology reports will confirm that the lesion is benign or malignant. Do not worry it is normal nevus due to melanosis (increase in melanin pigment). |
Q. The left side of TMJ is getting inflamed and is pushing on the inside of my ear. What to do? | I have TMJ disorder and I was wondering if there was anything I could do about the left side TMJ getting inflamed besides just letting it be and relax, as it is pushing on the inside of my ear. I can feel/hear it making a crackling wet noise when I push my jaw forward, or a painful pushing feeling inside my ear when I clench my teeth. It started yesterday and is better now that I've slept and it's relaxed, but it's still bothering me and the crackling/pushing is still there. | Hi! For a TMJ dysfunction you can consider the following advice Spasm in the muscles around the joint can be the reason for this probable dysfunction. It will take around 4 weeks for the muscle to get back to normal but chiefly depends on how much precautionary measures (mentioned above) you have followed. I hope I have answered your query. If there is anything that I can help, please do le me know. Get well soon! Warm regards! |
<s>[INST]
I have TMJ disorder and I was wondering if there was anything I could do about the left side TMJ getting inflamed besides just letting it be and relax, as it is pushing on the inside of my ear. I can feel/hear it making a crackling wet noise when I push my jaw forward, or a painful pushing feeling inside my ear when I clench my teeth. It started yesterday and is better now that I've slept and it's relaxed, but it's still bothering me and the crackling/pushing is still there. [/INST] Hi! For a TMJ dysfunction you can consider the following advice Spasm in the muscles around the joint can be the reason for this probable dysfunction. It will take around 4 weeks for the muscle to get back to normal but chiefly depends on how much precautionary measures (mentioned above) you have followed. I hope I have answered your query. If there is anything that I can help, please do le me know. Get well soon! Warm regards! |
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. What does my blood test report indicate? | Hello doctor, I did a blood test. Kindly evaluate it and give advice. | Hi. Your laboratory test is fine (attachment removed to protect patient identity) but you have your liver enzymes a bit over the limit of normality. The most common cause for this alteration is fatty liver. The less expensive way to know this for sure is doing a liver ultrasound. If it is the first time you have this results, the most recommendable thing to do is to take new liver function test (including gamma-glutamyl transferase) in six months. Meanwhile, you should improve your diet (less simple carbohydrates, more natural fats) and exercise at least 30 minutes a day five days a week. The metabolic syndrome includes the following. Large waist circumference, a waistline that measures at least 35 inches (89 centimeters) for women and 40 inches (102 centimeters) for men. High triglyceride level 150 milligrams per deciliter (mg/dL), or 1.7 millimoles per liter (mmol/L), or higher of this type of fat found in blood. Reduced high-density lipoprotein (HDL) cholesterol less than 50 mg/dL (1.3 mmol/L) in women. Increased blood pressure 130/85 millimeters of mercury (mm Hg) or higher. Elevated fasting blood sugar 100 mg/dL (5.6 mmol/L) or higher. So you should check on these other points, too. The rest of your lab tests are normal. Kidney function is fine, uric acid is fine. |
<s>[INST]
Hello doctor, I did a blood test. Kindly evaluate it and give advice. [/INST] Hi. Your laboratory test is fine (attachment removed to protect patient identity) but you have your liver enzymes a bit over the limit of normality. The most common cause for this alteration is fatty liver. The less expensive way to know this for sure is doing a liver ultrasound. If it is the first time you have this results, the most recommendable thing to do is to take new liver function test (including gamma-glutamyl transferase) in six months. Meanwhile, you should improve your diet (less simple carbohydrates, more natural fats) and exercise at least 30 minutes a day five days a week. The metabolic syndrome includes the following. Large waist circumference, a waistline that measures at least 35 inches (89 centimeters) for women and 40 inches (102 centimeters) for men. High triglyceride level 150 milligrams per deciliter (mg/dL), or 1.7 millimoles per liter (mmol/L), or higher of this type of fat found in blood. Reduced high-density lipoprotein (HDL) cholesterol less than 50 mg/dL (1.3 mmol/L) in women. Increased blood pressure 130/85 millimeters of mercury (mm Hg) or higher. Elevated fasting blood sugar 100 mg/dL (5.6 mmol/L) or higher. So you should check on these other points, too. The rest of your lab tests are normal. Kidney function is fine, uric acid is fine. |
Q. A bit of molar tooth fell out from my mouth while taking food. What can I do now? | Hi doctor, I ate my dinner yesterday, and a bit of my molar tooth fell out from my mouth. I do not know whether it is a filling or an actual tooth. Around the area, I also had a lot of solid white bumps sticking out of the tooth. It looked like plaques. I am scared of dentists. I do not know what to do. Please help me. | Hi. It can be a fractured crown of the tooth due to a cavity. You should get an X-ray done to know whether it needs root canal treatment or it needs a simple filling. Please send a picture of it to guide you further and to make a diagnosis. It is better to get it filled as soon as possible. Do not be afraid of dentists. |
<s>[INST]
Hi doctor, I ate my dinner yesterday, and a bit of my molar tooth fell out from my mouth. I do not know whether it is a filling or an actual tooth. Around the area, I also had a lot of solid white bumps sticking out of the tooth. It looked like plaques. I am scared of dentists. I do not know what to do. Please help me. [/INST] Hi. It can be a fractured crown of the tooth due to a cavity. You should get an X-ray done to know whether it needs root canal treatment or it needs a simple filling. Please send a picture of it to guide you further and to make a diagnosis. It is better to get it filled as soon as possible. Do not be afraid of dentists. |
Q. Other than specs, is there any option available to correct my cylindrical eye power? | Hi doctor, I have done an eye test recently, and I found that I need a cylindrical correction too. Earlier I used spectacles only with spherical correction. My test results show 6/18, -1.25 DC × 95, 6/6 and 6/9, -0.25/-0.75 × 75, 6/6. I would like to know whether my eye power is too weak. Is there any other way available to correct cylindrical power? | Hi. The cylinder power is low, and there is nothing to worry. As there is astigmatism, the glasses have to be worn at all times. You do not need to wear glasses if you do not have symptoms like eyestrain or a headache. But if you have eyestrain and headache, you need to wear glasses. The power is low, so surgical treatment is not necessary. Contact lenses work very well, but for astigmatism, there will be mild discomfort in contact lens users. For a cosmetic concern, contact lenses can be worn after a proper fit. |
<s>[INST]
Hi doctor, I have done an eye test recently, and I found that I need a cylindrical correction too. Earlier I used spectacles only with spherical correction. My test results show 6/18, -1.25 DC × 95, 6/6 and 6/9, -0.25/-0.75 × 75, 6/6. I would like to know whether my eye power is too weak. Is there any other way available to correct cylindrical power? [/INST] Hi. The cylinder power is low, and there is nothing to worry. As there is astigmatism, the glasses have to be worn at all times. You do not need to wear glasses if you do not have symptoms like eyestrain or a headache. But if you have eyestrain and headache, you need to wear glasses. The power is low, so surgical treatment is not necessary. Contact lenses work very well, but for astigmatism, there will be mild discomfort in contact lens users. For a cosmetic concern, contact lenses can be worn after a proper fit. |
Q. What is the reason for numbness below my knee and toe? | Hi doctor, I have lower back pain on and off from last two years. Two weeks before I got severe pain in my right leg. I was unable to move my leg. Physiotherapist suggested taking bed rest for four days. My trauma and orthopedic doctor asked me to do surgery if I was unable to tolerate pain. After four days, the pain in the leg and lower back pain were gone and I got mild numbness below my knee (back side of my right leg) and thumb finger of my toe. Physiotherapist asked me to do some exercise regularly and it will be cured automatically. Please advice. Do I need to consult a neurologist for numbness? | Hello. Basically, it is a nerve pain due to compression at your lumbar spine. Usually, 90 to 95 % of patients respond to conservative management. Only 5 % of patients require surgery. The ailment basically you have has waxing and waning course. A few days back you had pain and now no pain. The treatment of this has two parts. First is the treatment of your current pain or numbness and the second part is to prevent pain to appear again. Kindly answer these questions for me to decide the management. How much is your back pain now? How much distance you are able to walk comfortably? Is there any problem in urination like increased frequency or straining while urination? Are you able to walk on your toes and heels? Is there any numbness in the perineal region? |
<s>[INST]
Hi doctor, I have lower back pain on and off from last two years. Two weeks before I got severe pain in my right leg. I was unable to move my leg. Physiotherapist suggested taking bed rest for four days. My trauma and orthopedic doctor asked me to do surgery if I was unable to tolerate pain. After four days, the pain in the leg and lower back pain were gone and I got mild numbness below my knee (back side of my right leg) and thumb finger of my toe. Physiotherapist asked me to do some exercise regularly and it will be cured automatically. Please advice. Do I need to consult a neurologist for numbness? [/INST] Hello. Basically, it is a nerve pain due to compression at your lumbar spine. Usually, 90 to 95 % of patients respond to conservative management. Only 5 % of patients require surgery. The ailment basically you have has waxing and waning course. A few days back you had pain and now no pain. The treatment of this has two parts. First is the treatment of your current pain or numbness and the second part is to prevent pain to appear again. Kindly answer these questions for me to decide the management. How much is your back pain now? How much distance you are able to walk comfortably? Is there any problem in urination like increased frequency or straining while urination? Are you able to walk on your toes and heels? Is there any numbness in the perineal region? |
Q. What is the reason for the feeling of windpipe compression in a pregnant patient? | Hello doctor, I have had some problems with swallowing for about a year. At first, it was happening with solid food and only from time to time. Then it started to appear more often. I have seen GP about that and they advised me to see a psychologist in case it was due to anxiety because it was not happening all the time. I have seen a psychologist for 10 sessions and he said I do not have more anxiety as other normal people out there and advised to search the solution of my problem in my physical health. My GP did not see anything major and did not give me a referral to any specialist. I have seen a dentist and he commented, I have dry mouth, but we did not go further from it. After six months, I started to have problems with swallowing saliva. I have been in the hospital due to very high pulse for an unknown reason. They did a CT scan of my chest and said they have seen some mass in the neck and advised to see an endocrinologist in case it is a multi-nodular goiter. I have seen an endocrinologist and had an ultrasound. All was good with thyroid. I also was checked for Sjogren syndrome and rheumatoid arthritis. I do not have them. I discovered a lumpish mass in my neck, under the right jaw. Endocrinologist touched the lump and commented it may be something wrong with the salivary gland. I noticed that the color inside of my cheeks and roof of my mouth changed to yellowish, and my palate was whitish. I do not have any soreness, just a bit of feeling that soft palate and tongue are a bit swollen. I have seen a few GPs about that, they all said I am fine. Only one GP said it can be laryngitis and the lump is swollen lymph node so they prescribed me antibiotics. I did not have any reaction. Then, they gave me Erythromycin 400 mg four times a day for two weeks. I noticed lump got a bit smaller but that was it, the color in my mouth did not get back to its pale pinkish normal color. I also had an ultrasound of soft tissue, they said I do not have lymphadenitis and did not say anything about salivary gland. Yesterday, I noticed at the end of the day blood vessels under my tongue got swollen and looked blackish. I thought maybe it is because of my blood thinner. In the morning it looked normal, but today the same happened. I am four months pregnant at the moment and doctors do not want to give me any referrals to specialists. I was asking about a referral to ENT, but they said all procedures are going to be invasive and you do not want to have any problems with your baby. I have a feeling that something is compressing my windpipe and at night, I wake up coughing as I am not able to breathe. I have also got some tickling in my throat so have to cough often and my voice is hoarse and gets tired quickly. My main concern is if it is something serious and will those problems harm the baby in any way? | Hello. We are happy to help you. I understand your situation and the worries the problem might be causing to you, that too when you are pregnant. With the symptoms you have described, and with the doctor's repeated reassurances to you, I feel there may not be any super significant physical finding that they might have missed. That being said, there is nothing wrong in getting a proper specialist referral from the GP. I do not understand why the GP is reluctant to do that. If you were to come to me, I will do a nasal endoscopy in OPD (office) and do a flexible fiberoptics laryngoscopy also in the office. These two require no special medication except for decongestion of the nose and local spray into throat and passing of endoscopes. These will rule out sinusitis, DNS (deviated nasal septum), nasal disease and also laryngeal problems, say growth, vocal cord changes, movement of vocal cords, pyriform fossae, etc. I do not anticipate anything in these areas, but these two tests will conclusively rule out any issue there. Maximum what I expect is some allergy and allergic post nasal drip. This will get alright with some nasal sprays which will not get absorbed into the bloodstream and will not cause any issue to the baby. Looking at the pictures (attachment removed to protect patient identity), regarding the undersurface, it Is normal to have that color. The veins underneath look so. The color of the palate and posterior pharyngeal wall do appear mild pale and bluish. We need to rule out anemia in you and also allergy. Allergy and nasal discharge and post nasal drip can cause these discolorations. Reflux can also be spotted in laryngoscopy, however, the Ranitidine should solve the matter nevertheless. What I want to know is the exact duration and chronology of all your problems. How many weeks pregnant are you? Has hemoglobin been checked? Are your scans normal? Why the Aspirin and blood thinner? Can you show me the relevant prescription? Any past history of sinus disease or nose block or post nasal drip or allergy? Sneezing, running nose, reduced sense of smell, itching, watering of eyes, etc.? Do revert back to me with relevant details. You should feel better soon. Do not worry. |
<s>[INST]
Hello doctor, I have had some problems with swallowing for about a year. At first, it was happening with solid food and only from time to time. Then it started to appear more often. I have seen GP about that and they advised me to see a psychologist in case it was due to anxiety because it was not happening all the time. I have seen a psychologist for 10 sessions and he said I do not have more anxiety as other normal people out there and advised to search the solution of my problem in my physical health. My GP did not see anything major and did not give me a referral to any specialist. I have seen a dentist and he commented, I have dry mouth, but we did not go further from it. After six months, I started to have problems with swallowing saliva. I have been in the hospital due to very high pulse for an unknown reason. They did a CT scan of my chest and said they have seen some mass in the neck and advised to see an endocrinologist in case it is a multi-nodular goiter. I have seen an endocrinologist and had an ultrasound. All was good with thyroid. I also was checked for Sjogren syndrome and rheumatoid arthritis. I do not have them. I discovered a lumpish mass in my neck, under the right jaw. Endocrinologist touched the lump and commented it may be something wrong with the salivary gland. I noticed that the color inside of my cheeks and roof of my mouth changed to yellowish, and my palate was whitish. I do not have any soreness, just a bit of feeling that soft palate and tongue are a bit swollen. I have seen a few GPs about that, they all said I am fine. Only one GP said it can be laryngitis and the lump is swollen lymph node so they prescribed me antibiotics. I did not have any reaction. Then, they gave me Erythromycin 400 mg four times a day for two weeks. I noticed lump got a bit smaller but that was it, the color in my mouth did not get back to its pale pinkish normal color. I also had an ultrasound of soft tissue, they said I do not have lymphadenitis and did not say anything about salivary gland. Yesterday, I noticed at the end of the day blood vessels under my tongue got swollen and looked blackish. I thought maybe it is because of my blood thinner. In the morning it looked normal, but today the same happened. I am four months pregnant at the moment and doctors do not want to give me any referrals to specialists. I was asking about a referral to ENT, but they said all procedures are going to be invasive and you do not want to have any problems with your baby. I have a feeling that something is compressing my windpipe and at night, I wake up coughing as I am not able to breathe. I have also got some tickling in my throat so have to cough often and my voice is hoarse and gets tired quickly. My main concern is if it is something serious and will those problems harm the baby in any way? [/INST] Hello. We are happy to help you. I understand your situation and the worries the problem might be causing to you, that too when you are pregnant. With the symptoms you have described, and with the doctor's repeated reassurances to you, I feel there may not be any super significant physical finding that they might have missed. That being said, there is nothing wrong in getting a proper specialist referral from the GP. I do not understand why the GP is reluctant to do that. If you were to come to me, I will do a nasal endoscopy in OPD (office) and do a flexible fiberoptics laryngoscopy also in the office. These two require no special medication except for decongestion of the nose and local spray into throat and passing of endoscopes. These will rule out sinusitis, DNS (deviated nasal septum), nasal disease and also laryngeal problems, say growth, vocal cord changes, movement of vocal cords, pyriform fossae, etc. I do not anticipate anything in these areas, but these two tests will conclusively rule out any issue there. Maximum what I expect is some allergy and allergic post nasal drip. This will get alright with some nasal sprays which will not get absorbed into the bloodstream and will not cause any issue to the baby. Looking at the pictures (attachment removed to protect patient identity), regarding the undersurface, it Is normal to have that color. The veins underneath look so. The color of the palate and posterior pharyngeal wall do appear mild pale and bluish. We need to rule out anemia in you and also allergy. Allergy and nasal discharge and post nasal drip can cause these discolorations. Reflux can also be spotted in laryngoscopy, however, the Ranitidine should solve the matter nevertheless. What I want to know is the exact duration and chronology of all your problems. How many weeks pregnant are you? Has hemoglobin been checked? Are your scans normal? Why the Aspirin and blood thinner? Can you show me the relevant prescription? Any past history of sinus disease or nose block or post nasal drip or allergy? Sneezing, running nose, reduced sense of smell, itching, watering of eyes, etc.? Do revert back to me with relevant details. You should feel better soon. Do not worry. |
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 --> |
<s>[INST]
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. What is the reason for stabbing pain on my back? | Hello doctor, I woke up last night and felt like someone stabbed me on my right back side. Along with tremendous stomach pain. I am male, 79 years old, had my knee replaced four months back, got a rash on the repaired knee last week like poison ivy. I have been diagnosed with an extremely high amount of arthritis, have had two back surgeries, triple bypass along with some other minor problems. I am fairly active physically but within the past week, I seem to have hit a wall not feeling well and seem to be having a little problem walking. I tried this morning some Pepto, took Norco, using a heating pad on the stomach. There seems to be a little relief. A couple of years ago had two attacks but by time got to the emergency and was fine. | Hi. Most likely you are suffering from gastroenteritis. It is an intestinal infection marked by diarrhea, cramps, nausea, vomiting, and fever. However, it is not necessary that all symptoms are there in a single patient. Depending on the cause, viral gastroenteritis symptoms may appear within one to three days after you are infected and can range from mild to severe. Symptoms usually last just a day or two, but occasionally they may persist as long as 10 days. Treatment includes drinking plenty of fluids to avoid dehydration. You need to drink more than usual to replace the fluids lost from vomiting and diarrhea. Water is best, but you could also try fruit juice and soup. Take Paracetamol for any fever or aches and pains. Get plenty of rest. If you feel like eating, try small amounts of plain foods, such as soup, rice, pasta, and bread. Use special rehydration drinks made from sachets electrolyte solution to maintain depleted electrolyte levels in serum. Take anti-vomiting medication (such as Zofran 4 mg twice) and antidiarrhoeal medication (such as Loperamide up to 16 mg a day). It is better to take three days antibiotic and anti-protozoal course. Tablet Ofloxacin 200 mg twice a day, tablet Metronidazole 400 mg twice daily. |
<s>[INST]
Hello doctor, I woke up last night and felt like someone stabbed me on my right back side. Along with tremendous stomach pain. I am male, 79 years old, had my knee replaced four months back, got a rash on the repaired knee last week like poison ivy. I have been diagnosed with an extremely high amount of arthritis, have had two back surgeries, triple bypass along with some other minor problems. I am fairly active physically but within the past week, I seem to have hit a wall not feeling well and seem to be having a little problem walking. I tried this morning some Pepto, took Norco, using a heating pad on the stomach. There seems to be a little relief. A couple of years ago had two attacks but by time got to the emergency and was fine. [/INST] Hi. Most likely you are suffering from gastroenteritis. It is an intestinal infection marked by diarrhea, cramps, nausea, vomiting, and fever. However, it is not necessary that all symptoms are there in a single patient. Depending on the cause, viral gastroenteritis symptoms may appear within one to three days after you are infected and can range from mild to severe. Symptoms usually last just a day or two, but occasionally they may persist as long as 10 days. Treatment includes drinking plenty of fluids to avoid dehydration. You need to drink more than usual to replace the fluids lost from vomiting and diarrhea. Water is best, but you could also try fruit juice and soup. Take Paracetamol for any fever or aches and pains. Get plenty of rest. If you feel like eating, try small amounts of plain foods, such as soup, rice, pasta, and bread. Use special rehydration drinks made from sachets electrolyte solution to maintain depleted electrolyte levels in serum. Take anti-vomiting medication (such as Zofran 4 mg twice) and antidiarrhoeal medication (such as Loperamide up to 16 mg a day). It is better to take three days antibiotic and anti-protozoal course. Tablet Ofloxacin 200 mg twice a day, tablet Metronidazole 400 mg twice daily. |
Q. How can I manage common cold and sneeze? | Hello doctor, I am a 39-year-old man suffering from a common cold from last evening. There is very much sneezing, however, sneezing is obstructed sometimes. Also, there is water dripping from the nose. | Hi. It looks like you may have allergic rhinitis. I would recommend using Flonase nasal spray one spray in each nostril twice daily for three to four days also. Take tablet Levocetirizine 10 mg one tablet once daily for 3 to 4 days. These are generic names of the drug. |
<s>[INST]
Hello doctor, I am a 39-year-old man suffering from a common cold from last evening. There is very much sneezing, however, sneezing is obstructed sometimes. Also, there is water dripping from the nose. [/INST] Hi. It looks like you may have allergic rhinitis. I would recommend using Flonase nasal spray one spray in each nostril twice daily for three to four days also. Take tablet Levocetirizine 10 mg one tablet once daily for 3 to 4 days. These are generic names of the drug. |
Q. I have fever with rashes spreading in my body. Please help. | Hello doctor, I am an 18-year-old 155 lb 5'5" female that has a fever of 101°, chills, chest pain, congestion, coughing, and rashes spreading to every part of my body. | Hi. By the symptoms you have stated, you probably have a viral infection. Take bed rest, plenty of oral fluids, symptomatic treatment (Paracetamol or antitussives, decongestants, analgesics, moisturizer cream, etc.,) according to your local availability. If not decreasing with these measures or any serious problem arises, you can immediately consult nearby health center for further treatment. |
<s>[INST]
Hello doctor, I am an 18-year-old 155 lb 5'5" female that has a fever of 101°, chills, chest pain, congestion, coughing, and rashes spreading to every part of my body. [/INST] Hi. By the symptoms you have stated, you probably have a viral infection. Take bed rest, plenty of oral fluids, symptomatic treatment (Paracetamol or antitussives, decongestants, analgesics, moisturizer cream, etc.,) according to your local availability. If not decreasing with these measures or any serious problem arises, you can immediately consult nearby health center for further treatment. |
Q. My fiance's blood group and mine are different. Will it create problems to our baby's health? | Hi doctor, My blood group is AB+, and my fiance's blood group is AB-. Will different blood groups create problems in future, regarding baby's health or other issues? | Hi. Hope your concern is solved. For more information consult a hematologist online --> |
<s>[INST]
Hi doctor, My blood group is AB+, and my fiance's blood group is AB-. Will different blood groups create problems in future, regarding baby's health or other issues? [/INST] Hi. Hope your concern is solved. For more information consult a hematologist online --> |
Q. My fiance is having diabetes type 2. Will she face any problem during pregnancy? | Hello doctor, My fiance is having diabetes type 2. And I want to know what will be the impact in the following scenario. Can she postpone her period by eight days as we have some rituals to perform during our wedding? What will be the impact if she uses contraceptive pills in case of birth control? Will she face any problem during pregnancy? | Hi. I read through your query and understood your concern. She can take Progesterone tablets (Medroxyprogesterone 10 mg twice daily) to postpone her period. These tablets may increase the requirement of antidiabetic medicines (tablets/insulin). So, she needs to monitor her blood sugar level (at least two to three times during the period she is taking tablets) to make sure that sugar control is fine. Contraceptive pills used nowadays are low dose pills and have little or no impact on diabetes. Even if sugar levels increase, it can be treated by increasing the dose of antidiabetic medicines. So, she can use low dose contraceptive pills. Just consult your physician before starting those pills to make sure that the medicines do not interact with each other. During pregnancy, if her sugar control is fine from three months before pregnancy, during pregnancy and till delivery of the baby, there will practically be no problem to the mother and baby. If sugar control is not good, there may be many problems about which there is no need to worry right now. Revert back to a gynaecologist online for further queries --> |
<s>[INST]
Hello doctor, My fiance is having diabetes type 2. And I want to know what will be the impact in the following scenario. Can she postpone her period by eight days as we have some rituals to perform during our wedding? What will be the impact if she uses contraceptive pills in case of birth control? Will she face any problem during pregnancy? [/INST] Hi. I read through your query and understood your concern. She can take Progesterone tablets (Medroxyprogesterone 10 mg twice daily) to postpone her period. These tablets may increase the requirement of antidiabetic medicines (tablets/insulin). So, she needs to monitor her blood sugar level (at least two to three times during the period she is taking tablets) to make sure that sugar control is fine. Contraceptive pills used nowadays are low dose pills and have little or no impact on diabetes. Even if sugar levels increase, it can be treated by increasing the dose of antidiabetic medicines. So, she can use low dose contraceptive pills. Just consult your physician before starting those pills to make sure that the medicines do not interact with each other. During pregnancy, if her sugar control is fine from three months before pregnancy, during pregnancy and till delivery of the baby, there will practically be no problem to the mother and baby. If sugar control is not good, there may be many problems about which there is no need to worry right now. Revert back to a gynaecologist online for further queries --> |
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. Will Nano-Leo give permanent solution for erection problem? | Hello doctor, I am 48 years old. I am experiencing weak erection and difficulty in sustaining the same. This condition was observed 10 years back. Also, there is premature ejaculation. Other physical ailments that I have are, I am suffering from hypertension and taking Amlopres-L (Amlodipine and Lisinopril) for the last 10 years, high cholesterol and triglycerides. My cholesterol level is 225 and triglyceride is 200 for the last 12 years. I used to do frequent masturbation in early age. I do have erection during morning hours many times, particularly after sound sleep or if I had long walk previous day. I am having Sildenafil 25 mg or 5 mg Cialis, which is effective enough. But, I wish to get rid of tablet support and live natural way. I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days. I wish to have your second opinion on this. Please guide. | Hi. For further doubts consult a sexologist online --> |
<s>[INST]
Hello doctor, I am 48 years old. I am experiencing weak erection and difficulty in sustaining the same. This condition was observed 10 years back. Also, there is premature ejaculation. Other physical ailments that I have are, I am suffering from hypertension and taking Amlopres-L (Amlodipine and Lisinopril) for the last 10 years, high cholesterol and triglycerides. My cholesterol level is 225 and triglyceride is 200 for the last 12 years. I used to do frequent masturbation in early age. I do have erection during morning hours many times, particularly after sound sleep or if I had long walk previous day. I am having Sildenafil 25 mg or 5 mg Cialis, which is effective enough. But, I wish to get rid of tablet support and live natural way. I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days. I wish to have your second opinion on this. Please guide. [/INST] Hi. For further doubts consult a sexologist online --> |
Q. Is blood viscosity reversible by simply cutting down nicotine? | Hello doctor, It has been seven days since I have smoked a cigarette (quit cold turkey). How long will it take after quitting smoking, for the blood to be free from nicotine? Is blood viscosity reversible by simply cutting down nicotine? | Hi. Looking at the query, my opinion is as follows: The effect of nicotine is dependent upon the amount and years of cigarettes smoked and can vary from two days to two months. On an average, usually within a month of withdrawal of nicotine, the blood viscosity starts reducing. Yes, it is reversible as nicotine affects the platelets, red blood cells, the endothelium, and the clotting factors to increase blood viscosity. Once withdrawn, red blood cells will take a longer time, while the other usually recover as early as a month. During withdrawal, due to a reduction in blood viscosity, you might have dizziness periods as the blood pressure will also reduce. Give at leastthree more weeks to notice the improvement in blood viscosity. Nicotine patches havea low dosage of nicotine. You can use it to avoid cigarette in the initial periods, if necessary. Consult a hematologist online for further follow up --> |
<s>[INST]
Hello doctor, It has been seven days since I have smoked a cigarette (quit cold turkey). How long will it take after quitting smoking, for the blood to be free from nicotine? Is blood viscosity reversible by simply cutting down nicotine? [/INST] Hi. Looking at the query, my opinion is as follows: The effect of nicotine is dependent upon the amount and years of cigarettes smoked and can vary from two days to two months. On an average, usually within a month of withdrawal of nicotine, the blood viscosity starts reducing. Yes, it is reversible as nicotine affects the platelets, red blood cells, the endothelium, and the clotting factors to increase blood viscosity. Once withdrawn, red blood cells will take a longer time, while the other usually recover as early as a month. During withdrawal, due to a reduction in blood viscosity, you might have dizziness periods as the blood pressure will also reduce. Give at leastthree more weeks to notice the improvement in blood viscosity. Nicotine patches havea low dosage of nicotine. You can use it to avoid cigarette in the initial periods, if necessary. Consult a hematologist online for further follow up --> |
Q. My 5 year old daughter was stung by a hornet. What do I do? | Hi doctor, My 5 year old daughter was stung by a hornet about four hours ago. She was fine shortly after, but after her bath, the area is red, swollen and hard about the size of a softball (at least) around it. It hurts and it is right under her butt cheek. So it hurts when she tries to even lift her leg. I gave her Benadryl and Advil and put a cold compress on it. She is not running a fever and her breathing is fine. What do I do further? | Hi. Hornet bite may lead to swelling and pain, fever or infection. The redness and swelling which you have mentioned are due to the inflammation. In your case, swelling is large and it was not initially at the time of the bite and increased thereafter. This indicates an infection. So, we need to give antibiotics also along with analgesic and anti-inflammatory medications. If the swelling was at the beginning and had not increased later, then, only Paracetamol would do.I suggest: Revert back to a paediatrician online for any assistance --> |
<s>[INST]
Hi doctor, My 5 year old daughter was stung by a hornet about four hours ago. She was fine shortly after, but after her bath, the area is red, swollen and hard about the size of a softball (at least) around it. It hurts and it is right under her butt cheek. So it hurts when she tries to even lift her leg. I gave her Benadryl and Advil and put a cold compress on it. She is not running a fever and her breathing is fine. What do I do further? [/INST] Hi. Hornet bite may lead to swelling and pain, fever or infection. The redness and swelling which you have mentioned are due to the inflammation. In your case, swelling is large and it was not initially at the time of the bite and increased thereafter. This indicates an infection. So, we need to give antibiotics also along with analgesic and anti-inflammatory medications. If the swelling was at the beginning and had not increased later, then, only Paracetamol would do.I suggest: Revert back to a paediatrician online for any assistance --> |
Q. How to manage the painful infected tooth? | Hi doctor, I have a lot of pain on my right side upper and lower jaw. I have a wisdom tooth on the upper jaw. Before two days, the tooth directly below the wisdom tooth got broken, and it is causing pain. I am scared of going to the dentist. What can I do now? Please help me. | Hi. I have gone through the attachment (attachment removed to protect patient identity). You have an infection in the pulp in the lower right last tooth. It has caries, and there is an inflamed tissue present around it. In the case of partially erupting upper tooth, you can also feel pain in the ears. You have to visit a dentist without fear because dental procedures are never fatal. The doctor will use local anesthesia so you will not feel pain during treatment procedures. You can do either root canal treatment or extraction of the tooth. Both the procedure is always done under local anesthesia as it involves multiple appointments. For pain, you can take tablet Augmentin 625 mg (Amoxycillin and Clavulanic acid) twice a day for three days. Take tablet Aceclofenac 200 mg two times a day. |
<s>[INST]
Hi doctor, I have a lot of pain on my right side upper and lower jaw. I have a wisdom tooth on the upper jaw. Before two days, the tooth directly below the wisdom tooth got broken, and it is causing pain. I am scared of going to the dentist. What can I do now? Please help me. [/INST] Hi. I have gone through the attachment (attachment removed to protect patient identity). You have an infection in the pulp in the lower right last tooth. It has caries, and there is an inflamed tissue present around it. In the case of partially erupting upper tooth, you can also feel pain in the ears. You have to visit a dentist without fear because dental procedures are never fatal. The doctor will use local anesthesia so you will not feel pain during treatment procedures. You can do either root canal treatment or extraction of the tooth. Both the procedure is always done under local anesthesia as it involves multiple appointments. For pain, you can take tablet Augmentin 625 mg (Amoxycillin and Clavulanic acid) twice a day for three days. Take tablet Aceclofenac 200 mg two times a day. |
Q. What are the ways to overcome the fear of needles? | Hello doctor, I am quite afraid of needles. I get anxious even thinking about blood tests. I fainted once while taking blood test. Please suggest me to overcome fear. I have to get blood tests done but I am extremely anxious. | Hi. Needle phobia is quite common and it has different types like vasovagal syncope attack which you have encountered earlier. You can try local anesthetic cream when a needle is to be inserted so that pain associated with needle prick is not felt. Beta blockers can also be tried as these drugs decrease the likelihood of vasovagal syncope. A psychotherapy called CBT is also effective. In this, a systematic desensitization is done and maladaptive emotion and thought are challenged and corrected. |
<s>[INST]
Hello doctor, I am quite afraid of needles. I get anxious even thinking about blood tests. I fainted once while taking blood test. Please suggest me to overcome fear. I have to get blood tests done but I am extremely anxious. [/INST] Hi. Needle phobia is quite common and it has different types like vasovagal syncope attack which you have encountered earlier. You can try local anesthetic cream when a needle is to be inserted so that pain associated with needle prick is not felt. Beta blockers can also be tried as these drugs decrease the likelihood of vasovagal syncope. A psychotherapy called CBT is also effective. In this, a systematic desensitization is done and maladaptive emotion and thought are challenged and corrected. |
Q. I want to know about the relapse regarding AIHA. | Hi doctor, I am 20 years old. I had a sudden onset of AIHA. At first, I had no response to steroid therapy, and after a week, I came back to normal. I want to know about the relapse with AIHA. | Hi. Approximately 80 % of patients respond to corticosteroids at a dose equivalent to Prednisolone 60 to 100 mg per day and nearly two-thirds achieve complete remission (CR). The initial response takes several weeks. But an absence of a response for 21 days is considered as a steroid failure. In responding patients, an incremental taper can begin, for example, when the Hb (hemoglobin) is more than 100 g/dL or after a maximum of three weeks, we can reduce the dose to 20 to 30 mg over four to six weeks, and then by 5 mg every month. In a series of 33 primary AIHA (autoimmune hemolytic anemia) cases, relapse was more common if the steroids were tapered to 10 mg in less than two months and when stopped in less than six months. Approximately 20 % of patients remain in remission after steroids are discontinued. Although a further 40 % can maintain an acceptable Hb by keeping Prednisolone at 15 to 20 mg, due to the long-term side effects of steroids, and a second-line therapy is considered. |
<s>[INST]
Hi doctor, I am 20 years old. I had a sudden onset of AIHA. At first, I had no response to steroid therapy, and after a week, I came back to normal. I want to know about the relapse with AIHA. [/INST] Hi. Approximately 80 % of patients respond to corticosteroids at a dose equivalent to Prednisolone 60 to 100 mg per day and nearly two-thirds achieve complete remission (CR). The initial response takes several weeks. But an absence of a response for 21 days is considered as a steroid failure. In responding patients, an incremental taper can begin, for example, when the Hb (hemoglobin) is more than 100 g/dL or after a maximum of three weeks, we can reduce the dose to 20 to 30 mg over four to six weeks, and then by 5 mg every month. In a series of 33 primary AIHA (autoimmune hemolytic anemia) cases, relapse was more common if the steroids were tapered to 10 mg in less than two months and when stopped in less than six months. Approximately 20 % of patients remain in remission after steroids are discontinued. Although a further 40 % can maintain an acceptable Hb by keeping Prednisolone at 15 to 20 mg, due to the long-term side effects of steroids, and a second-line therapy is considered. |
Q. Will CMIA Abbott fourth generation test at 13 weeks give accurate results? | Hi doctor, Is a CMIA Abbott fourth generation negative test 100 % reliable at 13 weeks? Can both p24 and antibody remain undetected by a combo test? Does CMV coinfection increase window period? | Hi. HIV infection has a window period of 1 to 3 months during which the test results can be a false negative. According to WHO, all results are considered conclusive at 12 weeks after the last exposure. Hence, your test is definitive if done at 13th week. As per the protocol, if infected, either the antigen or antibody would reach detectable levels by 12 weeks. CMV (cytomegalovirus) infection does not alter the window period. Kindly upload the latest report to confirm the same. |
<s>[INST]
Hi doctor, Is a CMIA Abbott fourth generation negative test 100 % reliable at 13 weeks? Can both p24 and antibody remain undetected by a combo test? Does CMV coinfection increase window period? [/INST] Hi. HIV infection has a window period of 1 to 3 months during which the test results can be a false negative. According to WHO, all results are considered conclusive at 12 weeks after the last exposure. Hence, your test is definitive if done at 13th week. As per the protocol, if infected, either the antigen or antibody would reach detectable levels by 12 weeks. CMV (cytomegalovirus) infection does not alter the window period. Kindly upload the latest report to confirm the same. |
Q. I am taking Kalarchikai for PCOS. Why are there abdominal cramps and thigh pain after taking it? | Hi doctor, I am taking Kalarchikai with pepper and honey after a meal for the past five days for PCOS problem. But I started to have an abdominal cramp and thigh pain (similar to the cramp that occurs during menstrual cramp). What can I do now? | Hi. Kalarchikai is a well-known medicine to manage PCOD (polycystic ovarian diseases). It does not show any side effects when taken under a prescription of ayurvedic or Siddha physicians. You should take two to three grams twice a day after meals. The pain you have now can be a premenstrual pain. Wait for a few days and stop taking this choornam for a few days. After a week, you can start taking it in a recommended dose. |
<s>[INST]
Hi doctor, I am taking Kalarchikai with pepper and honey after a meal for the past five days for PCOS problem. But I started to have an abdominal cramp and thigh pain (similar to the cramp that occurs during menstrual cramp). What can I do now? [/INST] Hi. Kalarchikai is a well-known medicine to manage PCOD (polycystic ovarian diseases). It does not show any side effects when taken under a prescription of ayurvedic or Siddha physicians. You should take two to three grams twice a day after meals. The pain you have now can be a premenstrual pain. Wait for a few days and stop taking this choornam for a few days. After a week, you can start taking it in a recommended dose. |
Q. Why am I having fatigue, increased saliva and throat pain after unprotected sex? | Hello doctor, I had unprotected sex with a sex worker three and a half months ago. Two months later, I started having ARS symptoms, fatigue, diarrhea, dizziness, sore throat, mouth ulcers. Just a day before that I had protected sex with a sex worker but my penis was not fully erect and did not insert deeply. So I think contact with the vagina may have occurred, but I do not remember, not sure. But I got an unprotected blow job or oral sex from her. Two days later, I got a p24 antibody combo test which was negative. A few days later I got DNA PCR which was negative. 11 weeks after first exposure, I got western blot which is negative. 12 weeks after first exposure, I got CMIA rapid which is negative. Two days later, I got RNA PCR for HIV 1 and 2 which were negative. This was 30 days after second exposure. Six weeks later, I got an antibody p24 combo CMIA which was negative. I still have symptoms of fatigue, increased saliva highly, throat pain. I am very worried. Please tell if my tests are conclusive. I read about people seroconverting late and I am worried. Also, one another person whose status I do not know also had daily dizziness, diarrhea, mouth ulcers and leg pain like me. Please help. | Hi. First, HIV symptoms are non-specific and are common to most infection and are referred to as flu-like symptoms. HIV infection symptoms in the acute phase often go undetected and are self-healed without any active intervention due to an intact immune system. These symptoms are only effective if they occur 2 to 5 years after exposure due to a crippled immune system. So far, in your condition, these occurring infections are stress related due to over activity of hormones (vagal stimulation) causing diarrhoea, running nose, sore throat. Mouth ulcers are moreover due to vit B complex deficiencies, dizziness can be due to a simple ear problem. So, do not worry about being infected, once the fourth generation is negetive after 28 days, then nothing to worry. You are free of infection. |
<s>[INST]
Hello doctor, I had unprotected sex with a sex worker three and a half months ago. Two months later, I started having ARS symptoms, fatigue, diarrhea, dizziness, sore throat, mouth ulcers. Just a day before that I had protected sex with a sex worker but my penis was not fully erect and did not insert deeply. So I think contact with the vagina may have occurred, but I do not remember, not sure. But I got an unprotected blow job or oral sex from her. Two days later, I got a p24 antibody combo test which was negative. A few days later I got DNA PCR which was negative. 11 weeks after first exposure, I got western blot which is negative. 12 weeks after first exposure, I got CMIA rapid which is negative. Two days later, I got RNA PCR for HIV 1 and 2 which were negative. This was 30 days after second exposure. Six weeks later, I got an antibody p24 combo CMIA which was negative. I still have symptoms of fatigue, increased saliva highly, throat pain. I am very worried. Please tell if my tests are conclusive. I read about people seroconverting late and I am worried. Also, one another person whose status I do not know also had daily dizziness, diarrhea, mouth ulcers and leg pain like me. Please help. [/INST] Hi. First, HIV symptoms are non-specific and are common to most infection and are referred to as flu-like symptoms. HIV infection symptoms in the acute phase often go undetected and are self-healed without any active intervention due to an intact immune system. These symptoms are only effective if they occur 2 to 5 years after exposure due to a crippled immune system. So far, in your condition, these occurring infections are stress related due to over activity of hormones (vagal stimulation) causing diarrhoea, running nose, sore throat. Mouth ulcers are moreover due to vit B complex deficiencies, dizziness can be due to a simple ear problem. So, do not worry about being infected, once the fourth generation is negetive after 28 days, then nothing to worry. You are free of infection. |
Q. Will ayurvedic medicines taken for GERD cause any complications? | Hello doctor, Due to my lifestyle and obesity, I had been suffering from acidity and GERD from last 10 years and was having Pantacid, Sompraz-D regularly once in a day. Everything was normal other than acid reflux at times which was manageable. I had changed my lifestyle drastically with pure vegetarian, part meals, daily walk, etc. I reduced weight from 109 to 100 in five months. I have decided to get rid of the modern medicine which gives me only an temporary relief. I have consulted an Ayurvedic doctor and started having Vasaguluchayadi Kashayam, Amrithotharam, Acidact tablets and Trivridh Lehyam. Everything was fine as usual. After two weeks, I got a severe cough and cold, further to that my acidity went high to an unusual level with a severe ear and neck pain. And also my esophagic pain was more than ever. I had all my blood test and abdomen scans done but they were absolutely normal. Even my cholesterol levels have come in to control. When checked with my doctor, he says my condition is improving a lot. But I have a lot of deposits in my body which will be removed during the process. May be because of that I am having the pain. Can you please let me know if I have something to worry? Will symptoms usually aggravate in Ayurveda treatment? But I have a great value for Ayurveda. My only worry is, the problems now I am facing are actually life threatening. I did not ever have ear and neck pain when I was having allopathy medicine. | Hello. I just read your query. See all the medicines you are taking are good for your problem. The ear pain and neck pain due to a cough and cold can be due to generalized infection of upper respiratory tract infection or any other cause. See as your all investigations are normal. It can only be an assumption if there is no clear cause. As long as these ayurvedic medicines are concerned, you can take them under the supervision of your Ayurvedic physician. because these generally do not cause any trouble to the patient. |
<s>[INST]
Hello doctor, Due to my lifestyle and obesity, I had been suffering from acidity and GERD from last 10 years and was having Pantacid, Sompraz-D regularly once in a day. Everything was normal other than acid reflux at times which was manageable. I had changed my lifestyle drastically with pure vegetarian, part meals, daily walk, etc. I reduced weight from 109 to 100 in five months. I have decided to get rid of the modern medicine which gives me only an temporary relief. I have consulted an Ayurvedic doctor and started having Vasaguluchayadi Kashayam, Amrithotharam, Acidact tablets and Trivridh Lehyam. Everything was fine as usual. After two weeks, I got a severe cough and cold, further to that my acidity went high to an unusual level with a severe ear and neck pain. And also my esophagic pain was more than ever. I had all my blood test and abdomen scans done but they were absolutely normal. Even my cholesterol levels have come in to control. When checked with my doctor, he says my condition is improving a lot. But I have a lot of deposits in my body which will be removed during the process. May be because of that I am having the pain. Can you please let me know if I have something to worry? Will symptoms usually aggravate in Ayurveda treatment? But I have a great value for Ayurveda. My only worry is, the problems now I am facing are actually life threatening. I did not ever have ear and neck pain when I was having allopathy medicine. [/INST] Hello. I just read your query. See all the medicines you are taking are good for your problem. The ear pain and neck pain due to a cough and cold can be due to generalized infection of upper respiratory tract infection or any other cause. See as your all investigations are normal. It can only be an assumption if there is no clear cause. As long as these ayurvedic medicines are concerned, you can take them under the supervision of your Ayurvedic physician. because these generally do not cause any trouble to the patient. |
Q. Kindly tell a permanent cure for hypothyroidism. | Hello doctor, My wife is having hypothyroidism. She is having the TSH level of 13 miu/l. We had consulted a doctor and after few tests, the doctor suggested to take Thyroxine 100 mcg everyday morning on empty stomach. How long she needs to take the medication? Is there a permanent cure for this? | Hello. I just read your query about your wife and her thyroid function test results. Well, she does seem to have hypothyroidism. But her dose seems to be a bit higher. Anyways, you must usually take it according to your body weight or the TSH values. Try to repeat the same TSH after six weeks and then we can decide what is an appropriate dose for her. Yes, she has to take this medicine for life. This is not a major disease but very important gland which is not functioning properly. So we need to replace the hormones which are formed by this gland all her life. This has no side effects, so relax and continue her treatment regularly. No, there is no permanent cure for hypothyroidism. Just replacement of the hormones which are deficient. |
<s>[INST]
Hello doctor, My wife is having hypothyroidism. She is having the TSH level of 13 miu/l. We had consulted a doctor and after few tests, the doctor suggested to take Thyroxine 100 mcg everyday morning on empty stomach. How long she needs to take the medication? Is there a permanent cure for this? [/INST] Hello. I just read your query about your wife and her thyroid function test results. Well, she does seem to have hypothyroidism. But her dose seems to be a bit higher. Anyways, you must usually take it according to your body weight or the TSH values. Try to repeat the same TSH after six weeks and then we can decide what is an appropriate dose for her. Yes, she has to take this medicine for life. This is not a major disease but very important gland which is not functioning properly. So we need to replace the hormones which are formed by this gland all her life. This has no side effects, so relax and continue her treatment regularly. No, there is no permanent cure for hypothyroidism. Just replacement of the hormones which are deficient. |
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 --> |
<s>[INST]
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 --> |
<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. There is continuous fever after ureteric stent removal. Why? | Hello doctor, My father had ureteric stent removal before one month. He had fever 101 F, pus cell 100 or more than that since month fever comes every week. Urine culture and sensitivity done. All antibiotics resistant except Nitrofurantoin. Fever episode is not subsiding in spite of taking antipyretics. What to do? | Hello. I have seen all reports sent by you (attachment removed to protect patient identity). As per reports, he is still having a urine infection. What is his present creatinine? Since how long is he taking Nitrofurantoin? His DTPA shows only left kidney is functioning. The plan would be to finish this course of antibiotics properly for 14 days. If fever is not under control, then we need to give him injection according to urine sensitivity report. Do repeat urine culture and sensitivity after three days of finishing antibiotics course to check infection is gone or not. In some reports, it is given that his right kidney is small and stone in right kidney. This may be the source of persistent infection in spite of antibiotics. If fever is not under control at all after taking all antibiotics, then it is better to remove the right kidney as there is no function. Anyhow and it is likely source of persistent infection. |
<s>[INST]
Hello doctor, My father had ureteric stent removal before one month. He had fever 101 F, pus cell 100 or more than that since month fever comes every week. Urine culture and sensitivity done. All antibiotics resistant except Nitrofurantoin. Fever episode is not subsiding in spite of taking antipyretics. What to do? [/INST] Hello. I have seen all reports sent by you (attachment removed to protect patient identity). As per reports, he is still having a urine infection. What is his present creatinine? Since how long is he taking Nitrofurantoin? His DTPA shows only left kidney is functioning. The plan would be to finish this course of antibiotics properly for 14 days. If fever is not under control, then we need to give him injection according to urine sensitivity report. Do repeat urine culture and sensitivity after three days of finishing antibiotics course to check infection is gone or not. In some reports, it is given that his right kidney is small and stone in right kidney. This may be the source of persistent infection in spite of antibiotics. If fever is not under control at all after taking all antibiotics, then it is better to remove the right kidney as there is no function. Anyhow and it is likely source of persistent infection. |
Q. I have redness and burning sensation in my face. Is it curable? | Hi doctor, I have severe redness in my face. I also have a burning sensation in my face. What is it? Is it curable? | Hi. You are suffering from rosacea. It occurs due to solar damage, and it leads to vasomotor instability causing erythema on the face, and a tendency to flush easily. Identify the triggering factors and avoid it. The common triggering factors are hot or cold temperatures, wind, hot drinks, caffeine, exercise, spicy food, alcohol, emotions, and topical products. For red areas, you can apply Brimonidine gel twice daily after consulting your GP (general practitioner) or dermatologist. Use broad-spectrum physical sunscreen like Sun cross soft gel (Zinc oxide with Alkyl benzoate) with SPF (sun protection factor) 50 daily. Use it all over the face in the morning. You have to repeat it once in four hours. |
<s>[INST]
Hi doctor, I have severe redness in my face. I also have a burning sensation in my face. What is it? Is it curable? [/INST] Hi. You are suffering from rosacea. It occurs due to solar damage, and it leads to vasomotor instability causing erythema on the face, and a tendency to flush easily. Identify the triggering factors and avoid it. The common triggering factors are hot or cold temperatures, wind, hot drinks, caffeine, exercise, spicy food, alcohol, emotions, and topical products. For red areas, you can apply Brimonidine gel twice daily after consulting your GP (general practitioner) or dermatologist. Use broad-spectrum physical sunscreen like Sun cross soft gel (Zinc oxide with Alkyl benzoate) with SPF (sun protection factor) 50 daily. Use it all over the face in the morning. You have to repeat it once in four hours. |
Q. Why do I have pain in breasts? | Hi doctor, I am 19 years old, and I am not sexually active. I have pain in the breast on both sides. It got started before few days, and my left breast has got changed in texture close to my nipple. It is too sore. The breast pain is not constant. It happens when I wake up, when I run or when I press them. I have not got my periods this month. It is not abnormal. I got a heavy period last month, and I have pain in my lower abdomen for a few months. It is always sudden and sharp. It is not constant. I do not know the reason for having this problem. I had vitamin D deficiency before few years. Please suggest. | Hi. There are many possible causes for having breast pain. Hormonal fluctuations related to menstruation or pregnancy are often responsible for breast tenderness. Having some degree of swelling and tenderness just before a period is reasonable. The common causes of breast pain are menstruation and pregnancy. Breast pain is common during the first trimester. Breast pain also occurs when having a pregnancy at a young age, and when having puberty in both girls and boys. The other reasons can be breastfeeding, fibrocystic breast changes, and mastitis in which a blocked and infected milk duct have some redness. It is usually associated with breastfeeding and during premenstrual syndrome. Please say whether you had any discharge from your nipples, like blood or pus. Please tell if you had any breast infection with localized redness, pus or fever. Please say whether you had any new lump associated with pain. You have to wear a well-fitting brassiere for support, especially if your breasts are large. You can have lower abdominal pain due to some reasons ranging from caliculi to appendicitis. Vitamin D deficiency does not cause these symptoms. You can apply ointment over the breast if you have any superficial infection. |
<s>[INST]
Hi doctor, I am 19 years old, and I am not sexually active. I have pain in the breast on both sides. It got started before few days, and my left breast has got changed in texture close to my nipple. It is too sore. The breast pain is not constant. It happens when I wake up, when I run or when I press them. I have not got my periods this month. It is not abnormal. I got a heavy period last month, and I have pain in my lower abdomen for a few months. It is always sudden and sharp. It is not constant. I do not know the reason for having this problem. I had vitamin D deficiency before few years. Please suggest. [/INST] Hi. There are many possible causes for having breast pain. Hormonal fluctuations related to menstruation or pregnancy are often responsible for breast tenderness. Having some degree of swelling and tenderness just before a period is reasonable. The common causes of breast pain are menstruation and pregnancy. Breast pain is common during the first trimester. Breast pain also occurs when having a pregnancy at a young age, and when having puberty in both girls and boys. The other reasons can be breastfeeding, fibrocystic breast changes, and mastitis in which a blocked and infected milk duct have some redness. It is usually associated with breastfeeding and during premenstrual syndrome. Please say whether you had any discharge from your nipples, like blood or pus. Please tell if you had any breast infection with localized redness, pus or fever. Please say whether you had any new lump associated with pain. You have to wear a well-fitting brassiere for support, especially if your breasts are large. You can have lower abdominal pain due to some reasons ranging from caliculi to appendicitis. Vitamin D deficiency does not cause these symptoms. You can apply ointment over the breast if you have any superficial infection. |
Q. What are the physical findings and pathophysiology observed in breast cancer? | Hi doctor, What are the physical findings seen in breast cancer? Please explain about the pathophysiology observed in breast cancer. | Hi. These are the physical findings found in breast cancer. There can be a painless lump or a change in breast size, skin changes, nipple inversion, nipple abnormalities or discharge, and axillary lump. The pathophysiology shows damage to DNA, and genetic changes lead to breast cancer. It is also linked to other factors such as estrogen exposure, smoking, age and family history. Some individuals inherit defects in BRCA1, BRCA2, PTEN (phosphatase and tensin homolog) and P53 (tumor protein). People having a family history of ovarian or breast cancer can have an increased risk of getting breast cancer. |
<s>[INST]
Hi doctor, What are the physical findings seen in breast cancer? Please explain about the pathophysiology observed in breast cancer. [/INST] Hi. These are the physical findings found in breast cancer. There can be a painless lump or a change in breast size, skin changes, nipple inversion, nipple abnormalities or discharge, and axillary lump. The pathophysiology shows damage to DNA, and genetic changes lead to breast cancer. It is also linked to other factors such as estrogen exposure, smoking, age and family history. Some individuals inherit defects in BRCA1, BRCA2, PTEN (phosphatase and tensin homolog) and P53 (tumor protein). People having a family history of ovarian or breast cancer can have an increased risk of getting breast cancer. |
Q. Why do I have nausea after eating? | Hi doctor, I have nausea every time and every day after eating. I cannot eat my food. I drink only water. I am feeling tired always. My stomach hurts me so much. Why do I have a feeling of nausea after eating? Why do I throw up after eating? | Hi. I have gone through the attachment (attachment removed to protect patient identity). Your BMI (body mass index) is in borderline. It is normal. I can understand your concern regarding vomiting. It can occur due to various reasons. Gastritis can also be a reason for having nausea and vomiting. Take food at regular intervals and avoid skipping breakfast, lunch or dinner. Follow a diet schedule. Avoid eating oily, fried and spicy foods. Take plenty of oral fluids. You may also need to take antacid and antiemetic if it is required. |
<s>[INST]
Hi doctor, I have nausea every time and every day after eating. I cannot eat my food. I drink only water. I am feeling tired always. My stomach hurts me so much. Why do I have a feeling of nausea after eating? Why do I throw up after eating? [/INST] Hi. I have gone through the attachment (attachment removed to protect patient identity). Your BMI (body mass index) is in borderline. It is normal. I can understand your concern regarding vomiting. It can occur due to various reasons. Gastritis can also be a reason for having nausea and vomiting. Take food at regular intervals and avoid skipping breakfast, lunch or dinner. Follow a diet schedule. Avoid eating oily, fried and spicy foods. Take plenty of oral fluids. You may also need to take antacid and antiemetic if it is required. |
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. |
<s>[INST]
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 are the natural ways followed to remove tan from forehead and neck? | Hi doctor, What are the natural ways followed to remove tan from forehead and neck? | Hi. Use aloe vera gel two times a day. Take Multani mitti and add a half teaspoon of turmeric powder and sandalwood powder in it. Then make it a paste by adding rose water. Apply it on your face and neck for 10 to 15 minutes and then wash it off using water. Try all these things regularly, and you will have good results soon. |
<s>[INST]
Hi doctor, What are the natural ways followed to remove tan from forehead and neck? [/INST] Hi. Use aloe vera gel two times a day. Take Multani mitti and add a half teaspoon of turmeric powder and sandalwood powder in it. Then make it a paste by adding rose water. Apply it on your face and neck for 10 to 15 minutes and then wash it off using water. Try all these things regularly, and you will have good results soon. |
Q. I feel like vomiting when I see dirty things or smell dirty things. Please help. | Hi doctor, I do not know how to explain my state. Since many years, I feel like vomiting when I see or smell dirty things. I cannot just sit with a drunken person. I cannot even resist when someone is vomiting or coughing or just clearing their throat. To get rid of this vomiting feeling, I started eating too much of mint flavored chewing gum. By too much, I mean nearly one every day or three in a week or so. Also, these days due to the unpleasant weather, I feel very uneasy all the time. I cannot eat properly because I am afraid that I might vomit. I am actually a very reserved person. Earlier, I used to live with my parents and so the three of us were living in one house. But, just 15 days back, my aunt passed away and so their family also joined us in the same house. I do not know why, but I am feeling very uneasy to adjust to this environment. One of my aunt's children is having the habit of spitting every time and that is the reason I am running away from him every time and if I am sitting with them, I always carry a mint. Can you please tell me the reason for this state of mine? Earlier this week, I had to go out of station for some office work but I stopped by with the fear of vomiting. I think I am oversensitive to things. Otherwise, I am a very friendly, happy person. I want to be happy always and want to see things in my own way. After a year or two, I will be getting married. So, I do not want to ruin any of my relationships with these habits. Please advise what I need to do to get rid of this problem. | Hi. Your statement of 'I feel like vomiting when I see or smell dirty things and I cannot just sit with a drunk person' are commonly found in normal individuals and does not signify any mental or psychological disorder. But, your statement that you canceled your official trip because of this issue signifies that you have attached too much significance to a trivial problem. At this moment, it seems that your thought process is dominated by ideas of vomiting and you are not able to get rid of this. It is also possible that you are aware that these are not rational ideas, but whenever you try to resist, you get rebound anxiety or increased anxiety or more vomiting feeling. If you are wasting more than one hour a day on these ideas and that is impairing you in your occupational, academic or social life, this can be due to obsessive compulsive disorder (OCD). In this disorder, people are very particular in regard to cleanliness and not able to stand slight dirt and have a tendency to wash their hands multiple times. I assure you that this is quite treatable and a lot can be done to improve your thought process. This disorder can be treated with medication or behavior therapy or a combination of both depending on the severity and response to a particular kind of therapy. At this moment, I suggest you consult a psychologist counsellor online. ---> |
<s>[INST]
Hi doctor, I do not know how to explain my state. Since many years, I feel like vomiting when I see or smell dirty things. I cannot just sit with a drunken person. I cannot even resist when someone is vomiting or coughing or just clearing their throat. To get rid of this vomiting feeling, I started eating too much of mint flavored chewing gum. By too much, I mean nearly one every day or three in a week or so. Also, these days due to the unpleasant weather, I feel very uneasy all the time. I cannot eat properly because I am afraid that I might vomit. I am actually a very reserved person. Earlier, I used to live with my parents and so the three of us were living in one house. But, just 15 days back, my aunt passed away and so their family also joined us in the same house. I do not know why, but I am feeling very uneasy to adjust to this environment. One of my aunt's children is having the habit of spitting every time and that is the reason I am running away from him every time and if I am sitting with them, I always carry a mint. Can you please tell me the reason for this state of mine? Earlier this week, I had to go out of station for some office work but I stopped by with the fear of vomiting. I think I am oversensitive to things. Otherwise, I am a very friendly, happy person. I want to be happy always and want to see things in my own way. After a year or two, I will be getting married. So, I do not want to ruin any of my relationships with these habits. Please advise what I need to do to get rid of this problem. [/INST] Hi. Your statement of 'I feel like vomiting when I see or smell dirty things and I cannot just sit with a drunk person' are commonly found in normal individuals and does not signify any mental or psychological disorder. But, your statement that you canceled your official trip because of this issue signifies that you have attached too much significance to a trivial problem. At this moment, it seems that your thought process is dominated by ideas of vomiting and you are not able to get rid of this. It is also possible that you are aware that these are not rational ideas, but whenever you try to resist, you get rebound anxiety or increased anxiety or more vomiting feeling. If you are wasting more than one hour a day on these ideas and that is impairing you in your occupational, academic or social life, this can be due to obsessive compulsive disorder (OCD). In this disorder, people are very particular in regard to cleanliness and not able to stand slight dirt and have a tendency to wash their hands multiple times. I assure you that this is quite treatable and a lot can be done to improve your thought process. This disorder can be treated with medication or behavior therapy or a combination of both depending on the severity and response to a particular kind of therapy. At this moment, I suggest you consult a psychologist counsellor online. ---> |
Q. I have a problem in clearing my tummy. Please help me. | Hi doctor, I am 27 years old. I have a problem in clearing my tummy for two days. I have a gas problem in my stomach. Please help me. | Hi. You are having a functional bowel problem. You can practice these steps to have a proper digestion and gas relief. Avoid intake of turnip, onion, cabbage, and cauliflower. These are gas-forming foods. Drink more water. Avoid having a sedentary lifestyle. You should stop the habit of smoking and try to avoid having stress. Take more green leafy vegetables and fruits. Avoid taking excess fatty foods. If there is no improvement, then a fiber supplement like Aristozyme (Pepsin and Diastase) can be taken. Moreover, Gelusil syrup (Aluminium hydroxide with Dimethicone) can also be taken for a short duration. |
<s>[INST]
Hi doctor, I am 27 years old. I have a problem in clearing my tummy for two days. I have a gas problem in my stomach. Please help me. [/INST] Hi. You are having a functional bowel problem. You can practice these steps to have a proper digestion and gas relief. Avoid intake of turnip, onion, cabbage, and cauliflower. These are gas-forming foods. Drink more water. Avoid having a sedentary lifestyle. You should stop the habit of smoking and try to avoid having stress. Take more green leafy vegetables and fruits. Avoid taking excess fatty foods. If there is no improvement, then a fiber supplement like Aristozyme (Pepsin and Diastase) can be taken. Moreover, Gelusil syrup (Aluminium hydroxide with Dimethicone) can also be taken for a short duration. |
Q. Kindly explain non-FDG avid in a PET scan of a breast cancer patient. | Hi doctor, My mother had breast cancer 13 years back, and this year again she has been diagnosed with bone only metastasis as per the report. She is currently on Letrozole and Ibrance for the last five months. Initially there was bone pain near pelvic, and so did the ultrasound, in that it came minimal ascites, following that we did CA 125 @ 104 and CEA @ 47 five months back, followed by CT and PET CT scan and biopsy (the biopsy was done from bone and not from omental which came positive for breast cancer origin and negative for colon and intestine CA. In both, there were two observations. Non-FDG avid bone and generalized haziness. What is non-FDG avid that is described in PET scan? What is a generalized haziness, omental metastasis from breast cancer? What can be the cause? Before two months, we repeated CA 125 which came 33 from 104 at initial diagnosis 2 CEA @ 29, 47 at the initial diagnoses. | Hi. I can understand your concern regarding the new findings on CT PET Scan of your mother. She is having multiple bony metastases proven radiologically and pathologically. The generalized mesenteric and omental haziness with raised tumor markers Ca 125 / CEA, these findings raises suspicion of peritoneal involvement. But, there is no clear nodule or mass found in the abdominal cavity. So she needs a close follow-up and further investigations. She has proven bone metastasis as confirmed pathologically and radiologically (CT scan) with out uptake of FDG. Non FDG avid means her some bone metastasis have not taken up FDG. Usually, tumor and the metastatic site takes up FDG But here bone metastasis has been confirmed already by CT scan and biopsy. At this stage, I would suggest you discuss with your oncologist for a possible laparoscopic evaluation of the abdomen (peritonuem, omentum, and mesentery). It will show any visible suspected lesion in the abdomen and biopsies can be taken from any suspicious lesions or she can be put on close follow up and a PET CT and tumor markers can be repeated after two months. They should also drain the abdominal fluid and send it for analysis (cytology for malignant cells). Also, she may need transvaginal ultrasound that is very sensitive to detect any ovarian tumor. Because ovary is one of the common causes of peritoneal and omental involvement. She may also need to do an MRI whole spine as there are multiple vertebrae (spine) metastasis. There is a risk of spinal cord compression and MRI can detect it early. Did she have a previous surgery of the uterus or ovaries or any abdominal surgery? |
<s>[INST]
Hi doctor, My mother had breast cancer 13 years back, and this year again she has been diagnosed with bone only metastasis as per the report. She is currently on Letrozole and Ibrance for the last five months. Initially there was bone pain near pelvic, and so did the ultrasound, in that it came minimal ascites, following that we did CA 125 @ 104 and CEA @ 47 five months back, followed by CT and PET CT scan and biopsy (the biopsy was done from bone and not from omental which came positive for breast cancer origin and negative for colon and intestine CA. In both, there were two observations. Non-FDG avid bone and generalized haziness. What is non-FDG avid that is described in PET scan? What is a generalized haziness, omental metastasis from breast cancer? What can be the cause? Before two months, we repeated CA 125 which came 33 from 104 at initial diagnosis 2 CEA @ 29, 47 at the initial diagnoses. [/INST] Hi. I can understand your concern regarding the new findings on CT PET Scan of your mother. She is having multiple bony metastases proven radiologically and pathologically. The generalized mesenteric and omental haziness with raised tumor markers Ca 125 / CEA, these findings raises suspicion of peritoneal involvement. But, there is no clear nodule or mass found in the abdominal cavity. So she needs a close follow-up and further investigations. She has proven bone metastasis as confirmed pathologically and radiologically (CT scan) with out uptake of FDG. Non FDG avid means her some bone metastasis have not taken up FDG. Usually, tumor and the metastatic site takes up FDG But here bone metastasis has been confirmed already by CT scan and biopsy. At this stage, I would suggest you discuss with your oncologist for a possible laparoscopic evaluation of the abdomen (peritonuem, omentum, and mesentery). It will show any visible suspected lesion in the abdomen and biopsies can be taken from any suspicious lesions or she can be put on close follow up and a PET CT and tumor markers can be repeated after two months. They should also drain the abdominal fluid and send it for analysis (cytology for malignant cells). Also, she may need transvaginal ultrasound that is very sensitive to detect any ovarian tumor. Because ovary is one of the common causes of peritoneal and omental involvement. She may also need to do an MRI whole spine as there are multiple vertebrae (spine) metastasis. There is a risk of spinal cord compression and MRI can detect it early. Did she have a previous surgery of the uterus or ovaries or any abdominal surgery? |
Q. Rabeprazole did not work for my antral gastritis. Please tell me some other treatment. | Hello doctor, In my endoscopy, I have antral gastritis for four months (severe indigestion, constipation, loss of appetite). I take 20 mg Rabeprazole daily but symptoms do not go away. Please help. | Hello. Now, let us move to your treatment. See as the name suggests, acid reflux should be treated in two phases. Control production of acid for which you are on Delixant and Ranitidine. To prevent the acid formed inside the stomach to reflux back into the esophagus. This part of treatment is not covered by your doctor. I would suggest you add Levosulpiride. It is a prokinetic drug and is very effective in controlling reflux of acid back into the esophagus. A better way is to take it with Rabeprazole. Trials have shown that it is very effective when combined with Rabeprazole. So, you can switch over to Rabeprazole from Delixant. Sucralfate is used to treat and prevent ulcers. Sucralfate works by forming a coating over the ulcer. This protects the ulcer from the acid of the stomach, allowing it to heal. Sucralfate is best taken with water on an empty stomach one hour before meals and at bedtime. It should be taken daily by you and would help in healing ulcers. General precautions are to follow a bland diet (low acid levels, low in fat, not spicy). Eat frequent, small meals, lose weight. Avoid the use of alcohol, tobacco, and caffeine. Do not eat food less than two hours before bedtime. Raise the head of the bed before sleeping. Avoid clearing of the throat. |
<s>[INST]
Hello doctor, In my endoscopy, I have antral gastritis for four months (severe indigestion, constipation, loss of appetite). I take 20 mg Rabeprazole daily but symptoms do not go away. Please help. [/INST] Hello. Now, let us move to your treatment. See as the name suggests, acid reflux should be treated in two phases. Control production of acid for which you are on Delixant and Ranitidine. To prevent the acid formed inside the stomach to reflux back into the esophagus. This part of treatment is not covered by your doctor. I would suggest you add Levosulpiride. It is a prokinetic drug and is very effective in controlling reflux of acid back into the esophagus. A better way is to take it with Rabeprazole. Trials have shown that it is very effective when combined with Rabeprazole. So, you can switch over to Rabeprazole from Delixant. Sucralfate is used to treat and prevent ulcers. Sucralfate works by forming a coating over the ulcer. This protects the ulcer from the acid of the stomach, allowing it to heal. Sucralfate is best taken with water on an empty stomach one hour before meals and at bedtime. It should be taken daily by you and would help in healing ulcers. General precautions are to follow a bland diet (low acid levels, low in fat, not spicy). Eat frequent, small meals, lose weight. Avoid the use of alcohol, tobacco, and caffeine. Do not eat food less than two hours before bedtime. Raise the head of the bed before sleeping. Avoid clearing of the throat. |
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 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 --> |
<s>[INST]
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. Will taking Regestrone post unprotected sex prevent pregnancy? | Hello doctor, I and my fiancee had unprotected sex a month back. I had an orgasm before having but not during sex. She has PCOD so her periods are irregular. She went to the doctor and doctor suggested having Regestrone 5 mg three tablets for three days. She started taking it 13 days later and finished after three days. The day before yesterday, she got her periods. But she did not have blood clots and flow is very slow. Is there any chance of pregnancy? | Hi. How are you doing? As she has PCOD (polycystic ovarian disease), her ovulation date cannot be predicted. So there is always a chance of pregnancy. But as she had bleeding after having tablet Regestrone, pregnancy is not possible. Bleeding after having hormones will be thicker and lesser than normal, that is expected. Once the bleeding occurs, the inner lining of the uterus has fully been shed, so there is no chance of a possible pregnancy to get implanted on the post bleeding, thinned out uterine inner lining. So I do not see any chance of her being pregnant. But if you are still not satisfied or want a further confirmation, have her blood serum beta hCG tested. This can detect the smallest of pregnancy anywhere in the body. |
<s>[INST]
Hello doctor, I and my fiancee had unprotected sex a month back. I had an orgasm before having but not during sex. She has PCOD so her periods are irregular. She went to the doctor and doctor suggested having Regestrone 5 mg three tablets for three days. She started taking it 13 days later and finished after three days. The day before yesterday, she got her periods. But she did not have blood clots and flow is very slow. Is there any chance of pregnancy? [/INST] Hi. How are you doing? As she has PCOD (polycystic ovarian disease), her ovulation date cannot be predicted. So there is always a chance of pregnancy. But as she had bleeding after having tablet Regestrone, pregnancy is not possible. Bleeding after having hormones will be thicker and lesser than normal, that is expected. Once the bleeding occurs, the inner lining of the uterus has fully been shed, so there is no chance of a possible pregnancy to get implanted on the post bleeding, thinned out uterine inner lining. So I do not see any chance of her being pregnant. But if you are still not satisfied or want a further confirmation, have her blood serum beta hCG tested. This can detect the smallest of pregnancy anywhere in the body. |
Q. Kindly suggest me a homeopathy medicine for cold and body pain. | Hi doctor, I suffer from cold, restlessness and body pain. During every winter season, I will get sick starting with a cold. Currently, I am taking Arsenicum album 30 and Aconite 30. Kindly suggest me a homeopathy medicine. | Hi. You can start taking Aconite 200 five pills in the morning, noon and evening. If you have Aconite 30, then you can take it at an interval of 15 to 20 minutes until the cold gets reduced. Take it four times a day. Take Rhus tox 200 in the morning, noon and night. Have warm water to drink. Have warm milk with turmeric powder and ginger powder. You can also take one spoonful mixture of honey, crushed ginger, and turmeric powder for three to four times a day. This home remedy helps to give a fast recovery. Follow up after a week to decide the duration of treatment. |
<s>[INST]
Hi doctor, I suffer from cold, restlessness and body pain. During every winter season, I will get sick starting with a cold. Currently, I am taking Arsenicum album 30 and Aconite 30. Kindly suggest me a homeopathy medicine. [/INST] Hi. You can start taking Aconite 200 five pills in the morning, noon and evening. If you have Aconite 30, then you can take it at an interval of 15 to 20 minutes until the cold gets reduced. Take it four times a day. Take Rhus tox 200 in the morning, noon and night. Have warm water to drink. Have warm milk with turmeric powder and ginger powder. You can also take one spoonful mixture of honey, crushed ginger, and turmeric powder for three to four times a day. This home remedy helps to give a fast recovery. Follow up after a week to decide the duration of treatment. |
Q. What medicine to give a kid with vomiting and loose motion? | Hi doctor, My daughter is ten months old, and her weight is 6.7 kilograms. She has vomiting and loose motion from the morning. We are giving her ORS. What is the medicine given for vomiting and loose motion? | Hi. Giving ORS (oral rehydration solution) is good. It will treat dehydration and try to make them in the right concentration. Try to have one sachet in one-liter water. You can give her syrup Zincolife 5 ml (Elemental zinc) once a day for 14 days, and syrup Ondem 2.5 ml (Ondansetron) can be given for vomiting. But if there is persistent vomiting and if the child is dizzy, lethargic, with, decreased urination, then you can consult a pediatrician soon. |
<s>[INST]
Hi doctor, My daughter is ten months old, and her weight is 6.7 kilograms. She has vomiting and loose motion from the morning. We are giving her ORS. What is the medicine given for vomiting and loose motion? [/INST] Hi. Giving ORS (oral rehydration solution) is good. It will treat dehydration and try to make them in the right concentration. Try to have one sachet in one-liter water. You can give her syrup Zincolife 5 ml (Elemental zinc) once a day for 14 days, and syrup Ondem 2.5 ml (Ondansetron) can be given for vomiting. But if there is persistent vomiting and if the child is dizzy, lethargic, with, decreased urination, then you can consult a pediatrician soon. |
Q. What steps to take for high urea and creatinine levels? | Hi doctor, My grandfather is 82 years old. He has undergone bypass surgery before 14 years and also done angioplasty last month. He has diabetes and BP. He has a high level of blood urea and creatinine. What are the steps can be taken now? Please suggest. | Hi. He has a worsening kidney function secondary to hypertension and diabetes. His hemoglobin is low, (attachment removed to protect patient identity) and it is 7.6 g/dL. I believe that it is low due to kidney failure and he also has a bladder infection. Consult a urologist soon and do these blood tests such as serum iron, ferritin levels, and TIBC (total iron binding capacity). You can also consult a nephrologist soon, and he also needs subcutaneous erythropoietin during this time. For infection, you can give him tablet Ciprofloxacin 250 mg twice daily for five days. He needs hemodialysis also, and I also recommend getting a fistula now. It would become mature in three to four months, and it helps in the future. Discuss with your cardiologist if the stents are placed, before discontinuing Brilinta (Ticagrelor) and continue taking Aspirin. |
<s>[INST]
Hi doctor, My grandfather is 82 years old. He has undergone bypass surgery before 14 years and also done angioplasty last month. He has diabetes and BP. He has a high level of blood urea and creatinine. What are the steps can be taken now? Please suggest. [/INST] Hi. He has a worsening kidney function secondary to hypertension and diabetes. His hemoglobin is low, (attachment removed to protect patient identity) and it is 7.6 g/dL. I believe that it is low due to kidney failure and he also has a bladder infection. Consult a urologist soon and do these blood tests such as serum iron, ferritin levels, and TIBC (total iron binding capacity). You can also consult a nephrologist soon, and he also needs subcutaneous erythropoietin during this time. For infection, you can give him tablet Ciprofloxacin 250 mg twice daily for five days. He needs hemodialysis also, and I also recommend getting a fistula now. It would become mature in three to four months, and it helps in the future. Discuss with your cardiologist if the stents are placed, before discontinuing Brilinta (Ticagrelor) and continue taking Aspirin. |
Q. What to do if there is no withdrawal bleeding after taking Unwanted 72? | Hi doctor, I had unprotected sex last week, and within three hours, I took Unwanted 72. It was the 11th day of my period. I usually have a 28 to 30 days cycle. Even after five days, I do not have a sign of withdrawal bleeding. What should I have to do if I do not get withdrawal bleeding? | Hi. If you have taken Unwanted 72 (Levonorgestrel) within 48 to 72 hours of unprotected sex, with a proper dosage without vomiting, then you can have bleeding within one to two weeks. If these requirements are fulfilled, then there is no need to worry, and you can wait for bleeding. If you do not observe bleeding even after three weeks, then it is better to have hormonal induction after doing a pregnancy test (beta hCG). If the pregnancy test comes negative, after two to three weeks, you take tablet Primolut N 10 mg (Norethisterone) twice daily for seven days and then again wait for bleeding for one to two weeks. Menstrual cycle usually gets disturbed due to externally induced hormones and until it gets rid of the body. |
<s>[INST]
Hi doctor, I had unprotected sex last week, and within three hours, I took Unwanted 72. It was the 11th day of my period. I usually have a 28 to 30 days cycle. Even after five days, I do not have a sign of withdrawal bleeding. What should I have to do if I do not get withdrawal bleeding? [/INST] Hi. If you have taken Unwanted 72 (Levonorgestrel) within 48 to 72 hours of unprotected sex, with a proper dosage without vomiting, then you can have bleeding within one to two weeks. If these requirements are fulfilled, then there is no need to worry, and you can wait for bleeding. If you do not observe bleeding even after three weeks, then it is better to have hormonal induction after doing a pregnancy test (beta hCG). If the pregnancy test comes negative, after two to three weeks, you take tablet Primolut N 10 mg (Norethisterone) twice daily for seven days and then again wait for bleeding for one to two weeks. Menstrual cycle usually gets disturbed due to externally induced hormones and until it gets rid of the body. |
Q. What is the treatment for erectile dysfunction and low libido? | Hello doctor, I am facing with erectile dysfunction from the past couple of weeks and low libido, decrease in sexual desire. Before that, everything worked fine. I have performance pressure. | Hello. Please elaborate on what kind of issues you are facing? Do you have any ongoing stress? Any history of hypertension or diabetes? Any medicines you started recently? How the problem developed? |
<s>[INST]
Hello doctor, I am facing with erectile dysfunction from the past couple of weeks and low libido, decrease in sexual desire. Before that, everything worked fine. I have performance pressure. [/INST] Hello. Please elaborate on what kind of issues you are facing? Do you have any ongoing stress? Any history of hypertension or diabetes? Any medicines you started recently? How the problem developed? |
Q. Is it possible to get pregnant while taking medicines for PCOD? | Hello doctor, I am 27 years now. Two years back I was diagnosed with PCOS. My weight is 60 kg now. I consumed Met PCO care and Ginette 35 for the last two years. Here I am attaching my last USG report. I want to know if I will able to get pregnant or not and moreover, what is the last age for getting pregnant with this problem? Are these medicines good for me? Should I stop consuming all these medicines? | Hello. Stop Ginette (Ethinyl Estradiol) if you want to plan. You can continue with Met PCO care (D-Chiro-Inositol and Methylfolate). Do some lifestyle and dietary modifications. Stop junk food. Lose some weight. You will conceive. Fertility usually starts decreasing after 30 but people do conceive at an age of 45 even. Just relax and you can go for ovulation induction if ovulation does not occur normally. |
<s>[INST]
Hello doctor, I am 27 years now. Two years back I was diagnosed with PCOS. My weight is 60 kg now. I consumed Met PCO care and Ginette 35 for the last two years. Here I am attaching my last USG report. I want to know if I will able to get pregnant or not and moreover, what is the last age for getting pregnant with this problem? Are these medicines good for me? Should I stop consuming all these medicines? [/INST] Hello. Stop Ginette (Ethinyl Estradiol) if you want to plan. You can continue with Met PCO care (D-Chiro-Inositol and Methylfolate). Do some lifestyle and dietary modifications. Stop junk food. Lose some weight. You will conceive. Fertility usually starts decreasing after 30 but people do conceive at an age of 45 even. Just relax and you can go for ovulation induction if ovulation does not occur normally. |
Q. I get weird thoughts. Do I have paranoia? | Hello doctor, Everyone gets those little paranoid thoughts but mine have gotten a lot worse and a lot more frequent over the past four months. I constantly feel like people I know are talking about me or someone is trying to kill me/hurt me. I also get other weird thoughts like, what if the bus tips up, what if there is a bomb in here? This stops me from going out, and I cry a lot over it. Nobody I know has ever experienced it and they do not know about it, so I do not like talking about it because they may think I am just weird. When I am home alone or not, doors and windows have to be locked and shut so nobody can see inside the house. If I want to go out, I have to be with an older person (parent) or a group of friends. I went out for the first time past 8 o' clock at night the other day and it really frightened me. I have woken up in the middle of a panic attack twice. Please help. | Hi. The symptoms you have described are indicative of obsessional nature and the behavior is compulsive because of fearfulness. From the brief description, it is not possible for me to decide the category of disorder. But I can tell you that it is not normal and unlikely to go away without the help of a mental health specialist. You are right in saying that you are suffering fromparanoia but to me, it seems it is secondary to this fearfulness. Having said this, I can assure you that this condition can be treated with the help of antidepressants and antipsychotics or psychotherapy or both. Most of the individuals respond slowly to the prescribed treatment. At the same time, I would like to inform you that you are not responsible for these symptoms. They just can happen to anybody. You need to talk and discuss your issue in detail to a psychiatrist online after which we can decide the exact diagnosis and a plan of treatment. |
<s>[INST]
Hello doctor, Everyone gets those little paranoid thoughts but mine have gotten a lot worse and a lot more frequent over the past four months. I constantly feel like people I know are talking about me or someone is trying to kill me/hurt me. I also get other weird thoughts like, what if the bus tips up, what if there is a bomb in here? This stops me from going out, and I cry a lot over it. Nobody I know has ever experienced it and they do not know about it, so I do not like talking about it because they may think I am just weird. When I am home alone or not, doors and windows have to be locked and shut so nobody can see inside the house. If I want to go out, I have to be with an older person (parent) or a group of friends. I went out for the first time past 8 o' clock at night the other day and it really frightened me. I have woken up in the middle of a panic attack twice. Please help. [/INST] Hi. The symptoms you have described are indicative of obsessional nature and the behavior is compulsive because of fearfulness. From the brief description, it is not possible for me to decide the category of disorder. But I can tell you that it is not normal and unlikely to go away without the help of a mental health specialist. You are right in saying that you are suffering fromparanoia but to me, it seems it is secondary to this fearfulness. Having said this, I can assure you that this condition can be treated with the help of antidepressants and antipsychotics or psychotherapy or both. Most of the individuals respond slowly to the prescribed treatment. At the same time, I would like to inform you that you are not responsible for these symptoms. They just can happen to anybody. You need to talk and discuss your issue in detail to a psychiatrist online after which we can decide the exact diagnosis and a plan of treatment. |
Q. What is polyclonal hypergammaglobulinemia? Is it related to leukemia? | Hi doctor, What is polyclonal hypergammaglobulinemia? Can it be related to leukemia? | Hi. I have gone through the attachment (attachment removed to protect patient identity). Polyclonal hypergammaglobulinemia is an increase in antibody level in the blood in response to infection. If you have lymphoma or leukemia then, the result can be in monoclonal nature. Monoclonal means the same type of antibody forms. But the result does not show a monoclonal nature. So there is no need to worry. Here the result is in polyclonal nature. It suggests towards infective etiology more. |
<s>[INST]
Hi doctor, What is polyclonal hypergammaglobulinemia? Can it be related to leukemia? [/INST] Hi. I have gone through the attachment (attachment removed to protect patient identity). Polyclonal hypergammaglobulinemia is an increase in antibody level in the blood in response to infection. If you have lymphoma or leukemia then, the result can be in monoclonal nature. Monoclonal means the same type of antibody forms. But the result does not show a monoclonal nature. So there is no need to worry. Here the result is in polyclonal nature. It suggests towards infective etiology more. |
Q. Does extraction of tooth cause any effect on breastfeeding? | Hi doctor, I have pain in the second tooth from my wisdom tooth. I have the pain for a month. I want to pull it or remove it. But I am scared. I gave birth to my child before six months through C-section. Is there any other option available to remove the tooth? Does it cause any effect on breastfeeding? | Hi. I have gone through your question, (attachment removed to protect patient identity) and I can understand your concern. You have a grossly decayed infectious tooth which needs removal. Visit a dentist soon and remove it promptly. It does not affect your breastfeeding. You can avoid taking too much of painkillers and medications prescribed by the doctor. Dental extraction is a simple procedure, and there is no issue to be afraid of it. In case, if you do not want to get it removed, then you can take Amoxicillin 500 mg for five days, and it will treat your infection. I suggest you get it removed if it is so grossly decayed, or root canaled. |
<s>[INST]
Hi doctor, I have pain in the second tooth from my wisdom tooth. I have the pain for a month. I want to pull it or remove it. But I am scared. I gave birth to my child before six months through C-section. Is there any other option available to remove the tooth? Does it cause any effect on breastfeeding? [/INST] Hi. I have gone through your question, (attachment removed to protect patient identity) and I can understand your concern. You have a grossly decayed infectious tooth which needs removal. Visit a dentist soon and remove it promptly. It does not affect your breastfeeding. You can avoid taking too much of painkillers and medications prescribed by the doctor. Dental extraction is a simple procedure, and there is no issue to be afraid of it. In case, if you do not want to get it removed, then you can take Amoxicillin 500 mg for five days, and it will treat your infection. I suggest you get it removed if it is so grossly decayed, or root canaled. |
Q. Why are my periods irregular? | Hi.i m 17 years old..my periods are irregular.and sometimes it lasts for 15 days sometimes 7 or sometimes4 days..from last month i got my periods for only 3 days with very light flow.. and now it again started but very minute..little..i dont know why its happening like this..plz help me. | Hi dear, I understand your concern .am also proud that kids of your age are so thoughtful to ask these questions.at your age I was not even aware of such things . first of all after menarche ,till 18 years of age your body will be adjusting to the changing harmones and also your HPO axis will mature till 18yrs of age ..hence irregular cycles are common during this period. but in your case your BMI is on higher side and obese for your height. As per your height your ideal weight should be 55kgs. weight reduction will help you best with your periods.as more estrogen is produced from body fat ,it leads to harmonal imbalance.also obesity causes insulin resistance and acne. also get evaluated for THYROID take tab.Yaz for 3 months to regulate your periods if you have any questions please feel free to ask if you are satisfied with my answer please leave a feedback |
<s>[INST]
Hi.i m 17 years old..my periods are irregular.and sometimes it lasts for 15 days sometimes 7 or sometimes4 days..from last month i got my periods for only 3 days with very light flow.. and now it again started but very minute..little..i dont know why its happening like this..plz help me. [/INST] Hi dear, I understand your concern .am also proud that kids of your age are so thoughtful to ask these questions.at your age I was not even aware of such things . first of all after menarche ,till 18 years of age your body will be adjusting to the changing harmones and also your HPO axis will mature till 18yrs of age ..hence irregular cycles are common during this period. but in your case your BMI is on higher side and obese for your height. As per your height your ideal weight should be 55kgs. weight reduction will help you best with your periods.as more estrogen is produced from body fat ,it leads to harmonal imbalance.also obesity causes insulin resistance and acne. also get evaluated for THYROID take tab.Yaz for 3 months to regulate your periods if you have any questions please feel free to ask if you are satisfied with my answer please leave a feedback |
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. Why is there a small pimple on my penis and testicles? | Hi doctor, I have a small pimple on the penis and testicles for the past six years. I consulted a doctor a long time ago. The doctor told me that it is normal. Please help me. | Hi. If it is small and if it is not causing pain or any other symptoms, then there is no need to worry. Please send the images of it to guide you further. |
<s>[INST]
Hi doctor, I have a small pimple on the penis and testicles for the past six years. I consulted a doctor a long time ago. The doctor told me that it is normal. Please help me. [/INST] Hi. If it is small and if it is not causing pain or any other symptoms, then there is no need to worry. Please send the images of it to guide you further. |
Q. Kindly explain the growth cycle of a female child. | Hi doctor, My daughter is nine years old. She had body odor in the armpit. I was alarmed because it smelled like an adult body odor. She had sweating. A few days ago, she told about her nipple that one nipple looks normal and the other one looks hard. I want to know whether she has reached the puberty stage. I have another daughter. She is 13 years old. She does not have these problems when compared to my younger one. Please help. | Hi. It is normal to have these findings now because a few kids have it. Normal growth cycle follows these ways. The first one is thelarche. In this, there is a development of the breast. The second one is pubarche. In this, there is a development of pubic hair. Then the next one is menarche. In this one, there is an onset of menses. In between thelarche and pubarche, there is a growth spurt. So all these occur gradually. It is normal for your child to have this development. You can consult a doctor when there are secondary sexual characters like breast development and growth of pubic hair before eight years of age in a female child. |
<s>[INST]
Hi doctor, My daughter is nine years old. She had body odor in the armpit. I was alarmed because it smelled like an adult body odor. She had sweating. A few days ago, she told about her nipple that one nipple looks normal and the other one looks hard. I want to know whether she has reached the puberty stage. I have another daughter. She is 13 years old. She does not have these problems when compared to my younger one. Please help. [/INST] Hi. It is normal to have these findings now because a few kids have it. Normal growth cycle follows these ways. The first one is thelarche. In this, there is a development of the breast. The second one is pubarche. In this, there is a development of pubic hair. Then the next one is menarche. In this one, there is an onset of menses. In between thelarche and pubarche, there is a growth spurt. So all these occur gradually. It is normal for your child to have this development. You can consult a doctor when there are secondary sexual characters like breast development and growth of pubic hair before eight years of age in a female child. |
Q. Why do I have increased white cells, proteins, leucocytes and epithelial cells in my urine? | Hi doctor, My partner is 48 years old, and her weight is 65 kilograms. She has RBC of 5.6 mcL, Hb of 15.3 g/dL, and creatinine of 0.9 mg/dL. The urine report shows white cells of 60 to 80 WBCs per high power field. There are traces of proteins, leucocytes, and epithelial cells also. | Hi. Your partner has urinary tract infection. She needs to do a urine culture and sensitivity. Meanwhile, get examined by a gynecologist to know the local source of infection. If she is symptomatic, with fever or burning micturition, then she needs to take a course of antibiotics. |
<s>[INST]
Hi doctor, My partner is 48 years old, and her weight is 65 kilograms. She has RBC of 5.6 mcL, Hb of 15.3 g/dL, and creatinine of 0.9 mg/dL. The urine report shows white cells of 60 to 80 WBCs per high power field. There are traces of proteins, leucocytes, and epithelial cells also. [/INST] Hi. Your partner has urinary tract infection. She needs to do a urine culture and sensitivity. Meanwhile, get examined by a gynecologist to know the local source of infection. If she is symptomatic, with fever or burning micturition, then she needs to take a course of antibiotics. |
Q. I am in testosterone replacement therapy and my PSA got increased. Please advice. | Hi doctor, My prostate-specific antigen (PSA) value has got increased by 30 % from 0.8 ng/mL to 1.1 ng/mL. I am in testosterone replacement therapy also. Please advice. | Hi. The absolute PSA (prostate-specific antigen) level is in the range where it is not of much concern. But the rise in PSA is bothersome if it rises more than 0.75 ng/mL per year. For a young patient like you, even this rise in rate needs to be assessed. Testosterone replacement can also be a cause of this rise. Please mention about the reason for taking testosterone replacement therapy. |
<s>[INST]
Hi doctor, My prostate-specific antigen (PSA) value has got increased by 30 % from 0.8 ng/mL to 1.1 ng/mL. I am in testosterone replacement therapy also. Please advice. [/INST] Hi. The absolute PSA (prostate-specific antigen) level is in the range where it is not of much concern. But the rise in PSA is bothersome if it rises more than 0.75 ng/mL per year. For a young patient like you, even this rise in rate needs to be assessed. Testosterone replacement can also be a cause of this rise. Please mention about the reason for taking testosterone replacement therapy. |
Q. Will stress cause dilated vasculature? | Hello doctor, I have been diagnosed with dilated vasculature including the abdominal aorta, inferior vena cava and iliac veins (described as aneurysmal in size, 34 mm on right, 21 mm on left). What could cause this? Could stress cause that? | Hi. An aortic aneurysm may result from trauma, infection or most commonly from an intrinsic abnormality of elastin and collagen component of the aortic wall. Genetic abnormalities like Marfan syndrome, Ehler Danlos Syndrome, etc., are associated with aortic syndrome. Risk factors are coronary artery disease, smoking, high BP, and high cholesterol, hyper homocysteinemia, etc. Genetic or hypertension, high cholesterol, homocysteine, etc. Ultrasound, CT abdomen, angiography, MRI. Surgery. Proper control of risk factors. |
<s>[INST]
Hello doctor, I have been diagnosed with dilated vasculature including the abdominal aorta, inferior vena cava and iliac veins (described as aneurysmal in size, 34 mm on right, 21 mm on left). What could cause this? Could stress cause that? [/INST] Hi. An aortic aneurysm may result from trauma, infection or most commonly from an intrinsic abnormality of elastin and collagen component of the aortic wall. Genetic abnormalities like Marfan syndrome, Ehler Danlos Syndrome, etc., are associated with aortic syndrome. Risk factors are coronary artery disease, smoking, high BP, and high cholesterol, hyper homocysteinemia, etc. Genetic or hypertension, high cholesterol, homocysteine, etc. Ultrasound, CT abdomen, angiography, MRI. Surgery. Proper control of risk factors. |
Q. I have abdominal pain with watery stool. Please help. | Hello doctor, I have the following symptoms. Abdominal pain, starting from yesterday night. Had instant noodle and two eggs for the meal last night. At first, it was severe pain and strange sound in the intestine and could not poop. And then I had diarrhea and poop water. Hardly slept last night due to severe pain. This morning the pain is continuously happening like every five minutes and poop water with little blood. I am a male, 27 years old, height 5'7'', and weight 154 lbs. | Hello. It is likely a food poisoning. Most importantly, have ORS 100 to 200 ml with each stool and keep yourself rehydrated. Drink as much as possible. You should have tablet Pan D (Pantoprazole and Domperidone) before breakfast once a day for 3 to 4 days. You should get prescribed capsule Vizylac or Sporulac sachet three times a day for five days. For immediate pain relief, you can have antispasmodic like tablet Dicyclomine 20 or Hyoscine 10 mg whenever needed up to three times a day. If it does not respond in 1 to 2 days or get worsened, then need to have tablet Norflox TZ (Norfloxacin) two times a day along with some antacid like tablet Pantoprazole before breakfast once a day for five days. |
<s>[INST]
Hello doctor, I have the following symptoms. Abdominal pain, starting from yesterday night. Had instant noodle and two eggs for the meal last night. At first, it was severe pain and strange sound in the intestine and could not poop. And then I had diarrhea and poop water. Hardly slept last night due to severe pain. This morning the pain is continuously happening like every five minutes and poop water with little blood. I am a male, 27 years old, height 5'7'', and weight 154 lbs. [/INST] Hello. It is likely a food poisoning. Most importantly, have ORS 100 to 200 ml with each stool and keep yourself rehydrated. Drink as much as possible. You should have tablet Pan D (Pantoprazole and Domperidone) before breakfast once a day for 3 to 4 days. You should get prescribed capsule Vizylac or Sporulac sachet three times a day for five days. For immediate pain relief, you can have antispasmodic like tablet Dicyclomine 20 or Hyoscine 10 mg whenever needed up to three times a day. If it does not respond in 1 to 2 days or get worsened, then need to have tablet Norflox TZ (Norfloxacin) two times a day along with some antacid like tablet Pantoprazole before breakfast once a day for five days. |
Q. Can continuous use of nasal spray cause sinus odor? | Hello doctor,I have been dealing with a sinus odor problem for years. I am a fair online researcher and I have been shocked by how unique my problem seems to be. The odor varies in strength and seems to disappear and return over time. I have seen numerous ENT specialists over the years and with the exception of one, they seem to be totally baffled by what is going on. This is an odor that at times, it can be so strong that people can detect it when I walk into a room. Using Mupirocin in my nostrils and I am also doing the upside down nasal rinse with saline solution and peroxide. I thought they were helping but I am starting to have my doubts. I was addicted to nasal spray for many years and I am worried that I did some damage to my sinus cavity. Please advise. | Hi. You may have atrophic rhinitis due to long use of intranasal sprays. Do you have any hard crest inside your nose? What about your smell sensation? Please send me your CT scan. For more information consult an ENT otolaryngologist online --> |
<s>[INST]
Hello doctor,I have been dealing with a sinus odor problem for years. I am a fair online researcher and I have been shocked by how unique my problem seems to be. The odor varies in strength and seems to disappear and return over time. I have seen numerous ENT specialists over the years and with the exception of one, they seem to be totally baffled by what is going on. This is an odor that at times, it can be so strong that people can detect it when I walk into a room. Using Mupirocin in my nostrils and I am also doing the upside down nasal rinse with saline solution and peroxide. I thought they were helping but I am starting to have my doubts. I was addicted to nasal spray for many years and I am worried that I did some damage to my sinus cavity. Please advise. [/INST] Hi. You may have atrophic rhinitis due to long use of intranasal sprays. Do you have any hard crest inside your nose? What about your smell sensation? Please send me your CT scan. For more information consult an ENT otolaryngologist online --> |
Q. A foul smell comes out of my nose. What could it be? | Hi doctor, I have a serious oral problem for 9 years or so. I am now 19. I have had this metallic taste in my mouth and white tongue, no matter how much I scrap and scrub. Some foul smell comes out of my throat. My mouth can be close yet this smell still seems to get out most likely through my nose. People close to me and people I trust say it is a fecal smell. I have been to the dentist and he told me that my teeth were fine. Brought tongue scrapers to no avail. Switched off the alcohol mouth wash. At a time in my life, I was brushing my teeth 6 or more times a day. To this day, I still brush my teeth four times a day spending at least 15 minutes in cleaning my mouth. My mouth never feels fresh. I have spent countless money on dental products yet nothing has changed and the problem seems to get worse with age. I am all out of options. I need some advice on what to do and some sort of diagnosis or at least a point in the right direction. | Hi. Foul smell is formed by bacteria. So, it is seen in conditions where they are residing for a long time. Normally our nose and throat have commensals and they get washed away by our normal secretions of the nose and throat. Bad smell in nose is seen in conditions like, atrophic rhinitis and pharyngeal web or diverticulum. Atrophic rhinitis, in which it smells bad. After some time, the patient does not get bad smell and only the people around get it. It is a nasal disease and can be diagnosed by examining nose. Pharyngeal web or diverticulum is a condition in which a small pouch is formed from pharynx, away from normal tract. So, whatever you eat, a part of it does not go to the stomach below and escapes into the pouch. It stays there for some time and automatically comes back in pharynx and goes stomach. In this condition, due to retention of food bad smell is produced. For further information consult an ENT otolaryngologist online --> |
<s>[INST]
Hi doctor, I have a serious oral problem for 9 years or so. I am now 19. I have had this metallic taste in my mouth and white tongue, no matter how much I scrap and scrub. Some foul smell comes out of my throat. My mouth can be close yet this smell still seems to get out most likely through my nose. People close to me and people I trust say it is a fecal smell. I have been to the dentist and he told me that my teeth were fine. Brought tongue scrapers to no avail. Switched off the alcohol mouth wash. At a time in my life, I was brushing my teeth 6 or more times a day. To this day, I still brush my teeth four times a day spending at least 15 minutes in cleaning my mouth. My mouth never feels fresh. I have spent countless money on dental products yet nothing has changed and the problem seems to get worse with age. I am all out of options. I need some advice on what to do and some sort of diagnosis or at least a point in the right direction. [/INST] Hi. Foul smell is formed by bacteria. So, it is seen in conditions where they are residing for a long time. Normally our nose and throat have commensals and they get washed away by our normal secretions of the nose and throat. Bad smell in nose is seen in conditions like, atrophic rhinitis and pharyngeal web or diverticulum. Atrophic rhinitis, in which it smells bad. After some time, the patient does not get bad smell and only the people around get it. It is a nasal disease and can be diagnosed by examining nose. Pharyngeal web or diverticulum is a condition in which a small pouch is formed from pharynx, away from normal tract. So, whatever you eat, a part of it does not go to the stomach below and escapes into the pouch. It stays there for some time and automatically comes back in pharynx and goes stomach. In this condition, due to retention of food bad smell is produced. For further information consult an ENT otolaryngologist online --> |
Q. Why is there continuous sneezing in a child? | Hi doctor, My toddler was sneezing continuously yesterday and her nose was runny. However, it reduced to a large extent now. We had our room painted a day before yesterday. Could it be due to paint allergy? Will the allergy symptoms show up immediately or will take a day's time? My 2-year-old has never had a cold till now. I am just worried if she has ingested any foreign body as she has the habit of mouthing whatever she picks up. Would foreign body stuck in throat cause sneezing and runny nose? I am a paranoid mother and have subjected her to two unwanted X-rays to rule out battery ingestion so I do not want to go through another X-ray. I want to know what would be the symptoms of any foreign body like metal or plastic when stuck in the throat. She was having corn yesterday. If she had inhaled a corn granule through her nose would it pass beyond and would she be acting normally? Since today morning, she sneezed only thrice. If at all it was common cold can it get better in a day? How would I know if it was a foreign body ingestion or allergy or a viral? What would be the symptoms for each one? | Hi. I have gone through the query you posted. According to the history you have given, it is an allergy because of the paint smell. That is the reason he is getting sneezing and running nose. As you think, it is not because of some foreign body in the nose or in the throat. If the foreign body is in the throat, symptoms will be like a continuous cough, breathlessness. If the foreign body is in the nose, they will have a bad smell from nose and bleeding can happen with mucus secretions. So no need of any X-ray or investigations for the child. Differentiating between allergy and viral infection, you have to do some blood test and always viral infection will be associated with fever. So nothing major to worry. What is the weight of the child? |
<s>[INST]
Hi doctor, My toddler was sneezing continuously yesterday and her nose was runny. However, it reduced to a large extent now. We had our room painted a day before yesterday. Could it be due to paint allergy? Will the allergy symptoms show up immediately or will take a day's time? My 2-year-old has never had a cold till now. I am just worried if she has ingested any foreign body as she has the habit of mouthing whatever she picks up. Would foreign body stuck in throat cause sneezing and runny nose? I am a paranoid mother and have subjected her to two unwanted X-rays to rule out battery ingestion so I do not want to go through another X-ray. I want to know what would be the symptoms of any foreign body like metal or plastic when stuck in the throat. She was having corn yesterday. If she had inhaled a corn granule through her nose would it pass beyond and would she be acting normally? Since today morning, she sneezed only thrice. If at all it was common cold can it get better in a day? How would I know if it was a foreign body ingestion or allergy or a viral? What would be the symptoms for each one? [/INST] Hi. I have gone through the query you posted. According to the history you have given, it is an allergy because of the paint smell. That is the reason he is getting sneezing and running nose. As you think, it is not because of some foreign body in the nose or in the throat. If the foreign body is in the throat, symptoms will be like a continuous cough, breathlessness. If the foreign body is in the nose, they will have a bad smell from nose and bleeding can happen with mucus secretions. So no need of any X-ray or investigations for the child. Differentiating between allergy and viral infection, you have to do some blood test and always viral infection will be associated with fever. So nothing major to worry. What is the weight of the child? |
Q. I am having sinus infection and bad smell from nose. What can this be? | Hello doctor, I had been having a sinus infection for four months. My doctor has tried everything. Now I have a bad smell coming out my nose. What can that be? | Hello. What are your symptoms like? Sinusitis symptoms are nose block, facial pressure or a headache, nasal discharge and a decreased sense of smell. This has to be objectively seen via nasal endoscopy or CT scan of sinuses. Has any been done on you? If so can you share with us the reports? Meanwhile, sinusitis is a multifactorial disease. It can be due to bacteria, fungi, allergy, pollution, biofilms and many other environmental factors. We have to clearly evaluate you based on history findings and investigations and then diagnose correctly. Only then the treatment can be tailored to your problem and then it will work. One size fits all treatment for sinusitis is wrong and useless. As a part of this, you may need a CT scan of sinuses, allergy testing of blood, skin prick testing if an allergy is compounding your sinusitis problem, nasal endoscopy, routine blood investigations, etc. You may be started on nasal sprays with corticosteroids and antihistaminics and mucolytics depending on your symptoms. Do write back to us, sharing all details about your disease and past treatment records. We shall assess everything and get back to you. For more information consult an ENT otolaryngologist online --> |
<s>[INST]
Hello doctor, I had been having a sinus infection for four months. My doctor has tried everything. Now I have a bad smell coming out my nose. What can that be? [/INST] Hello. What are your symptoms like? Sinusitis symptoms are nose block, facial pressure or a headache, nasal discharge and a decreased sense of smell. This has to be objectively seen via nasal endoscopy or CT scan of sinuses. Has any been done on you? If so can you share with us the reports? Meanwhile, sinusitis is a multifactorial disease. It can be due to bacteria, fungi, allergy, pollution, biofilms and many other environmental factors. We have to clearly evaluate you based on history findings and investigations and then diagnose correctly. Only then the treatment can be tailored to your problem and then it will work. One size fits all treatment for sinusitis is wrong and useless. As a part of this, you may need a CT scan of sinuses, allergy testing of blood, skin prick testing if an allergy is compounding your sinusitis problem, nasal endoscopy, routine blood investigations, etc. You may be started on nasal sprays with corticosteroids and antihistaminics and mucolytics depending on your symptoms. Do write back to us, sharing all details about your disease and past treatment records. We shall assess everything and get back to you. For more information consult an ENT otolaryngologist 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 --> |
<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 had a back injury two months ago. Why do I still experience pain and discomfort? | I have experienced a back injury which has lasted for two months but it has gotten better lately. The event happened when I had my back extended to max(backbend training) and it was just sore afterwards, but the next day the range of motions had been very limited which I couldn’t do any extension nor flexion. I felt the pain and compression around the sides of my lower back and middle back when I flex and extension degrees was limited as I felt it was at the middle of the spine prevents me to do so. I have been doing research about this which can seemingly be QL muscle spasm, thoracolumbo joint syndrome, and have tried gentle stretches also even rested but still experience the pain or discomfort. | Hi. Never try to stretch any body part or full body in a first. if given a try the same will happen. stretching needs to be done on regular while doing exercises and can be extend day by day not by once. anyways dont worry about the low back pain here i will suggest you exercises which at first you need to do slow without any pressure for a week. then after a can do little fast, this will improve your muscles strengthening of lower back. apply the ointment to the area of pain, cover it for about 10-15mins with a cloth, then clean it with warm water following hot water fermentation. then do the following exercises. all the above exercises to be done carefully atleast once a day for 10 days. do not put pressure if pain is severe. diclofenac ointment to be used twice a day. Take Accelofenac+ paracetamol ( Zerodol P) for three days. once a day. slowly the range of motion will increase after a week. untill then take rest properly and take care. follow up after a week. thank you. |
<s>[INST]
I have experienced a back injury which has lasted for two months but it has gotten better lately. The event happened when I had my back extended to max(backbend training) and it was just sore afterwards, but the next day the range of motions had been very limited which I couldn’t do any extension nor flexion. I felt the pain and compression around the sides of my lower back and middle back when I flex and extension degrees was limited as I felt it was at the middle of the spine prevents me to do so. I have been doing research about this which can seemingly be QL muscle spasm, thoracolumbo joint syndrome, and have tried gentle stretches also even rested but still experience the pain or discomfort. [/INST] Hi. Never try to stretch any body part or full body in a first. if given a try the same will happen. stretching needs to be done on regular while doing exercises and can be extend day by day not by once. anyways dont worry about the low back pain here i will suggest you exercises which at first you need to do slow without any pressure for a week. then after a can do little fast, this will improve your muscles strengthening of lower back. apply the ointment to the area of pain, cover it for about 10-15mins with a cloth, then clean it with warm water following hot water fermentation. then do the following exercises. all the above exercises to be done carefully atleast once a day for 10 days. do not put pressure if pain is severe. diclofenac ointment to be used twice a day. Take Accelofenac+ paracetamol ( Zerodol P) for three days. once a day. slowly the range of motion will increase after a week. untill then take rest properly and take care. follow up after a week. thank you. |
Q. Why did I get blood in mucus while spitting? | Hi doctor, Today I was in a fully airconditioned room with low temperature and when I returned to my room and when I spit the mucus, a pinch of blood came from my mouth. What would be the reason? One year and five months back, the same happened. Please help me. I stopped smoking one month back. I am 26 years old, and male. | Hi. The bleeding you had from your nose can be because of sneezing (forceful). There might be a small injury inside the nose that might have lead to the bleeding. I will advise you to avoid nose picking and keep your nostrils moist so as to allow the wound to heal. Regarding your acid reflux, I would like to know about your lifestyle and dietary patterns. What do you eat and your occupation, your sleeping time? Liquid Paraffin two drops per nostril for seven days. Avoid forceful sneezing. |
<s>[INST]
Hi doctor, Today I was in a fully airconditioned room with low temperature and when I returned to my room and when I spit the mucus, a pinch of blood came from my mouth. What would be the reason? One year and five months back, the same happened. Please help me. I stopped smoking one month back. I am 26 years old, and male. [/INST] Hi. The bleeding you had from your nose can be because of sneezing (forceful). There might be a small injury inside the nose that might have lead to the bleeding. I will advise you to avoid nose picking and keep your nostrils moist so as to allow the wound to heal. Regarding your acid reflux, I would like to know about your lifestyle and dietary patterns. What do you eat and your occupation, your sleeping time? Liquid Paraffin two drops per nostril for seven days. Avoid forceful sneezing. |
Q. What has to be done for stage 2 glioblastoma? | Hello doctor, One of my very close relatives has been diagnosed with glioblastoma, stage 2. We need immediate consultation and guidance. | Hello. According to the MRI report, it looks like high-grade glioma and more likely glioblastoma. Just to correct you, glioblastoma is a grade 4 (highest grade) tumor and it is synonymous with brain cancer. But it needs to be operated. Then only we will get a definite diagnosis and after debulking the tumor, he can undergo radiotherapy and chemotherapy if it is a glioblastoma only. Overall prognosis is bad if it is glioblastoma. Surgery with chemo or radiotherapy will only prolong survival by a few months but definite diagnosis can only be done after surgery and biopsy of the tumor. |
<s>[INST]
Hello doctor, One of my very close relatives has been diagnosed with glioblastoma, stage 2. We need immediate consultation and guidance. [/INST] Hello. According to the MRI report, it looks like high-grade glioma and more likely glioblastoma. Just to correct you, glioblastoma is a grade 4 (highest grade) tumor and it is synonymous with brain cancer. But it needs to be operated. Then only we will get a definite diagnosis and after debulking the tumor, he can undergo radiotherapy and chemotherapy if it is a glioblastoma only. Overall prognosis is bad if it is glioblastoma. Surgery with chemo or radiotherapy will only prolong survival by a few months but definite diagnosis can only be done after surgery and biopsy of the tumor. |
Q. Do I have a chance to get pregnant after taking Krimson 35? | Hi doctor, Recently, I had intercourse with my partner. I am taking Krimson 35 regularly, and my partner used a condom also. I have PCOS. Do I have a chance to get pregnant? We are not planning for a child now. Do we have any other tests that can diagnose pregnancy early or should I have to wait for my periods? | Hi. As your partner has used a condom for sex, then there is less chance to get pregnant. As you are taking Krimson 35 (Cyproterone with Ethinylestradiol) regularly, so there is no chance to get pregnant. Take tablets regularly. Some tests can diagnose pregnancy early such as radioimmunoassay. The best and better way is to wait for periods. If you miss your periods, you can do a urine pregnancy test. If the result is positive, then you can be pregnant. If there is a negative result, then there can be a delay in periods. Wait for ten days after taking the last tablet of Krimson 35, and if you do not have your periods, then you can do a urine pregnancy test. Drink plenty of water. |
<s>[INST]
Hi doctor, Recently, I had intercourse with my partner. I am taking Krimson 35 regularly, and my partner used a condom also. I have PCOS. Do I have a chance to get pregnant? We are not planning for a child now. Do we have any other tests that can diagnose pregnancy early or should I have to wait for my periods? [/INST] Hi. As your partner has used a condom for sex, then there is less chance to get pregnant. As you are taking Krimson 35 (Cyproterone with Ethinylestradiol) regularly, so there is no chance to get pregnant. Take tablets regularly. Some tests can diagnose pregnancy early such as radioimmunoassay. The best and better way is to wait for periods. If you miss your periods, you can do a urine pregnancy test. If the result is positive, then you can be pregnant. If there is a negative result, then there can be a delay in periods. Wait for ten days after taking the last tablet of Krimson 35, and if you do not have your periods, then you can do a urine pregnancy test. Drink plenty of water. |
Q. Should I go hospital immediately for a dog bite? | Hi doctor, A dog bit me hard in my leg. I had a lot of blood flowing from my wound. I cleaned the wound with disinfectant for 20 minutes. Now the blood flow has stopped. I have done preexposure prophylaxis before three months for safety. Do I have to go to the hospital immediately? | Hi. You should go to the hospital soon and begin post-exposure prophylaxis as early as possible. It is better to have rabies immunoglobulin injection soon. You should clean the wound with soap and water. Get a dressing from the doctor with a Betadine solution (Povidone-Iodine) followed by application of Mupirocin ointment. You have to do dressing daily. You should have anti-rabies vaccination on day 0, 3, 7, 14 and 28. Also, rabies immunoglobulin should be taken intramuscularly. Tetanus vaccination is also required. You can take capsule Augmentin duo 1 gm (Amoxicillin with Clavulanic acid) two times a day. You can take tablet Pantoprazole 40 mg before breakfast once a day for five days to prevent wound infection. |
<s>[INST]
Hi doctor, A dog bit me hard in my leg. I had a lot of blood flowing from my wound. I cleaned the wound with disinfectant for 20 minutes. Now the blood flow has stopped. I have done preexposure prophylaxis before three months for safety. Do I have to go to the hospital immediately? [/INST] Hi. You should go to the hospital soon and begin post-exposure prophylaxis as early as possible. It is better to have rabies immunoglobulin injection soon. You should clean the wound with soap and water. Get a dressing from the doctor with a Betadine solution (Povidone-Iodine) followed by application of Mupirocin ointment. You have to do dressing daily. You should have anti-rabies vaccination on day 0, 3, 7, 14 and 28. Also, rabies immunoglobulin should be taken intramuscularly. Tetanus vaccination is also required. You can take capsule Augmentin duo 1 gm (Amoxicillin with Clavulanic acid) two times a day. You can take tablet Pantoprazole 40 mg before breakfast once a day for five days to prevent wound infection. |
Q. What are the black dots I see when I am out in the daylight? | Hello doctor, I am just 10 days away to be 20 years old. I have been seeing black dots or I may say they appear differently on my eyes. They do not go away. I always have them with me. They irritate me because I normally see them the most or clearly when I am out in the daylight. I sometimes find it hard to face the light meaning like looking around on a sunny day. These things do not prevent me from seeing. I see even from afar but I see well when there is no much light because I cannot stand light well when I am watching something. I have read somewhere that they are called floaters and can cause blindness. I have started to see just one dot and now I see some more not too many but irritating. It has been years. However, I have only tried to tell a doctor but he said that there is no problem and I have not done any treatment. So, I need your help, please. | Hi. You have correctly described your floaters. Only thing is that it is perfectly normal as they are part of aging and will only increase with time. They develop as the vitreous jelly inside our eyes liquifies with time. So they move when your eye moves. They do not cause blindness on their own. They are a matter of concern only when there is a sudden shower of floaters associated with flashes. In that case, you will need an examination of your retina after full dilation of your pupil to rule out any break in your retina which if not lasered on time may proceed to retinal detachment. Take care. |
<s>[INST]
Hello doctor, I am just 10 days away to be 20 years old. I have been seeing black dots or I may say they appear differently on my eyes. They do not go away. I always have them with me. They irritate me because I normally see them the most or clearly when I am out in the daylight. I sometimes find it hard to face the light meaning like looking around on a sunny day. These things do not prevent me from seeing. I see even from afar but I see well when there is no much light because I cannot stand light well when I am watching something. I have read somewhere that they are called floaters and can cause blindness. I have started to see just one dot and now I see some more not too many but irritating. It has been years. However, I have only tried to tell a doctor but he said that there is no problem and I have not done any treatment. So, I need your help, please. [/INST] Hi. You have correctly described your floaters. Only thing is that it is perfectly normal as they are part of aging and will only increase with time. They develop as the vitreous jelly inside our eyes liquifies with time. So they move when your eye moves. They do not cause blindness on their own. They are a matter of concern only when there is a sudden shower of floaters associated with flashes. In that case, you will need an examination of your retina after full dilation of your pupil to rule out any break in your retina which if not lasered on time may proceed to retinal detachment. Take care. |
Q. I am passing blood while using the toilet. Please help. | Hi doctor, I am 21 years old. I pass blood whenever I use the toilet. There is a burning sensation and also, a swelling. | Hello. You can have proctitis like inflammation condition of the rectum. Infected piles, polyp, fissure also can present with such symptoms. So to find underlying cause I suggest you proctoscopy examination of the rectum and anal canal. According to the cause, specific treatment is given. Drink more water and avoid excess spicy foods. Meanwhile, for pain relief, you can be prescribed Ibuprofen 200 mg BD for five days. I suggest you consult a surgeon or physician for examination and further work up. |
<s>[INST]
Hi doctor, I am 21 years old. I pass blood whenever I use the toilet. There is a burning sensation and also, a swelling. [/INST] Hello. You can have proctitis like inflammation condition of the rectum. Infected piles, polyp, fissure also can present with such symptoms. So to find underlying cause I suggest you proctoscopy examination of the rectum and anal canal. According to the cause, specific treatment is given. Drink more water and avoid excess spicy foods. Meanwhile, for pain relief, you can be prescribed Ibuprofen 200 mg BD for five days. I suggest you consult a surgeon or physician for examination and further work up. |
Q. How to reduce hair fall soon? | Hi doctor, I am 22 years old. I have a problem of hair fall. My hairs fall so quickly, and there is no regrowth of hairs. Please help. | Hi. Nowadays, hair fall is very common due to change in lifestyle and food habits. Excessive use of different kinds of shampoos, conditioners and washing hairs using hard water result in hair fall. Reduced blood supply to the hair roots makes the hair weak, and it leads to hair fall. You should follow some precautions to prevent hair fall. Apply Bhringaraja oil to the hair at night. Massage the hair for five to ten minutes and wash them with water the next morning. Shampoo your hair weekly twice or thrice using protein shampoo. Do these things and provide your valuable feedback. |
<s>[INST]
Hi doctor, I am 22 years old. I have a problem of hair fall. My hairs fall so quickly, and there is no regrowth of hairs. Please help. [/INST] Hi. Nowadays, hair fall is very common due to change in lifestyle and food habits. Excessive use of different kinds of shampoos, conditioners and washing hairs using hard water result in hair fall. Reduced blood supply to the hair roots makes the hair weak, and it leads to hair fall. You should follow some precautions to prevent hair fall. Apply Bhringaraja oil to the hair at night. Massage the hair for five to ten minutes and wash them with water the next morning. Shampoo your hair weekly twice or thrice using protein shampoo. Do these things and provide your valuable feedback. |
Subsets and Splits
No community queries yet
The top public SQL queries from the community will appear here once available.